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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Urinating?

My husband has a history of kidney stones. He felt ill yesterday with flu like symptoms and some discomfort when urinating. He visited a local Doctors Care and was told he tested positive for the flu, but that he did have a bladder infection. He was given an antibiotic with no need for follow up. He has taken 2 days worth of the antibiotic and seems to be in more pain. His urine production had decreased to the point of being only a few drops. Can he wait to see his urologist in the morning or is this something that needs to be taken care of sooner?
Sat, 2 Dec 2017
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General Surgeon 's  Response
Hi and welcome to HCM.
this can be caused by kidney stones.
Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy.
Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease.
In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections, preventing scarring, identifying patients with a solitary functional kidney,.
Kindly regards. Wish you a good health.
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What Causes Difficulty In Urinating?

Hi and welcome to HCM. this can be caused by kidney stones. Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy. Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease. In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections, preventing scarring, identifying patients with a solitary functional kidney,. Kindly regards. Wish you a good health.