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Right back pain with moderate hydroneprosis ,kidney stone - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
User :   hello
Doctor :  
How can i help you?
User :   i have a few questions
Doctor :  
Please proceed
User :   in my latest whole abdominal and transvaginal ultrasound
User :   they saw moderate hydronephrosis of the right kidney
Doctor :  
Ok
User :   then i was hospitalized just last week and they let me have an IVP xray
User :   in the xray they said that nothing is blocking the urether
Doctor :  
Ok
User :   now my first question is what would be causing the moderate hydronephrosis?
Doctor :   The hydronephrosis is usually as a result of a block in the ureter.
Doctor :  
It can be a possibility that the block could have cleared when the IVP was done.
Doctor :  
Like a kidney stone passing away the ureter.
Doctor :  
Have you followed?
User :   are there any possible cause?
User :   yes in the ultrasound they saw a stone about 1.4cm
Doctor :   Yes then it possibly explains that.
User :   but the doctor from the hospital said that he cant see anything that is blocking
Doctor :   It means the stone may have passed away now..
User :   but there is still pain under my ribs up to the back
Doctor :  
May I know how long after the scan did you get the IVP.
User :   1 week
Doctor :  
May i know which side of your back is aching?
Doctor :  
Can you describe your pain in detail?
User :   my primary doctor was the one who decided that i really have to be confined because my right side in swollen and the pain is severe
User :   the pain is from my waist up to the upper portion under my ribs
User :   desame in the back
Doctor :   Ok.
User :   it is much painful in the back compare in the front
Doctor :  
Is the pain spasmodic?
User :   what is spasmodic?
Doctor :   I mean does the pain feel like cramps?
User :   yes but not continous
Doctor :   Do you have any problem while passing urine?
User :   but its been 7 months now that pelvic cramps came back
User :   yes
Doctor :  
May i know what is the problem while passing urine.
Doctor :  
Do you have burning sensation, pain, difficulty in passing urine?
User :   no pain or burning feeling but everytime i feel like urinating when i go to the bathroom it takes super long before i can pass urine
Doctor :   Ok
User :   and also in the ultrasound it was indicated prominent right ovary
Doctor :  
Did you have an urine test?
User :   my other concern is my whole body is literelly cold and my sweat is also super cold also
User :   they did not gave me the result in the hospital but they said everything is normal except the WBC is elevated
Doctor :   Ok.
Doctor :  
Where you on any treatment like an antibiotics?
User :   im already subtotal hysterectomy and left salpingo-oophorectomy
User :   none
Doctor :   Ok.
Doctor :  
The commonest cause of kidney stone is infection and these kidney stone can lead to hydroneprosis.
User :   im always dizzy and always feels like im going to vomite
Doctor :  
So if your pain or the problem in urination is persisting i would suggest you to get a repeat of the urine test done.
Doctor :  
If the WBC count is significantly raised you may need antibiotics after an urine culture test.
Doctor :  
Have you followed?
User :   yes
Doctor :  
regarding the other symptoms it could be related to the infection.
User :   have a urine cultured test and if wbc is elevated need to take antibiotics
Doctor :  
Yes.
Doctor :  
That right.
User :   what also causes the prominent ovary?
User :   it is also in the right area
Doctor :   the cause for a prominent ovary cannot be confirmed without further investigations.
User :   but what are the possible causes for that?
Doctor :  
It could be anything like a cyst, or some times due ovulation too
Doctor :  
during the time of ovulation due to the effects of harmones.
Doctor :  
Hence the exact i cannot predict now,
Doctor :  
Have you followed?
User :   in mri of the spine last dec.4 the doctor said that she noticed a solid mass in the ovary that is the reason i had a ultrasound
Doctor :   Ok.
User :   its been years now that i have been complaining of right lower abdominal and pelvic pain
Doctor :  
Ok.
User :   and dysmenorrhea like pain came back after so many years
Doctor :   Does your present pain feel the same as the pain you been having since years?
User :   more severe
Doctor :  
Ok.
User :   before there is no dysmenorrhea but now sometimes i feel like im having labor pain
Doctor :  
Then if the ultrasound has not given enough diagnosis, you may benefit by a CT or an MRI of the abdomen and Pelvis.
Doctor :  
That is after treating the present problem of urine infection.
Doctor :  
I would suggest these scan for a better diagnosis of the prominent ovaries.
User :   just remembered
User :   my urine always have a white mucus like thing with it
User :   and also in my stool and fresh blood
Doctor :   Since when have you been noticing these?
User :   4 months now or more
User :   is this bad?
Doctor :  
Are you on any pills?
User :   no because im already hysterectomized
Doctor :   Do you have any other medical illness?
