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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bilateral Multiple Renal Calculi. Taking Reactine, Pyridium, Cystone Dynapress And Citadel. Surgery Needed?

Dear Doctor, I am suffering from bilateral multiple renal calculi measuring about 6-7 mm on rt.side and 4-6 mm on left side since one month. I. C.Narsing Rao aged 65 years.ht 5 .10 and weighing 84 kgs. Now I am under treatment with my family Dr K.Srinivas M.D ( General Phisician ) at Kukatpally . Now I am being treated tabs. Reactine 50 mg , pyridium 200 mg,Cystone one tab a day and Dynapress 0.4 mg and Citadel syrup . plz. suggest early dissolve of calculi is any surgery is needed. plz. send address of clinic .
Mon, 24 Jun 2013
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  User's Response
Hi, many thanks for the query!
To decide whether operation is needed or not, you need to do certain investigations- USG (KUB), X-ray KUB, Sr. uric acid, Sr. creatinine, Urine (routine & microscopy), IVP (if needed as per reports of other investigations).
You should take stone conservative treatment including Diuretics, Anti-spasmodics, urine alkalinizing agents, uric acid synthesis inhibitors (if raised) like allopurinol as per your doctor's opinion.
Drink plenty of oral fluids so that 3 litres of urine is voided in 24 hours.
Wish you a good health. Take care.
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Bilateral Multiple Renal Calculi. Taking Reactine, Pyridium, Cystone Dynapress And Citadel. Surgery Needed?

Hi, many thanks for the query! To decide whether operation is needed or not, you need to do certain investigations- USG (KUB), X-ray KUB, Sr. uric acid, Sr. creatinine, Urine (routine & microscopy), IVP (if needed as per reports of other investigations). You should take stone conservative treatment including Diuretics, Anti-spasmodics, urine alkalinizing agents, uric acid synthesis inhibitors (if raised) like allopurinol as per your doctor s opinion. Drink plenty of oral fluids so that 3 litres of urine is voided in 24 hours. Wish you a good health. Take care.