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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Upper Abdomen/costal Angle/back With One Kidney Non Functioning?

For the past 4 months I've been having excruciating sharp constricting pain in my right upper abdomen/costal angle & the corresponding area in my back. The pain is shooting & refers to my right shoulder/neck/ shoulder blade. The pain is worse with deep breathe & I have to breath shallow. My X-ray & ultrasound came up clean on everything but my right kidney was discovered to be dead/ non functioning. (left kidney only functioning at %50). No high bp/no diabetes).Docs suspect pain is pleural rubbing but not certain. Thoughts ?
Wed, 17 Aug 2016
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Urologist 's  Response
Hello and welcome to HCM.
As an Urologist,i can understand your anxiety.You should write your age.
If there's pain with deep breathing,it's likely to be R.kidney infection,
called Acute Pyelonephritis.You should see an Urologist and do tests like :
1. urine routine,culture and ACR.
2. blood routine,creatinine,RBS,LFT.electrolytes and uric acid.
3. A CT scan with contrast(IVU),or a MRU,followed by an isotope renogram.
According to these reports,an expert advise can be given.
If you've any doubts,send the reports to me,as a direct question.
Dr.Matthew J. Mangat.
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What Causes Pain In Upper Abdomen/costal Angle/back With One Kidney Non Functioning?

Hello and welcome to HCM. As an Urologist,i can understand your anxiety.You should write your age. If there s pain with deep breathing,it s likely to be R.kidney infection, called Acute Pyelonephritis.You should see an Urologist and do tests like : 1. urine routine,culture and ACR. 2. blood routine,creatinine,RBS,LFT.electrolytes and uric acid. 3. A CT scan with contrast(IVU),or a MRU,followed by an isotope renogram. According to these reports,an expert advise can be given. If you ve any doubts,send the reports to me,as a direct question. Dr.Matthew J. Mangat.