Doctor insights on:
How To Treat Urolithiasis
Urinary & radiologic: Urinalysis to detect presence of blood or cystine, microscopy can detect crystals. Timed urinary excretion, commonly 24 hrs, for calcium, uric acid, citrate or oxalates. Kidney & bladder ultrasound, plain abdominal x-ray (kub) and most reliable of all is abdominal ct scan. ...Read more
Stones, both sides.: Urolithiasis are stones in the urinary tract, such as a kidney stone, ureteral stone, or bladder stone. Bilateral means both sides. Since the body has two kidneys, one of the left and one on the right, the phrase "bilateral urolithiasis" could simply mean that there is a kidney stone on the left and right sides of the body. ...Read more
Here is...: I assumed you probably meant varicocele phlebolith, not urolithiasis. Urolithiasis denotes stones forming inside urinary tract - kidneys, ureters, ; bladder. Phlebolith indicates stone formed inside vein, usually at its valves as the phlebolith commonly seen in pelvic veins in imaging study, which carries no practical weight in clinical care. So, i assumed stones similarly forms inside varicocele. ...Read moreSee 1 more doctor answer
Removal & prevention: Pain management if necessary. Elimination of stones, by natural means if small enough to pass on their own + copious fluid intake or by IV & ? Flomax to help ureter dilate & facilitate passage. May require ureteral stenting in presence of significant obstruction.Cystoscopic or ureteroscopic laser lithotripsy or basket extraction. Shockwave lithotripsy. Percutaneous nephrolithotomy. Then prevention. ...Read more
With continuous exercise and proper nutrition to treat the daily threats of hypoglycaemia, is this condition curable not just a treatable daily chore?
Daily chore..: Sorry to say, but reactive hypoglycemia, which is typically what we experience, is not curable. Proper management includes smaller more frequent meals with as much as 35 grams of fiber for a woman/50 grams of fiber for a man divided evenly amongst the meals, with the intent of smoothening out the release of insulin from the pancreas throughout the day and night. ...Read moreSee 1 more doctor answer
BIliary obstruction: You would be foolish to ignore surgical options if this is a gallstone, cancer, or bile duct stricture. Non-surgical cholestasis is often due to some medication and finding which one and going on something different is your physician's task. If you have primary biliary cirrhosis or one of the other medical illnesses that produces cholestasis, talk with your physician abound an adjunct supplement. ...Read more
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