Does lower back pain indicate kidney failure?

Question

Hello doctor,

I have pain on the right side of my back, and I have a fever of 100 degrees Fahrenheit. I do not have shortness of breath, and my urine output is fine. I get shoulder pain when I breathe deeply, and I feel tired. I got a blood test yesterday, and my neutrophils are 9.68, lymphocytes are 13.10, total leukocyte count is 12.80, MCH is 32.10, RBC count is 4.34, chloride is 97, creatinine is 1.42, albumin is 4.72, total protein is 8.70, bilirubin total is 0.69, bilirubin direct is 0.15, bilirubin indirect is 0.54, LDL cholesterol is 104, HDL is 32.30, and non-HDL is 130.70. I currently take Envas 5, Amdepin 10, and Dytor plus 10.

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

Stop Tablet. Take Envas (Enalapril) immediately, and check your weight and blood pressure daily. If fever persists, then Tablet. Dytor plus (Spironolactone and Torasemide) also needs to be reduced.

High creatinine of 1.4 is mostly because of fever, which would settle once the fever goes. To know the cause of fever, get a blood culture, urine routine and microscopic, and an ultrasound of the abdomen done.

After that, I suggest you start on some antibiotic based on your primary physician's opinion.

Thank you,

Answer 2

Hi,

Welcome back to icliniq.com.

No dear, nothing like that. But you need constant monitoring of creatinine.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

Yes, you can have Paracetamol. But you definitely need an antibiotic.

Thank you.

Answer 4

Hi,

Welcome back to icliniq.com.

I have seen the attached report (attachment removed to protect patient identity). Your urine report is absolutely normal.

Thank you.