The following symptoms and complaints may occur along with flank pain:
Leading symptom
- Flank pain (localization may vary):
- Abdomen
- Inguinal region (groin)
- Labia (labia)
- Testicles
- Penis
- Inner thigh
Associated symptoms
- Fever
- Hematuria (blood in the urine): microhematuria and macrohematuria (microhematuria: no discoloration of the urine; only in the microscopic image erythrocytes (red blood cells) fall [Note: Absence of hematuria does not exclude acute nephrolithiasis. (about 10% of cases)].
- Abdominal wall tension (very rare).
- Meteorism (flatulence)
- Ischuria (Hanverhalt)
- Reduced general condition
- Chills
- If necessary, nausea (nausea) and / or vomiting.
Other indications
- Infants are more likely to have general abdominal pain. Think urinary tract infection, appendicitis (appendicitis) and ileus (intestinal obstruction).
- Young adults: thinking of appendicitis and irritable bowel. For young girls, think dysmenorrhea (period pain), ovulation pain (pain from ovulation), miscarriage (miscarriage), extrauterine pregnancy (pregnancy outside the uterus) and urinary tract infection.
- Adults: ureteral colic (ureteral college) and biliary disease; irritable bowel syndrome; urinary tract infection. In women, think extrauterine pregnancy.
- In old age, think diverticulitis (disease of the colon in which inflammation forms in protrusions of the mucosa), biliary disease and ileus.
Warning signs (red flags)
- Acute onset of pain with rapidly increasing pain intensity.
- No discharge of stool or gas
- Increased vomiting that is not treated or is difficult to treat
- Increased abdominal swelling
- General weakness
- Syncope (momentary loss of consciousness), collapse.
