Brief Answer:
Read answer as detailed below

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that your sister has been detected to have bilateral Kidney stones .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Does she have severe pain in loin?
2) Is there any obstructive changes (Hydronephrosis) reported in her Ultrasound Scanning report ?

The primary aim in management of kidney stone is to save kidney from damage resulting from back pressure changes when the stone gets impacted in ureter (A tube that carries urine form kidney ) in to the bladder)

I would suggest following course of action for your sister
1) Rt side stone is small in size 4.5 mm and non obstructing in nature hence likely to pass down spontaneously and does not need any active treatment .

As regards stone in the left kidney it being of the size of 7.2 mm can also be expected to pass down spontaneously but may cause severe pain if gets impacted while passing down .Hence there are following two options for treatment

1) You can fragment the stone by what is called as Extra Corporeal Shock Wave Lithotripsy(E.S.W.L). This is a noninvasive procedure done as a out patient and does not require anesthesia or Hospitalization and cost about 15-20 Thousand Rupees

2) Second alternative is to wait and watch and expect it to pass out spontaneously
However if she develops severe pain and vomiting during the course of expectant treatment you should be prepared to go for endoscopic procedure called URS to fragment the stone which requires anesthesia and hospitalization for 3 days and will cost 40-50 thousand Rupees.

You can give her following medications
1) Antibiotic --Norfloxacin twice daily
2) Antispasmodics - Cyclopam twice daily
3) Ureter smooth muscle relaxant -Tomsulosin once daily
4) Ask her to drink more water to produce more urine

Take the decision as per your choice
If you are in XXXXXXX you may consult me at my clinic from 10.30 Am to 12.30 addressed as detailed below
Dr.P.T Patil
VIMS Superspeciality Hospital
Opp More Mega Sore
Outer Ring Road Marathalli
Phone -080-0000

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.

---

Brief Answer:
Take medications suggested in my earlier reply

Detailed Answer:
Hello
Thanks for follow up .

Since the stones in Right kidney are non obstructing you can ceratinly wait till her examination is over

As regards treatment take medications suggested in my earlier reply .

Thanks and Regards.
Dr.Patil.

---