Urology Expert Forum
Abdominal/Pelvic Pain
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Questions in the Urology forum are answered by medical professionals at Healthcare Magic. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

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Abdominal/Pelvic Pain

Unexplained pain in lower right abdomen/pelvic between navel & pubic 3" right of center since 5/1/07. Near abdominal muscle & crease of pelvis/hip/groin. At 1st felt more like a quick tap/touch 4-5x/day over 2 wks. Next 2 wks similar # but some more like instant pinch or needle poke. Ultrasound showed "slightly elevated lymph node". Saw GI specialist who checked for appendicitis (negative to physical exam). Ordered CT scan -pelvis/ lower abdomen.  No enlarged lymph nodes found.  Reported "tiny, 1mm to 2mm, possible renal stones. No hydronephrosis. Otherwise unremarkable". GI & primary physicians discounted pain & suggested it’s not due to 1-2mm stones.
Colonoscopy 1 month later negative.
Now - 6 months, may be 8-10x a day, but 1 day this week they were every 10 min for about 4 hrs. Almost went to the ER.  Felt like something inside was tightening instantly, or electric shock, quick burn, or a bee sting.  Only last 1-2 seconds & completely disappear. No tenderness or typical signs of IBS. Tends to worsen during stressful events. Even had 1-2 instantly when I yelled at the dog. May occur more when I have an internal gassy event/digestive movement – not always. Can't produce by physical movement.
Visited my cardiologist - routine check-up. Asked if I had any renal stones in my CT.  Told him yes. He was confident I have renal colic. Can it be that simple? I’m extremely in tune with my body & tend to feel every twitch, itch, etc. Can I feel a 1-2mm renal stone in the lower pole of my right kidney? Can I feel it in an area as I described?
I'm scheduled with a neurologist & thinking about an MRI. I had blood work done 2 mo. before the symptoms as part of age 40 physical (ok). Thyroid test last week was fine.
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I agree with the workup thus far.  Normally the CT scan is quite sensitive for kidney stones.  If present, further evaluation can be done with a cystoscopy to see whether any stone is amenable to a procedure to remove it.

The negative colonoscopy would make bowel disease less likely.  An MRI can be considered if the diagnosis remains unclear.

These options can be discussed with your personal physician or urologist.

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 patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com
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