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

### input:
Hi I have a really severe pain in my back by my kidneys and abdominal pains too . I have been to my gp several times and the first time he gave me anti boiotics due to blood in urine this did not work so another dose was given , in the meantime I was getting a burning sensation below so went to the gu clinic which gave me a full mot and said I had kidney stones ? I went back to my gp and he referrered me for an ultrasound all results came back clear . I am still in severe pain and have been to many out of hours gps due to intense pain and even a&e twice all are saying stones but wen I go back to gp he says they are all wrong and the ultrasound was clear so it s not that ?! He has now said I have a slipped disc and will have to wait one month b4any action can be looked at . I have since been back today in extreme pain and he now says it s back spasms ??? And to see how I go . Please please help if u can I don t no what else to do I m in extreme pain . Penny

### output:

Hi welcome to Chat Doctor, I understand your query and concern. Your symptoms are suggestive of probably renal stone. For this you need to have a CT scan of the abdomen for accurate assessment. I advise you to have Tab Tramadol and Tab. Pantop 40 mg, a course of antibiotic taken under medical prescription to control this pain. Further expert management depends on the outcome of the CT scan result and Intravenous paleography. If the size of stone is more than 5 cm then depending on the location of stone Extra corporeal lithography can be done.Meanwhile, you need to take soft and less spicy foods. Chat Doctor. Fruits, fruit juices, vegetable salads, soups should be taken. Exercise regularly. Consult your nephrologist for expert management. Post your further queries if any. Thank you.