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Suggest Treatment For Kidney Stones

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Posted on Wed, 26 Nov 2014
Question: hi
recently my aunty want for the medical check up. the reported was like "Right kidney reveals two calculi in middle calyces,one measures 4.4 mm and another 6.4 mm" and i consult my doctors and some suggested to operation is must need. but few other doctors said to take the medicine is the good rather than operation. so we are full of confuse and we need your full help.
thank you
doctor
Answered by Dr. Shailja Puri (22 minutes later)
Brief Answer:
Conservative treatment and regular follow up

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic,

Management of renal calculi or renal stones depends on the size and location of the calculi or stones.
The calculi or stones larger than 6 mm are managed by surgery.
However, the calculi / stones which are smaller than 3 mm are managed by conservative measures.
Conservative measures include drinking plenty of water and agents which will cause dissolution of stones depending on its chemical nature.
The basis of conservative treatment is dissolution of stone and flushing out of the stone.

Your kidney calculi/ stone is of borderline size and there are no ill-effects on the kidney thus, you can go for conservative treatment and observe the changes in the stone.
You need to follow up with your doctor for reguar assessment of the calculi / stones.
In case the stones regress, conservative treatment can be continued.
If there is not improvement or the stones increase in size, surgical treatment will be needed at that point of time.

If you have more queries, I will be glad to answer.
Dr Shailja P Wahal
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 9705 Questions

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Suggest Treatment For Kidney Stones

Brief Answer: Conservative treatment and regular follow up Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic, Management of renal calculi or renal stones depends on the size and location of the calculi or stones. The calculi or stones larger than 6 mm are managed by surgery. However, the calculi / stones which are smaller than 3 mm are managed by conservative measures. Conservative measures include drinking plenty of water and agents which will cause dissolution of stones depending on its chemical nature. The basis of conservative treatment is dissolution of stone and flushing out of the stone. Your kidney calculi/ stone is of borderline size and there are no ill-effects on the kidney thus, you can go for conservative treatment and observe the changes in the stone. You need to follow up with your doctor for reguar assessment of the calculi / stones. In case the stones regress, conservative treatment can be continued. If there is not improvement or the stones increase in size, surgical treatment will be needed at that point of time. If you have more queries, I will be glad to answer. Dr Shailja P Wahal