### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I am a 36 year old female who has been suffering with abdominal pain , back/flank pain, and blood in urine for years now. The abdominal pain can vary from mild to severe where I am doubled over in pain and the back pain can be just as debilitating. I have had CT scans, ultra sounds, hida scans, and x rays done and all come back fine. The one constant is the blood found when given a urinalysis . I don t think I have had a clean urinalysis in over 8 years and have these episodes every few months. Any help would be appreciated. I live in a some what small town and the doctors are all shaking their heads. I go see a urologist in two days but am so frustrated and don t know what to do. I am sick of doctors passing me pain medication and therefore have been refusing them all together. I want answers to what is going on not pain meds.

### output:

Hi welcome to Chat Doctor forum.  Thanks for choosing Chat Doctor. Forum.  You are suffering with back pain since 10 years, Urine examination is showing blood in the urine. Probably R.B.C. No tests revealed any wrong.  The pain appears to be due to stones in the urinary system. May be small stones in pelvis of kidney, ureter, bladder, or urethra. Which are causing irritation, and oozing of blood.  As you have decided you consult a urologist for diagnosis and treatment. You may have to go for ureteroscopy, besides other routine tests for confirmation. If no information was available regarding diagnosis you may have to go to a nephrologist.  I hope my reply has satisfied your doubts.  Wishing for a quick and complete diagnosis and recovery.  Best regards.