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Kidney stones in both kidneys, pain in ureter area. What does my latest report indicate?

Hello Sir, Since last few months I am suffering from kidney stones . After undergoing a KUB it was found that there were three stones in all one in the right kidney measuring 6 mm and two in the left kidney measuring 5 mm in size.After taking medication for last two months, I still feel slight pain in the urether area and got my second KUB done today. The latest report says the following there is dilatation of left pelvialyceal system and upper urether noted.Also there is echogenic shadow measuring 6 mm in middle calyx of right kidney.What does that mean? What is the position of the stone in my left kidney.
Asked On : Sat, 5 Jan 2013
Answers:  2 Views:  125
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General & Family Physician 's  Response
You must understand the Urinary Tract. Urine is filtered from the blood by two kidneys (right & left)
which are located in the backside just below the last rib. Then it passes thro' ureter to the Urinary Bladder - stored there till certain amount of collection & passed to the exterior thro' Urethra (inside the penis / vulva). As long as stone is within the Kidney it may produce pain but there will not be any blockade (acute & very severe pain). Problem starts once the stone descend down via the ureter. If it descends and passes out there will be sudden onset acute pain sometimes vomiting also but relived after some time. Usually it gets blocked in the upper. middle or lower part / end - at the junction To treat this problem urine should made to secrete fast (forced diuresis) hoping the urine will flush away the stone. If it does not pass away & gets blocked any where in between consult a urologist & follow his advise. sometimes blood investigation is needed to access what type of stone & treat accordingly
Best Wishes
Answered: Sat, 5 Jan 2013
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Critical Care Specialist Dr. Sadiq Mughal's  Response
Hi thanks for your question.
On left side there is obstruction in the upper part ureter due to which upper ureter along with pelvis(part of kidney into which urine comes after filtration from blood) of kidney is dilated.Cause of diltation not mentioned,could be a stone.
Echogenic shadow of 6mm means 6mm stone.Middle calyx is the part of pelvis of kidney.
The site of stone on left side is not mentioned,must be in upper part of ureter.
Hope this answers your question.
Answered: Sat, 5 Jan 2013
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