Have severe abdominal pain and lower back pain. Pap smear and urinalysis normal. Suggest?
Patient: I am 49 years old and am waking up in the morning with severe abdominal cramps and lower back pain.  Approximately 30 minutes after I get out of bed, all the pain goes away for the rest of the day.  I have been to the gynecologist and my pap smear and urinalysis were normal.  Also, I had a sonogram to check my ovaries for any signs of cancer and that was normal.  The pain has been getting increasingly worse and wakes me up about 5:00 in the morning. Doctor: Hi, it appears to be the signs of hydronephrosis, due to subclinical urieral stone , or a stone in the kidney. The other cause being not passing urine while going to bed and it causes pressure over the kidney. Hypertension also can cause the pressure over the kidney.                          I advise you to consult a urologist for diagnosis and treatment.                          Thank you.