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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Right Flank Pain. Blood Work, Urinalysis And CT Showed Elevated WBC, Kidney Stones. Had Taken Prednisone. Cause Of Pain?

I was seen in the er for right flank pain. Blood work, urinalysis , and a CT was done. Urine was clean, I have an elevated white cell count on my CBC, and kidney stones in my right kidney. Dr said the elevated white count was due to the prednisone I was given for an allergic reaction I had the day prior and could not give an answer for the flank pain. Could the kidney stones be causing the pain? I have had at least one of the stones found in my kidney since Oct of 2009. And would only 3 doses of prednisone elevate my white blood cell count?
Fri, 22 Jun 2012
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Pathologist and Microbiologist,  's  Response
Hi there,I hope you are feeling better now. Your elevated white cell counts can indeed be due to prednisone treatment, or it also could be because of any underlying infection.As you say that you have kidney stone the pain could be caused if the stone is small enough to have passed into the ureters that is the tube that connects you kidney to the bladder. The passage of these stone give rise to flank pain. Even a single dose of prednisone can give rise to elevated WBC counts but then tend to come back to previous levels once the drug is stopped. If the pain continues it would be a good idea to get a KUBor IVP done to rule out stone in the ureter and a permanent treatment. Neglected cases may lead to kidney damage in the future. Your urologist will be the best guide in such matters. Take care!
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Right Flank Pain. Blood Work, Urinalysis And CT Showed Elevated WBC, Kidney Stones. Had Taken Prednisone. Cause Of Pain?

Hi there,I hope you are feeling better now. Your elevated white cell counts can indeed be due to prednisone treatment, or it also could be because of any underlying infection.As you say that you have kidney stone the pain could be caused if the stone is small enough to have passed into the ureters that is the tube that connects you kidney to the bladder. The passage of these stone give rise to flank pain. Even a single dose of prednisone can give rise to elevated WBC counts but then tend to come back to previous levels once the drug is stopped. If the pain continues it would be a good idea to get a KUBor IVP done to rule out stone in the ureter and a permanent treatment. Neglected cases may lead to kidney damage in the future. Your urologist will be the best guide in such matters. Take care!