Asked for Male | 39 Years
Could Residual Pain Persist After Passing Kidney Stone?
Patient's Query
I'm Phil. It's been 12 days since I passed my 4mm kidney stone, and the pain has not gone away. I've had abdominal pain for the last month, sometimes around the bladder, right kidney, left kidney, and recently higher in the chest (on a pain scale of 2/10 to 6/10). It's always been on/off at random times throughout the day, but in the past week it's getting worse/more noticeable/more frequent. I think it temporarily goes away after I eat. I took a new CT urogram and my urologist says nothing is wrong with anything in my urinary tract. No more stones, no infection in my urine test, no swelling anywhere. I just started the antibiotic Bactrim, and extra strength Tylenol just kinda works. Ever since I got diagnosed with a kidney stone, I've been drinking tons of water, maybe 3L/day, and my diet is now low sugar/low salt/low oxalates/low caffeine, and I've lost like 5 lbs. My doctor and reddit threads say it's residual pain, but it should've left after 1-2 days. What could be causing this pain?
Answered by Dr. Babita Goel
It sounds like you're experiencing persistent discomfort after passing your kidney stone. This residual pain can sometimes linger as underlying muscle spasms or inflammation in the urinary tract. Since your recent CT scan and urine tests came back normal, it’s not likely an infection or stones. The changes in your diet and hydration are excellent steps. Continue monitoring your symptoms, and consider discussing your pain management options with the nephrologist. If the discomfort worsens or other symptoms develop, don’t hesitate to seek medical advice.

General Physician
Questions & Answers on "Nephrology" (134)
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