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Suggest Treatment For Blood In Urine And Pressure During Urination
Question: Recently I went to the ER with blood in my urine and pain. The CT Scans found a 5mm in my lower left ureter. My urologist prescribed pain meds and I was home for 2.5 weeks drinking lots of liquids trying to pass the stone. I have a history of kidney stones for over 30 years. I usually pass them, but this one obviously got stuck. After 2.5 weeks my urologist sent me for a second CT scan with showed no stones in my ureters. That was over a week ago. However, I still have blood in my urine, my prostate on the left side really hurts, as well as my left testicale. Plus, when I pee I feel unbeliveable pressure and sometimes wonder if I will pee at all. What concerns me is... what happened to the 5mm kidney stone? I have strained by urine faithfully since leaving the ER and never passed it. So where is it? Is this stone still causing all these pre-mentioned complications? Why did my urologist simply release me and said I could return to work without making sure where the 5mm kidney stone was and how and why it was still causing problems for me? What should I do? Should I go back to the ER? Shouldn't a doctor go inside me and check on my bladder and see if this 5mm stone is blocking something? I would really appreciate guidance. I am really in a lot of discomfort and worried that all this pressure to pee and discomfort may injury my kidneys, bladder etc. if not treated properly.
Thanks! XXXXXXX
Thanks! XXXXXXX
Brief Answer:
you are right, and you need investigations
Detailed Answer:
Hi,
Your Urologist is right to the extent that he got your CT scan to confirm that your stone had indeed passed.
In a patient like yourself with history of recurrent episodes of having passed stones earlier on several occasions, a 5 mm stone in ureter should not really cause trouble, and therefore conservative treatment is justified. The second CT scan , if it says that the stone is not in the ureter, should be sufficient for that purpose as it has an accuracy of over 99% for locating stone, and thus the stone could have come into the bladder or prostatic urethra where it might have got stuck despite its tiny size.
In view of the fact that your discomfort is pronounced, you can check with your Urologist if you can be started on drugs like Flomax which will help pass urine better, and thetefore any stone, and may be a potassium citrate syrup to reduce the pain. PSA can be done to rule out prostatic inflammation, and antibiotics like ciprofloxacin if there is indeed suggestion of infection.
If none of these help you in getting relief, you can get a cystoscopy which will help retrieve any stone if it is still there in the bladder, and also to know the source of a bleeding, i.e., bladder or prostate or urethra.
Hope I have been of help.
Best wishes.
you are right, and you need investigations
Detailed Answer:
Hi,
Your Urologist is right to the extent that he got your CT scan to confirm that your stone had indeed passed.
In a patient like yourself with history of recurrent episodes of having passed stones earlier on several occasions, a 5 mm stone in ureter should not really cause trouble, and therefore conservative treatment is justified. The second CT scan , if it says that the stone is not in the ureter, should be sufficient for that purpose as it has an accuracy of over 99% for locating stone, and thus the stone could have come into the bladder or prostatic urethra where it might have got stuck despite its tiny size.
In view of the fact that your discomfort is pronounced, you can check with your Urologist if you can be started on drugs like Flomax which will help pass urine better, and thetefore any stone, and may be a potassium citrate syrup to reduce the pain. PSA can be done to rule out prostatic inflammation, and antibiotics like ciprofloxacin if there is indeed suggestion of infection.
If none of these help you in getting relief, you can get a cystoscopy which will help retrieve any stone if it is still there in the bladder, and also to know the source of a bleeding, i.e., bladder or prostate or urethra.
Hope I have been of help.
Best wishes.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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