
Suggest Treatment For Intermittent Severe Pain Above Right Kidney



Have had CT scan with nothing shown, also Ultrasound. Physio thinks it is "lower thoracic facet irritation" and given me stretching exercises, no change after 4 days. The pain is short but very sharp, and limiting what I can do.
Pain in this area have many reasons involving gastrointestinal tract organs
Detailed Answer:
Dr. Hanif warmly Welcomes you to my virtual clinic HCM!
I have carefully worked through your case, and can realize your health worries. Being your physician, I will take care all of your medical concerns.
Probable causes:-
*Ischemic pain to the intestines (Due to compromised blood supply to the intestine).
*Gall bladder smudge also causes this pain. Although this isn't so severe as that of gallbladder stones but it also is sharp enough). Liver may also be a source of this pain sometimes.
*Sometimes due to muscular spasm in the area causes this kind of pain. Sudden movements and jerking causes this pain in patients with spasm.
*Yes, thoracic vertebral problems may also contribute to the pain.
*Inflammation of the intestines also cause this kind of pain in upper flanks. It may be mild worm infestation or due to any other reason irritating the intestines.
*Fecal impaction in chronic constipation also causes pain in flanks, usually it is on left side but no uncommon to have it in right colon.
Investigations needed:-
Comprehensive metabolic panel.
Liver viral markers.
Management:-
*Apply Thermacare HeatWrap to the area of right flanks. If this is a muscular pain, it will get relief and you will also get ruled out other causes.
*Take high fiber diet and avoid constipation. Plenty of fluids and fruits like Kiwi avocado are good for you. Green leafy vegetables and proper physical activity needed.
*Ibuprofen for pain.
*Apply Bengay Ultrastretch ointment to the affected area.
Have a wonderful time ahead. Hope I answered all of your questions. Let me know if you have any further clinical concerns or doubts. I will be more than happy to get back to you in no time. If satisfied here, please give a generous five star rating and don't forget to close the discussion.
For any disease you have, a timely follow-up after sometime regarding the treatment efficacy and to see any need to change the treatment options is very necessary. Keep a follow up some days after this visit session ends.
Regards!
DR. XXXXXXX HANIF
USA

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