Kidney Pain: Causes and Concerns for Your Health - Internal Medicine

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Kidney issues?


Hello Dr.
Yang: I've been experiencing a dull ache around my right kidney area for the past few days.
Is there something wrong with my kidney?

Xiao Liang, 20~29 year old female. Ask Date: 2003/12/21

Dr. Yang Jun reply Internal Medicine


Hello: In response to your question, the causes of the right flank pain that has persisted for several days may include the following: 1.
Kidney diseases: Most people would first consider potential kidney issues, including renal or urinary tract stones, acute pyelonephritis, and, in rare cases, renal tumors.
2.
Musculoskeletal disorders: Conditions such as myofascial pain syndrome, muscle strain, or lumbar osteophytes can lead to lower back pain.
3.
Dermatological conditions: Before the formation of blisters, herpes zoster can cause skin pain and abnormal sensations.
Therefore, if the pain persists, it is advisable to consult a nephrologist for a urine test to screen for possible kidney disease.

Reply Date: 2003/12/21

More Info


When experiencing pain around the kidney area, particularly on one side, it is essential to understand the potential causes and the importance of seeking medical attention. The kidneys, located in the lower back, can be affected by various conditions that may lead to discomfort or pain.
Firstly, it is crucial to differentiate between kidney pain and pain originating from other structures in the lower back, such as muscles, ligaments, or the spine. Many individuals may experience what they believe to be kidney pain, but it could actually be related to musculoskeletal issues. For instance, muscle strains or injuries, especially in the lower back, can mimic kidney pain. Conditions such as a herniated disc or spinal stenosis can also lead to discomfort in the same region.

However, if the pain is indeed related to the kidneys, there are several potential causes to consider:
1. Kidney Stones: One of the most common causes of kidney pain is the presence of kidney stones. These are hard deposits made of minerals and salts that form inside the kidneys. When they move through the urinary tract, they can cause severe pain, often described as sharp or cramping, and may be accompanied by other symptoms such as blood in the urine or nausea.

2. Kidney Infection (Pyelonephritis): An infection in the kidney can lead to pain, fever, and other systemic symptoms. This condition often requires prompt medical treatment with antibiotics to prevent complications.

3. Polycystic Kidney Disease: This genetic disorder leads to the formation of cysts in the kidneys, which can cause pain and affect kidney function over time.

4. Glomerulonephritis: Inflammation of the kidney's filtering units can lead to pain and is often associated with other symptoms such as swelling, high blood pressure, and changes in urine output.

5. Hydronephrosis: This condition occurs when there is a blockage in the urinary tract that causes urine to back up into the kidney, leading to swelling and pain.

Given your symptoms of persistent dull pain around the right kidney area, it is advisable to seek medical evaluation. A healthcare provider will likely perform a physical examination and may recommend diagnostic tests such as blood tests, urine tests, or imaging studies (like an ultrasound or CT scan) to determine the underlying cause of your discomfort.

Early diagnosis and treatment are crucial, especially if the pain is related to a kidney condition. Ignoring these symptoms could lead to more severe health issues, including kidney damage.
In addition to seeking medical attention, consider lifestyle factors that may contribute to kidney health. Staying hydrated, maintaining a balanced diet low in sodium and high in fruits and vegetables, and avoiding excessive consumption of processed foods can support kidney function. Regular check-ups and monitoring of kidney health, especially if you have a history of kidney issues, are also essential.

In summary, while there can be various reasons for pain around the kidney area, it is vital to consult a healthcare professional to obtain an accurate diagnosis and appropriate treatment. Your health is paramount, and addressing these symptoms early can lead to better outcomes and improved quality of life.

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