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I'm having there a pain I've kidney stone. Is that normal in kidney stone (I've in both) or it's a liver pain? Ask anything you like I'll tell and then you decide
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The textbooks have given me exactly what I need. Here is a thorough, clear answer based on your symptoms and the medical evidence:
Your Pain is Classic Kidney Stone (Renal Colic) - Not Liver Pain
Short answer: Yes, this is completely normal and expected with kidney stones. Your exact symptom pattern - bilateral flank pain, radiating to the bladder and testes - is the textbook description of renal colic.
Why it's kidney stone pain (and not liver pain)
Looking at your image, you marked pain on both sides of the lower abdomen/flanks. You have bilateral kidney stones, which explains the bilateral pain.
Here is what the medical textbooks say about your exact symptoms:
"Pain is usually intense and intermittent, originating in the back or flank, radiating around the torso to the groin, and ending up in the testicles or labia... When the kidney stone approaches the urinary bladder, it frequently causes bladder symptoms such as urinary frequency, dysuria, suprapubic pain, and incontinence."
- Brenner and Rector's The Kidney
"Renal colic is referred to from the loin to the groin, testis and inner side of the thigh... the distribution of the genitofemoral nerve (L1 & L2). The same segments supply the ureter also."
- S. Das: A Manual on Clinical Surgery
Even Hippocrates described it the same way: "An acute pain is felt in the kidney, the loins, the flank and the testis of the affected side." (Campbell-Walsh Urology)
Why it is NOT liver pain
The liver is located in the upper right abdomen, under the rib cage. Liver pain:
- Sits in the upper right side, not the lower flanks
- Typically radiates to the right shoulder or upper back
- Does NOT travel to the bladder or testes
- Often comes with yellowing of skin/eyes (jaundice), or right shoulder ache
Your pain is in the lower flanks, going to the bladder and testes - that is purely the urinary tract pathway, not the liver.
What is happening inside you
When a kidney stone moves down the ureter (the tube from kidney to bladder), it:
- Creates pressure buildup behind it
- Irritates the ureter lining, causing intense crampy/sharp pain
- The ureter and testicle share the same nerve supply (genitofemoral nerve, L1-L2), so pain "refers" to the testes
- As the stone gets close to the bladder, it causes bladder irritation (urgency, frequent urination, suprapubic pain)
When to go to the ER immediately
Even though your pain is typical for stones, go to a doctor urgently if you develop:
- Fever or chills (could mean infection + blockage = urosepsis, a serious emergency)
- Inability to urinate for many hours
- Uncontrollable vomiting
- Blood in urine that is heavy/dark red (some is common, but a lot is concerning)
- Pain that does not ease at all for more than 2-3 hours
Bottom line
Your sharp pain in both flanks, shooting down to the bladder and testicles, with bilateral kidney stones - this is a perfect textbook presentation of bilateral renal colic. It has nothing to do with your liver. Your liver is not involved here.
Disclaimer: This is medical information for educational purposes. Please consult a urologist for proper evaluation, stone size measurement, and treatment (medication, lithotripsy, or surgery depending on stone size).
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Are they normal?
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analyse_media
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I have all I need. Here is a thorough assessment:
Your Nails - No, These Are NOT Normal
What the images show
Fingernails: Your nails show a prominent, diffuse white/pale color covering roughly 80% of the nail, with a very thin darker band at the tip only. This is a recognized clinical finding - not normal nail appearance.
Eyes: Your sclera (whites of the eyes) appear white and clear - no yellowing (jaundice), which is a good sign. The eyes look normal from this image.
What your nails suggest - and why it matters with kidney stones
Your nail appearance matches one of two recognized patterns:
| Finding | Description | Main Association |
|---|---|---|
| Terry's Nails | Mostly white, thin pink/brown band at the tip | Liver disease, kidney disease, diabetes, heart failure |
| Lindsay's Nails (Half-and-Half) | Proximal (base) half white, distal (tip) half pink/red/brown | Chronic kidney disease - most strongly |
The medical textbooks state very clearly:
"Half-and-half nails are detected in up to 25% of patients with chronic renal disease who are undergoing hemodialysis... Lindsay nails resolve with renal transplantation."
- Andrews' Diseases of the Skin & Dermatology 5e
"Apparent leukonychia [white nails]... may be a sign of systemic diseases such as liver cirrhosis (Terry nails) or chronic renal diseases (half-and-half nails)."
- Goldman-Cecil Medicine
What this means for YOU specifically
You already have bilateral kidney stones (both kidneys). White nails in someone with kidney stones are a signal that your kidneys may be under more systemic stress than just the stones alone. It could indicate:
- Chronic kidney disease (CKD) developing alongside the stones
- Anemia - kidneys produce a hormone (EPO) that makes red blood cells; damaged kidneys can cause anemia, making nails pale
- Possibly early hypoalbuminemia (low protein in blood)
What you should do - URGENTLY
Since you already have bilateral kidney stones AND white nails, you need these blood/urine tests done soon:
- Serum Creatinine + eGFR (measures kidney filtering ability)
- Complete Blood Count (CBC) - check for anemia
- Serum Albumin - protein levels
- Liver Function Tests (LFTs) - to rule out liver involvement
- 24-hour urine for stone risk factors
Please see a nephrologist (kidney specialist) - not just a general doctor. Bilateral stones with these nail findings deserve proper kidney function assessment.
⚠️ Disclaimer: I am an AI assistant providing educational information. This is not a medical diagnosis. Please consult a doctor for proper evaluation and blood tests.
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The top are nothing but uneven dirty nails. Look at it closely
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analyse_media
Fair point - and I want to be honest with you about what I can actually see.
Looking at the clearer photos:
What I can see from the new images:
- Yes, there is dirt/debris visible along the nail edges and corners - that is clearly surface grime, not a medical finding
- The skin around the nails is dry and rough, which is just normal wear
- However - even the vision AI analyzing the clearer image still notes that the nail plate itself (not just the edges) shows a pale, milky-white appearance with very little pink nail bed visible through it
So I want to be fair and separate the two things:
| What you're right about | What I still notice |
|---|---|
| The dirt/dark bits around the edges = just dirt, not medical | The actual nail plate color is still notably pale/white, not the healthy pink you'd expect |
| Cuticles look dry but normal | Little to no pink shows through the nail |
Honest assessment:
The dirty edges? Yes, you are right - that is just grime. I should not have conflated that with a medical finding.
But the overall whiteness/pallor of the nail beds themselves is still there even in the cleaner photos. That part is separate from the dirt.
Two quick ways to self-check at home:
- Press on your nail firmly for 2 seconds, then release. Normal nails turn white under pressure, then go pink again within 1-2 seconds. If they stay white or take longer - that is a real sign.
- Look at a friend's nails for comparison. Healthy nails should look clearly pink from the cuticle to near the tip.
If after cleaning your nails thoroughly they look normally pink, then great - it was just the photo quality and dirt. But if they still look this pale/white after washing, it is worth mentioning to your doctor, especially since you already have kidney stones.
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