Kidney Stones: Symptoms and Causes of Lower Body Pain - Urology

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I would like to ask the doctor, what type of stone cases can cause pain in the lower body and back pain? I have been experiencing frequent fatigue along with the above symptoms recently.

Vivian, 10~19 year old female. Ask Date: 2003/12/27

Dr. Zhang Chengye reply Urology


Hello Vivian: Ureteral stones can cause severe pain in the flank and back; it is advisable to come to the hospital for an examination.
Dr.
Chang Cheng-yeh, Urology Department, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2003/12/27

More Info


Kidney stones, or renal calculi, can indeed cause a variety of symptoms, including lower body pain and back pain. The pain associated with kidney stones is often due to the obstruction of the urinary tract, which can occur when a stone moves from the kidney into the ureter, the tube that connects the kidney to the bladder.
When a stone is present in the kidney, it may not cause any symptoms. However, once it begins to move, especially if it is larger than 5mm, it can lead to significant pain. This pain is typically described as severe and is often referred to as renal colic. It usually starts in the flank area (the side of the body between the ribs and the hip) and can radiate to the lower abdomen and groin. The pain can be intermittent and may come in waves as the stone moves through the urinary tract.

In your case, the lower body pain and back pain you are experiencing could be related to the presence of kidney stones, particularly if they are located in the ureter or if they are causing an obstruction. The fatigue you mentioned could also be a result of the pain and discomfort, as chronic pain can lead to decreased activity levels and overall fatigue. Additionally, if the kidney stones are causing any urinary obstruction, this could lead to a condition known as hydronephrosis, where the kidney becomes swollen due to the buildup of urine, which can also contribute to pain and discomfort.

It's important to note that not all kidney stones will cause pain. Some smaller stones may pass without causing any symptoms, while larger stones can lead to significant discomfort. If you are experiencing persistent pain, fatigue, or changes in urinary habits (such as decreased urine output), it is crucial to seek medical attention. A healthcare provider can perform imaging studies, such as an ultrasound or CT scan, to determine the presence and size of any kidney stones and assess their impact on your urinary system.

In terms of prevention and management, staying well-hydrated is key. Drinking plenty of water helps dilute the substances in urine that can lead to stone formation. Additionally, dietary modifications may be necessary depending on the type of stones you have. For example, reducing sodium intake, limiting animal protein, and avoiding foods high in oxalates (like spinach and nuts) can be beneficial for certain types of stones.

If kidney stones are confirmed and causing significant pain or complications, treatment options may include medication to manage pain, procedures to break up or remove the stones, or lifestyle changes to prevent future stones from forming. It's essential to work closely with a urologist to develop a personalized plan based on your specific situation.

In summary, lower body pain and back pain can indeed be associated with kidney stones, particularly if they are obstructing the urinary tract. Given your symptoms of fatigue and discomfort, it would be advisable to consult a healthcare professional for a thorough evaluation and appropriate management.

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