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Urinary Disorders

Lower left abdominal pain

06/06/2007

Question:

I know that I have a kidney stone in my left kidney, though have never felt any flank pain (8mm in diameter). For the past two months I have quite severe pain when trying to sit up, stand up, though pushing on the area does not cause any pain. Coughing also exacerbates the sharp pain which is located above the groin area on my left side of my lower abdomen. I am a 38 year old female who had tubal 3 years ago. Could this be the stone passing? What other possibilities?

Answer:

The cause of pain at the loin or groin can be many things such as, kidney stone, diverticulitis or pelvic organ disease. If you have blood in urine then urinary tract problem should be further investigated. Usually a large stone does not cause pain for, it does not passed rapidly to cause distension of the urinary drainage system. Small stones hurt much more and move much faster.

Stone of 8 mm in size should be considered a problem to be dealt with. If pelvic organs are involved there would be other signes which can be helpful for the gynecologist to determine the cause. Abdominal cramping and a change in bowel habit should alert the doctor for diverticulitis.

See your family physician to determine who you should see first.

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Response by:

University of Cincinnati Ahmad Hamidinia, MD
Clinical Professor of Surgery
Division of Urology
Department of Surgery
College of Medicine
University of Cincinnati
Ahmad  Hamidinia, MD