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Family Medicine  (Expert Forum)
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Pain in lower right abdomin(abdomen)/back
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.

Pain in lower right abdomin(abdomen)/back

by Franky77, Nov 30, 2004 12:00AM
I posted in your Gastrointestinal Form a little over a month ago.I am a 27 year old male who has smoked Marijuana almost everyday for the past 10 years up until Oct. 27th. I was high almost every waking moment, probally only being sober a total of 60 over that time. I quit smoking in fear that it was keeping me from getting over what my doctor called a viral infection. I had a low grade temperature (<100) and night sweats for close to 5 weeks. After 3 weeks, of these symptoms, I quit smoking in hopes that would help. 2 weeks later I started having this pain in my right lower abdomin (abdomen)/back. These pains would usually occur at night. I would wake up in the early morning with sever pain, feel like I was burning up and dizziness to the point I would feel as if I were going to pass out. I would have a bowl movement, break a sweat, the pain would subside, I would become real cold, then be able to go back to bed. I told my doctor everything that happend. At this time I was eating only chicken broth, bread, jello, bananas, noodles, and rice in fear that my gall bladder was going bad, since I have a strong family history of this.

My doctor had me do a abdominal ultrasound and an upper G.I. as well as bloodwork and urine screen all of which came back perfectly normal. He sent me to a Gastrointestinal Specialist. He had me do an abdominal CT on Friday and I am waiting the results of that.

I am starting to think I could be going through Marijuana withdrawl. I found a site on the web that said kidney pains can occur for up to 2 months after quiting. I am having other symptoms like vivid dreams every night and I am on day 32 without marijuana. I also had diarreha and loss of appetite for a little while there. My pains have slowly gotten less severe. I have gone back to work (pizza delivery driver), and played 9 holes of golf the last two days. I am a little sore towards the end and afterwards. There is no way I could have made it through 18. applying a heating pad at night seems to help. I have also returned to my normal eating habits. Eating fried and fatty foods have not bothered me. I have started drinking more water and cranberry juice to help speed up detox.

Some questions I have are:
Could it be possible that I am having withdrawl pains in my kidneys? and what will me get through them faster?

If I tell my doctor about my previous drug habit will my insurance company find out?

If this CT scan comes back normal what do you think should be the next step?

When will these dreams start to calm down?

Any info. you have will help. I would have posted this on the Substance Abuse Form but it has been closed.
Thank you,
Franky

I forgot to mention, in the middle of this, I was diagnosed with epididymitis. I was given cipro twice a day at 250 mg. for 10 days and the pain in my testicals went away. My doctor thinks that would have cleared up any kidney infection I might have had and said my kidneys looked normal in my X-rays.

Thx again

by Kevin Pho, MD, Dec 02, 2004 12:00AM
To answer your questions:
1) Typically the symptoms of withdrawal can manifest as physical tension, changes in mood, irritability or anxiety.  Kidney pain is atypical, but certainly possible with withdrawal.

2) If your doctor gives you the diagnosis of marijuana withdrawal, then yes, it is likely the insurance company would find out.

3) If the CT comes back normal, you can consider a kidney ultrasound or a colonoscopy for a comprehensive look at the bowels.

4) Marijuana withdrawal is most pronounced within 10 days, and can last 28 days.

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.
Medical Weblog:
kevinmd_b
Member Comments (2)

by Franky77, Nov 30, 2004 12:00AM
thats sober a little over 60 days during that time.

by Franky77, Dec 02, 2004 12:00AM
Did you read the comment about the dreams? Im on Day 35 now and I had 7 dreams last night, that I can remember, should these be calming down soon or should I change my log in name to dream weaver?
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