Question: Hello

I am 35 year Old Male, I weigh 107 kilos and 180 cm tall. Nearly 4 weeks back i had an RIRS + URS procedure on my left kidney to remove a stone. After 5 days of URS was performed on me doctor did another procedure to remove the stent, i will like to mention that I was on I.V. Antibiotics for whole five days . After Doctor removed stent i was put on oral antibiotics for 3 days. Both the procedures were done under general anesthesia and i was completely asleep during both the events After Stent removal i had no blood in urine or any difficulty in passing urine. But there was moderate pain for 4-5 days of stent removal in my left flank esp kidney area. I can clearly feel that something strong has been done with left kidney areas. After 5 days pain gradually went away, but i still have the sensation of endoscopic procedure in my left kidney area till date . There is also strong pain in my lower back (spine and hip joint ) till date

Now, After three days of oral antibiotics dosage completion ( after the stent removal) i developed fever of around 100. I had strong urge of urination as well. But there was no blood in urine or any nausea associated with fever . Doctor ordered a Ultrasound, a Blood CBC and a urinalysis test . All the three tests were negative . Doctor still put me on combination of I.V. and oral Antibiotics from the day fever emerged on a 5 day course . My fever went away on 4th day of the course. I completed my course and then doctor stopped every kind of medication and asked me to return to normal.

I will like to mention that since the onset of first procedure i developed mild Vertigo, Balancing Problems which increased significantly towards 3rd week to an extent that my urologist refered a neurologist who conducted a Head CT and some blood tests.

My head CT was negative. But i was adjudged with Dyslipidimea with high cholesterol and deficiency in Vitamin B 12 and D3.

So doctor provided be a blood thinner and certain supplements which i am taking for a week now. He also suggested that i do some physical exercise and i started cycling

I cycled for like 3 days (daily 20-25 mins). On 3rd after i started cycling (week after completion of my 5 day Antibiotic Course ). I again developed pain in left flank . I straight away went to my doctor .He said cycling has noting to do with it. and ordered a urine routine and culture. I got urine routine done (report attached).

Reports says i had 2-4 Pus Cells and 1-2 Epithelial cells, But doctor said it is normal. and he did not have me any medication. It has been 24 hours now since i developed this pain which is pretty significant and continuous now with same sensation that my left kidney has been "touched". Pain is at level where i can feel the discomfort . Please note doctor gave me same painkiller for lower back pain which was pretty consistent till i had the procedures . These painkillers have no effect on my Left flank pain .

I can feel around whole of my left flank? Is it ok ?
Are my tests normal ? If Yes then why i am having such a significant pain ?
What should i observe in my current condition before i rush to ER?

is it normal to have such kind of conditions?

I am also hypertensive and taking B.P. medications for 2 years

Thanks XXXXXXX

Hello Dr. Mangat

I will like to clarify that my Vertigo has not cleared Yet.

Sorry, but if i understand you correctly you are saying that my current pain is spasmic in nature and it is normal that these spasms take 4-6 weeks to subside totally.?

And that my current report indicates that i have no infection ? And i can cycle without hesitation.

Your words are indeed comforting. I have one follow up question as well.

My Job requires me to travel internationally frequently. Do you think i should wait for while to be totally fit and then seek travel ?

Thanks XXXXXXX

Thanks Dr. Manggat

One last question.I have large hiatal hernia as well. I will like to mention that i can feel gas at a times and when i releive gas or pass stools .There is quite a bit of releif in my left flank pain

Rgds XXXXXXX