Left Abdominal and Back Pain: Possible Kidney Issues?

Low back pain

Since last week, I have been experiencing mild bloating and pain in my left abdomen.
Due to a long history of gastrointestinal issues, I initially thought it was related to my digestive system.
However, the pain has now extended to my left flank and lower back, accompanied by a tight sensation, and I often feel a heaviness in my left side.
I have not engaged in any vigorous exercise recently, but I have also started to experience similar symptoms on my right flank.
I suspect it might be kidney stones, as there is a family history of this condition.
Is this the case, or could it be another illness? Which department should I consult (Urology, Nephrology, or Internal Medicine...
or another specialty)?

Dàxuéshēng, 10~19 year old female. Ask Date: 2008/03/02

Dr. Yao Quan reply Internal Medicine

Dear Mr.
Kay77 329X,
Hello.
The dull pain and tightness from the left lower back to the posterior waist may be indicative of a musculoskeletal disorder; however, renal or other urinary tract issues cannot be ruled out.
Therefore, it would be appropriate to consult specialists in orthopedics, rehabilitation, nephrology, and urology.
Sometimes, it may be necessary to see more than two specialties to identify the underlying cause.
Best regards,
Dr.
Yao Quan
Attending Physician, Nephrology Department
Taoyuan Hospital, Department of Health
March 12, 2008

Reply Date: 2008/03/02

More Info

Based on your description of left abdominal and back pain, it is understandable to be concerned about potential kidney issues, especially given your family history of kidney stones. The symptoms you are experiencing, including the tightness and discomfort in your left abdomen and lower back, can indeed be associated with various conditions, including kidney stones, but they may also indicate other underlying issues.

Kidney stones, or nephrolithiasis, can cause significant pain, often described as sharp or cramping, and may radiate from the lower back to the abdomen or groin. This pain is typically severe and can be accompanied by other symptoms such as hematuria (blood in urine), nausea, or vomiting. However, not all kidney stones present with these classic symptoms, and some individuals may experience more subtle signs, such as the tightness or dull ache you mentioned.

Given your history of gastrointestinal issues, it is also important to consider that abdominal pain can stem from various gastrointestinal conditions, such as irritable bowel syndrome (IBS), diverticulitis, or even issues related to the gallbladder, especially since you mentioned having gallbladder polyps. The gallbladder can sometimes refer pain to the back and abdomen, particularly if there are complications like inflammation or gallstones.

In your case, since you are experiencing pain that has transitioned from the abdomen to the back and involves both sides, it would be prudent to consult a healthcare professional who can conduct a thorough evaluation. You may want to start with a visit to a primary care physician or an internist, who can assess your symptoms in the context of your medical history and perform necessary tests, such as blood work, urinalysis, or imaging studies like an ultrasound or CT scan.

If kidney stones are suspected, a urologist would be the appropriate specialist to consult. They can provide targeted treatment options if stones are confirmed. If gastrointestinal issues are suspected, a gastroenterologist may be more suitable.

In summary, while your symptoms could suggest kidney stones, they could also be related to gastrointestinal issues or other musculoskeletal problems. It is essential to seek medical advice to determine the exact cause of your pain and to receive appropriate treatment. Remember to provide your healthcare provider with a complete history of your symptoms, any family history of kidney disease, and any other relevant medical information to aid in their assessment.

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