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Renal colic - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   Relief from renal colic. Have been suffering for just over two months. One stoneis 7mm and the one in the other kidney is around 5mm. Currently taking an NSAID and a narcotic pain reliever
Doctor :   Hi
User :   hi
Doctor :   May I know your age?
User :   28
Doctor :   Do you have any problem while passing urine?
User :   not at the moment. sometimes painful.
User :   no blockage
Doctor :   Ok
Doctor :   Are the medications given to you helping you out?
Doctor :   May I know when did you get the scans done?
User :   just seems to migratory pain. no the pain isn't subsiding today. I got the scans almost a month ago. CT and ultrasound were done
Doctor :   Ok
Doctor :   Do you have any other medical illness such as diabetes, renal disease?
User :   no they checked for all of that. kidney stones run in the family on both sides
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Since I am unable to physically examine you, I am unable to determine if the pain that you have are essentially due to renal stones or any other cause.
User :   The pain is worse when working/moving around
Doctor :   *this is because your scans are a month old and your pain is still persisting.
User :   Doctor I have seen here says the pain must be from the stones as there doesnt seem to be any other cause
Doctor :   Usually one expects a small stone less than 10mm to pass off through the ureter,
Doctor :   if the stone is stationary and isn't getting flushed
User :   small....7mm is almost a quarter inch....hahaha.. but seriously they are both still in the kidneys
Doctor :   Lithotripsy to blast the stones is recommended.
Doctor :   The will reduce the size of the stones further and aid in flushing the stones out.
User :   ya... but what can I do until then? I have to wait almost two months to see a specialist
User :   I have been taking these pain killers for two months now.
Doctor :   You will need readjustment of the pain killers, a course of antibiotics, increased water consumption and probably a small dose of diuretic medication
Doctor :   if a conservative line of management has to be tried.
Doctor :   I would hence suggest you to report back to your doctor.
Doctor :   You will need repeat of urine function test, if the tests are normal, then the conservative line of management can be tried for some more time.
User :   I did today and that is why I decided to try this to see if I can get any suggestions. I was tested for an infection and it was negative.
Doctor :   If the renal functions are abnormal, then the procedure has to be done as soon as possible.
Doctor :   Antibiotics are necessary to prevent infections, if the renal stones are attributed as the cause of pain.
User :   All renal functions are normal according to my doctor. So I guess just sit and wait
Doctor :   If the renal functions are normal, then continue with the pain killers.
User :   Any suggestions for pain killers?
Doctor :   You can discuss with your treating doctor, if diuretics can be added to your treatment.
Doctor :   Drink plenty of water,
User :   I am currently drinking 2 litres of water a day
Doctor :   Since stronger pain killers are prescription medications, I cannot suggest them online( as they are not valid).
User :   I understand that you can not suggest them online...
User :   I guess just keep on with the course that I am on....
Doctor :   Lithotripsy will be the effective treatment and the best option that you have.
Doctor :   Hence, try getting the urologist as soon as possible.
User :   that is what my doctor said also.... I guess I will have to see what the specialist says
User :   the earliest time I can see the specialist is Feb 16
Doctor :   You can request your GP to help you getting an appointment soon.
Doctor :   Do you have any other query?
User :   how many oxycocet can one take in a day?
User :   in case time runs out thank you so much for your help
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