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Please answer, is this chronic pain?

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Chronic Pain
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Posted 7/17/2014 5:55 AM (GMT 0)
I am 25 y male, I had keyhole surgery to fix a ureteral blockage near my kidney over 3 months ago. Since then I have had constant aching, discomfort in the flank area which does not totally fade away ever. I am always feeling weird, heavy on that side. My blockage is fixed so why still this constant pain? My worry is now it feels like chronic pain/ discomfort and it might never go away. How can i tell if the pain is from injured nerves, tissues, muscles, or from deep inflammation at the kidney surgical site? Which test from mri or ct will give better diagnosis? Please help im getting sick of this, i feel totally crippled , will it ever get better or im crippled for rest of my life? Thanks
Posted 7/17/2014 7:55 AM (GMT 0)
I'm no expert, maybe a blood test would show an infection or an ultrasound of that area

I know what feeling totally crippled is, its no picnic
Posted 7/17/2014 9:00 AM (GMT 0)
I was hoping for an infection but came back negative.
Posted 7/17/2014 9:55 AM (GMT 0)
upjo -

It may simply be residual/lingering inflammation that hasn't cleared since your surgery. I assume you had some followup visits with your surgeon and referring doctor? If not, then make this happen. If you have, did they have you on any anti-inflam drugs to help with this very issue?

I'm quite familiar with this type of thing but in an entirely different area and "plumbing". The pain can be described as a constant, dull ache that's with you day and night. But this is usually very treatable.
Posted 7/17/2014 10:34 AM (GMT 0)
Hi thanks for replying. Yeah this is exactly what I have constant dull ache slightly burning type( more noticable at night), always there regardless of what Im doing. I wasn't really given any anti inflam pills, but I will definitely ask for it and see if that would help. I was just hoping 3 months would be a long time for any healing to occur but Ill def ask for some new test and medication now.
Posted 7/17/2014 11:00 AM (GMT 0)
Welcome Upjoe to the chronic pain forum at HW. Sorry your having to deal with such issues post-op, we always assume that the procedure we have fixes things so it comes as a shock to have it leaving you with something else.

Definitely talk to your Urologist or Nephrologist whichever did your surgery and if anti-inflams don't help then maybe an ultrasound to make sure nothing is actually going on. It's also possible it could be some type of nerve problem and those are going to take some time to regenerate causing all kinds of strange sensations until they do.
Posted 7/17/2014 12:45 PM (GMT 0)
Hi upjo. Just a couple of comments:

You could have a recurrent blockage. Have you had a followup imaging study?

Another thing nobody ever hears about is abdominal wall pain caused by surgery http://myofascialtherapy.massagetherapy.com/trigger-points-in-the-abdominal-wall--medical-article
Posted 7/17/2014 5:42 PM (GMT 0)
Unfortunately it sounds like nerve pain to me. But I would definitely rule out any other possibility for the pain.
Posted 7/18/2014 12:48 AM (GMT 0)
I do have a ultrasound appointment coming up but Im not sure it will give any definite diagnosis, most likely I will get ct scan after that though ill try to get my urologist to do mri as it might show nerve related problem better.

I dont have any recurrent blockage as my recent nuclear kidney scan showed no blockage.

Whatx2, you said it unfortunately sounds like nerve pain, do you say that because nerve pain is difficult to diagnose or because it can be chronic and last forever esp when there is no improvment in 3 months?
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