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

### input:
I am 40 years old and trying to have my first baby. I have been trying to conceive for about 4 weeks already and just a few days ago, I am experiencing left side abdominal pain. My abdominal hurts just when I started to urinate and it hurts when I sit down on the floor. What does that mean and what causes it? Will it affect my chances of having a baby.

### output:

Hi this is Chat Doctor. Thanks for the opportunity to help you. You have mentioned that you are having left sided abdominal pain while sitting and passing urine, so it can be either due to a left renal or ureteric stone or severe UTI but to come to conclusion kindly provide the following details:-1) u have been trying to conceive for 4 weeks, so can I assume that currently there is a cessation of menses? As you are trying to deliver at the age of 40 there r high chances of a difficult delivery and difficult lie of the baby like transverse lie, face or breech presentation.I would first suggest you to do a UPT and once pregnancy is confirmed you can do a USG whole abdomen with PUB region to see the size of the gestational sac and also to rule out any renal, ureteric stone its location size etc. If the size of the stone is less than 5 mm no need to worry. Take 4-5 liters of water daily. Avoid mutton, chicken,tomatoes, spinach etc. One egg a day can be taken. Observe while passing urine. Stone might come out spontaneously with urine itself. If it is large u can go to a urologist and ESL or URS recommended safely in first trimester. Do B. ChatDoctor routinely to rule out any chances of ectopic pregnancy or hydatidiform mole as you are going to be elderly mother. Consult your gynecologist regarding B. ChatDoctor reports. You didn't mention weather you are having burning sensation while passing urine?if you are having then get urine routine and microscopy done also get a urine culture/sensitivity done to rule out severe UTI which is very common in pregnancy. If you are pregnant with Renal/Ureteric stone or UTI I would not prescribe antibiotics as they can be teratogenic.I will advise the following1)syrup.catwalk 2tsp with 1 glass water tdsx1week2)t.cyst one 2-0-2x1monthlet me know if the consultation was beneficial regards