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What Causes Pain And Discomfort In Right-sided Abdomen?
Question: Hello, I have been having discomfort and abdominal pain on right side only. I was given pain reliever for medication prior getting URINE test done, my results came in today everything is normal except for the following below. I had similar issues last year in December, it went away in a week and everything was normal. I have started to drink a lot water as of today, my URINE has become clear and white now.
Calcium Oxalate
Mucus Thread - Present
Bacteria - Few
Calcium Oxalate
Mucus Thread - Present
Bacteria - Few
Brief Answer:
Urinary tract stone
Detailed Answer:
Hello and welcome,
It looks like you are passing a urinary tract stone from the right side of your urinary tract. The most painful part is usually when stones are at the junction of the ureter. My guess is either you have passed it into the bladder now, or the calcium oxalate you have in your bladder are smaller stone particles, sometimes called gravel.
The thing to do right now is drink a lot of water, as you are doing, and pain medication as needed.
Since what you are passing is calcium oxalate, and this may be the second time for doing this, I recommend that you follow up with your doctor to discuss possible prevention strategies. These can include decreasing foods that are high in oxalate (but not necessarily decreasing calcium), and decreasing protein that comes from animal sources. Also, some medications can help for preventing reformation. There are a variety of medications that can help with lowering the risk of recurrence of calcium oxalate stones such as hydrochlorothiazide.
Also consider getting imaging studies since calcium does show up on x-ray, to see if there is any remaining gravel or stones. This is not absolutely necessary if your symptoms improve. But do follow up about prevention strategies.
I hope this information helps. Please let me know if I can provide further information or clarification. And I hope you feel better soon.
Urinary tract stone
Detailed Answer:
Hello and welcome,
It looks like you are passing a urinary tract stone from the right side of your urinary tract. The most painful part is usually when stones are at the junction of the ureter. My guess is either you have passed it into the bladder now, or the calcium oxalate you have in your bladder are smaller stone particles, sometimes called gravel.
The thing to do right now is drink a lot of water, as you are doing, and pain medication as needed.
Since what you are passing is calcium oxalate, and this may be the second time for doing this, I recommend that you follow up with your doctor to discuss possible prevention strategies. These can include decreasing foods that are high in oxalate (but not necessarily decreasing calcium), and decreasing protein that comes from animal sources. Also, some medications can help for preventing reformation. There are a variety of medications that can help with lowering the risk of recurrence of calcium oxalate stones such as hydrochlorothiazide.
Also consider getting imaging studies since calcium does show up on x-ray, to see if there is any remaining gravel or stones. This is not absolutely necessary if your symptoms improve. But do follow up about prevention strategies.
I hope this information helps. Please let me know if I can provide further information or clarification. And I hope you feel better soon.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello, below are the complete results just thought I let you know. Do you think taking apple cider vinegar or lemon juice can help? I can sleep comfortably at night for past week, this started 7 days ago but I just recently went to the doctor. Also, I intake high green foods, should I cut back on that? Imaging studies are used in X-RAY? Do I have these stones in my kidney or bladder, based on URINE test?
F Specific Gravity 1.024 1.005-1.030 SO
F pH 5.5 5.0-7.5 SO
F Urine-Color Yellow Yellow SO
F Appearance Clear Clear SO
F WBC Esterase Negative Negative SO
F Protein Negative Negative/Trace SO
F Glucose Negative Negative SO
F Ketones Negative Negative SO
F Occult Blood Negative Negative SO
F Bilirubin Negative Negative SO
F Urobilinogen,Semi-Qn 0.2 0.2-1.0 (mg/dL) SO
F Nitrite, Urine Negative Negative SO
F Microscopic Examination SO
- Microscopic follows if indicated.
F Microscopic Examination See below: SO
F WBC 0-5 0 - 5 (/hpf) SO
F RBC 0-2 0 - 2 (/hpf) SO
F Epithelial Cells (non renal) None seen 0 - 10 (/hpf) SO
Epithelial Cells (renal) SO
Casts SO
Cast Type SO
F Crystals Present A N/A SO
F Crystal Type Calcium Oxalate N/A SO
F Mucus Threads Present Not Estab. SO
F Bacteria Few None seen/Few SO
Yeast SO
Trichomonas SO
Comment SO
F Specific Gravity 1.024 1.005-1.030 SO
F pH 5.5 5.0-7.5 SO
F Urine-Color Yellow Yellow SO
F Appearance Clear Clear SO
F WBC Esterase Negative Negative SO
F Protein Negative Negative/Trace SO
F Glucose Negative Negative SO
F Ketones Negative Negative SO
F Occult Blood Negative Negative SO
F Bilirubin Negative Negative SO
F Urobilinogen,Semi-Qn 0.2 0.2-1.0 (mg/dL) SO
F Nitrite, Urine Negative Negative SO
F Microscopic Examination SO
- Microscopic follows if indicated.
