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Old 07-09-2005, 01:30 PM   #1
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Bilateral Flank Pain/Kidney Infection or Stones?

Hi, All

I'm female, 33, no kids, no history of previous kidney trouble.

On June 20, I developed what I thought was a stomachache, left and right flank pain, worse on the left. It didn't go away after a few days, and I had a low temperature (around 99 and a half), so I called my family doctor and got in right away (June 23). He did a urine test in his office, which showed I had a UTI, and he suspected a kidney infection. He sent off more urine to a lab for a culture to see about the kidney infection.

He prescribed Levaquin, 750 milligrams for three days, one a day, followed by Levaquin for another three days, 500 milligrams this time, one a day. The flank pain was completely gone on the 750 milligram dose, but an annoying ache on the left side only came on once I started the 500 milligram dose. I did develop constipation while on the antibiotic, but a stool softener (and a hearty dose of Mexican refried beans) cured that very quick.

Doc wanted me to wait at least a week after I was through with antiobiotics to come back in for another urine test, not a culture, just the little stick kind. Also, at this point, about a week and a half out from my first visit, he still hadn't interpreted my urine culture from the lab to see if I had a kidney infection, nor the stool sample tests he ordered (which I've since found out came back negative for intestinal problems).

I go back in after a week after antibiotics, and he says test was postive for a kidney infection and that if I still have pain, it's not a kidney infection, that it's probably a stone. He prescribed a renal sonogram and blood work, which I got done Thursday and Friday of this past week. The sonogram hurt like heck when the sonographer went over my left kidney, but not as bad on the right.

Everywhere I've read online, it says kidney stones are just excruciating. I don't have that kind of pain. It's more of a dull ache that comes and goes. It's not there at all in the morning, creeps up at around midday, and it's definitely there at night. Some days it's hardly there; other days it's around a three or four on a scale of 1 to 10. I do feel like a movement or fluttering right under my left rib cage. I also don't have painful urination or blood. My appetite comes and goes, but that's nothing new for me

I don't have insurance, so I really don't want to have to go through a myriad of tests or different docs, which just seems to be so prevelant these days. My first thought was the infection wasn't cleared up completely only being on six days of an antibiotic, but from what I read, Levaquin seems to be a pretty strong antibiotic.

Any words of wisdom out there about what my next step should be? Has anyone had stones that were just a dull ache? Could this be the "calm before the storm"? I'm drinking a lot of water, 100 to 200 ounces a day, which is a lot for me. I'm not thrilled with my doctor, and I think I'd like to find a new one. He's okay for a cold or flu, but I don't care for him with something serious. Does it take so long for everyone to get lab results? He sat on mine for over four "business days" due to being overbooked.

Thanks in Advance
Sore in Florida

Last edited by StenoLady1; 07-09-2005 at 01:45 PM.

 
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Old 07-09-2005, 01:53 PM   #2
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Re: Bilateral Flank Pain/Kidney Infection or Stones?

I have had plenty of Kidney Stones and Kidney infections. And if not treated
properly you could in fact lose a kidney. Did you say they found a stone when they did the sonogram? I had a IVP where dye was injected and xrays were taken the dye shows anything in that kidney or ureter.

Kidney stone pain is not always real painful especially if it is a small stone. Some of mine had real jagged edges to them which made them more painful.
I passed small ones from time to time and I always had a dull ache in my side.
Water is good!! You want that stone to move and not get stuck thats when urine can back up into the Kidneys and cause a infection, and maybe loss of that Kidney. The Doctor should have given you a strainer to strain your urine, so you can see if you pass a stone. If you do SAVE IT and have it tested, if you can. Some stones have a certain composition to them like oxalates calcium. You may have to watch what you eat in the future that contain to much oxalates. Good luck hope you feel better soon!!

 
Old 07-09-2005, 02:29 PM   #3
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Re: Bilateral Flank Pain/Kidney Infection or Stones?

Hi, there Thank you for the speedy response.

The sonographer wouldn't say anything to me during the sonogram/ultrasound. I really didn't expect him to, either. My understanding is that all results from any testing go to doc, doc interprets, then he gives me results. I'll probably have to wait a week or two to hear from doctor.

I didn't mention it, but a glass or two (small glasses) of wine really helps the pain in the evening. I did say this to doc's nurse, and she just smiled and said that the alcohol has a numbing effect, but didn't advise against it. It seems like every day, I'm hearing about another positive effect on the body from having a daily glass of red wine. Is this a big no-no with kidney troubles?

When you say "loss of kidney", what kind of time frame are we talking about? I mean, I've been on antibiotics for almost a week (no alcohol or wine there). Should the doc be ordering these tests "stat", or is a week or more waiting for results, while I'm not in excruciating pain, sufficient?

Thanks again for your response. I soooo very much appreciate it!!!

 
Old 07-09-2005, 03:06 PM   #4
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Re: Bilateral Flank Pain/Kidney Infection or Stones?

