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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Urinary Frequency High, Pelvic Pressure, Specks In Urine. Had Kidney Stones. Further?

I am having urinary frequency, urgency, pelivic pressure, a few black specks in my urine. No flank pain, however a hx of kidney stones several times in which prior to the last episode of kidney stones I required Lithotripsy in which the Urologist had a very difficult time crushing the stone because it was so dense. I have also had approx 8-10 UA s done since May and all come back negative for a UTI , however are indicating microscopic blood in the urine. Don t know what to do. Please advise. Thank you, Michelle RN
Mon, 5 Aug 2013
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Nephrologist 's  Response
Hi Michelle,
You have Kidney stones disease.The symptoms you are having could be due to stone pieces coming out with urine & irritating the urinary bladder during their passage causing these symptoms.First thing i would like to advise you will be to get urine biochemical profile involving uric acid,phosphorus,calcium,oxalate,bicarb.
Secondly,Usg KUB & Xray abdomen to look for present stone load &/or its comlications.
Meanwhile,maintain 3-3.5 litrs of fluid intake,avoid bakery products,carbonated drinks.You may try some urinary tract antispasmodics in case it is very symtomatic
Best of luck
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Urinary Frequency High, Pelvic Pressure, Specks In Urine. Had Kidney Stones. Further?

Hi Michelle, You have Kidney stones disease.The symptoms you are having could be due to stone pieces coming out with urine & irritating the urinary bladder during their passage causing these symptoms.First thing i would like to advise you will be to get urine biochemical profile involving uric acid,phosphorus,calcium,oxalate,bicarb. Secondly,Usg KUB & Xray abdomen to look for present stone load &/or its comlications. Meanwhile,maintain 3-3.5 litrs of fluid intake,avoid bakery products,carbonated drinks.You may try some urinary tract antispasmodics in case it is very symtomatic Best of luck