<s>[INST] Hi. I had a Irena iud placed approximately 1 week ago. This evening I have pain running from my left abdomen to my trombone, internally on my left side. I did eat some Spiceynfood today and have frequent kidney stones that move down this same side. I just thought I should rule out problems with the iud. [/INST] Hello, I have gone through your query and understand your concern. As you suspected, Both are possible1. IntraUterineDevice that are placed recently may be lead to infection, or it might be misplaced or migrated. This may be the cause for your abdominal pain.2. As you already have the history of kidney stones, these stones may be migrated down to ureter and got stuck. This may also cause the abdominal pain. But both can be easily ruled out by simple Ultrasound abdomen and pelvis. Further ultrasound also helpful in identifying the other causes when both these causes are ruled out. If it is due to IUD displacement, then it can be removed by Hysteroscopy. If the pain is due to kidney stones, better treated by Shock wave lithography or removal of stones. If both are ruled out, then you need thorough examination of abdomen and pelvis to find the cause. Based on the identifiable cause, treatment varies. Chat Doctor. Hope this helps. Please write back for further queries. Wishing you good health. </s>