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Suggest Treatment For Severe Pain On Left Back

Posted on Thu, 27 Aug 2015

Question: I have been having this severe pain on my left back for years now, but when ever I woke up and move around, it stops. I underwent a scan and the result says that the left kidney increase parrenchyral echotex with thickened echopenic medullar, it measures 110*53mm and the calyces are not dilated while the right measures 104*45mm . He stated LEFT NEPHROCALCINOSIS, CHOLECYSLITES. Gallbladder abnormally thickened (7.2mm). Another result says is RENAL COLIC, please help me on which drugs to take, I'm dying. The pain is becoming too much and I can't sleep lying with my left side

Answered by Dr. Rakesh Madhyastha (2 hours later)

Brief Answer:
Opiates

Detailed Answer:
Hello

Thanks for the query

The reason for your pain is because of the NEPHROcalcinosis. I recommend that you take opiates like tramadol three times a day for this severe pain. Another option would be to be on fentanyl patch for extended pain relief. Please speak to you doctor about surgical options as well and treatment with potassium and magnesium syrup

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (12 minutes later)

I can't find a nephrologist over here, should I take tramadol with Ibuprofene, what is fentanyl patch?, I'm sulfa allergy, can I take thiazide diuretics and magnesium citrate?

Answered by Dr. Rakesh Madhyastha (3 hours later)

Brief Answer:
needs evaluation

Detailed Answer:
Hello

Thanks for getting back

Further work up of nephcalcinosis is very important for further treatment. I would like you to get your phosphorus , calcium, magnesium and serum bicarbonate levels along with potassium levels checked.

Accordingly thiazides , cinacalcet , etc can be used

Ibuprofen is nephrotoxic so I don't recommend it. Plain tramadol is more than enough for pain. Please approach your gp for a prescription.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (31 minutes later)

This is the analysis Creatinine 0.9.mg/dl (0.6-1.1mg/dl), UREA 26mg/dl (10-55mg/dl)
K 4.2mmol/l (3.5-5.5mmol/l)
Na 138mmol/L (135-145mmol/l)),

I was told the thaizide contain sulfa, should I go ahead to take it with cinacalcet and magnesium citrate?

Answered by Dr. Rakesh Madhyastha (1 hour later)

Brief Answer:
Thiazides contraindicated

Detailed Answer:
Hello

Thanks for getting back

Thiazides contain sulfa so please do not take it. Before initiating treatment I recommend you to meet a physician as these agents contain electrolytes and they can cause harm when taken without supervision

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar