Flank is the region that lie between the hip and the last rib , i.e. the side of the physical structure . Flank pain in the neck is pain or soreness take place in this part or on the side of the body . Flank botheration is often cause by a brawn strain , back strain or wrick , problem with the kidneys , ureter , or bladder such aspyelonephritis , kidney stone , and nephritic abscesses . Other causes of flank pain like gastrointestinal disorders , blood clot , herpes virus zosterinfection , radiculitis , arthritisor infection of the backbone , disk disease etc . are also present .
The location and severity of the flank pain generally depends on the underlying cause and vary from moderate to acute and usually worsens with movement , for example a right flank pain defend problem in the right kidney whereas a left flank infliction indicates a pain sensation in the left over kidney . Sometimes a minor status may give rise to a moderate amount of pain in the flank region that can worsen with increased body movements .
Acute wing pain may be piercing , without any increase or decrement in the pain with movements . The bother in the flank region can spread out in a down direction resulting intesticular pain(in serviceman ) and labial nuisance ( in women ) . Treatment for flank pain depends on underlying causal agency and may admit rest , forcible therapy , exercise , salute lot of fluid , anodyne , anti - inflammatory drugs and antibiotics .
Flank Pain: What Can Cause Pain in the Flank Region
Causes of Right Flank Pain
Right Flank Pain may be get due to urinary parcel infections , vesica infections , kidney problems , and gynecological disorders . Patients suffering from arthritis ordiabetesmay also suffer from painful sensation on the right side of the flank region . correct wing pain in the ass could also be due to muscle pulling / strain / spasm or injury in the scurvy back area . In cleaning lady , mien of ovarian vesicle is one of the major causes of right flank pain .
Causes of Left Flank Pain
provide Flank Pain can be caused due to usual problems like muscle clout / form / cramp or acute infections like Pyelonephritis . Other condition like gastrointestinal disorders , kidney problem , urinary tract infections and diverticulitis may also cause left - sided wing botheration . Kidney stones can also stimulate pain on the left side of the flank realm .
Causes of Lower Left Flank Pain
low left wing pain in the neck is usually muffled and stabbing in nature . painful sensation in the low-toned left flank region can occur due to job in the internal organ or due to problems in the structures external to the abdomen . Lower entrust wing pain may be harmless or acute . Lowerabdominal painthat increases rapidly may be a sign of a serious rudimentary consideration and requires immediate medical aid .
Causes of Flank Pain After Eating
Flank pain after eating go on on the left side of the abdomen and commonly happens just after having food . It is normally stabbing in nature and can be severe or incisive enough to make it difficult to perform daily activeness , so much so that patient find an overwhelming urge to stop their piece of work and lie down . Flank pain after rust may arise due to job in electronic organ like gallbladder , pancreas , appendix and liver . These problems can be diagnose with the help of endoscopy , CT scan , sonography examination , colonoscopy and stock or weewee tests .
Causes of Flank Pain that Comes and Goes or Causes of Intermittent Flank Pain
Intermittent flank pain in the neck is a painful sensation in the flank region which comes and break down . The causes of flank pain that comes and goes or intermittent flank pain areIrritable Bowel syndrome ( IBS)and patients possess Medullary Sponge Kidney ( MSK ) . Flank pain that comes and go can go on during awaken hours or when the affected role is deceased . Dull pain may have mild discomfort , while incisive / intense flank pain may break up sleep . Trauma inflict during play activities may also induce intermittent flank muscle pain .
Causes of Chronic Flank Pain
continuing pain in the flank realm is a dull , constant pain , which is not severe and may be present for several months . This can be caused due to persisting kidney problems like kidney stones , kidney abscesses , kidney neoplasm , kidney vesicle , kidney infection ( acute accent pyelonephritis ) and glomerulonephritis .
Causes of Flank Pain During Pregnancy
Pregnancy associate wing pain in the neck is make due to presence of conditions like ureteral obstruction , ovarian tumor , renal stones , ovarian torsion , placental breaking off , abdominal muscle nisus or breach .
Medical Conditions That Can Cause Flank Pain
Flank Pain Caused Due To Kidney Problems
Pain in the flanks may arise due to problems affecting the kidneys e.g. kidney stones , renal infection ( pyelonephritis ) , polycystic kidney disorders , abscesses renal infarction , and sometimes kidney cancer . In shell of kidney cancer , blood is present in the piddle along with flank pain .
Flank Pain Caused Due To Abdominal Aortic Aneurysm (AAA)
Approximately 10 % patients havingAbdominal Aortic Aneurysms ( AAA)have flank painfulness . If theaneurysmlies forthwith beside the ureter , it can give rising slope to hematuria due to local ureteral trauma or irritation .
Back Ailments That Can Cause Pain in the Flank Region
Back problem like traumatic melody / sprain in the back muscleman , back muscle spasm due to intense physical natural action , aherniated or slip disccan resultant role in pain on one side of the body . Patients with acute back conditions , such as spinal anaesthesia arthritis , often experience infliction between the back and the abdomen .
