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Pregnant, Diagnosed With Kidney Stone. Took Hydromorphone, Pain In Lower Back, Radiating To Leg. Underlying Cause?
Hello, i am 29 weeks pregnant and have been diagnosed with a kidney stone in my left kidney that is too big to pass. I am prescribed 2mg of hydromorphone every 6 hours. I am now experiencing a really bad pain in my lower left back that is radiating into my left leg. The pain medication is not helping. What could this be?
Fri, 15 Nov 2013
Hi,
The pain may be due to kidney stone and since 2mg of hydromorphone every 6 hours is not helping in relieving the pain you need to discuss with your obstetrician in the further line of management. If the calculus does not pass, it may initiate premature labor, produce intractable pain, cause urosepsis in the setting of urinary tract infection, or interfere with the progression of normal labor. Since the size is too big to pass the best management will be surgical.
There are many options in the surgical management (stent placement, ureteroscopy with stone manipulation, percutaneous nephrostomy) and hence discuss with your doctor about the same. They will be the right person to decide further management.
Regards
The pain may be due to kidney stone and since 2mg of hydromorphone every 6 hours is not helping in relieving the pain you need to discuss with your obstetrician in the further line of management. If the calculus does not pass, it may initiate premature labor, produce intractable pain, cause urosepsis in the setting of urinary tract infection, or interfere with the progression of normal labor. Since the size is too big to pass the best management will be surgical.
There are many options in the surgical management (stent placement, ureteroscopy with stone manipulation, percutaneous nephrostomy) and hence discuss with your doctor about the same. They will be the right person to decide further management.
Regards
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