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Suggest Treatment For Intense Pain In Kidney Area And Below Rib Cage
Brief Answer:
Suggest an ultrasound KUB for comparison
Detailed Answer:
Hello ma'am and welcome.
Thank you for writing to us.
I have gone through your query with diligence and would like you to know that I am here to help. Pain in the right flank region certainly raises possibility of the presentation being caused due to kidney stones. As you have mentioned a history of a kidney stone, I would suggest revisiting your doctor's office to undergo an ultrasound KUB (kidney, ureter and bladder), to check if the size of the stone may have increased which could possibly causing the pain.
In the meantime, make sure you drink plenty of water and observe if this increased fluid intake helps reduce the pain or not. But I would like to point out that the pain you have described on the left side just below the rib cage is quite typical for conditions like irritable bowel syndrome, diverticulitis, etc. So although you are quite right about the possibility of this being due to a kidney stone, there is a little bit of diverticulitis involved as well.
I would either way recommend the ultrasound, and a comparison to be made with a previous one to note any change in size. If at all there is no change in size, then the possible cause cold be a reduced level fluid intake.
I look forward to hearing from you about the reports of the ultrasound in order to help you further. Please feel free to write back to me for any further clarifications, I would be more than happy to help.
Best wishes.
Suggest an ultrasound KUB for comparison
Detailed Answer:
Hello ma'am and welcome.
Thank you for writing to us.
I have gone through your query with diligence and would like you to know that I am here to help. Pain in the right flank region certainly raises possibility of the presentation being caused due to kidney stones. As you have mentioned a history of a kidney stone, I would suggest revisiting your doctor's office to undergo an ultrasound KUB (kidney, ureter and bladder), to check if the size of the stone may have increased which could possibly causing the pain.
In the meantime, make sure you drink plenty of water and observe if this increased fluid intake helps reduce the pain or not. But I would like to point out that the pain you have described on the left side just below the rib cage is quite typical for conditions like irritable bowel syndrome, diverticulitis, etc. So although you are quite right about the possibility of this being due to a kidney stone, there is a little bit of diverticulitis involved as well.
I would either way recommend the ultrasound, and a comparison to be made with a previous one to note any change in size. If at all there is no change in size, then the possible cause cold be a reduced level fluid intake.
I look forward to hearing from you about the reports of the ultrasound in order to help you further. Please feel free to write back to me for any further clarifications, I would be more than happy to help.
Best wishes.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Report - there is a echogenic focus within the left kidney, lower pole. This measures 14mm. This most likely represents a renal calculus. No focal abnormalities are seen within the liver, spleen, kidneys, pancreas or upper abdominal aorta. No gallstones or gallbladder wall thickening is seen. The common bile duct measures 3.3mm near the porta. The portal vein demonstrates flow towards the liver. Comment Left renal calculus.
DO I HAVE KIDNEY DISEASE?
I am in hospital. Pain is so bad. Doctor unpleasant. Did not seem to want to believe I have a kidney some. Lucky I had the report on my computer. On a iv drip, antibiotics.
My skin is horribly itchy all over.
the pan in my left side is like 100 knitting needles stabbing me.
Slight blood and slight white cells in my urine.
awaiting blood test results.
DO I HAVE KIDNEY DISEASE?
I am in hospital. Pain is so bad. Doctor unpleasant. Did not seem to want to believe I have a kidney some. Lucky I had the report on my computer. On a iv drip, antibiotics.
My skin is horribly itchy all over.
the pan in my left side is like 100 knitting needles stabbing me.
Slight blood and slight white cells in my urine.
awaiting blood test results.
Brief Answer:
You have a large left renal stone; needs surgery
Detailed Answer:
Hello once again ma'am.
I am extremely sorry to hear that you have been admitted under the care of an unpleasant doctor. At times, doctors forget that a simple smile may be the best treatment our patients can receive. They are over-burdened, have no family life and in more cases that not, do not receive the gratitude and appreciation they deserve, making them numb.
From your reports, you do have a left kidney stone which is 14 mm in size. A kidney stone more than 4-5 mm in size warrants surgical consideration. As you are also experiencing severe pain, I would recommend immediate surgery or the following procedures to help bring the stone out:
-ESWL + dormia basket: This procedure is extracorporeal shockwave lithotripsy which is used to break the stone into smaller fragments and is collected with the help of a small basket (dorm basket) and removed
-Ureteroscopy (URS)
-Percutaneous nephrolithotomy (PNL): Helps in removal of larger stones that cannot be removed with the help of URS or ESWL.
Your presentation is completely in accordance with kidney stones, and I wonder why your doctor would choose not to accept this. I would recommend immediate discussion with your doctor about the above mentioned procedures and planning the most suitable one for you at the earliest.
I hope and pray you find some relief with i.v. fluids and antibiotics. Please do not hesitate to write to me about anything, I am always here to help you ma'am, please do not forget that.
Best wishes.
You have a large left renal stone; needs surgery
Detailed Answer:
Hello once again ma'am.
I am extremely sorry to hear that you have been admitted under the care of an unpleasant doctor. At times, doctors forget that a simple smile may be the best treatment our patients can receive. They are over-burdened, have no family life and in more cases that not, do not receive the gratitude and appreciation they deserve, making them numb.
From your reports, you do have a left kidney stone which is 14 mm in size. A kidney stone more than 4-5 mm in size warrants surgical consideration. As you are also experiencing severe pain, I would recommend immediate surgery or the following procedures to help bring the stone out:
-ESWL + dormia basket: This procedure is extracorporeal shockwave lithotripsy which is used to break the stone into smaller fragments and is collected with the help of a small basket (dorm basket) and removed
-Ureteroscopy (URS)
-Percutaneous nephrolithotomy (PNL): Helps in removal of larger stones that cannot be removed with the help of URS or ESWL.
Your presentation is completely in accordance with kidney stones, and I wonder why your doctor would choose not to accept this. I would recommend immediate discussion with your doctor about the above mentioned procedures and planning the most suitable one for you at the earliest.
I hope and pray you find some relief with i.v. fluids and antibiotics. Please do not hesitate to write to me about anything, I am always here to help you ma'am, please do not forget that.
Best wishes.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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