Hello, I Am A 20 Year Old Female And I

Posted on Fri, 19 Jul 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 19 Jul 2019 Answered on

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Question : Hello, I am a 20 year old female and I have been having lower abdominal pain. A few night ago, the pain was so severe it woke me up out of sleep. It is not cramps it felt way worse. I went to an ER and they did blood work and urine test on me along with a ultrasound and they come out fine. But the pain is still there. It hurts more when I lie down. I feel it towards my left side and sometimes it shoot down to my groin. It also feels like it radiates. I also feel minor pain in my stomach so I don't know if it's a reproductive issue or stomach issue. My sister is a doctor and she said it might be Endometriosis but she wasn't sure. Im also getting lower back pain and migraines.

Answered by Dr. Dr. Yogesh D (9 minutes later)

Brief Answer:
Sounds more like a stone in the Kidneys or Ureters.

Detailed Answer:
Hello XXXXXXX

Welcome to Ask A Doctor service.

I have studied your problem carefully and I think I understand what is going on.

A pain that starts around the loin/small of the back and goes down in a spiral to the front of the lower abdomen towards labia and inner thighs is very classical of stones in the ureters.

This does not feel like stomach related or uterus/ovary related as the USG has come back normal.

There will usually be associated nausea and vomiting.

The pain does not let you rest, nor does it let you relax and do anything.

And it comes in waves.

This called ureteric or renal colic.

Antispasmodic medicines are better for this like dicyclomine rather than anti-inflammatory drugs.

Ultrasound scan does not pick up small stones and some stones are not visible to sound.

An X-Ray of the Abdomen can sometime show the stone or else you might need a CT scan or IVP.

Kindly consult a urologist and proceed further.

It is best to go back to the ER or to the hospital and get admitted, as the pain can become unbearable.

I hope that answers your query. Feel free to write back to me if you have any doubts.

Best wishes.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Yogesh D (25 hours later)

So yesterday, I was at work and began bleeding. So I got pads and haven’t bled since

Answered by Dr. Dr. Yogesh D (43 hours later)

Brief Answer:
Unlikely to be related to the pain.

Detailed Answer:
Hello again XXXXXXX

Thanks for the follow-up.

Were you due for your periods, in that case the bleeding is quite normal, not every period is similar, there will be some variation in the amount of menstrual flow and duration of flow.

If you were not sexually active or used protection, then there nothing alarming about the menstrual period.

This is not very likely to be related with the pain you were experiencing, how is that radiating pain bytheway? Are you feeling better, did you get yourself evaluated again for probable kidney stones?

I do apologise for the delay in responding to your query, I was away for the weekend. Sorry.

If you have any further doubts, I will be happy to clear them.

Best wishes.

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Dr. Yogesh D (3 hours later)

Brief Answer:
Good to know the pain has subsided, please do get evaluated for the stones

Detailed Answer:
Hello again XXXXXXX

Thanks for updating me with the details and your progress.

It is relieving to know that you are feeling better, however I would urge you not to ignore it for long.

Take care of yourself.

Best wishes.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Yogesh D (0 minute later)

I figured it was just my period, I was scared! But the pain isn’t as bad as before. I guess it was inflammation. But when I lay a specific way, I feel a slight pain and discomfort so I think you might be right about the stones. My brother had them last year and told me that’s how he was feeling so I will check them out soon. & it’s fine, it was the weekend I expected that!

Answered by Dr. Dr. Yogesh D (5 minutes later)

Brief Answer:
I am delighted to know that I was able to help you.

Detailed Answer:
Thank you so much for the appreciation, I am delighted to know that I could help you with your health.

All the best.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Yogesh D (11 minutes later)

Okay I will do so thank you! I got my money’s worth!