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

### input:
what would the likely diagnosis be for a 40 year old male who has severe pain on his left side and back below the ribs. He describes the pain as spreading to the lower abdomen and groin and comes in waves that fluctuate in intensity. He has painful urination and brownish foul smelling urine. He reports a persistent urge to urinate and urinating more often than usual along with nausea and vomiting

### output:

Brief Answer:This symptoms may be due to urinary tract infection. Detailed Answer:Hello, Thank you for using Chat Doctor. This symptoms may be due to urinary tract infection such as cystitis (bladder), urethritis (urethra), or pyelonephritis (kidneys). The only way to diagnose an infection is checking a urine sample and after that performing a urine culture. The urine culture is the most accurate test to determine for sure whether an infection is present. The lab puts the urine sample in an incubator. If any bacteria are in the sample, they will multiply and show up. However, it takes 24 to 48 hours for the bacteria to grow enough to be detected.  The monoculture should be followed by Antibiotic susceptibility testing (AST). Based on the result of the last one, you may take a specific antibiotic treatment. I suggest you to undergo an abdominal ultrasound too, in way to exclude any possible structural cause of the UTI. Meanwhile, you should Chat Doctor. You can take diclofenac (Dan) tablet with an initial dose of 100 mg orally followed by 50 mg oral doses every 8 hours, maximum 150 mg per day. Herbs such as golden seal, UVA RSI, blackberry root, and wintergreen have the ability to soothe, relieve irritation and reduce infection in the urinary tract. Load up on foods packed with vitamin C or take vitamin C supplements may help you fight UTI. You should take of your diet the bladder irritants such as: caffeine, alcohol, spicy food, nicotine, carbonated 