I have been dealing with Flank pain of unknown origin, chronic kidney stones, all kinds of gastro misdigagnosis for 22 years. I was the full time care giver for my father with COPD followed almost right away by my mother comming down with ovarian cancer. Now that both have passed, my brother and sister became my trusties. They refuse to give any creedence to this diagnosis. They both have no medical backround and have come to the conclusion that any pain managment doc is only a drug dealer and that I can not afford health inn. And if I want to eat more than my food stamps I need to get off my lazy butt. They both have told me to go hold a sign or be bouncer. They have both told me to get over it, every one has to work. They both have said any time we speak, it is all BS about pain, vomiting. My sister screamed at me that getting to BJ’s to shop for the month is not an accomplishment, yet some days it is an epic journey to do 2 things. I am now living with 2 LPHS diagnosis, no pain meds, no doctor and they not only make me feel like a usless burden but that somehow I have let them down by not living up to my potential. I dont know where to turn for help or support in Miami. Every day I wake up feeling like I have been kicked in the scrotum, the pain causes me to vomit with such force, that I often pull muscles in my back and neck. I was on the 50 pu Fentanyl patch and oral Dilaudid, Morphine for breakthrough. Now on no pain killers, it is such a trial to even be civil. I have no way to get through to my siblings, this pain is horrendous and so arresting, but they treat me as if this “life” is some kind of a choice to avoid employment. I am 47 years old and this is the worst the pain has been. Without the Fentanyl I am getting more done, but the recovery days are lost time of my life.
I was diagnosed with LPHS in 2009, Dr. Singri and Dr. Hebert in Columbus, Ohio. This was the beginning of a my now ongoing horrific experience, I am now 60 dealing with unrelenting exquisite pain. In 2007 through 2008, after numerous kidney stones, pain that was unrelenting, blood in urine, I had stones shattered by la-pro-scopic lazor, a stent was placed in my kidney to ease the passing, all that did was put me back in the hospital where the stent had to be removed. I was told by a kidney specialist in Arizona, my pain didn’t make any sense.
In 2009 a miracle, I made an appointment with Dr. Singri, my Mother and Sister accompanied me, I described in intricate detail of my pain and symptoms; he said, I believe you have LPHS, a biopsy confirmed the diagnoses, pain management is the only option. I had already lost my job, my independence, my home, everything. Even my family and friends doubted everything I described. My Mother would lay on top of me to quiet my screams as she tried to squash the pain. I can not get relief in any position, sitting, standing even laying down makes it worse. I am usually sitting Indian style just rocking back and forth.
Over the last few years I have also been diagnosed with severe depression, fibra-myialga, psoriatic and rheumatoid arthritis . I was an inconvenience to my family, I now live in a rooming house in Delaware, Ohio. The first pain specialist prescribed Oxycontin, preformed a d enervation, by inserting a four inch needle into my spine, more pain the effort was unsuccessful. After losing 50 pounds, and when I witnessed the doctor stealing my medication I sought help at OSU hospital. They started IR and ER morphine, fentanyl patches, seroquil, clonazapam and anti depressants, lyrica and steroids. On the pain scale I was then a 7 which seemed like a gift from God. Until last summer, when I was admitted to Grant Hospital with kidney failure. I was told I was over-medicated, they prescribed Cymbalta and IR morphine every 4 hours. The pain nightmare was back a full force 10. I was released a week later, still with a critical kidney infection the pain was unbearable, I tried unsuccessfully to end my life, to be free of this burden of pain and the inconvenience of my existence. By this time I was wheelchair bound. Unable to care for myself with no desire to live or thrive. I wanted to be free.
