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Pain due kidney stones - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3385 Questions
User :   Can kidney stones that are still in the kidney cause migratory pain?
Doctor :   Hi
User :   hi
Doctor :   do you mean radiating pain?
User :   ya
User :   both flanks back and lower abdominal even down into the groin and scrotum
User :   I have two kidney stones one is 7mm and the other is 5mm
User :   No apparent blockage
Doctor :   Yes this is how the pain presents
Doctor :   Its called loin to groin
User :   but even without a blockage?
Doctor :   Yes the pain is because of pressure on the renal tissue
Doctor :   Its due to the common nerve supply
User :   are you taking on new patients? I was in emerg again last night and they don't think that they can cause pain without blocking urine flow
User :   I have been suffering since October 9th and can't see a specialist until February 16th
User :   I am going for another ultra sound in a couple of hours
Doctor :   Ok, then that will give the status of the stones
User :   Is there something I can say to the emerg doctor to maybe strike an idea to why the pain is there.... They can not find any other reason for the pain..... Kidneys are fine tested last night...
User :   Even my gp does not realize the pain.
Doctor :   Are the kidney stones in the same or different kidneys
User :   different
Doctor :   The only thing that can be done now is to look at the position of the stones- by ultrasound
User :   I had an ultrasound two months ago and they said that the stones were still in the kidneys but not blocking urine flow
Doctor :   Were you put on any medication
User :   yes an NSAID and Narcotic pain killer... the latter is not working anymore
Doctor :   have you been suggested surgery?
Doctor :   Lithotripsy?
User :   lithotripsy probably but have to wait to see a specialist and that isn't happening until February 16th.
Doctor :   Well for the size of stones that you carry, lithotripsy
Doctor :   is the best option
User :   I only have two minutes left here. So to answer my question the pain can still be caused by the stones?
Doctor :   Yes
Doctor :   You have to either get lithotripsy done, it wont melt with
Doctor :   medications
User :   Pain even without blockage?
Doctor :   Sorry we do not take in patients
User :   Pain even without blockage?
Doctor :   a stone anywhere after the renal pelvis would cause your type of pain
Doctor :   If it is located in the renal parenchyma
Doctor :   then the pain would be restricted ton the flanks
Doctor :   so a stone anywhere after the renal pelvis, in the sense- it is in the drainage pipe of kidney
Doctor :   it need not block the draining system completely to cause such a pian
User : depending on where it is it can still can cause pain
Doctor :   when the pipe contracts to push the urine out
Doctor :   then it squeezes the stone
Doctor :   thus causing the pain
User :   what do I do if both the emerg doctor and my gp still don't think the stones are the cause?
Doctor :   Yes you are right
Doctor :   Then you must believe them as they would have confirmed the same on ultrasound
User :   right now the pain is on the left side...lower abdomen... just above the hip bone
Doctor :   ok then let me see why the dont want to keep the stones as the cause of the pain
Doctor :   Does this pain
Doctor :   start at the flank?
Doctor :   The left flank?
User :   it can... it changes day by day... it is worse when I am moving around/working.....
User :   sometimes the pain will even start in the scrotum at times.... it will just hit me all of a sudden
Doctor :   ryuDoes it change with position?
Doctor :   Does it change with position?
User :   not really
Doctor :   Is it spasmodic?
Doctor :   what type is it?
User :   well it is pretty constant pain about a 7 out of 10 but I get sharp pain everyonce in a while
Doctor :   how severe is it? on a scale of one to ten?
Doctor :   OK
User :   almost feels like someone stabbed me
Doctor :   Do you get nausea or vomiting?
User :   I started into the sweating last fever though and then vomitted that doesn't happen all the time just once in a while
Doctor :   Do you get blood in the urine?
Doctor :   Burning sensation while urinating?
Doctor :   or increases urge to urinate?
Doctor :   increased urge to urinate?
User :   small amount of blood in urine slight burning sensation..... I did have an increased urge but that went away...was probably a UTI
Doctor :   Ok points against stone : 1.pretty constant pain 2. ometimes the pain will even start in the scrotum
Doctor :   Points in favour of stone in the tract : Doctor :   1. pain is in both flanks back and lower abdominal even down into the groin and scrotum - radiating pain
Doctor :   2. severe- 7 out of 10 sometimes sharp pain
Doctor :   3. vomiting
Doctor :   4. blood in urine slight burning
User :   And they can not find anything else causing the pain
Doctor :   So to me it looks like you have a stone in the urinary tract
Doctor :   So I would confirm with an ultrasound
User :   ok....well thank you I guess I will see..... I go in around an hour and a half..... I don't think they will find a stone in the tract..... The xray last night wasn't clear but they said they only saw stones in the kidney...
Doctor :   Wish you good health & a Happy new year
User :   And to you as well.... Thank you
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