Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

162 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does this ultrasound report indicate?

Answered by
Dr.
Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10002 Questions

default
Posted on Thu, 2 Mar 2017 in Urinary and Bladder Problems
Question: Hi, my brother(22year old) have a stone of 8mm at left UV junction as diagnosed in ultrasound today. 2weeks back he got CT-KUB in which the stone was 6mm and was in mid-ureter. Doctor advised for endoscopy. Please suggest.
doctor
Answered by Dr. P. T. Patil 4 hours later
Brief Answer:
The modality of treatment depends upon following factors .

Detailed Answer:
Hello
Thanks for query .

Your brother has been detected to have stone of a size of 6-8 mm in left ureter at URetero Vesical Junction .

The modality of treatment in such cases is decided on following few factors
1) Severity of symptoms --Whether patient has fever ,persistent vomiting suggesting infection
2) Degree of hydronephrosis (Back pressure changes in kidney)as reported in Ultrasound Scanning


Normally a stone of a size of 6-8 mm located at UV junction can be expected to pass out spontaneously.

I would suggest you to wait and watch and take following treatment
1) Take antibiotic like Ciprofloxacin twice daily to prevent infection
2) Tomsulosin once daily this is a smooth muscle relaxant and causes dialatation of ureter and there by halps to mve the stone down i to bladder
3) Tab Drotavarine twice daily This also helps to dilate the ureter and reduces the pain .
4) Drink more water to produce more urine ,This will help to pass the stone down early .
5) Repeat your ultrasound Scanning after two weeks to see whether stone is at the same level or moved down .

However if he gets severe pain and vomiting during this expectant period he may need to get the stone removed endoscopically .

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.


Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Medical Topics ,  

Recent questions on  Severe pain

doctor1 MD

Hi, My husband has pus filled pimples in the backside of his head. He has very oily hair. We have observed that they come up whenever he has sweets or his hair becomes very oily. They usually come and go very frequently. It has been like this for...

doctor1 MD

My father undergone Electrical cardioversion treatment due to having severe Atrial Fibrilation (AF). Needless to say the treatment did not work after 4 attempts and they have prescribed him various medications to control the rate of the heart. We...

doctor1 MD

I have a severe pain in my right arm, actually in the muscle, upper arm... also started as a long standing fibromyalgia pain for years in shoulder ... this is different and far more painful... it is like the muscle, nerves, etc. are all affected....

doctor1 MD

If I might have had a heart attack 4 nights ago, should I go to emergency now? I have an appointment to see my doctor in 3 weeks. I'm 52 yr old woman, no family heart history, fit, excellent health (blood pressure, cholesterol excellent) but woke wed night with severe crushing pain started centre of chest then felt under my breasts for about 30-45 minutes whether i laid down, stood up walked around it was like a tight rubber band. Is it too late to get checked out asap? 52yrs old female..5'5", 130pounds, healthy.

doctor1 MD

Hello, my dr. Is out of of office for next week. Medical imaging called me to tell me that they picked up a 22 mm cyst on my left ovary . And a small umbilical hernia . I ma having having extreme pain on my left lower side and I just started a period again after just having one less then 2 weeks ago. My pain level is becoming pretty unbearable. Should I go to ER?

doctor1 MD

I HAD A THALAMUS STROKE IN SEPTEMBER. IT HAS LEFT ME WITH NEUROPATHY ON MY LEFT SIDE FROM MY SCALP TO THE BOTTOM OF MY FOOT, HAND BEING THE WORST. Since October I have been experiencing tremors in my left leg and foot and now on my right side. I was hospitalized in October and November for this and they can't find out why this happens. Is this part of my stroke and something like nuculi were affected. Will this go away?

doctor1 MD

Hello, my name is Michael Boswell. I am a 22 year old part-time student living with my mother. I am writing because I have been to one gastroenterologist before, and they couldn t quite seem to find the answers I m looking for. At the age of 16, I started taking a weight lifting supplement ( creatine pill form) and the day I took 4 of them like what was told on the back of the bottle, I could already tell I wasn t able to hold in my urine, I couldn t even sit down for my football meeting because I had to go to the bathroom to urinate. I then struggled for 2 years through the remainder of High School with severe chronic pain , I went and saw my family doctor who then told me to go see a specialist, and I had two colonscopies and endoscopy done. The gastroenterologist agreed there was something causing my irritation, but couldn t figure out what it was. I had blood work done, and everything came back for Crohns Disease , and they then labeled me with IBS. I m asking for help because I m at a dead end, I still suffer EVERY day with some sort of symptom, whether it be irritation and pain in my stomach, or when I feel a Bowel Movement coming on the urgency that I have because I know I will not be able to hold it in...the medication they had given me worked, but with other symptoms arising. I was prescribed Hyosyamine ER 0.375 MG, and Paroxetine HCL 20 MG. I took them as told on the bottle, and I would RARELY have a BM through the week, but instead I would have one full day (Saturday) of me having to sit on the toilet. I have read that there are no cures, which is very discouraging, this disease or whatever you want to call it, has taken the happiness and normality out of my life, and has replaced it with anger and no hope. I am hoping there is someone that can please help me...