I am now seeing a new pain specialist, who has admitted his lack of expertise with LPHS. He began by prescribing Zonagran (side effect, kidney stones) I had to stop after passing 5 stones in one week, now on Baclofen, Gabapentin and Opana 20 mgs ER every 12 hours, the morphine is no longer effective. At the onset the main issues affected my right kidney, now as Dr. Singri suggested the left kidney has joined in, again the prescribed medications lack effectiveness, level 8 and rising everyday. I don’t know what to do…..should I see Dr. Singri or Dr. Hebert again or seek help at a pain clinic? There is so much more to my story, if your interested I can go into further detail of my struggles and losses.
What do I do now?
My daughter has been diagnosed with LPHS, and I was dismayed to find out how little is available on it. I have updated the Wikipedia article at https://en.wikipedia.org/wiki/Loin_pain_hematuria_syndrome to make it easier to find LPHS on the web. If anyone has anything they want to add to Wikipedia on LPHS, please email me at firstname.lastname@example.org
The pain started November of 2008 and I can remember the day like it was yesterday. I was at work on a break and immediately dropped to my knees in pain and thought my appendix has burst. I left work and went straight to my doctor.
The doctor did not know what was wrong and had ruled out my appendix as a cause. He thought maybe I had a cyst burst on my ovary game me a shot of pain meds and I was sent on my way. Well the pain continued on and I was referred to a urologist because an X-ray showed kidney stones in my right kidney. So off I went to the urologist to hope for some relief. The urologist was not sure how I was in so much pain since the stones were just sitting in my kidney.
At this time I had already had plans to move to NC and was scared of what to do. I was prescribed pain meds and sent on my way. Once in NC I met with a new urologist and he decided to do Lithotripsy, July, 2009 and break up the stones and see if that brings relief. Well to make my very long story short, it did not and then the following year I had more stones and attempted Lithotripsy once again. The 2nd Lithotripsy made the pain worse and it last non-stop.
After, being bounced from ortho to chiropractic to acupuncture….I took control and demanded to be sent to a Nephrologist. At the appointment, the Dr. walked in and told me he knows exactly what is going on and continued to explain Loin Pain Hematuria Syndrome and how all my history and test confirmed I have it.
I felt a weight lift off of me to know I finally have an answer and I am not crazy. However, he explained he felt horrible, but based on lack of studies there was nothing at this time he could do for me other than, send me to a Pain Clinic for pain management.
I was sad to be stuck with this and not have a cure yet happy hear the words pain relief. So off I go to yet another doctor very hopeful to find relief and get back to being NORMAL. The appointment lasted a whole 5 min. and the Nurse told me they could not treat me because they did not know how to and the fact there was no cure. I burst into tears and told her the pain was killing me.
At this point I didn’t even know what happy was anymore. I felt like cutting my own kidney out just to try and make it stop. When I left the clinic I called my nephrologist in tears and told him what had happened. He was very upset and said they should never refuse a chronic pain patient treatment. The next day I was woken to a call from him that he had sent my information to another pain management clinic and that he was so sorry for how I was treated.
This was in October, 2013 and I was not very hopeful anymore and was just like whatever. I have to say though I am so very thankful for the new pain clinic, they have been amazing and trying their best to find a way to manage this rare disease.
I am not 100% pain free but I have had a few pain free days for the first time in 6 years. It still is a struggle and I have my days I just want to lay in a ball and cry in pain but I must strive on and work.
I do agree this condition should be put for permanent disability until they find a cure because it is very hard to make it through the day in such horrid pain.
My name is Kariemah and I live in Cape Town South Africa. I am a pain suffer since 1998, it took my specialist 8 years to reach diagnosis of LPHS. As none of the oral pain medication worked, they presented the option of an intrathecal morphine pump. This was done in 2007 and it worked wonders for me.
I had very few hospitalizations for pain, whenever I needed an adjustment of my internal medication. Please bear in mind, it does not remove your pain, it just lightens it. I think any person with LPHS understands that any slight reduction of pain means a great welcome. So not a pain free day but a more manageable one.
My problem now is I lost my job 3 years ago due to pain as well as my medical aid which originally paid for my pump. I am very lucky my sister put me on her’s for now. The medical aid however are taking their time to consider paying for the operation.
