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Lower abdominal pain after urination. Cause and cure? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:How can I help you?
User:Hello. I have been having some cramping in my lower abdomen after urination. It started when i woke up yesterday morning with a cramp in my lower left abdomen. i am not pregnant.
User:i went to see my GP but he said there is no bacteria in my urine
User:he said he doesnt know what is happening
Doctor:Are you still having these cramps?
Doctor:Any dificulty / burning sensation while passing urine?
Doctor:Any blood in the urine?
Doctor:When are you expecting your period?
User:next week
Doctor:Have you had similar symptoms in the past?
Doctor:The symptoms that you describe is most likely a renal colick
User:what is renal colick?
Doctor:It occurs when the renal collecting system that is the ureter is trying to flush things forcefully.
Doctor:Things like a stone.
User:will it go away by itself?
Doctor:This might be a case of renal stone.
Doctor:It should disappear with improved hydration. So drink plenty of water.
Doctor:if the pain is severe, then you may try some analgesics such as panadol 650mg
Doctor:Often the stones get flushed out in a day or two.
User:so cramping after urination is normal with this?
Doctor:If the symptoms persist or if it becomes more severe, then you might need to get an ultrasound examination done.
Doctor:Renal stones can produce crampy pain before, while or after urination.
User:will the stone eventually pass?
Doctor:Stones less than 10mm in size are flushed out eventually.
User:is that painful?
Doctor:Larger ones may take more time to get flushed or may not get out.
Doctor:Such larger ones may need to be removed by other measures.
User:so if the pain disappears i will be ok? if not i should go back to the doctor?
Doctor:The pain occurs when the stone is traveling down the ureter.
Doctor:So as it passes out of the ureter into the bladder, the symptoms would disappear.
Doctor:This might take a day or two to happen.
User:so by Friday if the symptoms still persist?
Doctor:2 litres of water every day will increase the movements of the stone.
Doctor:So drink as much as you can, a minimum of 2 litres in a day.
User:ok i will
Doctor:Yes, I expect the stone to be out by this weekend.
User:ok. will it hurt coming out?\
Doctor:Do consult a doctor for the test I mentioned if you persist to have the pain or if the severity of the pain increases.
Doctor:No, there won't be any pain when the stone is out into your bladder.
Doctor:Have you followed what I have suggested?
Doctor:Do you have any other query?
User:when the stone passes through the bladder will it come out with urination?\
Doctor:And that won't be painful.
User:thank you
Doctor:After the stone reaches the bladder, you will be symptom free.
Doctor:Do you have any other query?
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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