Doctor insights on:
Kidney Stone Basket Extraction
If I am admitted for a kidney stone manual extraction or lithotripsy how long will i be in the hospital. Right now I am not able to control pain?
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
I had kidney stone surgery Tuesday basket removal bladder and uretha exploration and lazer done still bleeding lightly now still clotting and in a lot?
Notify urologist: Some urinary bleeding is not unusual and is not worrisome if it's light and clots don't interfere with urination. Drinking lots of fluids is helpful in this regard. Avoid aspirin or antiinflammatories like Aleve,Advil which can increase bleeding tendency. Tylenol (acetaminophen) is ok. However if bleeding persists,becomes heavy and there are large clots, you must notify your urologist. ...Read more
Kidney stone.: Kidney stones up to 5mm in size will predictably pass on their own. Just drink plenty of water so you produce a lot of urine, dilate those ureters and allow the stone to pass. It may hurt while it's on its way out, but it'll pass. Bigger stones will likely get stuck and will cause tremendous pain and will have to be removed by lithotripsy or cystoscopy. ...Read moreSee 1 more doctor answer
A metabolic work-up : The best way to fight stones is to understand your metabolism. I believe that most stone formres should have a metabolic work-up. This should include blood levels of calcium, 24 hour urinalysis (looking at calcium, citrate, oxalate, etc). Good intake of water avoiding certain foods (high in calcium, oxalate) and medications (citarte, diuretics) may be necessary to fight stones. ...Read moreSee 1 more doctor answer
Metabolic issue.: Kidney stones are initiated by metabolic derangements in the handling of urinary oxalate, uric acid or calcium, for example. These derangements can be hereditary, and they allow for crystals of these substances to form. These crystals serve as a nidus for stone creation. ...Read moreSee 1 more doctor answer
Pain: Depends. Sometimes are symptom free for years but if they start to move from kidney down the ureter people can experience intense pain that can come and go but usually some degree of continuous pain. As the stone move down toward the bladder the pain may change from the midback area moving down toward the bladder. People say this is one of the worst pains. Go to er or see your doctor asap. ...Read moreSee 1 more doctor answer
Depends on site: If the stone is in the ureter (kidney to bladder tube), there is something call "peristalsis", which helps move things along. That would mean a periodicity to the pain: every few minutes. However, if the stone is in the kidney, and blocking the exit, it may be a constant pain; if it is in the urethra (exiting), it may be excrutiating and constant! ...Read more
ESWL,fluids,etc.: Whatever can dissolve or break down the stone is used to remove it. For example, eawl or extracorporial shock wave lithotripsy use shock waves to break up the stone from outside the body. Meanwhile patients are encouraged to drink plenty of fluids to hopefully pass the stone on the urine. If these and other things fail then surgery might be done, as a last option. ...Read more
Kidney stones: Medical "expulsive therapy" involves using one or more medications (tamsulisin, ketorolac etc) to dilate and/or relax the ureter, in conjunction with pain control and vigorous oral hydration. The success rate of this approach depends on the size of the stone, your particular ureteral anatomy and your willingness to endure some discomfort in the process. ...Read moreSee 1 more doctor answer
Flank pain & colic.: Passing a kidney stone is usually painful, and his been famously compared to childbirth. There is commonly flank pain radiating to the groin, occasionally with nausea and vomiting. Pain occurs usually if the progress of the stone is held up, and the ureter squeezes against the obstruction. If the size & orientation of the kidney stone are favorable, is may pass without much difficulty. ...Read more
No: This is too large to pass. In general, stones less than 5 mm in size should be given an opportunity to pass. Patients can be advised that stones less than 4 mm in size generally pass within one to two weeks. A 7.5 mm stone should be referred to a urologist for treatment options. ...Read more
Kidney stones: Calcium oxylate stones are the primary type in north america. They cannot be dissolved. Around 15% of stones are uric acid. It may be possible to dissolve these by alkalinizing the urine. See a urologist for assessment and treatment recommendations. ...Read moreSee 1 more doctor answer
Solutes precipitate and combine to form stones formed of calcium oxalate usually around a nidus of uric acid. Other solutes that form stones are ca and mg phosphates, cystine, and uric acid staghorn calculi form in the presence of chronic urinary tract infections. Stones can be painful, may require ...Read more
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