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What Causes A Constant Dull Right Flank Pain ?

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Posted on Thu, 12 Mar 2015
Question: Constant dull right flank pain. Made better when standing but always there when sitting or lying down. No other major symptoms (i.e. Blood in urine, nausea, vomiting, fever, etc). Getting a pelvic ultrasound tomorrow but that just seems odd to me. The pain is exactly where my right kidney is. What are the most likely causes of this pain? Started about 4 months ago.
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Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Needs Physical examination and investigations

Detailed Answer:
Hi.
Thanks for your query.

4 months is a long time to suffer and the cause not yet picked by is bit difficult to understand.

To recapitulate: ( Gender / age / visited a Doctor / Medication tried - not seen) - pain in the area of right kidney started 4 months ago - dull right flank pain - always there when sitting or lying down - better when ''standing''' - no other symptoms - ''pelvic'' ultrasound tomorrow - sounds odd to you... wants to know most likely causes...

Most likely cases of such pain can be :
- Muscular- local muscles gone into spasm or strain 4 months ago with a known reason like a fall / trauma / slipping of the leg etc or inadvertently where you can not recollect the instigating incidence. Since this is the area which is constantly under movement the muscles do not get a rest and the may be come chronically painful.
- A small possibility of Sort of a neuralgia due to trapped nerve or post- herpetic (Shingles) neuralgia or a Disc lesion in the thoracic region.
-Actual problem of the Kidney like Hydronephrosis if slow growing can cause such similar pains and there will be absence of any episode of acute pain.
* Ultrasonography of the whole abdomen hence is required (not pelvic only)

-Any other cause which may be difficult to see on ultrasonography of the whole abdomen / CT scan of the abdomen / MRI of the spine can be diagnosed with careful Physical / Clinical examination by a Surgeon / Urologist.

I hope this answer helps you to get a proper guideline for getting an early diagnosis and proper treatment.

Please feel free to ask any relevant questions if you need to.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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What Causes A Constant Dull Right Flank Pain ?

Brief Answer: Needs Physical examination and investigations Detailed Answer: Hi. Thanks for your query. 4 months is a long time to suffer and the cause not yet picked by is bit difficult to understand. To recapitulate: ( Gender / age / visited a Doctor / Medication tried - not seen) - pain in the area of right kidney started 4 months ago - dull right flank pain - always there when sitting or lying down - better when ''standing''' - no other symptoms - ''pelvic'' ultrasound tomorrow - sounds odd to you... wants to know most likely causes... Most likely cases of such pain can be : - Muscular- local muscles gone into spasm or strain 4 months ago with a known reason like a fall / trauma / slipping of the leg etc or inadvertently where you can not recollect the instigating incidence. Since this is the area which is constantly under movement the muscles do not get a rest and the may be come chronically painful. - A small possibility of Sort of a neuralgia due to trapped nerve or post- herpetic (Shingles) neuralgia or a Disc lesion in the thoracic region. -Actual problem of the Kidney like Hydronephrosis if slow growing can cause such similar pains and there will be absence of any episode of acute pain. * Ultrasonography of the whole abdomen hence is required (not pelvic only) -Any other cause which may be difficult to see on ultrasonography of the whole abdomen / CT scan of the abdomen / MRI of the spine can be diagnosed with careful Physical / Clinical examination by a Surgeon / Urologist. I hope this answer helps you to get a proper guideline for getting an early diagnosis and proper treatment. Please feel free to ask any relevant questions if you need to.