<prompt> If you are a doctor, please answer the medical questions based on the patients description.iam having low back pain , nausea and abnormal bleeding,, fatigue . i went to er about one week ago they said i had some kidney califacations measuring up to 4mm.they also said they hadnt moved out of the kidney yet and that i shouldnt be feeling the pain from this.if not what is it?why am i still sick as a dog from this?  <response>: Hello Good Afternoon, As per your description, you have renal calculus stone of minimal size, and it can cause all the symptoms which you have. Though its size is minimal, but it is creating problem for you, so you should be managed for that. So follow the steps:1. Repeat USG to know the current status calculus and kidney.2. X-ray PUB for supporting the evidence of calculus position.3. Intravenous paleography MVP to see the kidney functions and the calculus obstruction.4. Urine Examination5. Go for a Surgery PCNL or DJ stenting if needed, because you are symptomatic. 