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kidney pain with clean urine??
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kidney pain with clean urine??

I see a uro-gyn pretty frequently, since I have gynecological issues that intertwine with urological issues (endometriosis on the urinary tract was discovered March 2011).  Recently I have been having what my doctor describes as kidney pain; it's in my mid back on the left side, in my left groin, left mid to lower abdomen (shooting or cramping usually) and often in my left side in my waist as well.  It comes in waves and really hurts!  I thought it might be a muscle thing so I had my friend massage it for me, but that almost made the pain worse when pressing on it like that.  My doctor thinks this sounds like a kidney thing, but my urine was tested clean.  She said if I notice blood in my urine to call ASAP, but my question is:

If I don't notice any blood, what is this pain?  Can one have a kidney issue with clean urine?

I have been seeing a PT for my dysfunctional SI joint, and recently, my alignment and back have been perfect and my pelvic floor is in decent condition... So I'm really not sure what to think :(

HELP!

p.s. I have had a lot of weird occurences of lots of particles and cloudiness in my urine, and I have a history of random elevated white cell counts, but it's been clean the past two times they have checked.
4 Comments Post a Comment
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Avatar_f_tn
Anyone?! Come on! I really need some advice here :(
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Avatar_dr_f_tn
Hello and hope you are doing well.

Sorry for the late reply. The most common cause for this type of severe pain which starts at the back just below the rib cage and radiates to the front and goes into the pelvis is 1. Renal colic. It occurs as episodes of pain recurring in nature. The pain is spasmodic in nature as the ureter is trying to push through the obstruction, which is usually a renal stone. The ureter is the tubular structure that connects the kidney to the bladder. So each time the urine tries to pass through the obstruction it causes severe pain. It can be accompanied by nausea, vomiting, sweating and sometimes blood in the urine. The other causes for the pain are: 2. Pyelonephritis (infection of the kidneys) and Glomerulonephritis (inflammation of the kidneys), here you are likely to have fever, 3. Gastroenteritis, diverticulitis, bowel obstruction, polyps and Irritable bowel syndrome, here there should be accompanying bowel symptoms like diarrhea and vomiting, 4. Pelvic inflammatory disease, ectopic pregnancy, endometritis and polycystic ovarian syndrome, here there will be pelvic pain with vaginal discharge/bleeding. Please discuss this with your consulting doctor. He will ask for blood tests, urine analysis, an x ray and an ultra sonogram of the abdomen. Sometimes he may ask for an Intravenous pyelogram and a CT scan. In the meantime take OTC Naproxen for pain relief and plenty of oral fluids.

Hope this helped and do keep us posted.
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Avatar_m_tn
I have been having side lower pain for a week now. im not sure of what it is. it does not sting or hurt when i urine nor is my urine cloudy. Some say it is a UTI but all i have is pain. my urine is clean. can it be a kidney stone? please let me know if you have exp this before
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Avatar_dr_f_tn
Hello and hope you are doing well.

There could be many causes for the pain you are experiencing. If the pain starts at the back and goes down to the front of the abdomen, it could most probably be a renal colic. This happens when urine is trying to pass through an obstruction usually a stone. But this pain is very severe and colicky. The other causes for the pain could be infections of the bowel and bladder, prolapsed intervertebral disc or inflammatory diseases of the colon. You will need to consult your primary care physician for proper evaluation of pain and therapy

Hope this helped and do keep us posted.
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