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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain/pressure Radiating From Back To Left Lower Abdomen?

I am having pain and pressure in my left upper/middle back which radiates to my lower left front abdomen (rectum/bladder area). I have had kidney stones before. This is the second attack in three days, both followed almost immediately by a scant bowel movement. I took pain meds, a hot bath, and drank lots of water the first night. I was feeling better by morning. Trying the same the second time.
Wed, 12 Nov 2014
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General Surgeon 's  Response
Hi.
Thanks for your query.
Read your history and understood the problem.

Since you are a known patient of kidney stones, the present symptoms of pain in the back radiating to the lower left front abdomen is suggestive of an impacted stone in the left ureter.

Id the stone is large it may be pushed down by the hydrotherapy you are planning.

I would advise you the following:
First of all get an ultrasonography done to see the site of impaction of a stone in the ureter, to see whether there is hydronephrosis. Whether there is any other associated problems.
If required IVP is done to see for the activity of the left kidney and of the normal kidney.

If the stone is small , taking plenty of oral fluids, tablets for diuresis and an anti-spsmodic to relax the ureteric muscles so that the stone may pass down.

If the stone is large, you may need a forma surgical procedure to crack the stone via ureteroscope, lithotripsy or formal removal from the ureter

Urologist will take the decision. IN the meantime the urine and blood reports will help for the medicines to be given
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What Causes Pain/pressure Radiating From Back To Left Lower Abdomen?

Hi. Thanks for your query. Read your history and understood the problem. Since you are a known patient of kidney stones, the present symptoms of pain in the back radiating to the lower left front abdomen is suggestive of an impacted stone in the left ureter. Id the stone is large it may be pushed down by the hydrotherapy you are planning. I would advise you the following: First of all get an ultrasonography done to see the site of impaction of a stone in the ureter, to see whether there is hydronephrosis. Whether there is any other associated problems. If required IVP is done to see for the activity of the left kidney and of the normal kidney. If the stone is small , taking plenty of oral fluids, tablets for diuresis and an anti-spsmodic to relax the ureteric muscles so that the stone may pass down. If the stone is large, you may need a forma surgical procedure to crack the stone via ureteroscope, lithotripsy or formal removal from the ureter Urologist will take the decision. IN the meantime the urine and blood reports will help for the medicines to be given