Flank pain
Pain - side; Side painFlank pain is pain in one side of the body between the upper belly area (abdomen) and the back.
Considerations
Flank pain can be a sign of a kidney problem. But, since many organs are in this area, other causes are possible. If you have flank pain and fever, chills, blood in the urine, or frequent or urgent urination, then a kidney problem is the likely cause. It could be a sign of kidney stones.
Kidney stones
A kidney stone is a solid mass made up of tiny crystals. One or more stones can be in the kidney or ureter at the same time.

Causes
Flank pain may be caused by any of the following:
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                      Arthritis or infection of the spine
Arthritis
Arthritis is inflammation or degeneration of one or more joints. A joint is the area where 2 bones meet. There are more than 100 different types of...
ImageRead Article Now Book Mark Article - Back problem, such as disk disease
 - Gallbladder disease
 - Gastrointestinal disease
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                      Kidney stone, infection, or abscess
Kidney stone
A kidney stone is a solid mass made up of tiny crystals. One or more stones can be in the kidney or ureter at the same time.
ImageRead Article Now Book Mark Article - Liver disease
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                      Muscle spasm
Muscle spasm
Muscle cramps are when a muscle gets tight (contracts) without you trying to tighten it, and it does not relax. Cramps may involve all or part of on...
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                      Shingles (pain with one-sided rash)
Shingles
Shingles is a painful, blistering skin rash. It is caused by the varicella-zoster virus, a member of the herpes family of viruses. This is the viru...
ImageRead Article Now Book Mark ArticleRash
Rashes involve changes in the color, feeling or texture of your skin.
ImageRead Article Now Book Mark Article - 
                      Spinal fracture
                      
Spinal fracture
Compression fractures of the back are broken vertebrae. Vertebrae are the bones of the spine.
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Home Care
The treatment depends on the cause.
Rest, physical therapy, exercise, and nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended if the pain is caused by muscle spasm or spinal arthritis. You will be taught how to do these exercises at home.
Antibiotics are used to treat most kidney infections. You will also receive fluids and pain medicine. You may need to stay in the hospital.
When to Contact a Medical Professional
Contact your health care provider if you have any of the following:
- Flank pain along with a high fever, chills, nausea, or vomiting
 - Blood (red or brown color) in the urine
 - Unexplained flank pain that continues
 - Difficulty eating or drinking fluid
 
What to Expect at Your Office Visit
The provider will examine you. You will be asked about your medical history and symptoms, including:
- Location of the pain
 - When the pain began, if it's always there or comes and goes, if it's getting worse
 - If your pain is related to activities or bending over
 - What the pain feels like, such as dull and aching or sharp
 - What other symptoms you have
 
The following tests may be done:
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                      Abdominal CT scan
Abdominal CT scan
An abdominal CT scan is an imaging test that uses x-rays to create cross-sectional pictures of the belly area. CT stands for computed tomography....
ImageRead Article Now Book Mark Article - Blood tests to check kidney and liver function
Kidney
Kidney function tests are common lab tests used to evaluate how well the kidneys are working. Such tests include:BUN (Blood urea nitrogen) Creatinin...
ImageRead Article Now Book Mark ArticleLiver function
Liver function tests are common tests that are used to see how well the liver is working. Tests include:AlbuminAlpha-1 antitrypsinAlkaline phosphata...
ImageRead Article Now Book Mark Article - Ultrasound to look at your internal organs
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                      Chest or abdominal x-ray
Chest
A chest x-ray is an x-ray of the chest, lungs, heart, large arteries, ribs, and diaphragm.
ImageRead Article Now Book Mark ArticleAbdominal x-ray
An abdominal x-ray is an imaging test to look at organs and structures in the abdomen. Organs include the liver, spleen, stomach, and intestines. T...
ImageRead Article Now Book Mark Article - Kidney or abdominal ultrasound
Abdominal ultrasound
Abdominal ultrasound is a type of imaging test. It is used to look at organs in the abdomen, including the liver, gallbladder, pancreas, and kidneys...
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                      Lumbosacral spine x-ray
Lumbosacral spine x-ray
A lumbosacral spine x-ray is a picture of the bones (vertebrae) in the lower part of the spine. This area includes the lumbar region and the sacrum,...
ImageRead Article Now Book Mark Article - Tests to check the kidneys and bladder, such as urinalysis and urine culture, or cystourethrogram
Urinalysis
Urinalysis is the physical, chemical, and microscopic examination of urine. It involves a number of tests to detect and measure various compounds th...
ImageRead Article Now Book Mark ArticleUrine culture
A urine culture is a lab test to check for bacteria or other germs in a urine sample. It can be used to check for a urinary tract infection in adults...
ImageRead Article Now Book Mark ArticleCystourethrogram
A voiding cystourethrogram is an x-ray study of the bladder and urethra. It is done while the bladder is emptying.
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References
Gharavi AG, Landry DW. Approach to the patient with renal disease. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 100.
McQuaid KR. Approach to the patient with gastrointestinal disease. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 118.
Millham FH. Acute abdominal pain. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 11.
Seller RH, Symons AB. Abdominal pain in adults. In: Seller RH, Symons AB, eds. Differential Diagnosis of Common Complaints. 7th ed. Philadelphia, PA: Elsevier; 2018:chap 1.
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Anatomical landmarks adult – back - illustration
There are three body views (front, back, and side) that can help you to identify a specific body area. The labels show areas of the body which are identified either by anatomical or by common names. For example, the back of the knee is called the “popliteal fossa,” while the “flank” is an area on the side of the body.
Anatomical landmarks adult – back
illustration
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Anatomical landmarks adult - front - illustration
There are three body views (front, back, and side) that can help you to identify a specific body area. The labels show areas of the body which are identified either by anatomical or by common names. For example, the back of the knee is called the “popliteal fossa,” while the “flank” is an area on the side of the body.
Anatomical landmarks adult - front
illustration
 - 
                      
                      
Anatomical landmarks adult - side - illustration
There are three body views (front, back, and side) that can help you to identify a specific body area. The labels show areas of the body which are identified either by anatomical or by common names. For example, the back of the knee is called the “popliteal fossa,” while the “flank” is an area on the side of the body.
Anatomical landmarks adult - side
illustration
 
- 
                      
                      
Anatomical landmarks adult – back - illustration
There are three body views (front, back, and side) that can help you to identify a specific body area. The labels show areas of the body which are identified either by anatomical or by common names. For example, the back of the knee is called the “popliteal fossa,” while the “flank” is an area on the side of the body.
Anatomical landmarks adult – back
illustration
 - 
                      
                      
Anatomical landmarks adult - front - illustration
There are three body views (front, back, and side) that can help you to identify a specific body area. The labels show areas of the body which are identified either by anatomical or by common names. For example, the back of the knee is called the “popliteal fossa,” while the “flank” is an area on the side of the body.
Anatomical landmarks adult - front
illustration
 - 
                      
                      
Anatomical landmarks adult - side - illustration
There are three body views (front, back, and side) that can help you to identify a specific body area. The labels show areas of the body which are identified either by anatomical or by common names. For example, the back of the knee is called the “popliteal fossa,” while the “flank” is an area on the side of the body.
Anatomical landmarks adult - side
illustration
 
Review Date: 6/4/2025
Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
                  
                        
                        
                        