F Microscopic Examination See below: SO
F WBC 0-5 0 - 5 (/hpf) SO
F RBC 0-2 0 - 2 (/hpf) SO
F Epithelial Cells (non renal) None seen 0 - 10 (/hpf) SO
Epithelial Cells (renal) SO
Casts SO
Cast Type SO
F Crystals Present A N/A SO
F Crystal Type Calcium Oxalate N/A SO
F Mucus Threads Present Not Estab. SO
F Bacteria Few None seen/Few SO
Yeast SO
Trichomonas SO
Comment SO
Brief Answer:
Calcium oxalate crystals
Detailed Answer:
You have some stone material in your bladder. There may also be some in your kidney or ureter, that's why I suggested the X-ray, which can show where any calcium may be. The calcium oxalate material (crystals) in your bladder likely came from the kidney.
It may not have been a large stone - there was no blood in your urine, and usually a big stone will cause some bleeding.
There is some evidence that apple cider vinegar can help with calcium oxalate stones. A couple tablespoons of the ACV in 8 oz of water is one folk remedy.
Calcium oxalate crystals
Detailed Answer:
You have some stone material in your bladder. There may also be some in your kidney or ureter, that's why I suggested the X-ray, which can show where any calcium may be. The calcium oxalate material (crystals) in your bladder likely came from the kidney.
It may not have been a large stone - there was no blood in your urine, and usually a big stone will cause some bleeding.
There is some evidence that apple cider vinegar can help with calcium oxalate stones. A couple tablespoons of the ACV in 8 oz of water is one folk remedy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, thank you for the follow up... my primary doctor won't be available today due to his hospital rounds. I would need to wait until Monday, what do you recommend I do, besides drinking a lot of water.
Thanks!
Thanks!
Brief Answer:
No urgency.
Detailed Answer:
There is no urgency regarding a follow up to discuss a plan for prevention of recurrence. For now, just increase water intake (which you are doing) and control pain as needed.
No urgency.
Detailed Answer:
There is no urgency regarding a follow up to discuss a plan for prevention of recurrence. For now, just increase water intake (which you are doing) and control pain as needed.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hello, thank you for your reply the doctor assigned me prior to getting URINE test done, by examining thought I pulled muscle or strain, there was no hernia.
The below is the medication, 1 per day should I still take this after getting URINE results, the report say (bacteria) does that mean UTI? Shouldn't I be getting antibiotics to treat the bacteria?
Meloxicam - 7.5mg
Hello, this is related to me it is another issue I had my cholesterol checked and my doctor told me to do re-test in 3 months. I am attaching my report here, it is in family cholesterol issue, so I have been eating fish, veggies, etc rarely eat chicken and no meat at all. Do you recommend I take cholesterol medication, or wait it out? Please give me your feedback on this, since I like to get it stable naturally, also how often should I get my cholesterol checked? Btw, I am going to turn 33 by end this month.
thank you!
The below is the medication, 1 per day should I still take this after getting URINE results, the report say (bacteria) does that mean UTI? Shouldn't I be getting antibiotics to treat the bacteria?
Meloxicam - 7.5mg
Hello, this is related to me it is another issue I had my cholesterol checked and my doctor told me to do re-test in 3 months. I am attaching my report here, it is in family cholesterol issue, so I have been eating fish, veggies, etc rarely eat chicken and no meat at all. Do you recommend I take cholesterol medication, or wait it out? Please give me your feedback on this, since I like to get it stable naturally, also how often should I get my cholesterol checked? Btw, I am going to turn 33 by end this month.
thank you!
Brief Answer:
Some information
Detailed Answer:
Meloxicam is a strong NSAID - the family of pain killers that includes Advil, Motrin, Naprosyn. If you are having a lot of pain, you can take the Meloxicam. You might want to take it after you have food in your stomach as NSAIDs can be irritating on the stomach lining.
About whether to take an antibiotic: You only had a few, and your leukocyte esterase was negative. So I'd skip the antibiotic. You don't have a urinary tract infection.
