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Suggest Treatment For Severe Pain In The Back And Nausea
Question: My 22 year old son has been vomiting and is complaining of pain in his lower right back and around his side. It is only on his right side. He says he is ok if he takes shallow breathes but when he takes a deep breath he has severe stabbing pain on the right side. He had kidney stones about 5 years ago.
Brief Answer:
as explained in details.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/22 - vomiting - pain in lower right back and around his side - ok on shallow breathes - severe stabbing pain on deep breathing - kidney stones about 5 years back ....
The possibilities as per the history you have provided are:
- Hydronephrosis i.e. fullness of collecting system of kidney on right side with/without stone and/or infection.
- But does not go with with severe stabbing pain on deep breathing a the pain in hydronephrosis can increase slightly on deep breathing, hence there is chance of infection but there is no history of fever, chills, urinary symptoms.
- Hence other chances to be ruled out are:
Lower lung/pleura and ribs inflammation.
Rarely inter-vertebral disc problems.
- Pathology of liver and/or gall bladder.
- Vomiting is usually due to reflex to pain.
I would advise him the following:
Tests of blood: CBC, liver and kidney functions.
Urine: Routine, microscopy, culture and sensitivity.
Ultrasound of the whole abdomen, lower chest for pleural fluid.
X-ray of the abdomen.
Further tests and management as per the clinical evaluation, examination and preliminary investigations.
This way a proper diagnosis can be done and management can be instituted to get a cure. I hope, this answer helps to get the correct diagnosis at the earliest and have proper curative management. Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
as explained in details.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/22 - vomiting - pain in lower right back and around his side - ok on shallow breathes - severe stabbing pain on deep breathing - kidney stones about 5 years back ....
The possibilities as per the history you have provided are:
- Hydronephrosis i.e. fullness of collecting system of kidney on right side with/without stone and/or infection.
- But does not go with with severe stabbing pain on deep breathing a the pain in hydronephrosis can increase slightly on deep breathing, hence there is chance of infection but there is no history of fever, chills, urinary symptoms.
- Hence other chances to be ruled out are:
Lower lung/pleura and ribs inflammation.
Rarely inter-vertebral disc problems.
- Pathology of liver and/or gall bladder.
- Vomiting is usually due to reflex to pain.
I would advise him the following:
Tests of blood: CBC, liver and kidney functions.
Urine: Routine, microscopy, culture and sensitivity.
Ultrasound of the whole abdomen, lower chest for pleural fluid.
X-ray of the abdomen.
Further tests and management as per the clinical evaluation, examination and preliminary investigations.
This way a proper diagnosis can be done and management can be instituted to get a cure. I hope, this answer helps to get the correct diagnosis at the earliest and have proper curative management. Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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