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How Can A Stone In The Ureter Be Treated?

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Posted on Mon, 23 Jan 2017
Question: Stone in the ureter. Causing hydroureteronephrosis. Calculi is5mm. Pain during urination light blood also there. My doctor prescribed deflozocort. Ketocol. Torsmid 10.sindol
doctor
Answered by Dr. Dr. P. T. Patil (8 hours later)
Brief Answer:
Take treatment suggested as detailed below

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have been detected to have stone of a size of 5 mm in Right Ureter at Uretero Vesical Junction with back pressure changes in ureter and kidney (Hydrouretero Nephrosis).

Normally stone up to size of 8 mm pass out through urine spontaneously and no surgical intervention is required .

I would suggest you take following treatment
1) Drink more water 4-5 liters per day to produce more urine
2) Take antibiotic like Norfloxacin and Nitofurantoin twice daily to prevent infection .
3) Take Tomsulosin once daily .This drug is a smooth muscle relaxant and dilates the ureter wand thereby helps to pass the stone

4) Drotaverine twice daily .twice daily this helps to move the stone downwards without pain .

Take treatment for 10 days .In majority of cases this helps to pass the stone through urine .

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (2 days later)
Sir 5mm can cause blood in urine. Nly kidney stones r anything abnormal. Usg can detect all abnormalities. Im stressed a lot plz rectify it
doctor
Answered by Dr. Dr. P. T. Patil (5 hours later)
Brief Answer:
Small spiky stone can cause blood in urine

Detailed Answer:
hello
Thnks for follow up .

Even small spiky stone can cause blood in urine due t injury to delicate ureteral mucosa.

USG can detect all abnormalities i kidney ureter or bladder .

Do not worry it will pass out spontaneously .Try to allay your apprehension.

Drink more water and take medicines suggested in my earlier reply .

Thanks and Regards
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (2 days later)
Sir after the 5 days ultrasound report came probably stone passed out. But rbc in urine showing 2 to 3 hpf plz solve me the issue. What causes again rbc in urine
doctor
Answered by Dr. Dr. P. T. Patil (25 minutes later)
Brief Answer:
2-3 RBC detected in routine urine analysis has no significance .

Detailed Answer:
Hello
Thanks for follow up .

Presence of 2-3 RBC in a patient having sone in ureter is not to be worried at all .It will get resolved within a week .or two .

Continue taking antibiotics for a week .

Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10582 Questions

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How Can A Stone In The Ureter Be Treated?

Brief Answer: Take treatment suggested as detailed below Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have been detected to have stone of a size of 5 mm in Right Ureter at Uretero Vesical Junction with back pressure changes in ureter and kidney (Hydrouretero Nephrosis). Normally stone up to size of 8 mm pass out through urine spontaneously and no surgical intervention is required . I would suggest you take following treatment 1) Drink more water 4-5 liters per day to produce more urine 2) Take antibiotic like Norfloxacin and Nitofurantoin twice daily to prevent infection . 3) Take Tomsulosin once daily .This drug is a smooth muscle relaxant and dilates the ureter wand thereby helps to pass the stone 4) Drotaverine twice daily .twice daily this helps to move the stone downwards without pain . Take treatment for 10 days .In majority of cases this helps to pass the stone through urine . Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you Thanks and Regards. Dr.Patil.