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Can Kidney Issues Cause Severe Bilateral Flank Pain With Blood In The Urine?

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Posted on Fri, 12 Oct 2018
Question: I have continued unilateral and bilateral flank pain, intermittent with spitting up, in addition to pain under my rib cage. The episodes have come on over a few days, and some have come on quickly. On a 1 to 10 scale, 10 being the worst... it usually stays at a 5 and has moments of a scale of 10 that can last moments or 1/2 hour stints. I did go to my primary who sent me for an ultrasound that came back normal.
These episodes have been going on for 7 months. I also have been getting up to urinate 1 to 2 times per night, and always feel thirsty (I do do not have diabetes). I have always had blood in my urine since 1996. I have cast in urine, and even immature granulates in my blood. In September of 2017, I had a erg reading of <40. However, it comes and goes.
I have a pending visit with my Gastroenterology for mid March. My Maternal Great Grandmother had kidney disease, my Maternal Grandmother found out she had a shriveled up kidney when she was in her 80's. I have had multiple kidney infections in my youth and passed a stone during pregnancy 17 years ago.
Can you list any possible kidney issues that can be occurring that would give episode type symptoms and readings and pain, and that would not able to be discovered using ultrasound?
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Answered by Dr. Lekshmi Rita Venugopal (2 hours later)
Brief Answer:

Possible Diagnosis:Ureteric stone

Detailed Answer:

Hello,

The location and characteristics of the pain you are describing ing is suggestive of possible ureteric stones.

An ultrasound evaluation can miss ureteric stones, especially if they are small.

More advanced investigation like CT abdomen and pelvis is recommended for detailed evaluation. So please be advised to follow up with your primary care provider for further evaluation and management.

Meanwhile, drink plenty of water. Keep an eye on if you are passing stone while urinating. You can also take Buscopan 10 mg thrice daily to help relieve the pain.

Hope I have answered your query.

Take care

Regards,
Dr Lekshmi Rita Venugopal, General & Family Physician
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Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 3808 Questions

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Can Kidney Issues Cause Severe Bilateral Flank Pain With Blood In The Urine?

Brief Answer: Possible Diagnosis:Ureteric stone Detailed Answer: Hello, The location and characteristics of the pain you are describing ing is suggestive of possible ureteric stones. An ultrasound evaluation can miss ureteric stones, especially if they are small. More advanced investigation like CT abdomen and pelvis is recommended for detailed evaluation. So please be advised to follow up with your primary care provider for further evaluation and management. Meanwhile, drink plenty of water. Keep an eye on if you are passing stone while urinating. You can also take Buscopan 10 mg thrice daily to help relieve the pain. Hope I have answered your query. Take care Regards, Dr Lekshmi Rita Venugopal, General & Family Physician