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

### input:
i have recently learned that i have a bilateral pelvicestasis during my pelvic pain ct scan.i have not followed to find out how and why i have it ut i have very severe pelvic pain that is best on my left and pain is now really bad that bending is hard and on my back feels like a spear has been stuck on my spine

### output:

Hi, I am sorry to know about your severe pain. Please be assured that your condition is treatable once a proper diagnosis is made. Pelvicetasis means a dilatation or swelling in the part of kidney (renal pelvis) which connect the inner urine collecting parts of kidney to ureter (the tube connecting kidney to bladder). This can be due to any obstruction in the junction of renal pelvis and ureter (pelvi-ureteric junction obstruction) or reflux of urine (urine flows back from bladder to kidneys while passing urine). In some conditions, mild pelviectasis may be a normal finding also. Your CT scan will usually guide regarding the correct diagnosis. The other tests that may be required, include MCU (micturition cystourethrogram) to check for reflux and DTPA scan (radionuclide scan) to check for obstruction. This decision regarding further tests will be made by your Urologist, based on the exact findings of CT scan. Please get your urine checked for any associated urine infection, which can increase the pain. If there is Syria (increased number of pus cells in urine), you need to take antibiotics to control the infection, before proceeding for further tests. If the pain is severe, you can take one or two doses of over-the-counter mild painkillers which do not affect the kidney function (avoid NSAID group of Chat Doctor.  However, it is advisable to consult your Urologist as soon as possible. Hope I have answered your query. Please feel free to get back to me if you need any more clarification. Wish you a speedy recovery, Best regards,