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

### input:
Hi. I have a history of renal problems. I had a stint put in when I was a toddler and had what I think was called a bilateral implant done at the same time. that was roughly 26 years ago and since my surgery I have had frequent utis bladder and kidney infections the most recent was three weeks ago and it got bad fast so I got myself back into a urilogist. The day after I saw her I started passing fleshy white chunks sometimes bloody in my urin and. I have sharp pain through my right side from my hip to my rib cage after I urinate. I had an ultrasound today and have been soar from the tech pushing on my left kidney and am now peeing blood. Should I wait to hear from my uroligist or go in?

### output:

HelloThanks for query. Based on the history that you have posted It seems that you had Bilateral Mexico Ureteric Re flux (OUR) since birth and was operated in childhood and bilateral rampant was done. Since then, you are getting repeated episodes of UTI frequently. The present symptoms rare due to UTI, Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. Please note that you need to take long term prophylactic antibiotic like Norfloxacin or Nitrofurantoin twice daily to prevent getting UTI.