Unusual Kidney Sensations: What Could Be Wrong? - Internal Medicine

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My kidneys are not functioning properly?


I've been feeling something unusual with my left kidney lately; I can't quite describe it, but it feels strange, not exactly painful.
Recently, I've also been feeling more tired and my energy levels have been low.
What kind of condition might I have? Which specialty should I consult?

Shen a, 20~29 year old female. Ask Date: 2009/02/21

Dr. Yang Weishun reply Internal Medicine


Unless there is severe pain caused by kidney stones or kidney function has deteriorated to the level of uremia, kidney issues generally do not present with noticeable symptoms.
You may be referring to discomfort in the left "lower back," which can have many potential causes.
In addition to kidney problems, musculoskeletal issues could also lead to back discomfort.
It is recommended to first visit a family medicine physician for an initial evaluation, and based on the results, determine whether a referral to a specialist for further examination is necessary.

Reply Date: 2009/02/21

More Info


When experiencing unusual sensations in the kidney area, particularly if you are feeling discomfort or a sense of unease in your left kidney, it is essential to consider several factors that could be contributing to your symptoms. While the sensations you describe may not necessarily indicate a severe medical condition, they warrant further investigation to rule out any underlying issues.

Firstly, it is important to recognize that the kidneys can be affected by various conditions, including infections, stones, or even structural abnormalities. If you are feeling discomfort or unusual sensations, it could be due to a urinary tract infection (UTI), which can cause symptoms such as pain, discomfort, and changes in urination patterns. Additionally, kidney stones can also lead to similar sensations, often accompanied by sharp pain that may radiate to the lower back or abdomen.

Another possibility is that you may be experiencing symptoms related to kidney function. If your kidneys are not filtering waste effectively, it could lead to a buildup of toxins in your body, which might explain your feelings of fatigue and decreased energy levels. Conditions such as chronic kidney disease (CKD) can develop gradually and may not present with obvious symptoms until they are more advanced. Therefore, it is crucial to monitor your kidney function through blood tests that measure creatinine and blood urea nitrogen (BUN) levels.

Given your symptoms of unusual sensations in the left kidney, increased fatigue, and a general feeling of malaise, it is advisable to consult a healthcare professional. The appropriate specialist to see would be a nephrologist, who specializes in kidney health and diseases. They can conduct a thorough evaluation, including a physical examination, urine tests, and blood tests, to assess your kidney function and determine if there are any underlying issues that need to be addressed.

In addition to consulting a nephrologist, it may also be beneficial to consider lifestyle factors that could be impacting your overall health. Ensuring adequate hydration, maintaining a balanced diet, and managing stress levels can all contribute to better kidney health. If you have any pre-existing conditions, such as diabetes or hypertension, it is essential to manage these effectively, as they can significantly impact kidney function.

In summary, while your symptoms may not immediately indicate a severe condition, they do warrant further investigation to rule out any potential kidney issues. Consulting a nephrologist will provide you with the necessary guidance and testing to determine the cause of your symptoms. Additionally, taking proactive steps to maintain your overall health can help support your kidney function and overall well-being. Remember, early detection and intervention are key to managing any potential health issues effectively.

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