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The pain suggests a kidney problem (CVA tenderness). The brown urine color may indicated renal failure or infection. To test for renal failure, a creatinine level test should be done. This is a simple blood test that detects if the kidneys are properly expelling creatinine from the body (a waste product). If the levels are high, the kidneys are not doing their job.

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Q: What can cause a 60-year-old male to develop a dull aching pain in the right lumbar area and a fever of long duration and passing of brown urine over a period of six months?
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