About your cholesterol - I don't see the report. Can you please either copy and post it the way you did with your urinalysis, or upload it using the "upload reports" button? Thanks.
Some information
Detailed Answer:
Meloxicam is a strong NSAID - the family of pain killers that includes Advil, Motrin, Naprosyn. If you are having a lot of pain, you can take the Meloxicam. You might want to take it after you have food in your stomach as NSAIDs can be irritating on the stomach lining.
About whether to take an antibiotic: You only had a few, and your leukocyte esterase was negative. So I'd skip the antibiotic. You don't have a urinary tract infection.
About your cholesterol - I don't see the report. Can you please either copy and post it the way you did with your urinalysis, or upload it using the "upload reports" button? Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hello, please find attached file.
Brief Answer:
Your LDL
Detailed Answer:
Hello -
Thanks for uploading the report.
Yes, your LDL is elevated but not in the "very high" category. I've noted that you have a family history of hypercholesterolemia. Is there also a family history of cardiovascular disease at a young age? If there is a strong history of this, then it would seem reasonable to be more aggressive about treating it. But I tend to be cautious with starting cholesterol lowering statins as they do have side effect risks. So at this point, I think it would be reasonable to instead maximize your lifestyle modifications. And rechecking in 3 months is what I like to do to. It gives an indication as to whether lifestyle modifications are having an effect, and also helps keep people on track.
In addition to diet modifications, exercising can help decrease LDL too.
If you are overweight, losing a few pounds can help LDL too.
With diet, it sounds like you are already doing fairly well, but increasing soluble fibers can help (beans and other legumes, oats, more veggies, fruits).
Specifically, here are common dietary recommendations:
1. Fatty fish such as salmon, herring, and sardines.
2. Nuts - in particular walnuts. Almonds and cashews are next in line for helping.
3. Black or green teas.
4. Beans - these help absorb cholesterol.
5. Dark chocolate. The higher the percentage of cocoa in the chocolate the better. Milk chocolate is not as good for it's effects because it has a lower percentage of cocoa, and has sugar, milk.
6. Avacado: Lowers LDL and raises HDL.
7. Spinach: In addition to lowering cholesterol, it helps the arteries not accumulate the cholesterol.
8. Olive oil (especially used unheated such as added to salads)
9. Garlic also helps prevent cholesterol plaques in the arteries.
10. Oats: the beta-glucans in oats absorb cholesterol.
I'm attaching an article that I think is pretty well written about cholesterol lowering: http://health.usnews.com/health-conditions/heart-health/lowering-ldl-cholesterol/overview
Your LDL
Detailed Answer:
Hello -
Thanks for uploading the report.
Yes, your LDL is elevated but not in the "very high" category. I've noted that you have a family history of hypercholesterolemia. Is there also a family history of cardiovascular disease at a young age? If there is a strong history of this, then it would seem reasonable to be more aggressive about treating it. But I tend to be cautious with starting cholesterol lowering statins as they do have side effect risks. So at this point, I think it would be reasonable to instead maximize your lifestyle modifications. And rechecking in 3 months is what I like to do to. It gives an indication as to whether lifestyle modifications are having an effect, and also helps keep people on track.
In addition to diet modifications, exercising can help decrease LDL too.
If you are overweight, losing a few pounds can help LDL too.
With diet, it sounds like you are already doing fairly well, but increasing soluble fibers can help (beans and other legumes, oats, more veggies, fruits).
Specifically, here are common dietary recommendations:
1. Fatty fish such as salmon, herring, and sardines.
2. Nuts - in particular walnuts. Almonds and cashews are next in line for helping.
3. Black or green teas.
4. Beans - these help absorb cholesterol.
5. Dark chocolate. The higher the percentage of cocoa in the chocolate the better. Milk chocolate is not as good for it's effects because it has a lower percentage of cocoa, and has sugar, milk.
6. Avacado: Lowers LDL and raises HDL.
7. Spinach: In addition to lowering cholesterol, it helps the arteries not accumulate the cholesterol.
8. Olive oil (especially used unheated such as added to salads)
9. Garlic also helps prevent cholesterol plaques in the arteries.
10. Oats: the beta-glucans in oats absorb cholesterol.
I'm attaching an article that I think is pretty well written about cholesterol lowering: http://health.usnews.com/health-conditions/heart-health/lowering-ldl-cholesterol/overview
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello, Dr. XXXXXXX my discomfort has come down but I feel it in my upper thighs and inner thigh area, not sure why. I have been drinking a lot of water, and just started on lemon juice. Do you know why I am having that discomfort, it feels like a pulled a muscle or something.