When I meant loss of Kidney it's if you have an infection so bad that it causes damage to that kidney and it looses function. That almost happened to me when I was Eighteen, I had a pretty big stone that kept blocking my kidney getting stuck in the ureter. What I don't understand about your Doctor is that he did not tell you absolutely, that you have a stone. And he should have prescribed some type of pain meds, I guess it was depending on how in pain you were or are in. Do not know about the wine, I guess if you don't drink too much. But you do need to keep the fluids going.
One thing I know is that very hot climate states it's more common to have
Kidney stones. The body seems to become dehydrated in hotter climates.

 
Old 07-09-2005, 05:24 PM   #5
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Re: Bilateral Flank Pain/Kidney Infection or Stones?

Oh, Dear...when you were 18, was it the dull ache or excruciating?

The doctor didn't tell me exactly yeah or nay because he wrote me a prescription for a sonogram. I left with the script and headed to a diagnostic center, who was able to perform the sonogram within a couple hours -- thank goodness. The diagnostic center will report the findings to my doc, and my doc will call me back. I'm a little nervous because my doc drags his feet on stuff like this. He did with the urine culture showing I had a kidney infection, but he did prescribe me a strong antibiotic in the interim, "just in case".

Also, I am in the south (and am melting it's so hot ). Thank you for the tip about the heat. I will definitely drink water until I can no more.

Thank you again so much for your responses. I really, really appreciate it

 
Old 07-09-2005, 05:25 PM   #6
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Thumbs up Re: Bilateral Flank Pain/Kidney Infection or Stones?

sorry to hear you are suffering so.

Females with recurrent uti's get staghorn, or struvite stones, and they neither pass nor cause severe pain.
,
That's why I have one kidney, the right one was removed two weeks ago.

I had worsening pain at night, too.

Be insistent with that dr. of yours...get a referral to a urologist...take care of this now.


 
Old 07-09-2005, 08:13 PM   #7
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Re: Bilateral Flank Pain/Kidney Infection or Stones?

I am sorry to hear that you lost a kidney, was it from a blockage caused by a stone? Or was it something else? How are you doing now?

 
Old 07-09-2005, 08:17 PM   #8
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Talking Re: Bilateral Flank Pain/Kidney Infection or Stones?

I know how you feel. . . . .I have had right flank pain since March. My nephrologist thought it was a stone, and ordered a CT scan-that showed a mass of some sort so I then had a CT scan with contrast, which showed the small mass and a cyst so I was sent to a Urologist. The urologist ordered an MRI but the "pictures" were about the same as the CT with contrast. I was scheduled for a partial nephrectomy (laprascopic) the end of June. The day before my surgery I had an Ultrasound ,yes it was very painful, on my right side. The order for the Ultassound said-angiomyolipoma-which is a benign mass usually found in women and can cause flank pain. Before that I was told that they thought the mass was benign,but they reall could not tell until they got in there during surgery. Well, my dr. had a car wreck the day before my surgery and will not be able to get back to surgeries until the begining of August. Hopefully I will be able to my surgery done by another urologist-I'll find out on Monday, and I will find our exactly what is going on with my kidney. My GP referred me to a nephrologist about 3 years ago,because of an elevated creatine (sp?). level, the nephrologist has been watching things since then.
I guess what I am trying to say-it does take a while to get the right diagnosis, and it may take a specialist to do it. When surgery was first mentioned in May, my Urologist said I did not have to rush into having the surgery, I could wait about 3 months. I also have 2 small non-moving stones in my left kidney. Good luck and I hope you feel better soon. MJ
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Old 07-09-2005, 08:53 PM   #9
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Lightbulb Re: Bilateral Flank Pain/Kidney Infection or Stones?

Quote:
Originally Posted by StenoLady1
Hi, there Thank you for the speedy response.

The sonographer wouldn't say anything to me during the sonogram/ultrasound. I really didn't expect him to, either. My understanding is that all results from any testing go to doc, doc interprets, then he gives me results. I'll probably have to wait a week or two to hear from doctor.

I didn't mention it, but a glass or two (small glasses) of wine really helps the pain in the evening. I did say this to doc's nurse, and she just smiled and said that the alcohol has a numbing effect, but didn't advise against it. It seems like every day, I'm hearing about another positive effect on the body from having a daily glass of red wine. Is this a big no-no with kidney troubles?

When you say "loss of kidney", what kind of time frame are we talking about? I mean, I've been on antibiotics for almost a week (no alcohol or wine there). Should the doc be ordering these tests "stat", or is a week or more waiting for results, while I'm not in excruciating pain, sufficient?

Thanks again for your response. I soooo very much appreciate it!!!

Hi Stenolady1,

Okay, Red wine is a no no if you have kidney stones, reason: If you have kidney stones, only calcium oxalate stones, it is very bad for you. Red wine is made with Red concord grapes, Red concord grapes are high in oxalate, don't ask me why but green grapes are the only grape that is safe to eat with oxalate stones.

