
Can Kidney Issues Cause Severe Bilateral Flank Pain With Blood In The Urine?

These episodes have been going on for 7 months. I also have been getting up to urinate 1 to 2 times per night, and always feel thirsty (I do do not have diabetes). I have always had blood in my urine since 1996. I have cast in urine, and even immature granulates in my blood. In September of 2017, I had a erg reading of <40. However, it comes and goes.
I have a pending visit with my Gastroenterology for mid March. My Maternal Great Grandmother had kidney disease, my Maternal Grandmother found out she had a shriveled up kidney when she was in her 80's. I have had multiple kidney infections in my youth and passed a stone during pregnancy 17 years ago.
Can you list any possible kidney issues that can be occurring that would give episode type symptoms and readings and pain, and that would not able to be discovered using ultrasound?
Possible Diagnosis:Ureteric stone
Detailed Answer:
Hello,
The location and characteristics of the pain you are describing ing is suggestive of possible ureteric stones.
An ultrasound evaluation can miss ureteric stones, especially if they are small.
More advanced investigation like CT abdomen and pelvis is recommended for detailed evaluation. So please be advised to follow up with your primary care provider for further evaluation and management.
Meanwhile, drink plenty of water. Keep an eye on if you are passing stone while urinating. You can also take Buscopan 10 mg thrice daily to help relieve the pain.
Hope I have answered your query.
Take care
Regards,
Dr Lekshmi Rita Venugopal, General & Family Physician

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