<s>[INST] I have been having acute pain in my upper abdominal area. Recently I had scans which showed my left kidney was smaller than the right kidney and rotated. My doctor said this was quite normal and not to worry, however the pain that I get in this area is quite severe with nausea and sweating. What can you suggest!! [/INST] Hi.Thanks for your query.You have got a problem of pain in the abdomen with nausea and gets severe sometimes.IVP and ultrasonography is showing left kidney is smaller and rotated. This indicated that there is a problem.I would advise you the following:Rule out other causes like Gastritis by upper GI endoscopy.It is possible that the rotated kidney is causing intermittent blockage of the pelvis of the kidney . Consult a Urologist, it is possible that passing a double J stent might alleviate the pain and if so a definite surgery is indicated . </s>