The battery only lasts 7 years and needs replacement. Now on my sisters medical aid struggling to get approval and running out of time. Medtronic is the pain pump manufacturer. If you are able, have a look at this as an option, it really does relieve pain.
Dear LPHS and other pain sufferers, I am compelled to share the following information with you for a two-fold reason: 1) that actual sufferer of LPHS is a dear family member and 2) said sufferer is currently incarcerated and cannot help himself.
What I am about to share with you is an account of his years of pain, in his own words from a letter he sent to me (I will not add or delete anything, except for any proper names or anything that might be considered a breach of an individual’s privacy):
Hey bro, Well as far as my kidneys. You know what you read already. I have microscopic blood in my urine on occasions but it is mainly macroscopic (you can see it). When I do urine tests it is usually 3 blood or more. I have constant kidney/bladder infections. In fact, I am finishing up a course of Bactrim for one now.
I have pain that would put a bull in traction damn near EVERY day. I have gone to medical on numerous occasions with very little help. **** doesn’t want to pay for anything. They won’t even send to see a Urologist or Nephrologist for it. I have been sent out to civilian emergency rooms only twice. I am usually put on a 5 days course of Ultram, which is a very low dose, non-narcotic pain med. It helps some but with only 5 days it doesn’t control the pain through the whole episode. I have bad pain that can last up to 30 or more days. After 5 days of the Ultram I am just starting to get some relief and they cut me off.
The Nurse Practioner I see now is trying to help me. He has submitted my case to the Pain Committee but with no success. They tell him to put me on high doses of Tylenol and Motrin. I can’t take those for long periods of time because they are bad for my kidneys. Some days I really wish I was dead instead of being in pain. I know it sounds bad, but it’s true. I have cried myself to sleep more times than I can count. I could just use someone to help me force these f***ers into really helping me.
This disease will not kill me but it sure as hell makes me wish for death. I don’t need a lot of help, just enough to keep me going until I can get out of this rat race and see a REAL doctor. They think in here that everyone is just trying to get pain meds. Everyone wants to get high. Then when it comes to someone with a real problem, they get screwed. They finally have my blood pressure under better control. It used to get as high as 200/170 with a pulse rate of 165. That is enough to cause a stroke. It is usually only that bad during severe episodes of pain.
I am on 3 different meds for blood pressure and pulse control. Verapamil, metoprolol, and lisinopril. they at least keep my pressures under better control. When I have a severe attack though, they still go up. The Nurse Practitioner told me that is what got his attention because you can’t fake blood pressure. That is a big problem with this disease because you can’t SEE it so the docs think you are either drug seeking or mental. I have had to deal with that for years.
It took 4 years of tests and psych evals before I was finally diagnosed in 1998. It was thanks to those two women from Europe. It has been a very long, painful trip since I had my first kidney stone in Oct. 1994. After that, it all went to shit. I passed 12 kidney stone in that next 2 1/2 years and I’ve had 1 in here back in Feb 2011. The kidney stones didn’t hurt as bad as this disease. It is worse than giving birth because at least the pain stops, pretty much when the baby comes out. This LPHS pain continues for far longer.
Well dude, not sure what else to tell you. I do appreciate you doing this for me. Take care of yourself and I will talk at ya’ later. I love you all.
Female, 55, married, 3 children, 3 granchildren, teacher at a school for children with a learning or behaviour disorder. Dutch, living in Noordwijk in the Netherlands. Diagnosted with LPHS in 2005 at the LUMC, Academic hospital. My english is not the best, but I am trying. I have a very good kidney specialist and he was very quick with his diagnose. I have a specialist at a special pain departement of the hospital and I have mental coaching. Two years ago I even followed EMDR therapy. At the moment I have just heard that I can not work anymore being told I am disabled now by LPHS. I use a lot of pain medicines
( cymbalta, Lyrica, Oxycontin and oxynorm )