Dr. Divakara. P
Internal Medicine
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Patient's Query
Hello doctor,
I am a 31-year-old female with two kids. For the past five days, I have severe back pain, and trouble when I breathe, yawn, or when I lay down. When this first began, it was hurting so bad that when I would lay down, I would hyperventilate. My pain is currently around my right kidney on my back that radiates to my shoulder (more towards my arm) and my neck, all in the right side.
I can breathe better today, but I have the back pain, shoulder, and neck pain still (very sharp stabbing around the kidney and pain level from 1 to 10). My UA showed some signs of stones, and WBC count was elevated. I started antibiotics yesterday. I had a CT scan where they did it have any abnormal findings. The pain medications are not doing anything for the pain. I had undergone gastric sleeve completed on before two weeks, and have not had any problems with it. Do not know what to do from here?
Hello,
Welcome to icliniq.com.
You are having two separate problems.
1. Kidney stones, along with urine infection. You have been started on pain medicines and antibiotics rightly. But the tablets will take time to act, and you need to give two days for it. If your pain is not tolerable, you need to go to the hospital and get injectable pain medication and also injectable antibiotics. You did not mention how big was the stone because the treatment depends on the size. If it is quite big, medicines may not be of help to you.
2. Your neck pain, shoulder pain, and pain while breathing is not due to kidney stones. Probably you might be having a nerve pull at the level of your neck. You need to get an MRI scan of your neck for the confirmation of the diagnosis and also to know the severity. The medicine Gabapentin what you are taking will help you in reducing the pain, but it takes three to four days. You can double the dose of Gabapentin for faster relief but after consulting your treating doctor.
I hope this information was useful for you if you have any clarification, feel free to ask.
Investigations to be done
Differential diagnosis
Probable diagnosis
Preventive measures
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Internal Medicine
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