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Doctor insights on: Left Flank Pain Differential Diagnosis

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Differential Diagnosis (Definition)

Is a process of elimination, to look at several possibilities for diagnosing a probable illness, through process of elimination, to narrow those probabilities, so as a ...Read more


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Left side flank pain since nov is now cronic pain?

Left side flank pain since nov is now cronic pain?

See details: Then have it evaluated including a ct scan of the abdomen and pelvis. This needs attention to rule out potentially serious issues. ...Read more

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I have had left side severe flank pain for a month. Drs after drs & they have narrowed it down to my endometriosis. But it's never been in my flank?

I have had left side severe flank pain for a month. Drs after drs & they have narrowed it down to my endometriosis. But it's never been in my flank?

Problematic: Certainly it would be important to check for kidney stones and other infections. And to check the colon for diverticulosis. But if it is endometriosis then you would need a combination likely of medical and surgical therapy. Would recommend medical treatment first to see if there is any imporovement. ...Read more

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I am having lower back flank pain that comes and goes. Right now it is constant pain. It is on both sides but more so on the left and occurs when I am?

I am having lower back flank pain that comes and goes. Right now it is constant pain. It is on both sides but more so on the left and occurs when I am?

Bone & joint issues: By what you described, most likely, you may have some disorders of regional muscles, joints, or nerves or their combination. But, further detail in specifics, relevance, & sequence of events of all symptoms + findings of physical exam + testing as needed is essential for deducing right diagnosis for right care. To do it right, go to http://formefirst. Com/eNewsletter06.html & its related titles. ...Read more

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Left back and flank pain when laying down?

Kidney stone: There can be several causes of back and flank pain. Kidney stones and muscle spasms are two common causes of pain and you should see a physician to help determine the cause of your pain. ...Read more

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Left and right flank pain, what can it be?

Many possibilities: Many things can cause flank pain, from skeletal and muscle pain to referred pain from internal structures. Kidney stones, if in both kidneys could cause this. I suggest that you need a physician to examine you and help figure this out. ...Read more

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Chronic flank pain on my left side? Usually there part of the day most days.

Could be many things: People often mistake flank pain for kidney disease, but kidney disease rarely manifests as chronic pain. Your pain could be due to benign problems with structures near the kidney such as muscle or bone. A more serious scenario would be a tumor of the kidney or of the adjacent structures such as a sarcoma. Imaging of the area with ct scan or ultrasound will be necessary to rule these out ...Read more

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Left flank pain relief when pressure is applied,,, why?

Left flank pain relief when pressure is applied,,, why?

R/O KIDNEY STONE: UTI with Flank pain with those symptoms is concerning for kidney stone or kidney infection. You need a full exam labs urine C&S. 24 urine for stone analysis kidney ultrasound or CT. And usually empiric antibiotic therapy pending the results. Make sure to strain your urine and try to capture any debris, it may be a kidney stone. Push fluids water/cranberry juice. Also Urology Dr of SX worsen. ...Read more

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Sharp left flank pain 2wks after partial hysterectomy?

Post surg pain: Could be as simple as post surgical pain or as severe as an infection or blood clot. See your gyne for evaluation. ...Read more

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I have cirrhosis and am experiencing both right and left flank pain. I am decompensated. Is this pain associated with the disease?

Possibly: Two common things that could cause bilateral flank pain in decompensated cirrhosis are ascities and spontaneous bacterial peritonitis (sbp). The latter is a more pressing concern and usually presents with fevers/chills, but not always, and requires medical attention as soon as possible. ...Read more

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I've had flank pain on my left side for 1 month now and it's constant. I've been to a urologist and they can't seem to figure it out. What is this?

I've had flank pain on my left side for 1 month now and it's constant. I've been to a urologist and they can't seem to figure it out. What is this?

If a specialist: Who has done a workup can't diagnose it, then unknown doctors who are answering general medical education questions on a website (who can't examine you, review your studies or take a full history) are not going to be able to. ...Read more

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Left flank pain in my back/gall bladder?

