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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Strong Kidney Pain, Vomiting, High BP. Given Morphine. Done CT Scan. Are They Kidney Stones?

hi my friend in her 60s had a very strong pain in the kidney area with vomiting high bp lasted till dr at a & e gave her morphine which then burried the pain then regular codine which she now stoped, she was sent on her way after morphine with them saying they would call her back arrange a ct scan next couple of days. they havnt of yet called her the pain is ok now she never had stones b4 and her sister passed away from cancer in the lower tummy organs the pain was unbareble and seems to be kidney stones but until they scan it how can they be sure there was no blood in the urine how long should she wait for this scan or should she at least had a follow up with her bp and urine at local gp ??
Sat, 19 Oct 2013
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General Surgeon 's  Response
Hello!

Thank you for the query.

Sudden, strong back pain is very characteristic for kidney stones. The pain usually radiates to the groin or even a leg. Such strong pain appears because a stone moves through the ureter and irritate it. Sometimes it can stuck. In such case, urine blockage can destroy the kidney.
Morphine and Codeine are not a good medicines in case of smooth muscles spasm pain (like kidney pain). Its because morphine causes this muscles additional spasm. So she should rather be prescribed smooth muscles relaxing medicines and if it wont help, Pethidine instead of morphine.
I suggest her to consult urologist instead of waiting for CT and consider urography.

Hope this will help.
Regards.
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Strong Kidney Pain, Vomiting, High BP. Given Morphine. Done CT Scan. Are They Kidney Stones?

Hello! Thank you for the query. Sudden, strong back pain is very characteristic for kidney stones. The pain usually radiates to the groin or even a leg. Such strong pain appears because a stone moves through the ureter and irritate it. Sometimes it can stuck. In such case, urine blockage can destroy the kidney. Morphine and Codeine are not a good medicines in case of smooth muscles spasm pain (like kidney pain). Its because morphine causes this muscles additional spasm. So she should rather be prescribed smooth muscles relaxing medicines and if it wont help, Pethidine instead of morphine. I suggest her to consult urologist instead of waiting for CT and consider urography. Hope this will help. Regards.