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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Severe Pain In Lower Abdomen Be A Result Of Kidney Stones?

Im wondering if you could advise me, i ve had severe pain in my right lower abdomen and a dull ache in the same area but in my back, I ve had urine and blood tests in which it showed a urine infection to which I have taken antibiotics. I ve been to the doctors following on who have advised me I have kidney stones and that they should pass through and that the uti had cleared, I have been drinking alot of fluid, the pain hasn t eased and I have noticed tonight that my stool is a green colour. Is there anything you could suggest or say to put my mind at ease? Tnanks Michelle
Mon, 27 Apr 2015
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Diabetologist 's  Response
Hi Michelle,
Yes, severe abdominal pain may be due to kidney stones.
Region of pain depends on Location of stone in urinary tract.
- Uncomplicated kidney stones located in kidney may be asymptomatic or give mild dull aching pain over right or left upper abdomen depending on site of stone.
- Stones in ureter which is a tube connection kidneys to urinary bladder (urine bag) give severe pain in back radiating anteriorly to abdomen. It causes more severe pain. Region of pain varies vertically depending on position of stone in ureter (upper, middle, lower)
- Lower abdominal pain may be due to stones in lower ureter or urinary bladder.

Usually stones in urinary tract may associated with infection (UTI) or blood in urine.
(Though UTI in the absence of structural abnormalities in urinary tract ase more common in female.)

In your case I want to know -
1) Depending on what basis your doctor told you the presence of stone.
2) Any associated symptoms like nausea, vomiting, loose motions.
3) Any menstrual complaints (considering you as a female).

Following investigations may help in locating the site of stone in urinary tract if present-
1) X ray KUB.
2) Ultrasonography of abdomen and pelvis.
3) Intravenous pyelography it helps in establishing site of stone as well as kidney function.

Green color stools in your case may be due to-
1) Antibiotic use for UTI.
2) Intestinal infection (it may usually associated with multiple episodes of loose motions, vomiting, central abdominal pain.
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Could Severe Pain In Lower Abdomen Be A Result Of Kidney Stones?

Hi Michelle, Yes, severe abdominal pain may be due to kidney stones. Region of pain depends on Location of stone in urinary tract. - Uncomplicated kidney stones located in kidney may be asymptomatic or give mild dull aching pain over right or left upper abdomen depending on site of stone. - Stones in ureter which is a tube connection kidneys to urinary bladder (urine bag) give severe pain in back radiating anteriorly to abdomen. It causes more severe pain. Region of pain varies vertically depending on position of stone in ureter (upper, middle, lower) - Lower abdominal pain may be due to stones in lower ureter or urinary bladder. Usually stones in urinary tract may associated with infection (UTI) or blood in urine. (Though UTI in the absence of structural abnormalities in urinary tract ase more common in female.) In your case I want to know - 1) Depending on what basis your doctor told you the presence of stone. 2) Any associated symptoms like nausea, vomiting, loose motions. 3) Any menstrual complaints (considering you as a female). Following investigations may help in locating the site of stone in urinary tract if present- 1) X ray KUB. 2) Ultrasonography of abdomen and pelvis. 3) Intravenous pyelography it helps in establishing site of stone as well as kidney function. Green color stools in your case may be due to- 1) Antibiotic use for UTI. 2) Intestinal infection (it may usually associated with multiple episodes of loose motions, vomiting, central abdominal pain.