Left flank pain in my back/gall bladder?

No: The gall bladder is on the right side of the body. Pain in the flank area can be a number of things but could be related to a kidney problem. You should see your doctor asap to have it checked out. ...Read more

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What causes frequent regurgitation left flank pain and a gassy feeling?

The list goes on: This list can be fairly lengthy and therefore a detailed history, physical, and supporting labs/x-rays are needed to hone in. Let's list: hiatal hernia, gastric outlet obstruction, bowel obstruction, gall bladder disease, gastroparesis, stomach ulcers, tumors, and pancreatic pathology. ...Read more

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Symptoms: left side flank pain and abdomnal pain with nausea. What could it be?

Symptoms: left side flank pain and abdomnal pain with nausea. What could it be?

Kidney disease: Kidney stones would be a consideration. How are you urinating? Do you have a history of stones? Do you have blood in your urine, been dehydrated, taking medicine that predispose to kidney stones? ...Read more

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Left flank pain that comes and does. It feels like stabbing pain and its mild. Comes more with stress and too much thinking and overworking?

Left flank pain that comes and does. It feels like stabbing pain and its mild. Comes more with stress and too much thinking and overworking?

Needs Evaluation: See your doc-expect to have Lab Work including a UA (checking urine), possibly Ultrasound of your Kidney or a CT of your Pelvis and Kidneys. You will also be examined to see if there is possibly a musculoskeletal basis for your pain. You need to get some help working out the cause of your problem. ...Read more

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I keep having flank pain on my left side then the pain is horrendous until I go pee then it's better for like a day then it comes back what's wrong?

PossibleKidney stone: You need a kidney stone evaluation which includes an urinanalysis and ct scan. A urologist is the best consultant for this. ...Read more

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Lower right flank pain leaningmore towards back, dullpain hurts when I breathe and move or press left sidefeels like something inside, constant not appe?

Lower right flank pain leaningmore towards back, dullpain hurts when I breathe and move or press left sidefeels like something inside, constant not appe?

This could be: Caused by a number of problems thus more information is needed.


Any urinary problems....history of kidney stones. burning on urination??
Any recent injuries...possibly your back???
the pain could be due to pinched nerve at the T 12-L1, L1-2 levels

Ask again with more info.
Dr Z ...Read more

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Flank pain in left side all the way to middle of back and pee smells?

Flank pain in left side all the way to middle of back and pee smells?

Urinary tract Infect: See your Pcp, gynecologist or urologist for urinalysis
Culture and treatment.
Could be a stone but sounds more like infection as first guess. ...Read more

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Left flank pain for three days. Pain gets worse over the day with bending. Have a palpable movable lump just below ribs on my back. What can this be?

Muscular: Pain seems likely though a palpable muscular lump is unusual without significant injury, like falling or being beaten. You should have this lump checked out. Meanwhile, apply heat and take Tylenol (acetaminophen). Avoid those activities that cause pain. If you have a fever, be seen immediately. ...Read more

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I have a constant ache left flank pain 2 months now and gradually worsening Sore feeling Cannot lay on that side etc. What could this be? Appt worthy?

I have a constant ache left flank pain 2 months now and gradually worsening Sore feeling Cannot lay on that side etc. What could this be? Appt worthy?

2 months: 2 months of flank pain is too long! It is time to get it checked out especially if it is worsening over time. It is not uncommon for more serious problems to last longer and worsen over time so get it checked out. ...Read more

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I've been experiencing right flank pain. I've lost my left kidney at 19 due to PKD. I'm having the EXACT same pain & symptoms that I had before losing it.?

I've been experiencing right flank pain. I've lost my left kidney at 19 due to PKD. I'm having the EXACT same pain & symptoms that I had before losing it.?

See doctor: This could be very serious, you need to see your doctor or go to the emergency department today. When you only have one kidney you need to take any flank pain or urinary symptoms very seriously. Please seek help today. ...Read more

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I had a CT scan for left side flank pain it was fine. I still have pain what might this be?

I had a CT scan for left side flank pain it was fine. I still have pain what might this be?

Muscular: If you are overweight, one of the biggest causes is stretching of the muscle wall.
Make sure also that someone checks your kidneys. If you are female, it could be ovarian or uterine pain from several causes. ...Read more

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Constant flank pain on left side. Hurts to sit and lean on back. Possibilities other than kidney infection?

L loin pain: Brooke T ~ kidney stones, UTI, ectopic pregnancy, kidney tumors (angiomyolipomata), intra renal stones, obstruction of the kidney hydronephrosis, abscess formation, pregnancy, other renal tumors, renal infarction, blunt and penetrating trauma, severe ptosis of kidney, extra renal compression, retro-peritoneal fibrosis, pancreatitis bowel obstruction ~ see a doctor...!
:-)) ...Read more

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Acute flank pain on left side 2 weeks ago. Now chronic mild pain in right rib cage since a month ago. Sometimes cloudy urination.

Acute flank pain on left side 2 weeks ago. Now chronic mild pain in right rib cage since a month ago. Sometimes cloudy urination.

Need more info: Is it random or is there something you do that faithfully will trigger it. Can you put your finger right on the spot and cause increased pain? Or is it an internal pain that is difficult to localize. Does it feel like a muscle ache? And electric shock? A burning? Is there a lump in the area? Any other symptoms? Nausea? Gi cramps? Any recent trauma? See an MD to evaluate ...Read more

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Causes of ongoing left flank pain if kidney function is normal according to urine/blood test?

Many: The causes are numerous and depend on associated symptoms. Tenderness can be due to ribs which are in the area. Other symptoms can be due to internal organs on that side. Back pain from facet joints can cause pain in that area but less likely in young aside from someone with prior athletic history or injuries or accidents. Would discuss with primary doctor. ...Read more

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Sharp pain on left side (flank pain) and hurts to pee sometimes, really tired and kind of achy. What could this be?

See your doctor: These symptoms can be seen in several conditions. The most common in young women is a urinary tract infection. Please visit your doctor to find out for sure what is going on. You may need antibiotics if there is an infection present. Hope you feel better soon! ...Read more

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I have started taking adderral 30 mg XL have dull off & on left flank pain random times.. Had recent CBC normal, chronic constipation for years?

I have started taking adderral 30 mg XL have dull off & on left flank pain random times.. Had recent CBC normal, chronic constipation for years?

Adderall (dextroamphetamine and racemic amphetamine), Anxiety: Adderall (dextroamphetamine and racemic amphetamine) is a medication for adult attention deficit hyperactivity disorder.

Your dull off ; on left flank pain random times seem to indicate anxiety.

Chronic constipation could be due to lack of fiber in your diet, stress or a medical condition.

Please see a psychiatrist for the diagnosis, and consultation with a gastroenterologist. ...Read more

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Constant left pelvic pain for 15months. Last week I had my left ovary removed but pain still persists no endometriosis found I'm now having flank pain?

Constant left pelvic pain for 15months. Last week I had my left ovary removed but pain still persists no endometriosis found I'm now having flank pain?

Complex history: This is a very specific complex story. Since you just had surgery to remove the ovary and now have flank pain you need to be seen by your surgeon. Ureteral injury can occur when the ovary is removed and this can present as flank pain. Prompt evaluation is warranted ...Read more

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I have had a UTI since Sept. Taken take 4 different antibiotics to no avail. Extreme nausea & left side flank pain radiating to front. Any suggestions?

I have had a UTI since Sept. Taken take 4 different antibiotics to no avail. Extreme nausea & left side flank pain radiating to front. Any suggestions?

