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1 Week Post Op Lithotripsy . Severe Tenderness And Pain

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Posted on Thu, 4 May 2023
Question: 1 week post op lithotripsy. Severe tenderness and pain in side and back still. Passing blood and large clots. Back spasms. Still urinating fine, no burning or pain. Pain is all centered around kidney area.
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Answered by Dr. Dr. P. T. Patil (11 hours later)
Brief Answer:
Mostly fragments of the stone have impacted in Ureter

Detailed Answer:
Hello
Thanks for your query. Based on the facts that you have shared you have undergone ESWL for Right Renal Calculus and now getting severe pain in loin and hematuria
This is most likely to be due to fragments of the stone have lodged in the Ureter causing obstruction to the flow of Urine from kidney into bladder .

This is very common after lithotripsy.

Please get your Ultrasound Scanning of Abdomen done .

Start
1) Antibiotic like Ciprofloxacin twice daily
2) Tab Tomsulosin once daily
3) Tab Drotoverin twice daily
Ensure to drink more water

Normally this gets resolved in 2-3 days.

Thanks and Regards
Dr Patil














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Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10587 Questions

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1 Week Post Op Lithotripsy . Severe Tenderness And Pain

Brief Answer: Mostly fragments of the stone have impacted in Ureter Detailed Answer: Hello Thanks for your query. Based on the facts that you have shared you have undergone ESWL for Right Renal Calculus and now getting severe pain in loin and hematuria This is most likely to be due to fragments of the stone have lodged in the Ureter causing obstruction to the flow of Urine from kidney into bladder . This is very common after lithotripsy. Please get your Ultrasound Scanning of Abdomen done . Start 1) Antibiotic like Ciprofloxacin twice daily 2) Tab Tomsulosin once daily 3) Tab Drotoverin twice daily Ensure to drink more water Normally this gets resolved in 2-3 days. Thanks and Regards Dr Patil