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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Three Fingers Below The Ribs To The Middle. UTI?

I was rushed to the ER by my primary after multiple physical tests revealing I was having gallbladder pain and may be needing it out. After a 9.5 hour wait for a doctor they finally did a urinalysis , blood test and a CAT scan. All coming conclusive that I did not in fact need my gallbladder removed. It s possible I have a gallstone but everything is pointing to the UTI I waited too long to have checked out. After this background info my question is this: The reason I went to my primary in the first place was from a severe, crippling, scream inducing pain located 3 fingers width below my right last rib( more to the center then my actual side). If it isn t my gallbladder which I initially had assumed it was, is it really possible that a UTI would cause this horrible pain? I ve had multiple uti, bladder, and even a kidney infection at a young age that I almost died from, failing kidneys are painful from a misdiagnosed uti. But I ve never felt this before. I feel it only when I cough, sneeze , use my stomach muscles or try twisting to the right. Other then that it s like a light vibration or uncomfortable pulsing type cramp. Thank you in advance, Jennifer
Thu, 21 Mar 2013
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General & Family Physician,  's  Response
Hello and welcome to HCM.

Thank you for your query.

Thank you for the details of your condition.

Firstly, the location and details of the pain you have described do not match that of an actual UTI. So this is most probably ruled out. Of course you do know the symptoms of a UTI as you have mentioned having frequent UTI's. I shall still list the symptoms out for you, which will direct you towards suspecting a UTI which will again have to be correlated by laboratory investigations.
They are:
-Frequent urination
-Increased urge to urinate
-Reduced amount of urine passed/or feeling of incomplete evacuation of the bladder
-Chills
-Fever
-Lower abdominal pain
-Lower back pain or pain in the flank region

For proper evaluation of a possible UTI, a urine analysis and a urine culture examination will be required.

Now coming to the location of your pain. This indeed dose look like the area of the liver and gall bladder. Although this will have to confirmed with the help of an ultrasound examination and a blood test.

Please go about the ultrasound as it will surely help. The next detail you will have to discuss with your doctor will be details on exactly when this pain appears. Eg. before a meal, after a meal, how long after a meal (duration), relieving factors, aggravating factors, list of medications you are taking, etc.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
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Pain Three Fingers Below The Ribs To The Middle. UTI?

Hello and welcome to HCM. Thank you for your query. Thank you for the details of your condition. Firstly, the location and details of the pain you have described do not match that of an actual UTI. So this is most probably ruled out. Of course you do know the symptoms of a UTI as you have mentioned having frequent UTI s. I shall still list the symptoms out for you, which will direct you towards suspecting a UTI which will again have to be correlated by laboratory investigations. They are: -Frequent urination -Increased urge to urinate -Reduced amount of urine passed/or feeling of incomplete evacuation of the bladder -Chills -Fever -Lower abdominal pain -Lower back pain or pain in the flank region For proper evaluation of a possible UTI, a urine analysis and a urine culture examination will be required. Now coming to the location of your pain. This indeed dose look like the area of the liver and gall bladder. Although this will have to confirmed with the help of an ultrasound examination and a blood test. Please go about the ultrasound as it will surely help. The next detail you will have to discuss with your doctor will be details on exactly when this pain appears. Eg. before a meal, after a meal, how long after a meal (duration), relieving factors, aggravating factors, list of medications you are taking, etc. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes.