Left Flank Pain

Posted by bhinsley @bhinsley, Oct 25, 2021

In late March of this year (2021) I had server left flank pain and vomiting. Thinking it was a kidney stone but after 2 weeks I didn't pass one so I went to see my DR. I did a urinalysis which came back with no infection but there was small traces of blood. Since then I have gotten an MRI, CT, X Ray, and Ultrasound done. All of which came back normal with the exception of a slightly enlarged spleen. I also had a colonoscopy which came back normal. A urologist and a surgeon both told me that they have no answers and that there was nothing they could do to help me figure out why I have been in pain for so long. Along with the presence of pain, which fluctuates in severity, I also have a feeling of pressure in the upper part of my left flank. Sometimes I get a warming/IcyHot feeling that accompanies the pain. It is from the bottom of my rib cage all the way to my pelvis on my left side. I am starting to get really discouraged and am reaching out to see if anyone could possibly help me out. Has anyone experienced unexplained left flank pain with all imaging showing nothing wrong? Or does anyone who of anything that might help me to move in the right direction?

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@bhinsley Welcome to Mayo Clinic Connect! We're glad you found your way here.

Pain in your left flank plus the finding of a slightly enlarged spleen might be an indication of some sort of damage to that organ. Did your doctor followup with you on that? Have you had any trauma to that area from late February on, a rough game of touch football, auto accident, off-roading over extreme terrain, etc.? Just a thought…

I hope you get some answers soon that will alleviate your concern, and let me know what you find out.
Ginger

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@gingerw

@bhinsley Welcome to Mayo Clinic Connect! We're glad you found your way here.

Pain in your left flank plus the finding of a slightly enlarged spleen might be an indication of some sort of damage to that organ. Did your doctor followup with you on that? Have you had any trauma to that area from late February on, a rough game of touch football, auto accident, off-roading over extreme terrain, etc.? Just a thought…

I hope you get some answers soon that will alleviate your concern, and let me know what you find out.
Ginger

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@gingerw Thank you for responding. I am glad to be here. I am at a loss because every specialist I've gone to besides the GI specialist has told me they can't do anything for me and brush me aside. My PCP has been amazing. As for the injury or trauma to the area the answer is no. I have an office job and go to school so I don't much of anything besides work and school. I am wondering if it is not internal to any organ, which the imaging shows, if maybe something outside my kidneys or colon could be the cause. Maybe some sort of tissue growth such as scar tissue, though I don't know why I would have scar tissue. But maybe it could be my spleen causing my pain. I have also considered it being some sort of blockage in my circulatory system in that area. I found something called Nutcracker Syndrome that matches a lot of my symptoms but I don't know.

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@bhinsley

@gingerw Thank you for responding. I am glad to be here. I am at a loss because every specialist I've gone to besides the GI specialist has told me they can't do anything for me and brush me aside. My PCP has been amazing. As for the injury or trauma to the area the answer is no. I have an office job and go to school so I don't much of anything besides work and school. I am wondering if it is not internal to any organ, which the imaging shows, if maybe something outside my kidneys or colon could be the cause. Maybe some sort of tissue growth such as scar tissue, though I don't know why I would have scar tissue. But maybe it could be my spleen causing my pain. I have also considered it being some sort of blockage in my circulatory system in that area. I found something called Nutcracker Syndrome that matches a lot of my symptoms but I don't know.

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@bhinsley If you are near a large hospital, or a teaching hospital [usually associated with a university, ask to get referred there to an internal medicine doctor. Of course, if you are near a Mayo Clinic campus, or the likes of that [John Hopkins, Cleveland Clinic, Cedars Sinai in Los Angeles, Sloan Kettering in New York, for example] can you see about getting in to one of those places?

No patient deserves to not feel heard, nor taken care of!
Ginger

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@bhinsley hello and allow me to welcome you to Connect along with @gingerw.

I thought you may be interested in the following information.

– 25-Year-Old Man With Flank Pain, Hematuria, and Proteinuria:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664573/
"Can traces of blood in urine be normal? It is normal for urine to have very small amounts of blood in it. However there are standards that can, either in a laboratory or in the doctor's office with a dipstick, distinguish between a normal number of blood cells and an abnormal number of blood cells."

MICROHEMATURIA – Mount Sinai Medical Center – UROLOGY: https://www.msmc.com/urology/microhematuria/

Does anything ring a bell with your symptoms in these articles?

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@amandajro

@bhinsley hello and allow me to welcome you to Connect along with @gingerw.

I thought you may be interested in the following information.

– 25-Year-Old Man With Flank Pain, Hematuria, and Proteinuria:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664573/
"Can traces of blood in urine be normal? It is normal for urine to have very small amounts of blood in it. However there are standards that can, either in a laboratory or in the doctor's office with a dipstick, distinguish between a normal number of blood cells and an abnormal number of blood cells."

MICROHEMATURIA – Mount Sinai Medical Center – UROLOGY: https://www.msmc.com/urology/microhematuria/

Does anything ring a bell with your symptoms in these articles?

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Thank you for the response @amandajro ! There are a few things that ring a bell especially with the first article. The reason for my kidney biopsy was the fact last year I started having protein in urine along with blood in urine (both microscopic and macroscopic). They were thinking IgA Nephropathy but the biopsy came back negative. They then put me on blood pressure medication for 3 weeks but that did not help either. They were also thinking a form of Lupus but they is now off the table.

The only lead we have right now is the 4 herniated disks and pinch nerve from my Thoracic MRI. That being said they told me it is "normal wear and tear" which doesn't make me too confident with accepting the referral to the spine specialist. These dead ends are costly and with them saying that it has lead me to explore a second opinion or just giving up and making this my new normal.

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