[26F] Experiencing chronic left flank pain

Patient Description

A 26-year-old female has been enduring a sharp, dull pain in the left flank for the past three years, which worsens after urinating and when lying down. The pain occasionally radiates to the right flank but is constant and unaffected by changes in position. The patient rates the pain severity as 7 out of 10. There is no relief noted from any interventions. The patient has no other associated symptoms such as blood in urine, burning sensation during urination, fever, chills, nausea, or vomiting, and reports normal bowel movements. The patient's medical history includes gallbladder removal two years ago. Currently, the patient is not on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be considered:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually comes in waves. It can affect any part of your urinary tract — from your kidneys to your bladder. The pain has been described as a sharp, cramping pain that starts in the back and side in the area of the kidney or in the lower abdomen.

    • Treatment can range from pain management and drinking lots of water to flush out the stone, to medical procedures to remove or break up larger stones.
  • Musculoskeletal Pain: This could be due to a muscle strain or other injury. The fact that the pain is constant and does not change with position makes this less likely, but it is still a possibility.

    • Treatment would typically involve rest, physical therapy, and possibly pain management with over-the-counter or prescription medications.
  • Kidney Infection: This is usually caused by bacteria that have spread from your urinary tract to one or both of your kidneys. This is less likely given the long duration of your symptoms and lack of other symptoms such as fever, but it's still a possibility.

    • Treatment would typically involve antibiotics.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medications like acetaminophen or ibuprofen can help reduce pain.
  2. Hydration: Drinking plenty of fluids can help flush out any potential kidney stones.
  3. Rest: If the pain is due to a muscle strain, rest and gentle stretching may help.

What you should look out for

Reasons to see a doctor more urgently:

  • If your pain becomes severe or unbearable
  • If you notice blood in your urine or have a fever
  • If you start to feel nauseous or start vomiting
  • If you have difficulty urinating or notice a change in the frequency of your urination

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the back and side, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, pain during urination, pink, red, or brown urine, cloudy or foul-smelling urine, nausea and vomiting, and frequent urination.


How can musculoskeletal pain be differentiated from other types of pain?

Musculoskeletal pain is often related to movement and can be alleviated or worsened by changing positions, unlike pain from internal organs which may not change with movement. Musculoskeletal pain may also be associated with tenderness, swelling, or bruising in the affected area.


What are the signs of a kidney infection that require urgent medical attention?

Signs of a kidney infection that require urgent medical attention include high fever, chills, nausea, vomiting, severe pain in the back or side, frequent and painful urination, and blood or pus in the urine.


What lifestyle changes can help prevent kidney stones?

To help prevent kidney stones, it is recommended to stay well-hydrated by drinking plenty of water, reduce salt and animal protein intake, eat a diet rich in fruits and vegetables, and maintain a healthy weight. It's also important to follow any specific dietary recommendations provided by a healthcare professional based on the type of stones you are prone to developing.


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