Intense stomach pain after exercise

[ctwiggy]

I'm a teenager, just sixteen and I eat pretty well, but also a good amount of sweets. For a few years I have been having intense pain in my stomach/abdominal area after I play soccer and/or run untill I'm very tired. I started going to my doctor first when I was thirteen about this and she has not the slightest idea what is going on. I read the tag about stomach pains after tennis and my syptoms sound very similar. I am in good shape and exercise regulairly, and it only happens on random days spread by weeks of no problems, and it only happens when I push myself to my limits. I have asthma, but I can outrun any person in my school so I do not think that is a problem. When it happens I usually can't sit still and it feels as if someone is driving a knife into my stomach. It only last for about an hour, and I find drinking water and eating helps ease the pain. If anyone has any ideas please get back to me because it has become more frequent recently and my parents worry it might be accociated with diabetes because my grandfather had it (type 2). thanks.

[guity]

Hi DrVinod ,

Thanks for your information.  Perhaps you would be willing to make a connection for me that my doctors either will not or can not: what is the mechanism by which the kidney stone is causing the groin pain?  How is the pain being stretched all the way over to another section of the body?

Now after the lithotripsy I do not get the groin pain any more.  However, if I exercise too many days in a row, and especially if I eat anything more complicated than bread or milk or plain meat, I am still getting intense stomach pains.  They feel as if a little man is located directly below my belly button frantically jabbing a bare-ended electrical wire into the walls of my intestines resulting in a constant stream of short sparks of pain.  

This again raises the same question for me as the original problem: by what mechanism are these kidney issues transferred to cause pain in the stomach/groin area?

Thanks for any info you can provide.

[Dr Vinod]

Your urine passes from kidney into your bladder through a ureter and then from bladder into your male orgain by urethra. When a kidney stone gets lodged in the ureter or some place between loin to groin the pain is unbearable like the jabbing burning pain you are explaining. Just have to check with urologist if anything is there on the way, if there is nothing in an X-ray and also  after passing dye then you are clean and try taking some anti inflammatory drugs and also get yourself checked for hernia by a surgeon.
Your case can be diagnosed by visiting a proper surgeon
Please follow a right course and take care!

[guity]

Thanks DrVinod.

I saw the urologist yesterday and he had the results of a ultra-sound test I took 4 days before.  The test showed that the lithotripsy shrank the kidney stone from 1.2 cm to 1 cm, and that there a few fragments scattered around near (and perhaps in) the ureter.  

The urologist is telling me that the 1 cm left is actually not one hardened mass any more but a collection of dis-associated fragments.  He says I should go back to my exercise routine and grit my way through another month to see what I can pass out of my system, then he will hav an x-ray (KUB) taken of me and we will go from there.

Truthfully, I am a bit nervous about exercising again because I have been happy to go a few days without the pain and am not eager to get it strated again.  On the other hand, if exercising helps me get this wentire ordeal over with more quickly, I guess I will have to just grit my teeth and get back to it...

Thanks again for your input.

[Dr Vinod]

Yes the pain you have explained in the post is "the pain" suffered when you have fragments of stones or small ones dislodged in the ureter, and the smooth muscle contracts and expands to pass on them, which is a natural process by your body to eject the stones. So it was easy for diagnosing your case, because you explained the classical symptoms.
Drinking lots of water and exercise will favour passing on the stone fragments. Take enough pain killers for this and take care and always stay connected with your urologist.

[guity]

Just called the urologist after a follow-up X-ray.  He is reporting that all the stone fragments have passed out of my kidney, but there are two still stuck in my ureter.  He says that one is smaller, and there is a larger one that is .8 millimeters.  He wants me to take a prescription of Flowmax to try to dilate my ureter to try to get rid of the last two stones...

These last 2 stones have not caused any pain for some reason, and for the past month I have been able to work out without pain.  I guess if I can just get rid of these last 2, I will be a very lucky person...

[Dr Vinod]

Very nice to here that. The pain only comes when your ureter contracts contiously to flush out the foreign body. The remaining particles might not been obstructing your urine and for this you are lucky.
Well, dilating the ureter is a good option if it does not come out with Flowmax. There are other methods also, if it fails, discuss with your Urologist, you would be fine. Take care!