A member asked:

I have 4mm kidney stone w flank pain for a month. started flomax (tamsulosin) and chanca piedra supplement 3 days ago. how long to try this b4 surgery instead?

5 doctors weighed in across 2 answers

Ureteral stone: The size of the stone does not correlate well to the intensity of the pain. The nearly unbearable pain of "ureteral colic" is from spasm of the muscular ureter. Although 50% probability to pass on its own within a few days, a 4mm stone sometimes will get stuck and fail to progress. Usually after 5 days, i recommend having the stone extracted with a ureteroscope as an outpatient.

Answered 6/20/2018

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See below: You started flomax (tamsulosin) 3 days ago.You state that you don't want stent. It depends on the location of the stone but if you have been in pain for a month, I would be inclined to recommend endoscopic intervention if the pain management is a problem. Hope you pass it or get it taken out soon.Best wishes.

Answered 1/7/2015

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