Subject: pain in lower right groin area
Asked by: marcie1-ga
List Price: $10.00
Posted: 25 Feb 2005 20:44 PST
Expires: 27 Mar 2005 20:44 PST
Question ID: 481084
I am a post menopausal female, have had complete hysterectomy. I have
previously had kidney stones, but, then my pain was in low back area.
Eventually passed them, never having pain in groin area that I
recall. Last couple days I have developed sudden sharp stabbing like
pain in right groin area that occurs as often as every minute or maybe
5 min. apart. It is severe in nature, feels like someone is 'knifing'
me suddenly. Could kidney stone lodged in uretha feel this way?
Previous to this symptom, my low back has been hurting, but, I
assigned cause to recently raking leaves. Previously with kidney
stones, the low back pain was more severe than what I felt last couple
days. Truly, the pain in right groin is my 'issue', just wanted you to
know it was preceded by mild to moderate low back pain, not severe low
back pain. Groin pain is worsening and getting more frequent as well.
First, let me say that I?m sorry to hear that you?re not feeling well.
Also, any information I provide is no substitute for direct medical
attention or advice.
That being said, your symptoms may indicate that you have a kidney
stone passing through the Right ureter, particularly given your
history of kidney stones. Of concern, a stone can become lodged
within the ureter, causing an obstruction. This can lead to a
condition known as hydronephrosis, in which the kidney swells with
urine that is unable to pass through the ureter to the bladder. This
is a serious condition that requires prompt attention. Because this
is even a possibility, I would recommend going to an Emergency
Department where you can actually be physically evaluated. Also
suggestive of this diagnosis, but not required, would be blood in the
urine or ?crampy? pain. Basically, urine is passed from the kidney to
the bladder through the ureter with peristalsis ? a rhythmic
contraction of the ureter which forces the urine downward, much like
swallowing passes food to the stomach. When an obstruction exists in
the ureter, these contractions force the urine against the obstruction
and the contraction force increases in an attempt to overcome the
obstruction. This is felt as a crampy pain on one side.
There are other possibilities of course. Here is a list from Ferri?s
Clinical Advisor (one of the ?pocket books? that doctors often carry
around with them for reference) ? I?ve removed the disorders that
refer only to men:
Avascular necrosis of the femoral head.
Avulsion fracture (lesser trochanter, anterior superior iliac spine,
anterior inferior iliac spine).
Bursitis (iliopectineal, trochanteric).
Entrapment of the ilioinguinal or iliofemoral nerve.*
Muscle tear (adductors, iliopsoas, rectus abdominis, gracilis,
sartorius, rectus femoris).
Myositis ossificans of the hip muscles.
Osteoarthritis of the femoral head.
Slipped capital femoral epiphysis.
Stress fracture of the femoral head or neck and pubis.
Avulsion of the internal oblique muscle in the conjoined tendon.
Defect at the insertion of the rectus abdominis muscle.
Direct inguinal hernia.
Femoral ring hernia.
Indirect inguinal hernia.
Inguinal canal weakness.
Urinary tract infection.
Pelvic inflammatory disease.
Torsion of the ovary.
LYMPHATIC ENLARGEMENT IN GROIN
The most concerning of the remaining disorders would be a hernia,
since these can become ?incarcerated,? meaning that the bowel that has
come through the abdominal wall has become trapped and could
potentially become strangulated ? so tightly incarcerated that the
blood supply to that section of bowel has been cut off. This is an
Torsion of the ovary is also an emergency, but the pain is typically
much worse than you describe.
Again, I would visit your primary care doctor or an emergency room for
a physical exam and possibly some imaging studies to determine exactly
what problem is causing your pain.
I hope this information was helpful.