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Suggest Treatment For A Kidney Stone In The Ureter

Posted on Wed, 12 Oct 2016

Question: I have kidney stone problem having a stone in my both right and left kidney.
the size of stones are
left --- 7.5 mm
right -- 8.25 mm , 3 mm

Left kidney stone is in ureter now and I face unbearable pain sometimes.
my creatinine is 1.06 as per latest report on last week.

Answered by Dr. Dr. P. T. Patil (41 minutes later)

Brief Answer:
Please mention the site of the stones.

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have been detected to have stones in both the kidneys.

I shall be happy if you can post me few more details to help me in making comments on your problem.
1)Site of the stones in individual kidney?
2) Degree of obstruction (Hydronephrosis ) reported in Ultrasound Scanning?
3) Severity of pain in grade in scale of 1-10?
4) Is the pain associated with vomiting and fever ?

The modality of treatment is decided on above factors .Please do write at your earliest I will address your concern.

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

Follow up: Dr. Dr. P. T. Patil (18 minutes later)

I have attached the ultrasound file
I didnt find anything to attach multiple file.
SO attached only 1

Answered by Dr. Dr. P. T. Patil (6 minutes later)

Brief Answer:
Please do answer question No 3 and 4

Detailed Answer:
Hello
Thanks for feedback .

You have not answered question no 3 and 4 .

Please do write at earliest .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 minutes later)

The severity of pain is 7.
once the pain is at level 7 ,I feel like vomiting.Pain increases gradually.
and almost block the urine

Answered by Dr. Dr. P. T. Patil (18 minutes later)

Brief Answer:
Thanks for feedback .

Detailed Answer:
Hello
Thanks for feedback
I will highlight the modality of treatment in detail as under

1) You have impacted stone in LT Mid ureter causing grade 1 Hydronephrosis .
In view of severe pain that you have it suggest that the stone is impacted tightly and there is infection of the renal system on Lt side This stone needs to be fragmented by endoscopic procedure URS to deobstruct the Lt kidney and to make the passage clear of obstruction to prevent further damage to the let kidney.

2)Both the stones in the Rt kidney are non obstructing stones hence you can expect them to pass down spontaneously over a period of time .Repeat Ultrasound Scanning after one month However if you get severe pain on Rt side you may need to visit your urologist and take a call depending upon the situation at that particular time .

Other option is to go for Extra Corporeal Shock Wave Lithotripsy (ESWL) to fragment the bigger stone .This is a non invasive procedure done as a out patient procedure

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Thank you doctor..!!
Any pain killer you would like to suggest me in case of pain
and medicine to fragment the stone into small pieces.

I dont want to go for surgery.

Answered by Dr. Dr. P. T. Patil (6 minutes later)

Brief Answer:
There is no medicine that can fragment or desolve urinary stone

Detailed Answer:
Hello
Thanks for follow up ,

There is no medicine that can fragment or desolve Urinary stones.

The primary aim in management of stone is to save the kidney from being damaged due to obstruction .Once the obstruction is removed pain goes off automatically .

Medicine that are being prescribed for pain relief have effect only for few hours.

You are taking undue risk by not going for surgery ,of course choice is yours.

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (1 minute later)

Thank you

Answered by Dr. Dr. P. T. Patil (16 minutes later)

Brief Answer:
oO.K bye

Detailed Answer:
Hello
Thanks for follow up

If you are not going for surgery take antibiotics like Cefotaxime twice daily along with Tomsulosin once daily .

I have explained all the facts ,pros and cons about the treatment to you.Take your own decision Have a speedy recovery .

If you have time post your review about my suggestion and opinion on the forum of Health Care Magic .Com

Thanks and Regards.
Dr.Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar