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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Flank Pain After Waking Up, Eases With Body Movements And Urination, CT Shows Kidney Stones. Possible Diagnosis?

Hi. I m a 33 year old female w/ history of kidney stones , recurrent uti, and ovarian cysts . I am current on cipro, sprintec, naproxen and hydrocone. Symptoms that I have been having are flank pain( lt side radiating around to my abdomen, abdominal pain, HA, waking in severe pain after several hours of sleep w/ muscle ridgity, this pain will go away after movement of body and urination, extreme fatigue, body aches, decreased appetite, itching, depression and some anxiety. CBC, and u/a are normal , Abd ct shows only kidney stones. I feel better on the cipro but once it is stopped my symptoms continue. I know that something is wrong, either with my kidneys or possibly and adrenal gland issue... My main complain is the waking in severe pain with inability to move. I am scheduled to see an internist soon but I was hoping you could maybe shed some light on what may be going on or possible diagnoses I could have him check for.
Mon, 5 Aug 2013
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Nephrologist 's  Response
You are having a persistant urinary tract infection which is not getting fully cured because of the stones and possible obstruction.
You can get a urine culture and sensitivity done and will need a longer course of antibiotic like a single night time dose of ciprofloxacin 500 mg for 2-3 wks or a month.
Also if the stones are causing any obstruction in the urinary tract, they may need to be removed.
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Flank Pain After Waking Up, Eases With Body Movements And Urination, CT Shows Kidney Stones. Possible Diagnosis?

You are having a persistant urinary tract infection which is not getting fully cured because of the stones and possible obstruction. You can get a urine culture and sensitivity done and will need a longer course of antibiotic like a single night time dose of ciprofloxacin 500 mg for 2-3 wks or a month. Also if the stones are causing any obstruction in the urinary tract, they may need to be removed.