<s>[INST] I have a history of kidney stones. I went to a clinic last Thursday with flank pain like it was a stone moving, A car scan was done and a urine specimen taken. Tests show no stone in unrinary tract and 2 stones in right kidney. I am still having severe pain in right side and in my groin. My flow of urine is not being restricted. The pain is rather intense and pain meds are not helping. Why so much pain and in different areas? And should I seek another specialist? [/INST] HelloThanks for query .Based on the facts that o have severe pain i loin on Right side due to stone in kidney and ureter .The pain in abdomen due to stone is never due to stone itself but it is due to obstruction to the flow of urine caused by the impaction of the stone resulting into accumulation of urine causing dilatation of ureter and kidney proximal to site of impaction ( Hydronephrosis).The primary aim in treatment in such situation is to deobstruct the kidney to preserve it's function and to help the stone to pass down without pain .The standard modality is 1) Give I .V fluids  (If the patient is hospitalized )or drink more water to help to produce more urine.2) Give pain killers and smooth muscle relaxants .(Tomsulosin and Drataverine )3) Give antibiotics to prevent infection .In majority of patients this helps to pass he stone spontaneously .If the pain is severe one has to undergo endoscopic removal of stone by a procedure called as Uretero Renoscopy (URS) .Dr.Patil. </s>