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Suggest treatment for severe back and abdominal pain

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Posted on Tue, 2 Feb 2016
Question: I have had back and abdominal pain for several weeks now. On 1/4/16, I began urinating bright red blood. My CAT scan shows right kidney, lower pole, 4mm non-obstructing calculi with a punctate calcification in the interpolar to upper pole region. In the left kidney lower pole 2mm non-obstructing calculi. Can stones this small cause a significant amount of pain and bleeding? Is there another diagnosis I need to be concerned about. I am being referred to a nephrologist by my pcp. My urinalysis indicates the following:

Color, Urine Red
Clarity, Urine Turbid
Blood, Urine Qualitative Large
Protein, Urine Qualitative 100H
RBC, Urine Packed
Bacteria, Urine Few
Hyaline Casts 1-5
Mucus Few
Calcium Oxalate Crystals Few
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Answered by Dr. P. T. Patil (1 hour later)
Brief Answer:
Cause of Gross Hematuria has to be traced out by more investigations.

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have pain in loin and gross hematuria since few weeks and abdominal CT scan has revealed small non obstructing stones in both the kidneys .

Though severe pain associated with hematuria can be attributed to stone disease however looking at the small size and non obstructing nature of the stones the other cause for gross hematuria has be ruled out by further investigations

Please consult qualified Urologist and Nephrologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Intra Venous Pyelography (I.V.P.)
4) Renal angiography (If required)
5) Renal Biopsy(If required)

Further treatment will depend upon result of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10342 Questions

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Suggest treatment for severe back and abdominal pain

Brief Answer: Cause of Gross Hematuria has to be traced out by more investigations. Detailed Answer: Hello Thanks for your query ,based on the facts that you have posted it appears that you have pain in loin and gross hematuria since few weeks and abdominal CT scan has revealed small non obstructing stones in both the kidneys . Though severe pain associated with hematuria can be attributed to stone disease however looking at the small size and non obstructing nature of the stones the other cause for gross hematuria has be ruled out by further investigations Please consult qualified Urologist and Nephrologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Intra Venous Pyelography (I.V.P.) 4) Renal angiography (If required) 5) Renal Biopsy(If required) Further treatment will depend upon result of these tests and final diagnosis. Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you Thanks and Regards. Dr.Patil