I have been going through kidney stones for years and it seems that every day I am finding a new food that I simply cannot have.

I have come to the realization that I will literally die if I eat these foods.

I ate chocolate a couple of months back because I had the taste for it and I ended up in the hospital from the oxalates in the chocolate adhered to my stones doubling them in size from when my urologist did a x-ray only a little over a month before then.

She told me that if I keep eating the wrong foods and don't stick to my diet, I can lose this kidney and go on dialysis. I thought, my life is more important than the food that I eat.

Tomorrow, I will be doing my 24 hour urine test and will turn it in Monday. She wants to see if my urine is forming creatinine and some other stuff, that could be causing the stones.

I just want all of this over.

Let me know how everything goes.

JC

 
Old 07-11-2005, 05:13 AM   #10
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Re: Bilateral Flank Pain/Kidney Infection or Stones?

My right kidney had basically become a stone. It had no function for at least two years, according to my urologist. All of this was totally asymtomatic. The stone was discovered during an upper gi series to diagnose a duodenal ulcer.

This sort of kidney stone usually occurs only in women with recurrent uti's. There are no other symptoms, and dr's. do not normally look for this.

My surgery was three weeks ago today. I am fine. Only in minimal pain.. thanks for asking.

 
Old 07-13-2005, 07:00 AM   #11
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StenoLady1 HB UserStenoLady1 HB User
Thumbs up Re: Bilateral Flank Pain/Kidney Infection or Stones?

Hi, All...just wanted to thank everyone for their advice, opinions & support. I got a call back from doc's office a few minutes ago. Bilateral renal ultrasound came back completely normal, no stones, masses, cysts, nothing. Blood work came back normal, as well, with the exception of a slightly elevated white blood cell count, INFECTION. I never thought in a million years I'd be happy to hear the word infection. I just knew I wasn't on antibiotics long enough a few weeks ago. I go back to doc tomorrow for a repeat urine test and hopefully more antibiotic.

I'm so happy I found this forum. I have learned so much this past week reading here.

Warmest Regards to All

 
Old 07-13-2005, 05:10 PM   #12
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Re: Bilateral Flank Pain/Kidney Infection or Stones?

If you continue to have problems, do some research on the following rare kidney disorder: Loin Pain Hematuria Syndrome (LPHS). My daughter was recently diagnosed with LPHS at the Cleveland Clinic. She has been suffering for almost four years with a variety of symptoms (the main ones being flank pain and hematuria (blood in the urine).

 
Old 10-19-2005, 08:10 AM   #13
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Re: Bilateral Flank Pain/Kidney Infection or Stones?

Everywhere I've read online, it says kidney stones are just excruciating. I don't have that kind of pain. It's more of a dull ache that comes and goes. It's not there at all in the morning, creeps up at around midday, and it's definitely there at night. Some days it's hardly there; other days it's around a three or four on a scale of 1 to 10. I do feel like a movement or fluttering right under my left rib cage. I also don't have painful urination or blood. My appetite comes and goes, but that's nothing new for me


your sympyoms are exactly like mine i mean its spooky i have passed stones befor but this one cant be found iv havt ct scans KUD ultrasounds yesterday i went to a urologist who said it must be a muscel (QUACK) i do yoga and was doing kart wheels and roundoffs with my daughter my pain would have increased if it was a muscel you think the only diff is my pain will get to 6-8 taking my breath away i have a history of uti's and kidney infection. i have good insurence it doesnt help im hurting now a 4 but it will go up you are not alone good luck let me know if you get help mine has been about 4 yrs off and on .

 
Old 10-31-2005, 03:02 AM   #14
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Re: Bilateral Flank Pain/Kidney Infection or Stones?

Hi, I have had two kidney stone procedures in the past two years. The pain was excruciating on my right side. I used to get horrible flu like symptoms, i.e. , chills, shakes, vomiting, had to stay in bed for several weeks, as I had no strength. I first landed in the hospital with bad shakes and pain in my right side and I was septic and almost died. They used me in a clinical trial with a placebo for Xyris (sp?) and I improved very quickly. I also believe that I was healed. My last procedure was approximately four months ago. I still have a few small stones in both kidneys and drink plenty of water to help flush them out. I also add crystalized lemon to my drinking water, as some people treat kidney stones with pure lemon juice to help flush them out.

I am also a diabetic which doesn't help matters because of the frequency of urinary tract infections that diabetics are prone to. The increase in sugar in the body does also increase the stone formation.

I had two 24 hour urine tests done and I had high uric acid which is the same type of treatment/diet as someone with gout....low prurine diet. I have also passed stones at home while urinating and that is quite painful.

I am trying everything I can to avoid this from coming back.

Last edited by Gwenny2; 10-31-2005 at 03:08 AM.

 
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