Thanks!
Affan
Thanks!
Affan
Brief Answer:
Your pain is consistent with a stone moving down
Detailed Answer:
The location your describing is not uncommon as kidney/urinary tract stones move down.
Are you urinating the corresponding amount of liquid relative to what you have been drinking or has that decreased?
Also, has an X-ray been done of your kidneys since this started?
Your pain is consistent with a stone moving down
Detailed Answer:
The location your describing is not uncommon as kidney/urinary tract stones move down.
Are you urinating the corresponding amount of liquid relative to what you have been drinking or has that decreased?
Also, has an X-ray been done of your kidneys since this started?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I have been urinating the amount of water I have been drinking. My urine has been clear, and there is no foul smell. Do you think I passed anything out as of yet, since you mentioned I may have only few because one of the readings was negative.
I had x-ray done earlier this week with my chiropractor due to my lower back and all. The x-rays were taken of my abdominal area as well, I requested it from them today but waiting for e-mail, I'm try get them tomorrow.
What is your feedback on alkaline water with PH 9.0 - 9.5 is it really beneficial?
I had x-ray done earlier this week with my chiropractor due to my lower back and all. The x-rays were taken of my abdominal area as well, I requested it from them today but waiting for e-mail, I'm try get them tomorrow.
What is your feedback on alkaline water with PH 9.0 - 9.5 is it really beneficial?
Brief Answer:
Some information:
Detailed Answer:
The reason I asked if you are urinating adequately is that sometimes the pain is from a stone blocking urine from passing thru the ureter (the tube between kidney and bladder) and the back up of urine stretches the ureter and kidney.
One concern I have is that the size of the stone (assuming you have a stone) was not measured. And it is good to do that to see if the stone is a size that will pass easily. When I first wrote back, I assumed the stone material was in your bladder based on your urinalysis, but from your description now, it's possible you have a stone in your ureter. So I think you should go in, either to urgent care tomorrow, or to ER, to make sure the stone is a reasonable size. ER might be a better choice because they have access to more radiological options. My guess is that it is, but I want to make sure.
About the alkaline water, I have no experience with this. Doctors are traditionally taught to ask patients to just drink a lot of water.
Some information:
Detailed Answer:
The reason I asked if you are urinating adequately is that sometimes the pain is from a stone blocking urine from passing thru the ureter (the tube between kidney and bladder) and the back up of urine stretches the ureter and kidney.
One concern I have is that the size of the stone (assuming you have a stone) was not measured. And it is good to do that to see if the stone is a size that will pass easily. When I first wrote back, I assumed the stone material was in your bladder based on your urinalysis, but from your description now, it's possible you have a stone in your ureter. So I think you should go in, either to urgent care tomorrow, or to ER, to make sure the stone is a reasonable size. ER might be a better choice because they have access to more radiological options. My guess is that it is, but I want to make sure.
About the alkaline water, I have no experience with this. Doctors are traditionally taught to ask patients to just drink a lot of water.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I will follow up tomorrow and see where my best option would be. From 2 days ago, I feel better as of today. The discomfort has subsided greatly, I been on my feet all day today compare to entire week, I am not sure if this could be cause as well. Also, In my stool I noticed some yellow type little substances, they looked like rocks to me, not sure if that could be some stones or not, from my bladder.
Brief Answer:
Stones
Detailed Answer:
After a stone passes thru the tightest places (the ureteral junction) usually there is considerable relief.
But stoney looking material in stool would not be related. Stones in the urinary tract happen when material such as calcium are filtered out of the blood as it passes thru the kidneys. Then the calcium stone moves from the kidney to the ureter to the bladder and out the urethra. There isn't anyway for what is in the urinary tract to get to the digestive tract. So what you saw in the stool must be something else - perhaps related to something you ate.
Yes, it would be good for you to go in tomorrow to see what's what with your urinary tract.
Stones
Detailed Answer:
After a stone passes thru the tightest places (the ureteral junction) usually there is considerable relief.
But stoney looking material in stool would not be related. Stones in the urinary tract happen when material such as calcium are filtered out of the blood as it passes thru the kidneys. Then the calcium stone moves from the kidney to the ureter to the bladder and out the urethra. There isn't anyway for what is in the urinary tract to get to the digestive tract. So what you saw in the stool must be something else - perhaps related to something you ate.
Yes, it would be good for you to go in tomorrow to see what's what with your urinary tract.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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