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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Kidney Stones Causing Urinary Incontinence

Hello My husband has kidney stones - but his primary physician felt they were too small to be a real problem and they will be passed in urination. After a few weeks, the pain got worse and there has been quite a bit of urinary incontinence. We have a appt with a urologist for the 4th of October but there is so much pressure and pain - 1300 mg Tylenol has not effect. I will see Monday if we can get the appt moved to next week but he cannot get comfortable - lying down, lay on his side, sitting, standing - and he has become bloated. His stomach is upset - Is there a short term solution you can advise to relieve some of the pain. He has had to change his underwear 8 times today - due to leaking - there is discharge as well. Any advise. He resists going to the Emergency Room - (due to cost).
Mon, 17 Oct 2016
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General & Family Physician 's  Response
Hi
Thanks for posting on HCM
Sorry to hear your husband is struggling with urinary stone and sorry for relying your query late.Hope my answer may still help if he is not yet taken care of or hope it may help if any recurrence since it is common in patients with a past history of urinary stone.
Small kidney stone may be managed medically with pain and anti-inflammatory medications hoping that it will pass.It may however stay in place longer and increases the risk of developing a UTI.Urinary incontinence, abdominal pain/bloating and discharge suggest an infection is in place and will need to be adequately managed to prevent complications like sepsis and kidney failure.Best treatment would have entailed hospitalization and IV antibiotic and pain/anti-inflammatory medications while following up if he has passed out the stone.After passing out urinary stone or after being treated for it, recurrence is common.Preventive measures that may help your husband in future may include:
-Drink water throughout the day
-Eat fewer oxalate-rich foods
-Choose a diet low in salt and animal protein
-Continue eating calcium-rich foods, but use caution with calcium supplements
Hope this will help
Best regards
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Suggest Treatment For Kidney Stones Causing Urinary Incontinence

Hi Thanks for posting on HCM Sorry to hear your husband is struggling with urinary stone and sorry for relying your query late.Hope my answer may still help if he is not yet taken care of or hope it may help if any recurrence since it is common in patients with a past history of urinary stone. Small kidney stone may be managed medically with pain and anti-inflammatory medications hoping that it will pass.It may however stay in place longer and increases the risk of developing a UTI.Urinary incontinence, abdominal pain/bloating and discharge suggest an infection is in place and will need to be adequately managed to prevent complications like sepsis and kidney failure.Best treatment would have entailed hospitalization and IV antibiotic and pain/anti-inflammatory medications while following up if he has passed out the stone.After passing out urinary stone or after being treated for it, recurrence is common.Preventive measures that may help your husband in future may include: -Drink water throughout the day -Eat fewer oxalate-rich foods -Choose a diet low in salt and animal protein -Continue eating calcium-rich foods, but use caution with calcium supplements Hope this will help Best regards