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Suggest treatment for kidney pain

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Posted on Mon, 21 Apr 2014
Question: Rt Kidney: Shows 6.1 mm calculus at lower pole Lt Kidney: Shows 5.8 mm calculus at upper pole. Grade 1 hydronephrosis & dilated upper ureter, 10.5 mm calculus seen impacted at upper ureter. So advise the medicine to me as soon as possible because of i have very much pain.
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Answered by Dr. Deepak Kishore Kaltari (38 minutes later)
Brief Answer: Tablet Drotin will be helpful Detailed Answer: Hi Namasthe Welcome to Healthcare-Magic Greetings of the Day Dear Mr XXXXXXX The pain in kidney area is likely to be due to impaction of ureter with calculus causing blockade of urine outflow. I would advise you Tablet Drotin(Drotaverine) 80mg thrice daily. Its a smooth muscle relaxant and will decrease pain of Ureteric colic. Calculus of size of 10.5 mm is unlikely to pass spontaneously and will require further Surgical intervention. Do get back to me if you need any further assistance, will be gla to assist you. Take Care Best Regards Dr Deepak Kishore MBBS,MS,MCH Consultant Surgeon
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Deepak Kishore Kaltari (35 minutes later)
Please tell me the how to destroy this stone and it will be remove by medicine. What you suggest the precaution for eating and drinking.
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Answered by Dr. Deepak Kishore Kaltari (8 minutes later)
Brief Answer: Avoid Oxalate conatining foods Detailed Answer: Namasthe As I already told you stone of 10.5 mm imapcted in upper Ureter will Require Nephro-ureteroscopy for removal of stone as its unlikely to pass out spontaneously. I would suggest you to get the following investigation done in consultation with General Surgeon/Urologist 1. Serum Calcium, Phosphorous 2. Serum Uric acid 3. Urine routine examination As Hypercalcemia may be one of the cause of recurrent stones.It needs to be ruled out. I would suggest the following modifications in diet 1. Ensure good intake of water: Ensure water intake of 4 liter a day, as it will lead to high urine output and may promote expulsion of stone. 2. Avoid food rich in oxalates: Tomato, Spinach and cabbages are to be avoided 3. Avoid excess milk products. I would suggest you to consult Urologist for further management. Take Care Best Regards Deepak 1.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3193 Questions

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Suggest treatment for kidney pain

Brief Answer: Tablet Drotin will be helpful Detailed Answer: Hi Namasthe Welcome to Healthcare-Magic Greetings of the Day Dear Mr XXXXXXX The pain in kidney area is likely to be due to impaction of ureter with calculus causing blockade of urine outflow. I would advise you Tablet Drotin(Drotaverine) 80mg thrice daily. Its a smooth muscle relaxant and will decrease pain of Ureteric colic. Calculus of size of 10.5 mm is unlikely to pass spontaneously and will require further Surgical intervention. Do get back to me if you need any further assistance, will be gla to assist you. Take Care Best Regards Dr Deepak Kishore MBBS,MS,MCH Consultant Surgeon