Recurrent UTI: U/A, urine positive? Did bacteria grow? Have seen mildly positive U/A, but no growth in vaginitis with mycoplasma/ureoplasma, BV or yeast (even without discharge). Treated with Zithromax 250 mg x4 on day 1, Flagyl starting day 2 and Diflucan (fluconazole) last day with good response. Would also check for HCG, PID, stones, interstitial cystitis, ovarian pathology, diverticulitis. F/U w/ doc/urgent care ...Read more

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Left flank pain wen bladder is full and severe pain in lt flank while urinating. Pain subsides after micturation, again becomes pronounced after refil?

Left flank pain wen bladder is full and severe pain in lt flank while urinating. Pain subsides after micturation, again becomes pronounced after refil?

Exam: You need a full examination at a clinic. Causes of bladder pain include urinary tract infection, interstitial cystitis, and bladder cancer. The earlier you are properly diagnosed the better chance you have for a full recovery. I wish you the best with your health and I am available for consults with you on HealthTap. ...Read more

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Can flank pain from kidney stones be mild and move from left to right sides over a 3 week period.?

Can flank pain from kidney stones be mild and move from left to right sides over a 3 week period.?

Here are some. ..: Stone-related pain stays on the same side and will not shift from side to side, except having concomitant pain related with joint, muscles, or nerves, which is not uncommon as we age. The degree of pain widely varies from no pain to unbearable excruciating pain depending on where and how the obstruction by stone is. So, see Doc to clarify possible confusion; that is not difficult to do. Best wish ...Read more

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I have a 6 CM ovarian mass on my left side. Why do I have constant abdominal and flank pain on my right side and constipation for 10 days?

Unclear: If you have a large ovarian cyst compressing the outflow of your colon this could cause you to have pain all the way over to the right side. 10 days is too long to go without a bm, you need to be seen! ...Read more

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Left flank pain daily on wake up. Wraps from back to front. Dull unless I take a deep breath. History of kidney stones but this is different?

Left flank pain daily on wake up. Wraps from back to front. Dull unless I take a deep breath. History of kidney stones but this is different?

Could be: Pulmonary embolus, pleurisy, spleen infarct, or shingles. But anything is possible. See your doctor for accurate diagnosis and proper treatment. ...Read more

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Left flank pain for 2 days plus diarrhea. Now with shoulder pain and still diarrhea. Have ultrasound tmrw. Pain is constant and strong. Er or no?

Depends: If you have a fever, intractable pain, blood in your stool (diarrhea), or blood in your urine, go to ER. Otherwise keep symptom diary and follow up with your clinician. Based on your symptoms an abdominal/pelvic CT Scan may be more appropriate to r/o Diverticulitis or Nephrolithiasis. TAKE CARE! ...Read more

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Month ago I had ureterscopy. 2 days ago I had eswl on a 4mm stone, both left side. After 1st surgery I had persistent flank pain. Any relationship?

Month ago I had ureterscopy. 2 days ago I had eswl on a 4mm stone, both left side. After 1st surgery I had persistent flank pain. Any relationship?

Probably not...: Persistent pain suggests constantly something chemical or mechanical irritating local tissue. Urinary-stone-related pain features its own highly variable degree and duration with pain-free interval while on its way down from kidney through ureter to bladder; while not moving, it produces no pain except developing related infection, but usually with recurrent chill, fever, sick... So, talk with doc. ...Read more

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Have surgery in 2 days. Sudden left flank pain on top of 2 week pelvic pain. 11 days late, just had bright red blood when wiped. Call dr or wait?

Have surgery in 2 days. Sudden left flank pain on top of 2 week pelvic pain. 11 days late, just had bright red blood when wiped. Call dr or wait?

Flank pain: If you are scheduled for surgery in two days your surgeon will want to know if you have a potential infection. If you had blood in your urine with pain it may be a UTI. If this is vaginal blood with pain it may be what you are having the surgery for. Either way your surgeon should be notified before surgery. ...Read more

Side Pain (Definition)

Side pain = pain / discomfort of the torso ...Read more