<s>[INST] Lately in the mornings I wake up early (5 am) in discomfort with a full bladder.  After urination I am in painful agony.  The pain is shooting in lower left abdomen and will usually last for 20 min to a few hours.  In the past I have had several ongoing problems with UTI's but this is completely different.  Any ideas? [/INST] Hello, welcome to healthcare magic forum,See it seems to be a kidney like problem, it will be wise to get a urine examination done along with a ultrasound, by this we will get clue to move forward towards diagnosis and treatment.Regards. </s>