Left Flank Pain: When to Seek Urological Care

Left flank pain?

Hello Dr.
Lee: Last night while I was teaching, I suddenly experienced a cramping pain in my left lower back that was so intense I couldn't speak.
I had to bend over and support the painful area while quickly looking for a place to sit down.
This is the first time in twenty-five years that this has happened.
I usually drink very little water; aside from taking medication (for skin issues), I hardly drink any water at all.
Due to work, I sometimes hold my urine, and I tend to have urinary tract infections easily.
I will try to drink more water, but I am very concerned about my kidney health since I have only one kidney left.
I have not noticed any blood in my urine, and my bathroom habits are normal.
However, after each sexual encounter, I experience frequent urination and a feeling of incomplete emptying, which is quite bothersome.
I have never given birth.
I would like to ask which specialty I should consult for my condition, as I am unsure of the cause of my back pain and don't want to go to the wrong department.
Thank you.

Vicki, 20~29 year old female. Ask Date: 2010/12/28

Dr. Li Yilun reply Urology

Ms.
Vicki suggests that your symptoms require a hospital examination.
There are many potential causes for severe lower back pain, and since you mentioned that you only have one kidney, you should be particularly cautious.
Therefore, please seek medical treatment as soon as possible.
Lastly, wishing you a Happy New Year and good health.

Reply Date: 2010/12/28

More Info

Hello! It sounds like you are experiencing significant discomfort and concern regarding your left flank pain and urinary symptoms. Given your medical history, including having only one kidney, it is essential to approach this situation with caution and seek the appropriate care.

First, the sudden onset of severe left flank pain, especially if it feels like cramping or spasming, could be indicative of several conditions, including kidney stones, a urinary tract infection (UTI), or even issues related to your remaining kidney. Since you mentioned that you have a history of urinary tract infections and that you often hold your urine due to work commitments, these factors could contribute to your current symptoms. Dehydration, which can occur from not drinking enough water, may also exacerbate kidney-related issues.

Given your symptoms, I recommend that you seek care from a urologist. Urologists specialize in the urinary tract and male reproductive system, and they can evaluate your kidney function, urinary symptoms, and any potential underlying issues. They may perform tests such as a urinalysis, imaging studies like an ultrasound or CT scan, and possibly blood tests to assess your kidney function and check for signs of infection or stones.

It is also worth noting that your experience of frequent urination and the sensation of not being able to fully empty your bladder after sexual intercourse could be related to a urinary tract infection or irritation of the urinary tract. This is especially concerning given your history of urinary issues. A urologist can help determine if there is an infection or another underlying cause for these symptoms.

In the meantime, it is crucial to increase your water intake to help maintain kidney function and prevent further complications. Staying hydrated can help dilute your urine and reduce the risk of developing kidney stones or urinary tract infections. If you experience any additional symptoms, such as fever, chills, or changes in your urine (such as blood or a foul odor), you should seek medical attention promptly.

In summary, I recommend that you see a urologist to address your left flank pain and urinary symptoms. They will be able to provide a thorough evaluation and appropriate treatment options based on your specific situation. Remember, it is always better to err on the side of caution, especially with your medical history. Take care, and I hope you find relief soon!

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