Dull pain in right side and back

I am 42 year old female.  A year ago I had a UTI infection which was treated with antibiotics, recurrent and then treated with different antibiotics.  The UTI started with a pain on the right side which became progressively worse but I had none of the typical cystitis symptoms, burning sensation on urinating, etc.

A few months later I had another mild UTI infection which cleared following antibiotics.

For several months since I have had a mild pain which comes and goes, a bit like a stitch on my right side, just below the ribs and a dull ache in my lower back, just to the right side of the spine above the buttocks, which is worsening gradually and generally at night.

My doctor has sent blood off for kidney tests, done STD tests,  abdominal scans, both internal and external, and all are clear of any abnormality.
Bowel movements are fine as is passing water.  I have not had any children nor had any gynaelogical problems.  

Since this discomfort (rather than actual pain) never seems to go away I am becoming a bit concerned.  What could it be?

[Kevin Pho, MD]

Kidney diseases, lesions and cysts are all possible.  This can also include kidney stones.  However, an abdominal CT scan (which you mentioned you had) would evaluate for most of these conditions.

You can also consider GI causes - like the appendix (can be ruled out with a CT scan), irritable bowel syndrome, or inflammatory bowel disease.  An endoscopy with evaluation of the small bowel can be considered to evaluate for these possibilities.

GYN causes can also be evaluated with a transvaginal ultrasound.  

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_b

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