[64M] Experiencing left flank pain and constipation

Patient Description

A 64-year-old male reports waking up with pain in the left flank, under the rib cage, for the past three nights. The pain is described as dull, sometimes sharp, with a severity of 7 out of 10, and is palpable upon pressing the area. The patient also mentions mild, generalized itching, including on the torso, which has been present for months. Additionally, the patient has experienced constipation over the last two days. The patient has a history of diverticulitis 15 years ago and prostate cancer 13 years ago, with no recurrence post-surgery. He has been taking atorvastatin 10 mg daily for the past 6 years without any side effects. Recently, the patient recovered from the flu and an unspecified infection, for which he completed a course of antibiotics approximately two weeks prior. No other medications, allergies, or significant family history were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms could include:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in your back or side, below your ribs, and can sometimes cause constipation.

    • Treatment often involves pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed to remove or break up larger stones.
  • Diverticulitis: This is a condition where small, bulging pouches (diverticula) that can form in the lining of your digestive system become inflamed or infected. You mentioned a past history of diverticulitis, and it can recur. Symptoms can include abdominal pain (typically on the left side) and constipation.

    • Treatment usually involves antibiotics, pain relievers, and a liquid diet until your bowel heals. Surgery may be needed in severe or recurring cases.
  • Skin Conditions: Your itching could be due to a variety of skin conditions such as eczema, dermatitis, or hives. However, without a rash or other skin changes, it's difficult to determine the exact cause.

    • Treatment typically involves topical creams or ointments, antihistamines, or corticosteroids.

Please note that these are possible causes based on your symptoms and medical history. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

  1. Drink plenty of water: This can help if you have kidney stones, as it can assist in passing the stone. It can also help with constipation.

  2. Over-the-counter pain relievers: Non-prescription pain relievers such as acetaminophen (Tylenol) can help with your pain. However, be sure to follow the package instructions.

  3. Over-the-counter creams or ointments: These can help soothe your itching. Look for products with hydrocortisone.

  4. Consult with a healthcare professional: It's important to get a proper diagnosis and treatment. This is especially important given your age and past medical history.

What you should look out for

Please seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You notice blood in your stool or urine
  • You develop a fever or chills
  • Your symptoms worsen or do not improve

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr 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 or side below the ribs, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, painful urination, pink, red, or brown urine, nausea and vomiting, and frequent urination.


Can diverticulitis recur after many years, and what are its symptoms?

Yes, diverticulitis can recur even after many years. Symptoms typically include abdominal pain (usually on the left side), fever, nausea, and a change in bowel habits such as constipation or diarrhea.


What could be causing generalized itching without a rash?

Generalized itching without a rash can be caused by dry skin, allergies, stress, or systemic conditions such as liver or kidney disease. It is important to consult a healthcare professional for a proper diagnosis.


How can constipation be managed at home?

Constipation can often be managed at home by increasing fiber intake through fruits, vegetables, and whole grains, drinking plenty of water, exercising regularly, and using over-the-counter laxatives if necessary. However, persistent constipation should be evaluated by a healthcare professional.


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