Doctor insights on:
Causes Of Severe Pain After Lithotripsy
Pain from procedure: Shock waves are typically applied through an interface brought into direct contact with the skin of the flank region on the side of interest. When shock waves are delivered, they can be quite uncomfortable. Anesthesia is needed to keep the patient comfortable, but also to help the patient stay still so that the shock waves can remain focused on the stone to maximize the chances of fragmenting it ...Read more
What complication may lead a procedure of lithotripsy of 13 ml ureter stone coz severe pain developed in flank and irradiate to back?
See answer: Most common complications of Extracorporeal Shock Wave Lithotripsy (ESWL) include: failure to completely fragment the stone or fragment (s) too big to pass that gets "stuck" in the ureter requiring additional procedures; obstruction of kidney and/or pain from stone fragments passing or getting "stuck" in ureter; blood in the urine; infection; and bleeding around the kidney. ...Read more
Bilateral lithotripsy for stones 6 days ago and stent removal. 2 days ago began having severe cramps and diarrhea. Potential cause?
Here are some...: Possible side effects from antibiotics should be considered although severe pain from occasional ureteral obstruction by clot or stone fragment may occur, but would not be associated with diarrhea. Nonetheless, go to be evaluated to differentiate what it may be by following instructions described in http://formefirst. Com/eNewsletter06.html. Best wishers to recovery... ...Read more
Yes, but...: Everything comes with a price; so is shockwae lithotripsy (eswl) or any act of medical care. Experience confirmed the degree of damage is limited and usually not clinically significant within the recommended 2500-3000 shocks. Despite the consequence of rx, practicing healthy lifestyle with no overindulgence and obsession will surely help all willing persons to live a long life. ...Read more
Possible, but rare.: Shock wave lithotripsy (swl) is a technology that uses focused sound waves to fragment kidney stones. These impulses have been shown to cause some disturbances of heart rhythm, usually provoking premature beats. These machines are now "gated", meaning that a simultaneous ekg delivers pulses at the safest moment of the cardiac cycle. Svt with eswl has been described in the literature, but is rare. ...Read more
Well, yes.: Without an actual examination, I cannot give specific medical advice on your particular health, but if stones are broken down to smaller sizes, they gottta go somewhere. In about 1 in THREE patients getting lithotrypsy for gallstones, they got this sort of complication. Http://www. Ncbi. Nlm. Nih. Gov/pubmed/22577805 ...Read more
Not typically: There is nothing inherent to this procedure which would lower a persons threshold for seizure. Individuals at risk for seizure should know that these procedures often require anesthesia and the use of those medications may change the effectiveness of anti-seizure medications. This can be discussed with the anesthesia team prior to scheduling a procedure. ...Read more
Kidney disease: You need to see the urologist who placed the stent to get further information as soon as possible. If your kidney function was normal before the procedure, you have acute kidney disease which needs to be evaluated. If the urologist finds nothing wrong, go to a nephrologist to see if you have some kidney disease not related to your kidney stone or stent placement. See these doctors quickly. ...Read more
Can a kidney stone issue cause referred pain in my neck & shoulder? I just had a stent & lithotripsy procedure last month. Followup appt. Soon.
Kidney stone: Yes- although more commonly referred to the pelvic area. ...Read more
Could lithotripsy cause addison's disease or the Depo-Provera birth control shot? I have a positive ANA was told I have fibermyalgia? Would a CT scan show it?
No and no: I have never heard of lithotripsy causing addison's disease. It is not something that would show up on a cat scan. The most common cause for addison's disease is autoimmune, so having a positive ANA may put you at a slightly higher risk, but addison's is very rare, and needs to be diagnosed by an endocrinologist, with laboratory testing. ...Read more
Minimize distress: Lithotripsy requires intubations through delicate and sensitive areas. These can be painful and there is enhanced pain from the inflammation of the kidney/ureteral stone. Also the instrument has to be carefully aimed to just fragment the stone and minimize damage to the normal tissue and this is more easily achieved while the patient is under anesthesia. ...Read more
Treatment of stones.: Lithotripsy is the process by which stones in the urinary tract are broken into small fragments. 'lithotripsy surgery' are procedures where small instruments are used to deliver mechanical, electro-hydraulic, or laser disruption of stones. Access is gained through the bladder (cystoscopy, ureteroscopy), a small flank incision (pcnl), or sometimes by laparoscopy. ...Read more
Sure: There are no contraindications to lithotripsy with menopause. Menopause is a state that women will be in for many years. It can increase her risk of heart disease but physicians are looking for more detrimental disease processes such as diabetes, blood pressure, heart disease, strokes, vascular disease when assessing surgical risk. ...Read more
Anesthesia is usual: During extracorporeal shock wave lithotripsy, most patients are under general anesthesia, or given intravenous analgesics by an anesthesiologist or nurse anesthetist. If the patient is not under general anesthesia (some systems don't require it) they may feel a "slap" in the area of the shock wave, but it is generally reduced by analgesics, and some drugs eliminate recall of the event. Dr. Mike. ...Read more
Same but more: Extracorporeal shock wave lithotripsy (eswl) is used to break up stones which are stuck somewhere, whether it be the kidney or the bile duct or elsewhere. Risks include bleeding, damage to the surrounding tissue/organ, and when coupled with other procedures, generally mean a more difficult procedure. ...Read more
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