Suggest Treatment For Abdominal Pain Due To Kidney Stones

Posted on Thu, 20 Mar 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 20 Mar 2014 Answered on

Wed, 9 Apr 2014 Last reviewed on

Question : I have continued left flank pain and LUQ abdominal pain. A few small kidney stones. Pain worse after eating and drinking. Better when laying down, no fever.

Answered by Dr. Vidya KR (3 hours later)

Brief Answer: need more information... Detailed Answer: Hi, I went through your query and understood your concerns. I would like to know since how long you have been with this pain; If you have any issues while passing urine? And if you have seen a doctor / tried medicines. Small kidney stones can cause this pain; however if its acute and recent in nature I would suggest you to visit the ER / Urgent care clinic for reevaluation and ultrasound scan. Besides the kidney stones, long term left upper quadrant pain may be due to peptic ulcer, chronic or gastritis. Upper GI endoscopy and ultrasound examination with battery of blood tests will help us isolate the cause. In short, my suggestion is if you have acute recent onset pain, it is best to visit the ER and get it treated. If the symptoms are fairly long duration, you can try proton pump inhibitor such as pantoprazole 40 mg OD half an hour before breakfast along with a low spicy diet for a couple of weeks. In addition you should also consume plenty of fluids. If symptoms persist for more than 2 weeks despite the medications, you should consider consulting a doctor for evaluation. Hope this information helps you. Feel free to ask further related queries. Wish a speedy recovery. Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Vidya KR (9 hours later)

I had KUB which showed small stones, MD did't think they would cause this pain. Had labs drawn to rule out pancreatitis and liver probs. All negative. To my knowledge, H-pylori was negative as well. I started omeprazole 20mg twice a day last night. Could it be a gallbladder issue? Urology also questions a musculoskeletal issue although i don't agree. It does happen when I stand for long periods, but also after eating and drinking.

Answered by Dr. Vidya KR (1 hour later)

Brief Answer: Needs endoscopic visualisation of GIT mucosa Detailed Answer: Hi, thanks for follow up query. As you have mentioned test for liver problem were with in normal limit then gallbladder issues are less likely. Muscular pain will be more superficial and can be easily made out through examination, pain on pressing over affected muscle. But this pain doesn't vary with taking food. If pain relieves with use of muscle relaxant medication, then it could be a possible one. But in my opinion its not likely to be. As your initial test reports are with in normal limit, we need to evaluate for other less common conditions like celiac disease, irritable bowel syndrome. stool examination and endoscopic visualisation of GIT helps to get clear picture. may also need to take biopsy if mucosa for study. Hope this helps you. Feel free to ask further related query. Wish you a speedy recovery. Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj