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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain On Left Side Of Lower Abdomen. Lab Tests- Normal. What Can This Be?

i have this sharp pain on the left side of my lower abdomen towards the back. it has pained me before in 2009,2011 and now it has come again. 2009 it was on my leftside , 2011 it was on both sides. it usally comes slowly.i can start feeling it lightly likse a month before it comes fully. it hurts bad and i find it difficult to lie down. also i feel like belching but when i want to belch it hits me the more .in 2011 i was rushed to the ER and lot of tests were conducted but they were all negative. what can this be?
Sat, 20 Apr 2013
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General & Family Physician 's  Response
Hi and welcome to HCM!
Thanks for posting your query here.
The left lower abdominal pain in your case suggests a renal colic. Renal colic is presence of stones in the kidney pathway. You have not mentioned your age and what sort of tests conducted. The stones while passing through the passage will cause acute pain. If the diameter of the stone is less than 3mm they will be passed out in the urine without any difficulty. If the size is more than 5mm it causes obstruction and dilatation of the structures called hydronephrosis. This can be treated by ECSWL-extracorporeal shock wave lithotripsy or lithotomy.
The feeling to belch is due to the referred pain caused by the renal colic. Sometimes this will be associated with nausea and vomiting also.
An x-ray of KUB-kidney, ureter, and bladder, or an ultrasonogram of the pelvis will give you a clue of the diagnosis.
An other condition acute pancreatitis could be a reason for your pain. A thorough blood check and ultrasonogram will give the exact picture.
Hope this is helpful to you
Regards
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Pain On Left Side Of Lower Abdomen. Lab Tests- Normal. What Can This Be?

Hi and welcome to HCM! Thanks for posting your query here. The left lower abdominal pain in your case suggests a renal colic. Renal colic is presence of stones in the kidney pathway. You have not mentioned your age and what sort of tests conducted. The stones while passing through the passage will cause acute pain. If the diameter of the stone is less than 3mm they will be passed out in the urine without any difficulty. If the size is more than 5mm it causes obstruction and dilatation of the structures called hydronephrosis. This can be treated by ECSWL-extracorporeal shock wave lithotripsy or lithotomy. The feeling to belch is due to the referred pain caused by the renal colic. Sometimes this will be associated with nausea and vomiting also. An x-ray of KUB-kidney, ureter, and bladder, or an ultrasonogram of the pelvis will give you a clue of the diagnosis. An other condition acute pancreatitis could be a reason for your pain. A thorough blood check and ultrasonogram will give the exact picture. Hope this is helpful to you Regards