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Suggest Treatment For 4 Mm Stones At Ureterovesical Junction
Hi..I have 4mm stones in UV junction...it very painful yesterday... But today there s no pain at all.my doc gave me bascopan injection.. As per her stone might be removed through urine.. But I still knot sure for it.. I m32 yr old female .. With one 20 mths baby whom I m still nursing...what do I do..
Wed, 4 Nov 2015
Hi & Welcome.
I can understand your concern.
Incomplete data like detailed report of ultrasound done, any lab test done to find out the chemical composition of the stone.
Usually kidney stones of less than 5 mm tend to pass spontaneously. However, if the stone persists to cause obstruction along with pain, or infection (fever, abdominal pain, chills with burning urination) it needs to removed by lithortipsy or by ureteroscope.
Uric acid calculi, which comprise 5-10% of urinary calculi, are unique in that they may be managed medically. Urine alkalinization with potassium citrate (or alternatively sodium citrate or sodium bicarbonate) will dissolve uric acid stones.
Meanwhile take Buscopan tablets along with NSAID pain killer like Diclofenac for the symptomatic relief of pain & drink plenty of water.
Drugs like Sodium citrate or potassium citrate (syrup) is effective in dissolving the stones if they are composed of uric acid.
Hope this answers your query.
I can understand your concern.
Incomplete data like detailed report of ultrasound done, any lab test done to find out the chemical composition of the stone.
Usually kidney stones of less than 5 mm tend to pass spontaneously. However, if the stone persists to cause obstruction along with pain, or infection (fever, abdominal pain, chills with burning urination) it needs to removed by lithortipsy or by ureteroscope.
Uric acid calculi, which comprise 5-10% of urinary calculi, are unique in that they may be managed medically. Urine alkalinization with potassium citrate (or alternatively sodium citrate or sodium bicarbonate) will dissolve uric acid stones.
Meanwhile take Buscopan tablets along with NSAID pain killer like Diclofenac for the symptomatic relief of pain & drink plenty of water.
Drugs like Sodium citrate or potassium citrate (syrup) is effective in dissolving the stones if they are composed of uric acid.
Hope this answers your query.
I find this answer helpful
4 mm stones are likely to pass off in the urine. So he is right in waiting. Also Buscopan should help you when in pain. The severe pain occurs whenever the stone passes through the urinary tract. Pain comes down once it stops.
If Buscopan doesn't help during pain try Dicyclomine and Diclofenac injection during severe pain. Or the oral tablet with the same drugs.
If Buscopan doesn't help during pain try Dicyclomine and Diclofenac injection during severe pain. Or the oral tablet with the same drugs.
I find this answer helpful
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