Kidney Issues: Pain and Symptoms Explained - Internal Medicine

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Kidney problems


Doctor, I have a question.
When I turn over, I sometimes feel pain, but it comes and goes.
When I touch the area, I can feel a lump that isn't very fixed, but it is always in a certain region.
It's hard to locate it precisely, and my urination is normal.
What could this condition be? Could it be chronic pyelonephritis?

Lü, 10~19 year old female. Ask Date: 2013/06/30

Dr. Wu Jiyu reply Internal Medicine


First, regarding your initial question: When you turn over, you feel pain for a moment, but sometimes you can feel a lump that is not very fixed, yet it is always in a specific area.
It may be a subcutaneous lipoma, and it is unlikely to be related to kidney pain, nor is it indicative of chronic pyelonephritis as you mentioned.
If you need confirmation, it is advisable to consult a physician for examination.
Thank you for your inquiry.
The Nephrology Department of Changhua Hospital is concerned about your health.

Reply Date: 2013/06/30

More Info


When it comes to kidney issues, understanding the symptoms and their implications is crucial for maintaining overall health. Based on your description, it seems you are experiencing localized pain that may be associated with certain movements or pressure, as well as the presence of a palpable mass in a specific area. While you mentioned that your urination is normal, the combination of these symptoms warrants a closer examination.

Firstly, the pain you feel when you turn or press on a specific area could be related to several factors. It is important to note that kidney pain is typically felt in the flank area, which is located on the sides of your lower back, just below the rib cage. However, pain can also be referred from other structures, such as muscles, ligaments, or even the spine. Mechanical issues, such as muscle strain or ligament sprain, are common causes of localized pain in the back and may not necessarily indicate a kidney problem.

The presence of a palpable mass in the area you described could be concerning. It is essential to differentiate whether this mass is muscular, fatty tissue, or potentially something more serious, such as a cyst or tumor. While chronic pyelonephritis (kidney infection) can cause pain, it usually presents with additional symptoms such as fever, chills, and changes in urination patterns, which you have not mentioned. Therefore, it may be less likely that your symptoms are due to chronic pyelonephritis.

Given your symptoms, it is advisable to seek medical attention for a thorough evaluation. A healthcare provider will likely perform a physical examination and may recommend imaging studies, such as an ultrasound or CT scan, to assess the kidneys and surrounding structures. Blood tests and urinalysis may also be conducted to check for signs of infection, inflammation, or other abnormalities.

In addition to kidney-related issues, your symptoms could also be indicative of musculoskeletal problems. Conditions such as herniated discs, muscle spasms, or even referred pain from abdominal organs can present similarly. Therefore, a comprehensive assessment is crucial to determine the underlying cause of your discomfort.

In conclusion, while your symptoms may not directly point to chronic kidney issues, it is essential to consult with a healthcare professional for an accurate diagnosis. Early intervention can help prevent potential complications and ensure that any underlying conditions are addressed promptly. Remember, taking care of your kidneys and overall health is vital, and being proactive about your symptoms is the first step toward achieving that goal.

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