Doctor :  
I meant do you take any other medication like pain killers?
User :   siezures but already controlled for 8 months already and slipped disc that was just diagnose last november
User :   none
Doctor :  
Passing white mucous thing in the urine only indicates passing stripped away epithelium cells in the urine.
User :   they gave me lyrica for my spinal cord but i dont yet take them because im concern with whats wrong with my abdomen
Doctor :  
They happen if there hydration is not good.
User :   what does that mean?
Doctor :  
You need to consume plenty of oral fluids to reduce this,
Doctor :  
It is similar to the shedding of the skin.
User :   i drink plenty of water everyday
User :   that is why it hurts when i feel like i need to urinate but it takes a while
Doctor :  
It can happen normally after some time or can happen if there is certain injury like in infection or so..
User :   but why do the stool also have these mucus?
Doctor :  
since infection is a possibilty now, it might have increased now.
User :   compared to the urine there is more mucus in the stood
Doctor :  
Mucous in the stools is not due to the same cause though.
User :   the mucus in the stool came first
Doctor :  
The commonest cause of mucous in the stools are worm infestation.
Doctor :   It can also happen to hypermotility of the GIT.
User :   im also constipated like 2 weeks always
Doctor :  
this is not the same as passing mucous like flakes in the urine.
Doctor :   They can contribute to this.
Doctor :  
Passing of blood can also be due to the constipation.
Doctor :  
So you may need some diet modifications
User :   the stool is always dark in color
Doctor :  
to control the same.
Doctor :  
They indicate presence of blood higher up in the gut.
Doctor :  
\since there are no other factors,
User :   im a little bit confused
Doctor :   I shall explain this.
Doctor :  
Passing frank blood in the stools indicate blood from the lower gut that is the rectum and the anal margins/
User :   the dark stool started like 2 years ago and everytime i have BM its dark stool and always at the end has fresh blood
Doctor :  
But dark coloured stools can happen due to the blood in the gut higher in the intestines as a result of other causes like a worm infestation.\
Doctor :   Have you followed?
User :   yes
User :   so what causes the mucus and the dark stool may be worm?
Doctor :   Passing black coloured stools are more of concern then passing blood in the stools.
Doctor :   Yes'
Doctor :  
so get the evaluations done to rule the possibilty of worm infestation too.
User :   the dark stool started after the oophorectomy ad never stoped
Doctor :  
I hope you have followed now?
User :   yes
Doctor :  
This could not be related to the oophorectomy.
User :   ok
Doctor :  
Do you have any other query?
User :   lastly what other therapy should i have w/ regads of my slipped disc?
Doctor :  
It depends on your symptoms and the grade of and the location of the slipped disc.
Doctor :  
the general advise is to prevent lifting heavy weights.
User :   L3-4, L4-5 and compressed root nerve S1
User :   very sensitive with cold water
Doctor :   May i know your symptoms too?
User :   it started with my left thigh and now my also my right
Doctor :  
Do you have any weakness?
User :   its numb
User :   yes weakness in the right knee
Doctor :   SInce when have you been having this numbness?\
User :   2 months ago
Doctor :  
Have you been evaluated by any doctor?
User :   up to now
User :   they just gave me 150mg lyrica
User :   this medicine worsen my dizziness
Doctor :   Lyrica can cause dizziness.
User :   i keep on asking if i should be having theraphy of some kind
User :   super dizziness
Doctor :   Have you seen a neurosurgeon or a spine surgeon?
User :   no
User :   just a neurologist
Doctor :   I would suggest you to have an evaluation done by a neurosurgeon or a spine surgeon.
Doctor :  
because the proper treatment
User :   oh ok
Doctor :  
for a low back pain with weakness and numbness
User :   but with what i already feel right now is it bad?
Doctor :  
with a nerve root compression is surgical treatment.
User :   there is no other way?
Doctor :   If there is weakness and sensory sensation is seen surgical decompression is the best treatment.
Doctor :  
There are other therapies like physiotherapy, infrared therapies and medical drugs.
Doctor :   But these will not treat the primary problem
User :   the sensory sensation is the one that im feeling when touch by anything cold feels like its burning?
Doctor :  
that is the nerve root compression,
Doctor :   That is why i suggest you to have an neurological examination done by the neurosurgeon
Doctor :  
as he would be the ideal person to
User :   ok
Doctor :  
indicate if the surgical treatment is really needed.
Doctor :  
If the surgical treatment is not considered then you can get help from a course of physiotherapy and infrared heat therapy.
Doctor :  
Have you followed?
User :   yes
Doctor :  
Do you have any other query?
User :   none thank you for your time doctor
Doctor :  
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Doctor :  
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