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Severe pain due to kidney stones. Discharge of white sand like substance through urine. Does she have to go to a nephrologist?

My grown daughter (age 23) has had kidney stones for 5 years. She has passed many stones in those 5 years. This weekend she experienced the worst pains she has ever experienced. She began passing a white, think sandlike substance for several days She would experience horrible pain and pressure and then push and the substance would release in clumps. I am very worried about her . We have made an appointment at her urologist , but not expecting anything because they rarely have any answers for her. I was wondering if we should consider going to a nephrologist instead of a urologist. I am beginning to think we may be dealing with something in addition to kidney stones. Do you have any ideas of where we should turn at this point.
Asked On : Fri, 18 Jan 2013
Answers:  1 Views:  150
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Urologist 's  Response
Welcome to HCM.
It could be chyle(fat globules) or turbid urine.
Urologist is the best pErson to see, not because i am one, but we are the ones to do surgical procedure if required. But there is no harm in seeing a nephrologist as well.
She needs urine analysis, culture, urine for chyle, renal function tests and IVP/CT scan.
Based on the results treatment can be started. If pain is severe, obstruction can be relieved by a stent.
Best regards
Answered: Fri, 18 Jan 2013
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