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What Causes Severe Left Lower Quadrant Pain?

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Posted on Mon, 12 Oct 2015
Question: I have a 2 hour sudden onset of severe left lower quadrant pain. No fever, vomitting but +++nausea.pain is colicky 9/10 and I'd a bit better after Ultram 100mg and 2 Tylenol#3 and laying on right side, knees to chest.(now 7/10'except when colick pain returns 2-3 times/hour.
PSH: DM,Htn, Cholecystectomy 1999 during Roux En Y gastric bypass, diagnosed in July with 2.8 mm renal calculus in right kidney. No pain prior to tonight. It is pretty bad. Last BM today (normal no blood) Nomfrequency dys urea, vaginal bleeding or discharge.not sexually active.
Ht 5'8 Wt 179
doctor
Answered by Dr. Hari Charan Perigela (24 minutes later)
Brief Answer:
It looks like Ureteric stone.

Detailed Answer:
Hi
Colicky pain in left lower quadrant of the abdomen could be due to Left sided Ureteric stone. As the stone tries to pass into the Urinary bladder,colicky pain arises.
Ultrasound abdomen will give a clue.If kidney is enlarged without visualisation of stone,CT Scan should be done to confirm the size and location of stone.
Continue the medicine that you are using now.
Please consult your doctor, get examined clinically and proceed accordingly.
Nothing to worry.
Hope I answered your query. If you have any questions, I will clarify further.
Wish you good health.
Regards
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2717 Questions

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What Causes Severe Left Lower Quadrant Pain?

Brief Answer: It looks like Ureteric stone. Detailed Answer: Hi Colicky pain in left lower quadrant of the abdomen could be due to Left sided Ureteric stone. As the stone tries to pass into the Urinary bladder,colicky pain arises. Ultrasound abdomen will give a clue.If kidney is enlarged without visualisation of stone,CT Scan should be done to confirm the size and location of stone. Continue the medicine that you are using now. Please consult your doctor, get examined clinically and proceed accordingly. Nothing to worry. Hope I answered your query. If you have any questions, I will clarify further. Wish you good health. Regards