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What Causes Severe Pain In The Upper Back?

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Posted on Wed, 9 Nov 2016
Question: hi,
i am having excruciating pain in my left kidney. can someone please advise some meds to subside the same...
thanks
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
Presence of Kidney stone has to be ruled out ..

Detailed Answer:
Hello
Thanks for query .
The severe pain that you are getting in Left kidney can be due to presence of stone either in Left Kidney or Ureter and needs to be investigated ,

Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Renal Function tests.

In the mean while start taking Antibiotics like Ciprofloxacin and Nitrofurantoin twice daily along with anti spasmodic Spasmo Proxyvon twice daily .

Ensure to drink more water to keep your urine dilute .

Further treatment will depend upon result of these tests and final diagnosis as regards size ,site of the stone and back pressure changes in the kidney due to stone.

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.





Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (3 minutes later)
hi doc i went for a check up at a hospital.. done with my blood test and urine test. the report will come tomorrow. i have been put on norflox 400 mg one painkiller and 1 antacids..
doctor
Answered by Dr. Dr. P. T. Patil (24 minutes later)
Brief Answer:
That is fine .

Detailed Answer:
Hello
Thanks for update .Continue treatment .
Have they done Ultrasound Scanning which is most important investigation to diagnose kidney stone ?

Please do write once you get reports .I would be glad to help you .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (1 hour later)
will get it done tomorrow. will keep u updated dpc
doctor
Answered by Dr. Dr. P. T. Patil (13 minutes later)
Brief Answer:
O.K Bye

Detailed Answer:
Hello
Thanks for follow up .

Please do write after you get the the reports .I would suggest the plan of action after going through reports .
Thanks and Regards.
Dr Patil,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (1 minute later)
sure doc. will upload the reports
doctor
Answered by Dr. Dr. P. T. Patil (2 minutes later)
Brief Answer:
Do not write till you get your reprt

Detailed Answer:
Hello
Do not write till you get your report as you will exhaust your limits of follow up queries and will have to make payments again .

Thanks and Regards
Dr.Patil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (2 days later)
sir i have attached the ultrasound reports
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
You have Left Upper Ureteric stone .

Detailed Answer:
Hello
Thanks for follow up and update .

Ultrasound Scanning has revealed presence of stone in left upper ureter with back pressure changes in kidney (Hydronephrosis).

In management of stone disease primary aim is to prevent kidney from being damaged due to back pressure changes .

The stone of a size of 7 mm can be expected to pass out through urine spontaneously .However it is very difficult to predict the time it will take to pass out

However if the pain is very severe and intolerable and associated with repeated attacks of pain and vomiting it is advisable to decompress the kidney by putting a stent in left ureter so that urine flows down from kidney in to bladder .It helps to prevent kidney from being damaged and the stone automatically moves down as ureter gets dilated due to stent .

Discuss the situation with your Urologist and explore the need for putting a stent and decide about future course of action .

Thanks and Regards.
Dr.Patil.


Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10590 Questions

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What Causes Severe Pain In The Upper Back?

Brief Answer: Presence of Kidney stone has to be ruled out .. Detailed Answer: Hello Thanks for query . The severe pain that you are getting in Left kidney can be due to presence of stone either in Left Kidney or Ureter and needs to be investigated , Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Renal Function tests. In the mean while start taking Antibiotics like Ciprofloxacin and Nitrofurantoin twice daily along with anti spasmodic Spasmo Proxyvon twice daily . Ensure to drink more water to keep your urine dilute . Further treatment will depend upon result of these tests and final diagnosis as regards size ,site of the stone and back pressure changes in the kidney due to stone. Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you . Thanks and Regards. Dr.Patil.