Gastrointestinal Disorders Causing Pain In The Flank Region
Flank pain may also arise due to problems in the gastrointestinal system , such as pancreatitis , irregularity , splenic bend syndrome , colon cancer , inflammatory intestine disease , ischemic / microscopic colitis , diverticulosis , appendicitis , infect orenlarged spleen , diverticulitis , venter ulcers , irritable intestine syndrome , food poisoning etc . Digestive job may also lead to flank pain and is unremarkably accompanied by other symptoms like abdominal irritation , nausea and vomiting .
Flank Pain Due To Gynecological Problems
In cleaning lady , comportment of an ovarian cyst , mid - cycle pain ( mittleschmerz ) , polycystic ovarian syndrome , miscarriage , pelvic rabble-rousing disease , metritis and ectopic gestation may induce flank pain in the neck .
Flank Pain Due To Blood Clots
Sometimes , blood coagulum can stymie the uterus and cause an acute nephritic colic flak . These blood clot may arise due to rudimentary experimental condition like nephritic pelvis neoplasm , parenchymal tumors , hemophilia , glomerulonephritis , sickle cell disease , and angiomyolipoma . clot can also form as a result of percutaneous renal biopsies .
Pain in the Flank Region Caused Due To Herpes Zoster Infection
Herpes Zosteris a viral infection which gives rise to meek burning pain , more often than not in the area surrounding the flank . The pain commonly arises prior to the appearance of skin lesion characteristic of this infection . Treatment depends on the symptoms , with antiviral agent and analgesics being the medications of option .
Flank Pain Caused Due To Radiculitis
Radiculitis arises due to trauma or injury to the ascendent of the lumbar thoracic nerve resulting in pain in the wing . Pain may also evolve due to trauma to the costovertebral junctions . This bother is standardised to nephritic colic if the pain is in the tenth , 11th or 12th ribs . This type of flank pain is commonly acute . An injury or scarring of the intercostal nerve can also cause this nuisance .
Pathophysiology of Flank Pain
Flank pain is really a symptom of many significant diseases of the urinary organization . It can arise from ureteral obstruction along with infection and should be treat promptly ; otherwise it could go to renal impairment . The character of flank pain in the ass is highly indicatory of the reason . Important characteristics of Flank Pain are local or referred painful sensation , acute or inveterate or recurrent pain , grade of severeness , and length . There may also be other associated symptom such as fever , nausea and vomiting , and atrial fibrillation which often help in making an accurate diagnosing . Proximal ureteral or nephritic pelvic blockage leads to flank pain that radiates to the ipsilateral ball . The degree of severity of flank bother is at once related to the asperity of the obstruction . When a stone passes into the ureter and becomes lodged in one lieu , it usually induce life-threatening pain . Flank pain can be very soft or absent in severe but chronic impedimenta . Severe ureteral blockage can head to irreversible renal equipment casualty .
Flank pain is often associated with other less specific symptoms like feverishness , nausea and puking , and tachycardia . feverishness indicates that the infection is proximal to the ureteral obstructor and the affected role is extremely susceptible to septicemia in such a casing . Hematuria help to confirm a urinary cause of the pain though in some lawsuit hematuria may be absentminded . Ureteral stone is the most common cause of wing painfulness . profligate clots or sloughed renal papilla passing through the ureter can also cause ureteral impedimenta . bloodline coagulum can be the result of many pathologic wound of the kidney , of which tumor is the most common suit . patient having a history of anodyne abuse or diabetes mellitus often have renal papillose necrosis . Chronic ureteral obstructor generally get less spartan pain in the neck . Sometimes flank pain is also associated with congenital anomaly like ureteropelvic junction obstruction . nephritic failure can result from two-sided inveterate ureteral obstructer or ureteral obstruction of a nongregarious kidney and is associated with symptoms such as concern , apathy , lethargy , anorexia , muscle vellication , high blood pressure , and poor growth of a baby . Renal inflammation usually bring out localized pain which is not acute or sharp and is associated with other symptom like feverishness , leukocytosis , and bacteriuria .
disease of the stomach and thorax can also cause wing pain and this pain is less characteristic of the typical “ nephritic colic ” seen with acute ureteral obstructor . It is vague , dull , and mild similar to the pain seen with chronic ureteral obstruction , making the differential diagnosis unmanageable . Correct diagnosis can be make it at by considering all the disease that have been discuss , along with connect symptom , forcible examination , uranalysis , and perform specific research lab tests and radiographic studies .
Signs and Symptoms of Flank Pain
Symptoms depend on the underlie causative condition . The side where the pain is felt bespeak the kidney that has been dissemble . A right flank pain is because of a problem in the veracious kidney and a left-hand flank pain in the neck suggest a problem in the left over kidney . The pain in the neck may increase with movements . In terrible fount , the painfulness may be vivid and piercing without any change with movements . The pain may spread in a down direction and result in testicular annoyance ( in man ) and labial pain sensation ( in women ) .
