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

### input:
Hi, i have had ongoing symptoms (6 months) of abdominal and back pain. 2 late periods,  were never late before. Several kidney infections, Shooting pains in lower abdominal area. Achy sides and feels like a bruised coccyx. Both sides and edge of abs area are very tender to touch and often ache. The skin also feels rough in these areas. I have had both an ultrasound scan and blood tests which have all come back as normal. The pain is often very bad and can make general daily activities very difficult.

### output:

Hi. Thanks for your query and an elucidated history. The history of so many varied symptoms some related and some non-related with normal ultrasonography and some blood investigations are suggestive of you need to have:A detailed clinical and Physical examination by a MD Physician. This is very important as there can be some syn Chat Doctor.  You say the following history:Abdominal and back-pain- are indicative of retroperitoneal structure involvement; 2 late periods can be general ill health and may not be a major issue unless accompanied by heavy bleeding or so. Achy sides and bruised coccyx can be due to fibromyalgia associated with infection, stress and anxiety of not getting well. The same goes for the abs and both sides of abdomen. Skin can be rough due to deficiency of vitamins. Since you have not noted any sum, ptoms related to the intestinal problems like bloating, loose motions or so, all these problems can be related to the kidney infection which is not diagnosed and treated well. I would hence advise you the following:First get the urine and blood culture and sensitivity done to get an idea about the infecting organisms. Routine tests of blood, urine and stool. Intravenous paleography and CT scan of the abdomen. Cysto-urethroscopy and Urologists opinion. Once a proper diagnosis is made the treatment can be planned perfectly to get the results. This will be in the form of a long-term antibiotic, multivitamins and so on. 