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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Kidney Stones

I am from Dhaka, Bangladesh, age 45. I was diagnosed with stones in both kidneys. I had undergone a ESWL procedure for my right kidney. But now the crushed stones are not clearing up. Recent x-ray report shows the following - calculi are seen in both renal region, calculi are also noted at the right side of the L2 & L3 vertebrae along the line of right ureter, phlebolith is seen at the right side of the pelvic cavity. I am suffering from bouts of severe pain in the lower back and abdomen. What should be my next course of treatment?
Mon, 23 Nov 2015
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Urologist 's  Response
Hello
Thanks for query .
You have undergone ESWL for Rt renal calculus and is having severe pain in abdomen .

Your pain is due to residual fragments of the stone that got impacted in ureter and causing pain due to hydronephrosis .

Consult your Urologist for clinical assessment and get following basic test done
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis

Taking Tomsulosin once daily along with antibiotic like Cefixime and Dratovarine twice daily will help to pass the fragments down into bladder within a week .,

If this fails you may need to put a double J stent in ureter to help to pass the fragments out .

Dr.Patil.
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Suggest Treatment For Kidney Stones

Hello Thanks for query . You have undergone ESWL for Rt renal calculus and is having severe pain in abdomen . Your pain is due to residual fragments of the stone that got impacted in ureter and causing pain due to hydronephrosis . Consult your Urologist for clinical assessment and get following basic test done 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis Taking Tomsulosin once daily along with antibiotic like Cefixime and Dratovarine twice daily will help to pass the fragments down into bladder within a week ., If this fails you may need to put a double J stent in ureter to help to pass the fragments out . Dr.Patil.