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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent And Stabbing Pain Radiating In The Waist Area?

I started a sudden pain in the right flank of my back around 2:00 pm this afternoon. It has progressively gotten worse. The pain is intermittent with a sudden stabbing pain which then radiates around my waist area. It lasts about 30 seconds. I have timed the pains and they come about every 2 minutes. I had a kidney stone 14 years ago. It awoke me from my sleep and was a constant pain. Could this be what is going on. I feel maybe I should go on to the emergency this evening as this has been going on for over 5 hours.
Mon, 23 Nov 2015
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General Surgeon,  's  Response
Hi,Dear,Welcome with your query to HCM.
Studied your query in full depth of its details.Reviewed it in context of your health concerns.
Based On the facts,Dear, you need to consult ER Urologist or ER Surgeon who would asses your case for the Kidney Stone- in relation to the past history of yours 14 yrs back.
Yes, You may be right in thinking that it is kidney stone.But also don't forget to rule out the Right sided pain due to the Gall Stone Colick,which may mimic like a kidney stone.
Emergency X-ray KUB / CT SCan Abdomen for KUB / Gall Bladder stones and or-by EUS-Endoscopic Ultrasonographic Study would be needed to rule out the small pancreatico-ampullary duct Cancer lesions,which could be missed.
Radiodiagnosis with Clinical assessment from the Surgeon and Uro-Surgeon would fix the cause of the stabbing pain radiating in the waist area on right side.
This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.
Welcome any further query in this regard,which would be replied in next
session.

Good Day!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Intermittent And Stabbing Pain Radiating In The Waist Area?

Hi,Dear,Welcome with your query to HCM. Studied your query in full depth of its details.Reviewed it in context of your health concerns. Based On the facts,Dear, you need to consult ER Urologist or ER Surgeon who would asses your case for the Kidney Stone- in relation to the past history of yours 14 yrs back. Yes, You may be right in thinking that it is kidney stone.But also don t forget to rule out the Right sided pain due to the Gall Stone Colick,which may mimic like a kidney stone. Emergency X-ray KUB / CT SCan Abdomen for KUB / Gall Bladder stones and or-by EUS-Endoscopic Ultrasonographic Study would be needed to rule out the small pancreatico-ampullary duct Cancer lesions,which could be missed. Radiodiagnosis with Clinical assessment from the Surgeon and Uro-Surgeon would fix the cause of the stabbing pain radiating in the waist area on right side. This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery. Welcome any further query in this regard,which would be replied in next session. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS