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I Have A Pain On My Right Side About Mid
Question: I have a pain on my right side about mid back. The pain can be sharp and feels like spasms. I have been to an urgent care they had concern it might be a kidney stone. They had me get a sonogram and the radiaologist advised they did not see anything. I was then treated with a muscel relaxant and the pain did go away after a few days for a few days. Now it is back again. It started up again after normal daily activites, in this case some house cleaning. I have seen a chiroprator when it acted up this second time and he felt I had a rib out of place. After some manipulation it went away for a few minutes but then came back. Sometimes I can get into a postion and will not feel the pain, but as soon as I move I feel it and it starts to spasm again. Is this most likely just a muscel strain issue and I will just need to ride it out? If I want to see a specialist for this what sort of specialist should I see? The first time I had this pain it lasted for 3-4 days. I have had now for 3-4 days this second time around. The last time I had this the pain seem to get a little less by the 4th day and then I just woke up the next day and it was gone. There as been about two weeks between the first a second episode.
Brief Answer:
You can follow up with a urologist
Detailed Answer:
Hello,
Welcome to Ask a Doctor Service.
I have gone through your query and here is my advice.
Intermittent spasms and pain in the mid back region can either be due to kidney related issues like stones or spine-muscle related issues like osteoporosis, disc prolapse etc.
I see that a sonogram has been done before in the emergency room. However, the sonogram may not always detect kidney/ureteric stones especially if the size of the stone is small.
A CT scan of kidney, ureter and bladder (KUB) will provide a more detailed and enhanced view. CT scan will also help to visualize any other underlying kidney pathology. CT spine can also be done along with the CT KUB to rule out spinal issues. Depending on your general health status, the doctor can decide on doing CT scan with or without contrast enhancement.
It is also recommended to get a urine analysis and culture done to rule out any underlying kidney/bladder infection.
You can follow up with a urologist for detailed evaluation. You may also follow up with your primary provider who can do the initial evaluation and do a referral to the specialist if needed.
Meanwhile, you can take Tylenol (available over the counter) for pain relief.
Hope I was able to help you.
Please let me know if you need further assistance...
Regards
Dr.Lekshmi
You can follow up with a urologist
Detailed Answer:
Hello,
Welcome to Ask a Doctor Service.
I have gone through your query and here is my advice.
Intermittent spasms and pain in the mid back region can either be due to kidney related issues like stones or spine-muscle related issues like osteoporosis, disc prolapse etc.
I see that a sonogram has been done before in the emergency room. However, the sonogram may not always detect kidney/ureteric stones especially if the size of the stone is small.
A CT scan of kidney, ureter and bladder (KUB) will provide a more detailed and enhanced view. CT scan will also help to visualize any other underlying kidney pathology. CT spine can also be done along with the CT KUB to rule out spinal issues. Depending on your general health status, the doctor can decide on doing CT scan with or without contrast enhancement.
It is also recommended to get a urine analysis and culture done to rule out any underlying kidney/bladder infection.
You can follow up with a urologist for detailed evaluation. You may also follow up with your primary provider who can do the initial evaluation and do a referral to the specialist if needed.
Meanwhile, you can take Tylenol (available over the counter) for pain relief.
Hope I was able to help you.
Please let me know if you need further assistance...
Regards
Dr.Lekshmi
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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