Ask Your Health Question and Get an Answer ASAP
Hello and welcome, I am happy to help you today.
Dr. Das is offline. I am DR. BORA. would you like to chat with me?
Please enter chat to interact with me.
Yeah, how severe is the pain on a scale of 1 to 10?
Use the reply button.
On a constant basis, it fluctuates. But during the day, it is at about a 3, which increases to a 5 sometimes after i eat a lot of food.
During sleep, it goes away, but it wakes me up about 3 to 4 times a night.
Have you undergone an IVU test ?
repositioning helps, usually to the right side, or on flat back with a small pillow under left flank
is ivu an intravaginal ultrasound? if so, yes. twice.
To check your kidney function?
IVU is intravenous pyelography.
Is there any positioning of the left kidney along with duplication of left ureter?
No, i have not. I am unsure what would qualify my doctor to order that test. All urine tests have come back normal, so I suspect he would only order it if i had abnormal urine
No, this test is done to check your kidney functioning as you have a congenital history of ureterocele and duplication.
the left kidney has appeared to be a bit larger, but both the ultrasound tech and gp have never given it a second thought. its why i am stumped. no painful urination, no blood in urine. however, i have had two kidney infections in my life.
Yeah, so kidney infection on your left, I assume.
i am disappointed my gp has not requested this test. :( do you think I should request one?
Yes, this is a very important test because an ultrasound does not check for kidney functioning .
It is that it has persisted for many months now, and I understand that kidney infection can be quite acute, and does not fluctuate. renal calculi was my first thought, but again, I am not showing signs of fever or painful urination or blood in urine
Alright. Can I receive this reccomendation from a walk in clinic doctor? I seem to have more success from them than my own gp.
Renal calculi can be easily seen on an ultrasound.
Thats what I thought, too.
Yes, of course you can get that from a walk in clinic.
If the IVU is normal, you can totally exclude kidney issues.
One more possibility is colitis.
Ok, so you believe this may have something to do with kidney function... I wondered about that. it is following the sclerotogenous referral pattern for kidney...
Yes, I do agree with you.
Colitis. Would this not be accompanied by blood in stool?
No, not always.
Colitis can cause loose stools and pain.
I have noticed it increases if I eat too much.
Yes, so a relation exists with your food habits.
Did you get a stool culture.
And it is directly between base of rib 12, iliac crest, and is most definitely more medial to midline.
No stool culture yet. Will get on that, and the IVU promptly.
Relation with food, yes, but not always. it is intermittent. its puzzling.
Yeah, so in that area the descending and sigmoid colon are more likely to be inflamed.
Do not b puzzled.
...which could explain the palpable tenderpoint near midline close to rib 9
So, two things for you to get done:1. IVU 2. Stool culture.
The tenderness could be an inflamed part of the colon .
I appreciate your input. Although this is not crippling on a daily basis, it is disconcerting and does affect my daily life. oh, i forgot to mention, it is aggravated with excercise.
exercise that involves me side bending to right, holding in isometric contraction
Ok. IBS is another close possibility with colitis,common in females.
my mother has it, but i
Yeah, I get that.
i believe hers is a sensitivity to wheat and beef. she eats it anyways. silly woman
okay, thank you very much.
Make sure you take small meals and those which are palatable to your intestines.
You are an american physician?
Sounds good. I should likely cut out grains.
No, I am Indian.You are welcome!
?Wonderful! but i was meaning, you are from the US
Yeah, cut out grains and make a list of those foods that aggravate your symptoms.
Thank you so much for your input. I appreciate. it.
No, I am from India.
Pleasure is mine!
Oh! thats where you are currently living?
I hope my answer has helped you.Please remember to rate my service positive once you have all the information you need. If you have any other questions, please ask me – I’ll be happy to respond. Thank you!
Wow! Sure will, and thank you!
Do not be stressed about your problem and I am sure you will be fine!