instruction: hi doctor I am 17 years old I was born with polycystic kidney disease when I was 14 I was diagnosed as I was having severe chest pain and dizzy spells I am currently four months postpartum since my son was born I have not been able to use the bathroom as frequently as most it never caused me pain or anything up until about a week ago for the past one week I pee once a day I feel the urge to pee all the time but I cannot no matter how hard I try the pain is entirely unbearable at this point I drink plenty of water a day I have even tried cranberry juice but nothing has helped I have put off going to the hospital for the fear of being admitted but I cannot any longer I want a professional opinion do you think I need to suck it up and go to the er or is there anything I am not doing that you think might help please guide
output: hello since you are a patient of polycystic kidney disease you will be more prone for urinary tract infections urinary stones or cysts which could burst and form clots which can result in obstruction one cannot be sure unless you get a sonography done since you say you get urges for urinating and you cannot pass I think you should go to emergency room er and get yourself checked I would advise you to get a complete blood count serum creatinine urine routine and sonography try to keep a chart of the amount of urine you pass and fluids you drink daily and a daily weight chart let me know the laboratory reports for pain use safe painkillers like paracetamol and tramadol revert back after the tests to a nephrologist online