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Hi, Last Night I Woke Up With A Really Painful
Question: Hi, last night i woke up with a really painful stabbing pain in my right side and it lasted for about 4 hours and then i feel asleep. i woke up with no pain but am still worried because of how long the pain lasted and how bad it was. i have also had an ongoing uti that has never healed.
Brief Answer:
renal colic?
Detailed Answer:
Hello,
first of all, you should be more specific on the site of pain as the right side may mean right hemithorax, right lower quadrant of the abdomen, flank pain, etc. If you had flank pain or pain located on the right side of the abdomen then renal colic or passage of a stone to the lower part of the urinary tract is possible. The pain is typically very strong, it may fluctuate in intensity and may be accompanied by nausea and perhaps also vomiting. If the pain is on the lower abdomen then urinary tract symptoms may occur (urgency, dysuria, etc).
Other causes of pain may include gallbladder disorders, musculoskeletal disorders and intestinal disorders.
Gallbladder disorders lasting for 4 hours are not common unless cholecystitis is the cause but we usually don't expect the pain to subside so fast. Musculoskeletal disorders are possible and they may occur suddenly with sharp pain but we don't expect them to wear off that fast as well. Abdominal disorders that come and go are usually related to excess gas in the intestinal lumen.
In cases like yours with a 4hour lasting pain, I usually recommend urgent investigation with a urinalysis, complete blood count and common chemistries (liver function tests, etc) and C-reactive protein levels. An ultrasound scan of the abdomen may help particularly when solid organs are involved.
Clinical assessment in person is very important in the evaluation of pain. Important clues include:
- the exact location of the pain
- associated symptoms
- how the pain changed over time (pain that comes and goes or remains steady, etc)
- if you could pass gas
- abdominal distension
- urinary tract symptoms
- fever
The urinary tract infection you're talking about cannot normally cause such an acute event. Having more information about it may help though.
So in conclusion, I believe that you should be examined by a doctor, have your history reviewed (clarify the symptoms in particular) and do some basic tests before attempting to interpret your symptoms.
Please let me know if you need further assistance.
Kind Regards,
Dr. Panagiotis Zografakis,
Internal Medicine Specialist
renal colic?
Detailed Answer:
Hello,
first of all, you should be more specific on the site of pain as the right side may mean right hemithorax, right lower quadrant of the abdomen, flank pain, etc. If you had flank pain or pain located on the right side of the abdomen then renal colic or passage of a stone to the lower part of the urinary tract is possible. The pain is typically very strong, it may fluctuate in intensity and may be accompanied by nausea and perhaps also vomiting. If the pain is on the lower abdomen then urinary tract symptoms may occur (urgency, dysuria, etc).
Other causes of pain may include gallbladder disorders, musculoskeletal disorders and intestinal disorders.
Gallbladder disorders lasting for 4 hours are not common unless cholecystitis is the cause but we usually don't expect the pain to subside so fast. Musculoskeletal disorders are possible and they may occur suddenly with sharp pain but we don't expect them to wear off that fast as well. Abdominal disorders that come and go are usually related to excess gas in the intestinal lumen.
In cases like yours with a 4hour lasting pain, I usually recommend urgent investigation with a urinalysis, complete blood count and common chemistries (liver function tests, etc) and C-reactive protein levels. An ultrasound scan of the abdomen may help particularly when solid organs are involved.
Clinical assessment in person is very important in the evaluation of pain. Important clues include:
- the exact location of the pain
- associated symptoms
- how the pain changed over time (pain that comes and goes or remains steady, etc)
- if you could pass gas
- abdominal distension
- urinary tract symptoms
- fever
The urinary tract infection you're talking about cannot normally cause such an acute event. Having more information about it may help though.
So in conclusion, I believe that you should be examined by a doctor, have your history reviewed (clarify the symptoms in particular) and do some basic tests before attempting to interpret your symptoms.
Please let me know if you need further assistance.
Kind Regards,
Dr. Panagiotis Zografakis,
Internal Medicine Specialist
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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