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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stomach Pain, Diagnosed As Kidney Stone. CT Scan Taken. What Does Findings Mean? Surgery Needed?

HI Doctor,
My brother had a sever stomach pain in the right and back side of the Stomach.
We went to a doctor and he gave a injection and pain killer where in he got omitting.
Then doctor asked us to go for a scanning where in they diagnosed it as a kidney stone that is of 0.6mm and effecting the surrounding areas.
Then they asked us for CT Scan where in the report is as below
a preliminary A>P scanogram of the abdomino-pelvic regions was first made. spiral scans were made through KUB reagions. emplying 8mm sections and wide latitide in wimbdow settiong coronal reconstructions were also performed.
both the kindly are normal in location, orientation and size and shape and attenuations.
on the right side of the mild pelvicalyectasia with ureteric ecatasis is noted down to the upper L3 level at which point loged on a nodular focus of cacific hyperattenuations of up to186HU in attenuation values and about
0.40x0.38x0.73cm in diameters distal to thus the right uerter grossly appears normal.

the appendix is retrcaecal/retrocoloc in orientation and measuring approximately 0.6cm in diamiter and normal.

Please let me me know the reason and what action is required. IS a surgery nessecary ?
Mon, 6 May 2013
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Pathologist and Microbiologist 's  Response
hi there, the CT scan report is a little fuzzy but what I gather is that there is a stone about .6 cm-.8cm size in the rt ureter and it is not causing any significant obstructive uropathy.The pain that your brother experienced is due to the stone moving downwards. Usually this size of stone does not require surgury and usually pass down on its own over a period of time.Though it can be painful, there are other options besides surgery like ESWL to break up the stone into smaller pieces so that it can pass out in the urine. Kindly consult a urologist and get your options cleared and accordingly opt for the best kind of treatment. Take care
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

The appropriate 'action required' is to take your brother to an Urologist.
He needs other investigations too - urine, kidney function, Ca, Urate and so on..
Surgery may not be necessary...
The stone is small in size and is on its way - if the pain is severe, or obstruction ensues, they may retrieve by ureteroscopy [Lithotripsy and stent may be needed at times]

Take care
Wishing speedy recovery
God bless
Good luck
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Stomach Pain, Diagnosed As Kidney Stone. CT Scan Taken. What Does Findings Mean? Surgery Needed?

hi there, the CT scan report is a little fuzzy but what I gather is that there is a stone about .6 cm-.8cm size in the rt ureter and it is not causing any significant obstructive uropathy.The pain that your brother experienced is due to the stone moving downwards. Usually this size of stone does not require surgury and usually pass down on its own over a period of time.Though it can be painful, there are other options besides surgery like ESWL to break up the stone into smaller pieces so that it can pass out in the urine. Kindly consult a urologist and get your options cleared and accordingly opt for the best kind of treatment. Take care