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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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4 Mm Stone Detected. Belly Swollen, Drinking Tons Of Water, Did Not Pass Stone. Urologist Help Required?

CT shows 4 mm stone with left side hydronephrosis and hydroureter. On 5th day. Still haven t passed stone. Belly is very swollen. Been drinking tons of water, lemon juice (concentrated), and even added in pink lemonade. Now constipated. Was treated in ER 5 days ago. Should I forget about trying to pass it on my own and see a urologist in the AM. ER Dr. referred one if needed. This is my 9th stone. Thank you. Teresa
Mon, 22 Jul 2013
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  User's Response
Hi, many thanks for the query!
You haven't mentioned the location of the stone in the urinary tract, not even the grade/degree of hydronephrosis & hydroureter.
You need to do- USG KUB empty stomach, Urine (R & M),
RFT, CBC, Blood Sugar Level.
Till then take antispasmodics, antacids, diuretics, pain killers with
your doctor's opinion.
Drink plenty of water so that at least 2 litres of urine is voided in 24 hrs.
Being a recurrent stone former, you should do- Metabolic workup of 24 hrs urine sample, stone analysis of previous stones, Sr. Uric acid, Sr. Calcium, Sr. PTH, so that certain drugs & appropriate dietary advice can be given as per the reports to prevent stone formation in future.
Wish you a good health.
Take care.
Regards.
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4 Mm Stone Detected. Belly Swollen, Drinking Tons Of Water, Did Not Pass Stone. Urologist Help Required?

Hi, many thanks for the query! You haven t mentioned the location of the stone in the urinary tract, not even the grade/degree of hydronephrosis & hydroureter. You need to do- USG KUB empty stomach, Urine (R & M), RFT, CBC, Blood Sugar Level. Till then take antispasmodics, antacids, diuretics, pain killers with your doctor s opinion. Drink plenty of water so that at least 2 litres of urine is voided in 24 hrs. Being a recurrent stone former, you should do- Metabolic workup of 24 hrs urine sample, stone analysis of previous stones, Sr. Uric acid, Sr. Calcium, Sr. PTH, so that certain drugs & appropriate dietary advice can be given as per the reports to prevent stone formation in future. Wish you a good health. Take care. Regards.