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Abdominal Pain with urinary problem - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I've been having pain in the left side of my adomin and pain in my lower back sides. It's been consistant for a few days now. It used to come and go, I don't have insurance and i don't know what to do.
Doctor :   Hi
Doctor :  
may i know your age and gender?
User :   18, female
Doctor :  
do you have any disturbance or problem with the menstrual cycle?
User :   no it comes regularly every 28 days but i do have serve cramps
Doctor :   the pain you are describing is not related to the menstruation than ??
User :   no
Doctor :   do you feel like going to urination during or after the episode of the pain?
User :   yes, sometimes i cant control my bladderr when i am sleeping
Doctor :  
the pain in the left side of the abdomen and lower back, 18 years and no menstrual irregularities with the urinary problem suggests that the pain is due to a left side ureteric stone
User :   what should i do?
Doctor :   it might have given rise to a mild urinary tract infection also that is the reason you are having the urgency of urination in the night
Doctor :  
not to worry
Doctor :   the treatment is very simple
Doctor :  
it is flush theraphy
Doctor :  
what we do is a trial of home flush theraphy
User :   okay
Doctor :   here the patient is asked to take large quantity of water
Doctor :  
to avoid the pain you can take tab naproxen which is a OTC drug
Doctor :  
also to consume the juice of the citrus fruits
User :   okay
Doctor :   like the lemon juice, orange juice
User :   is cranberry juice good?
Doctor :  
this will usually flush out the small stone with mild pain which may be controlled with the naproxen
Doctor :   no to avoid the cranberry juice
Doctor :  
it might aggravate the stone formation
User :   okay
Doctor :  
with this if the stone is not passed out than you may have to get the flush therapy done in the hospital
Doctor :   they infuse large amount of saline and with the help of the drugs they make to produce more urine
User :   okay, when will i know if it doesnt pass and how long?
Doctor :   the pain should disappear with the passage of the stone and it may take a week or two depending on the amount of water consumed and the urine produced
Doctor :   tab naproxen is only a pain relieving agent here

Doctor :  
if the pain is persisting than it means the stone is still there and you have to present yourself to the hospital for the treatment
User :   are you still there?
Doctor :   Yes
Doctor :  
are you there?
User :   i lost internet connection sorry
Doctor :  
Doctor :  
did you follow what i said ?
User :   yes
User :   i i still have i should go to the hospital for treatment
User :   does back spasms have anything to do with this?
Doctor :   yes if the home remedy fails than you have to present to hospital

Doctor :   back spasm will not give rise to urinary symptoms
User :   okay
Doctor :  
it will be more so confined to the back with pain on any movement of the back,and the abdomen pain will not be there
Doctor :   is there anything else i can help you with?
User :   is it normal for the left side of my adomen to hurt when i lay down on my back/relax like in the shower or exersise?
Doctor :   exercise, jolting will all cause pain in case of the ureteric stone
User :   i understand
Doctor :   back spasm if it is there will definitely with the movement of the back
Doctor :  
and it is the classic sign
User :   i have also noticed that the vein in my left ankle has been swollen is this assoiated with the stone?
Doctor :  
which part of the ankle is it inside or outside part of the ankle?
User :   outside it goes right over the ball
Doctor :   that is not related with the this pain
User :   okay
Doctor :  
and it is nothing but just the prominent vein
User :   okay, i understand
Doctor :   it is normal variant
User :   i have one more question, i have also been noticing that in the morning i have poor cirrculation to my feet, when i step out of bed my feet are tingling
User :   what does this mean?
Doctor :   the tingling and numbness are not due to the poor circulation
Doctor :  
it is due to the pressure on the nerve
User :   ohhh okay
Doctor :  
it is probably because of occupying the same position in the bed for too long time
User :   okay, it is not assoicated with the stone?
Doctor :   no it is not
User :   okay, thank you for your help. do you have any advice for me other than what you have told me?
Doctor :   for the present situation it is the increase consumption of water which is important, drink more than 5 liters of water, tab naproxen to consume when ever there is pain.
Doctor :   and this usually resolves the issue in most of the people with in 10 to 15 days
User :   okay
Doctor :  
if the pain persists than it is required to visit hospital
Doctor :  
avoid calcium supplements if you are taking them
User :   alright
User :   is there any kinds of foods i should try to stay away from?
Doctor :  
and the numbness or tingling sensation can be avoided by frequent change in the posture
User :   okay
Doctor :   though there are food stuffs which are told to be causing stone formation but in clinical study it is not proved
Doctor :  
but i shall tell few of them
User :   okay
Doctor :  
tomato, cabbage, brinjal these vegetables are pointed in most of the time
Doctor :   though strict avoidance is not necessary

User :   alright
Doctor :  
is there anything else i can help you with?
User :   no thank you
User :   i appreciate your help!
Doctor :   please fill the feed back form
Doctor :   thanks for consulting healthcare magic, we are available 24/7, please login back if you have any medical query
Doctor :   bye for now
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