Hi,I am Dr. Radhakrishna (Gastroenterologist). I will be looking into your question and guiding you through the process. Please write your question below.
I have sharp pain in my left lower mid ab, hurts to sit more when I walk around. It has been there for over a month. Today it is really bad. I have also been very tired lately and have bad smelling urine for three weeks. Not sure if it relates, but don't know if I should worry about the pain as I had a ct scan and xray of abdomen last month and they said nothing is wrong. So why is the pain getting worse?
If the Xray and CT have been normal there are chances you have inflammation of the colonic mucosa, and/or urinary tract infection with or without a radiolucent kidney stone
Because you have bad smelling urine chances of a phosphate stone are more or a simple urinary tract infection as phosphate stones are usually not seen on xray but may be seen on CT and ultrasound
Get your urine examined for pus cells and crystals, if either is present go for antibiotics and/or analgesices
OTC antispasmodics may help
Pain is getting worse as the inflammation has not been taken care of
Hope this helps
Do write back in case of concern
Get well soon
Your symptoms fit with urinary tract infection. CT scan would have been helpful only after some basic investigations like urine tests which include urine routine microscopy and culture/senstivity, but certainly not as first line test. Also some blood tests like full blood count, urea, creatinine and electrolytes will be helpful. If your urine shows infection, you will need antibiotics course for 2 weeks.
Have a nice recovery
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Hi Thanks for your query If the Xray and CT have been normal there are chances you have inflammation of the colonic mucosa, and/or urinary tract infection with or without a radiolucent kidney stone Because you have bad smelling urine chances of a phosphate stone are more or a simple urinary tract infection as phosphate stones are usually not seen on xray but may be seen on CT and ultrasound Get your urine examined for pus cells and crystals, if either is present go for antibiotics and/or analgesices OTC antispasmodics may help Pain is getting worse as the inflammation has not been taken care of Hope this helps Do write back in case of concern Get well soon