Hi, Many thanks for the query!
You need to do certain basic investigations first, which include-
USG (KUB), Urine routine & microscopy, Sr. creatinine
, Sr. uric acid.
Blood in urine is usually due to Ca-oxalate
stones having spikes on their surface causing mechanical trauma to mucosa of urinary tract
Pain is due to spasms of the ureter to get rid of the stone by more frequent & powerful contractions to propel it out.
Also as you have recurrent stones, do- Metabolic workup of 24 hrs
urine sample, Sr. PTH, Sr. Calcium.
As per the reports, appropriate diet instructions can be given & if Sr. uric acid is raised, Uric acid synthesis inhibitors like allopurinol
can be started.
Along with thiazide diuretics, you need to take Potassium Magnesium citrate
, also take urine alkanizing agents with your Urologist's opinion.
Take symptomatic treatment as per Urologist's opinion till you get your investigations done, viz. Plenty of oral fluids, anti-spasmodics, urinary alkalinizing agents, pain killers.
5 mm & 2 mm stones need not be removed surgically, they will come out with above medicines.
Wish you a good health.