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Ultrasound report showed stone in kidney. What should I do?

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General & Family Physician
Practicing since : 2007
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i have a stone(calcium oxalate) masuring .68 cm in left kidney in the pelvicalyceal as ultrasound report. what i will do?
Posted Sat, 4 Aug 2012 in Kidney Conditions
 
 
Answered by Dr. Sourav Ganguly 38 minutes later
Hi XXXXXX.

Thanks for your question.

I just see your problem and would like to ask you some questions. Since there is complete treatment for your problem you should understand the nature of the problem first and prevent further stone formation. Please answer my questions below.

a)Do you have any symptoms (mainly pain abdomen) for this stone?briefly describe that and also tell the severity of the symptoms i mean how intense is that and how often it comes.

b)Do you have attacks of urinary tract infections recently?

c)Do you have swelling of leg/body and decrease urine volume?

d)Can you please attach the USG report?if not possible then please write the reports (last few lines of reports which is in XXXXXXX lines and mention as impression)

Please provide me those information.I will try to help you after getting those important information.

Best Wishes,

Dr Sourav Ganguly
Above answer was peer-reviewed by
 
Follow-up: Ultrasound report showed stone in kidney. What should I do? 11 hours later
In year2007 i suffered from severe pain in urinary and admitted to hospital and a calcium oxalate calculi detected in urinary tract.later the stone passing through urine when i was hydrated continuously. I enclose my report of that time
now i again feel very uneasy in right side of upper abdomen . I enclose herewith last USG report
 
 
Answered by Dr. Sourav Ganguly 2 hours later
Hi XXXXXX,

Thanks for writing back but I am extremely sorry to say I did not get any report from you.

You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that so that I can answer your queries better.

Would you mind to send me the report again and please provide me specific answer of each of my question separately, that will help me to suggest you better and guide you towards proper management.

I hope you understand my point.

Best Wishes,

Dr Sourav Ganguly



Above answer was peer-reviewed by
 
Follow-up: Ultrasound report showed stone in kidney. What should I do? 35 hours later
yes I feel uneasy at upper abdomen right side near umbilical area and slight back pain at lower part
Recently i am not suffering from any urinary infection but last suffered in the year 2007
though not swelling the body but my urine volume is very low&frequent tendency
I also attach my latest urine report
Thanks
 
 
Answered by Dr. Sourav Ganguly 56 minutes later
Hi XXXXXX.

Thanks for your query.

I am extremely sorry to say I did not get any report from you.

You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that so that I can answer your queries better. You can email the reports to YYYY@YYYY and write Attention to Dr Ganguly in the subject line.
Till I see the report, I cannot comment on the fact that you have a urinary tract infection or not.
Alongside, to rule out a decrease in kidney function, we need some tests like urea, creatinine and if needed DTPA scan to see kidney function.

Given the condition, you do have have hydronephrosis also so you need urgent removal of stone.

You remember till today there are three way to remove the stone from kidney 1)Lithotripsy(stone is broken by shock wave to very small pieces) 2)Percuteneous nephrolithotomy (stone remove by doing a whole on the back ) and 3)Surgical removal by open abdomen methods.

But choice of this method depend on size,site,number,patient condition and economic factors.

Remember one thing clearly there is no drug which can melt ca oxalate stone only if you can take plenty of water it can come during urination by the force of urine but in your cases the chance is very low as the stone size crosses 6mm (up to 6 mm size one can wait and watch if he is asymptomatic)
So please consult a nephrologist as soon as possible and get an evaluation done.

Hope I have answered your query. If you have any further questions I will be happy to help
If you do not have any clarifications, you can close the discussion and rate the answer and write a review.
Wish you good health.
Thanks,
Dr Sourav Ganguly


Above answer was peer-reviewed by
 
 
 
Answered by Dr. Sourav Ganguly 10 hours later
Hi XXXXXX,

Thanks for your query.

I see the reports of blood, urine and USG-KUB reports you attached.

Your blood investigation report says creatinine level is normal suggesting but it was of the month of May. So you need to repeat the test now too see recent renal function status. You need to do a blood urea nitrogen (BUN) test, as in very early stage of renal impairment, creatinine level may be normal but blood urea level is always elevated.

In your USG report, only a single 6.8 mm calculus is seen in left renal calculus without any hydronephrotic changes, though the report is 5 months old. Therefore, you need to repeat a USG now too see the calculus status.

Your urine test report did not show any evidences of urinary tract infection.

So you need to repeat blood urea, creatinine, USG-KUB and if needed DTPA scan to evaluate renal function.

Take plenty of water and please consult a nephrologist and get this evaluation done and follow his opinion regarding further management.

Hope I have answered your query. If you have any further questions, I will be happy to help.
If you do not have any clarifications, you can close the discussion, rate the answer, and write a review.

Wish you good health.

Thanks,
Dr Sourav Ganguly
Above answer was peer-reviewed by
 
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