<s>[INST] my boyfriend has been c/o pain in his neck for about a week and then while working out he had a slight pain in his chest with a pulse of 134 and a blood pressure of 143/92 then after two days he has now woke up with slight kidney pain and voiding yellow urine with stringy blood in it what in the world could this be and what should be done? [/INST] HelloThanks for query. Your boyfriend seems to have pain in chest, loin and blood in urine (Hematuria). This is most likely to be due to presence of stone either in kidney or Ureter. He needs to consult qualified Urologist for evaluation and get following basic tests done to confirm the diagnosis .1) Routine urine test and urine culture 2) Ultrasound Scanning of the abdomen and pelvis. Ask him to take antibiotics and painkillers. Further treatment will be decided by concerned Urologist and will depend upon the results of these test and final diagnosis, Chat Doctor.  </s>