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

### input:
Hi, may I answer your health queries right now ?  Please type your query here...  suffering from kidney problems since 2003. There are cyst & stone in both of my kidneys. I have also thyroid problems, under medication. In 2007, I had a Hysterectomy surgery for fibroid uterus. I have seviour pains in my back which is coming in the lower abdominal areas and maximum pain is in the left side and it is sometimes really un tolerable. Feeling very week and full body swells.  My blood pressure are fluctuating, occasional bleeding from nose, having fever and occasional rashes on the skin also a problem. Sometimes, can not walk due to swollen feet.I dont know whether I have to go to a nephrologyst or I need a Urologyst for my cases) Pls advice.Grateful for all your cooperation in advance. With best regards Elizabeth, Age: 43,

### output:

Hi, You had hysterectomy done & have a history of kidney stones & cysts. Fatigue, swelling, fluctuating blood pressure are indicative of kidney problem (dysfunction/failure). Urologists & Nephrologists generally work together.  You are suggested to visit a Urologist & get all the Blood tests, Urinalysis, Kidney Function tests done. You may have to go for a biopsy, imaging tests (CT, MRI, etc.). Get it done, get physically examined & evaluated. You will be treated with medications or surgery (cyst /stone removal) depending upon the severity of your disease. If you need a dialysis you will be referred to a Nephrologist. For pain take Acetaminophen (Tylenol) & some antacid or PPI's, Pantoprazole when discomforted.  Hope I have answered your query. Let me know if I can assist you further. 