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Several kidney stones problem in both kidneys. Is it necessary for open surgery ?

Hello Sir,

I am going to ask something about the kidney stone..,
now a days my Mummy (age 55) is suffering from kidney stone problem,
I am also have the fear about her,we already scanned & we had the scan reports
in that it mention around 9 no's of stone's.
5 no's are in left side and 4 no's are in the right side kidney.that the dimension's are
(1 no-8 mm),(2 no's-6 mm),(3 no's-5 mm) ,(2 no's-3 mm) & (1 no-1.8 mm).
So,for these stone removal what kind of treatment will be follow is there's any necessary
for open surgery,by drinking more water, by in taking trip's or any other
spl & simple treatment is there for the kidney stone removal.

Thank's in advance for your swift reply.


Have a nice Day
Thanks & Rgds
Asked On : Wed, 10 Apr 2013
Answers:  2 Views:  50
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General & Family Physician 's  Response
Hello Padmanaban,
Welcome to HCM and thanks for posting your query here.
Kidney stones or renal calculus is an aggregation of minerals which will pass through the urine in common. The symptoms of renal colic are nausea, vomiting, fever, excruciating pain in the flank radiating to the groin, and sometimes with vague abdominal pain. If stones grow to a maximum size more than 3-4mm they will obstruct the urinary passage and may cause hydronephrosis. This in turn affects the urinary outflow and its filtration. Renal stones may be of calcium, oxalate or uric acid, struvite stone composition.
The treatment depends on the size, number and site of the stones. Stones below 4-5mm size usually pass through the urine. But larger stones may get obstructed in the renal pelvis, or ureter. Common modes of medical treatment is using diuretics with a drip depending on the location of the stone. Analgesics can be given for pain control.
Surgical methods include Extra Corporeal Shock Wave Lithotripsy. In this method high ultrasonic waves are used to break the larger stones. The shattered stones are passed through the urine. In multiple and larger stones laser lithotripsy, percutaneous nephrolithotomy or a ureteral stent is advised.
Dietary factors like intake of more fluids, low sodium and calcium(in case of calcium stones), taking less animal protein will reduce the recurrence of renal caliculi.
Hope this is helpful to you.
Answered: Wed, 10 Apr 2013
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General Surgeon Dr. Sohail Quazi 's  Response
Hello and welcome to HCM
For 90% of stones, there is no proven way to dissolve the stones or to medically treat a stone that has already formed
The treatment for kidney stone depends on Kidney stone size and location.Small stones in the kidney do not usually cause problems and pass easily, However, if the stone is causing pain, blockage or infections, it should be treated.
Treatment options include:
Extracorporeal shock-wave lithotripsy (ESWL) – ultrasound waves are used to break the kidney stone into smaller pieces, which can pass out with the urine. It is used for stones less than 2 cm in size. one may need to have this procedure more than once to get rid of kidney stones
Percutaneous nephrolithotomy – a small cut is made in the back, then a special instrument is used to remove the kidney stone.
Endoscope removal – an instrument is inserted into the urethra, passed into the bladder then to where the stone is located. It allows the surgeon to remove the stone or break it up so it can pass more easily.
Surgery – if none of these methods are suitable, the stone may need to be removed using traditional surgery.
You may go for ESWL ,Endoscopic removal of stones or Pcnl for your mother. You should consult a urologist who will provide best option for your mother stones.
Wish your mother Good helath.
Answered: Thu, 11 Apr 2013
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Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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