Abdominal pain

[maw1966]

I have had lower abdominal pain for three weeks, mostly on the right side. Sometimes on the left and even lower back. I am a generally active male age 42. I have been seen now by two Doctors, blood work and urine test fine, some small amount  of blood found  in urine now tested twice in five years. All other test found normal. One Dr thought constipation, Help?

[Dr Smitha Mathews]

Hi,

Blood in urine, even in microscopic amounts, can be indicative or renal infection, UTI, or renal calculi.
Other possibilities include parasites that specifically infect the urinary tract.

If there were no infective organisms detected in the urinalysis, the other strong possibility for blood in urine is renal calculi.

Small calculi (less than 5mm) usually pass through the tract without other intervention. These do cause some amount of colicky pain and trauma to the ureter walls, resulting in slight bleeding.

If you have any family history of renal calculi, it is possible that you could have a predisposition to the same.
An Xray of the abdomen and pelvis will pick up any calculi.
You will need to keep fluid intake over 2000 ml per day and increase natural sources of vitamin C and calcium in diet.

Do keep us posted on your doubts and progress.
Regards

[maw1966]

Thanks, just wated to give you an update. I have since had a CT scan, they show nothing wrong that may cause pain in the abdomin, however they picked up 3 spot on my spinal cord and now being sent for MRI to see if something serious. As far as the pain I am now on meds and schedule next week at digetive health for colon test . Any comments? My Liver a little fatty, appendix-bladder-kidneys are unremarkable

Thanks

[Dr Smitha Mathews]

Hi,

Even though no stone has been picked up on the CT, do request your doctor to advise an Xray of the abdomen. This can pick up on the presence of kidney stones.

Diseases of the kidney that cause necrosis or damage to the kidney structures can also cause blood to appear in urine.

Spots on the spinal cord could be due to lesions arising from autoimmune or neurological disorders and the MRI will further investigate the cause.

Fatty liver could just be due to increases consumption of fat, though this can be a manifestation of certain systemic disorders and even a consequence of alcohol consumption.

Regards

[maw1966]

Thanks, I appreciate and value your opinion; I really appreciate your correspondence. It’s nice to have second opinion. I don't drink, never have, or smoke ...my only problem is about 25 pounds over weight. They are calling to schedule the MRI today. I will keep you posted..... The medicine they gave me for pain make me feel a bit disey, tramodol? I think is the name.....