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Right kidney pain muscular or infection?

I saw one doctor who said muscular pain, then another said it was an infection because protein was found in a urine sample how can I tell the difference? So I know when to treat myself or go to the doctos?
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replied January 22nd, 2011
Hello, and thank you for your medical question on e Health Forum.

Pain that originates due to renal issues (Stones, infection) is episodic , spasmodic or colicky in nature, originating in the flank and radiating to the lower belly, inner thigh or the testicles. It is associated with other symptoms like nausea, vomiting and systemic features due to any infection.

Renal pain does not resolve with change in position nor with adequate rest and can even cause sleep disturbances. Renal colic may not respond to moderate or high doses of OTC pain killers and may need immediate medical attention with IV medications or Narcotic analgesics. Renal infections can produce findings on urinalysis including increased turbidity, proteinuria, red cell casts, increased pus cells, etc.

In contrast muscular pain occurs only during stress or only in specific body positions. Adequate rest will help to resolve this pain. Sleep disturbances are not associated here either. Taking over the counter pain medications will help to resolve this pain even in low doses.

You might consider consulting a Urologist for a physical examination and additional evaluation to know the exact cause. The severity of your symptoms and the degree to which your daily function is affected due to them will decide the need to see a doctor at the earliest. (for example, severe intolerable pain disturbing sleep, high grade fever, nausea vomiting, loss of appetite and weight, etc are symptoms that should alert you to see your doctor at the earliest).

I hope you find this information useful.

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