Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
165 Doctors are Online

Have had pevlic and lower abdominal pain. CT scan done. How long should I wait to get cured?

User rating for this question
Answered by

Practicing since : 1995
Answered : 527 Questions
I have had pevlic and lower abdominal pain for at least 6 months. It gets worse after walking. If I press XXXXXXX into a spot on my left side, I get muscle spasms. I have had a CT scan which showed a 4 mm nonobstrcting calculus lower pole left kidney. I also have a mild nonspecific focal dialation left ureter aproximately 7 cm above the left UVJ --with no dialation above or below this level. How long should I wait to see if I am going to pass the stone on my own, or is there something I can do speed up eliminating the stone. I am 62 years old, and have never past a painful stone before.
Posted Sun, 19 Aug 2012 in Abdominal Pain
Answered by Dr. V. Sasanka 26 minutes later
Your 4mm calculus in left kidney is unlikely to be causing you the the kind of pain that you seem to be experiencing, i.e. a pain which increases on walking, and certainly the pain from urinary stone should not be associated with muscle spasms. You also should not be suffering from nausea due to this small stone, and so if it indeed is a problem you might need to consult a physician /gastro-enterologist for managing nausea.
There are very good chances that you will be able to expel the stone spontaneously without requirement of medicines. I doubt if any urologist would advice you anything else as the size of the stone is quite small, but consider meeting him sooner than December if you have a sharp, colicky pain in your loin coming down towards your groin. I have no good experience with herbal supplementation and would recommend it only if its use has been supported by well-controlled clinical trials.
Unless contra-indicated, you should improve your water intake, preferably over 3 litres a day, and maybe more- try to maintain a urine output which is clear.
Your vegan diet is probably not necessary. In fact, some milk intake is recommended - preferably 1-2 glasses per day - this should take care of the oxalate in diet by binding it. We in fact rather discourage calcium supplementation in medication form in patients with kidney stones unless it is absolutely necessary, and dairy products are encouraged.
Restricting soy, sesame, peanuts could help, but you should be aware that there is an inherent tendency to form oxalate by the liver that you will not be able to control despite dietary measures. All these measures would be more appropriate if you have been passing stones on a regular basis since childhood, or if you have strong family history of kidney stones.
Hope I have been able to help you.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Gastroenterologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor