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Obstructing stone in calix, inside kidney. What is it?

Isn't a "non-obstructing" 5mm stone in left lower pole calix actually an "obstructng stone" when it attempts to exit the calix, but an abnormally long, narrow channel between calix to inside kidney (per pyelelogram during failed ureteroscopy), expecially when it is the only identified cause of frequest childbirth-llike pain and kidney infections?
Asked On : Sun, 14 Apr 2013
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  User's Response
Hi, many thanks for the query!
Ureteroscopy is done for lower or middle ureteric stones or at the most, upper ureteric stones (flexible URS). For Stone in the calyx of the kidney, we do PCNL or ESWL (if not a hard stone).
But all this is not necessary if your stone size is just 5 mm & there is no abnormality in RFTs, no hydronephrosis/hydroureter on USG (KUB).
You should do- RFTs, USG (KUB), X-ray KUB, Urine (R&M).
Take Stone Conservative Management including- Anti-spasmodics, diuretics, allopurinol (if Sr. uric acid is raised), urine alkalinizing agents, potassium-magnesium citrate, pain killers with your doctor's opinion.
Drink plenty of water so that at least 2 litres of urine is voided in 24 hrs.
Wish you a good health.
Take care.
Answered: Mon, 1 Jul 2013
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