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Suggest Treatment For Left Flank Pain

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Posted on Thu, 21 Jan 2016
Question: I am suffering from left flank pain which reduces in the morning, noticed that it reduces after bowel movement. I did undergo various tests for kidney stone and were negative. Please help me. It is not acute pain but it comes and goes. In the morning if I sit on a chair and my flank presses to the seat it hurts a lot.
Thanking you in anticipation
doctor
Answered by Dr. Suresh Heijebu (2 hours later)
Brief Answer:
Please provide further information

Detailed Answer:
Hello, Sir.

I can certainly understand your concerns.

I have worked through your query in detail.

Left flank pain has diverse causes and each have to be carefully considered.

Since, a kidney cause is ruled out comfortably, our focus had to shift on two major issues -Spine disorder and GIT/Gall bladder/Liver disorders.

To rule out few things clinically, I would like to know the following from you.

1.Do you have any features of Jaundice- yellow eyes,Discolored stool and high coloured urine.?

2.Any localized skin rash in the left flank region?

3.Any episodes of fever ,nausea or vomiting?

Once I receive your answers, I shall guide you through.

Thank you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (28 minutes later)
- I have done the SGPT test and it was normal
- I do have gall blader stones present less than 5mm but there are 2
- No skin rash on the left flank region
- No fever, nausea or vomiting, I did check my body temperature whenever I
felt uneasiness and found it varies from 97.7 FH to 98.2
doctor
Answered by Dr. Suresh Heijebu (7 hours later)
Brief Answer:
Spinal disease need to be ruled out.

Detailed Answer:
Hello, Sir.

I apologize for the delayed response owing to my work schedule.

Considering past history of Gall stones, I advise you to get the following blood work up.
Blood tests, when indicated, may include the following:

Complete blood count (CBC) with differential
Liver function panel
Amylase
Lipase.

Since the left flank is an unusual location for Gall stones related disease, its important to screen for Spine disease.

For this I advise you to get an MRI of the dorsolumbar area.

Update the test results.

Also upload recent ultrasound scan abdominal report.

Further management if any is based on test results.

Post your further queries if any.

Thank you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (3 days later)
I got the blood test done.
S.Amylase : 86.60
Lipase : 60.00

are the test results. As I said earlier the liver and CBC tests were normal.
Please advise.
doctor
Answered by Dr. Suresh Heijebu (10 hours later)
Brief Answer:
Spine and Muscle disorder needs a rule out.

Detailed Answer:
Hello, Sir.

I can certainly understand your concerns.

Your lab reports seems to be within normal range.

At this point, its important to screen for spine disease.

For this and MRI of the thoraco lumbar spine will be useful.

Additionally, any abdominal muscle tear needs to be ruled out.For this an MRI of the abdominal wall would be wise.

Further management if any can be based on test results.

Post your further queries if any.
Thank you
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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Suggest Treatment For Left Flank Pain

Brief Answer: Please provide further information Detailed Answer: Hello, Sir. I can certainly understand your concerns. I have worked through your query in detail. Left flank pain has diverse causes and each have to be carefully considered. Since, a kidney cause is ruled out comfortably, our focus had to shift on two major issues -Spine disorder and GIT/Gall bladder/Liver disorders. To rule out few things clinically, I would like to know the following from you. 1.Do you have any features of Jaundice- yellow eyes,Discolored stool and high coloured urine.? 2.Any localized skin rash in the left flank region? 3.Any episodes of fever ,nausea or vomiting? Once I receive your answers, I shall guide you through. Thank you