Doctor insights on:
Non Obstructing Nephrolithiasis
Maybe: It depends on where the foci were seen. Were they in the kidney or in the renal sinus? In the cortex, it could be artifact or fat. In the renal sinus, it could be artfiact or kidney stone. If there is a concern for stones, ct is the most accurate test. ...Read more
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
I have multiple non-obstructing nephrolithiasis atleast 8 in the right and 5 in the left. Which measures ranging from 1.7mm to 6.8mm, should I worry?
Seek evaluation.: Just because you have stones doesn't mean they will necessarily obstruct & cause you problems; but you may be at risk. The best way to assess your risk is to discuss your case with a urologist. A detailed history is important. And if you are a driver or a pilot, understanding your risk is important since you cannot afford to have an attack of renal colic while on the job. Seek advice & good luck. ...Read more
I have pelvic ultrasound yesterday and found out tiny non obstructing nephrolithiasis, bilateral; small renal cyst measuring 9mm, left. Should I worry?
No: Small kidney cysts are pretty common. And small non obstructing stones should not cause much issue especially if you have a history of prior stones. If concerned, check with your urologist or physician who ordered the tests. ...Read more
I am 24 year old suffering from kidney stone which obstructed in ureter confirmed by ultrasound exam is of 7-8 mm. Can it be pass without surgery?
Possibly: Stone size is the major determinant of the likelihood of spontaneous stone passage. The location of the stone is also important. With stones larger than 4 mm in diameter, there is a progressive decrease in the spontaneous passage rate, which is unlikely with stones > 10 mm. Proximal ureteral stones are also less likely to pass on their own. ...Read more
Stone: This means stones within the kidney.Get a more detailed answer ›
Depends on Size: The size of the stone determines if treatment is needed, as well as what approach. Stones in the kidney >2.5 cm usually need surgery through a keyhole incision in the back (pcnl). Smaller stones (but >4 mm) in the kidney may need eswl (sound waves) or a direct look through the ureter (ureteroscopy) with laser break up. Often stones can be observed by xray, intervening only when painful. ...Read more
I have several nonobstructing nephrolithiasis, largest is 3.5 mm. Should I worry? How long in furture till they start hurting? I have pain medicine
Needs follow-up: At this point it sounds like the stones are still in the kidney. They should not cause pain unless they start moving down the kidney tube (ureter). Good news is largest stone is 3.5 mm which should be passable. Would see urologist to follow stones and do tests to see why you are forming them ...Read more
Stone formers: Nephrolithiasis means kidney stones.Nephrocalcinosis is a condition of depositing calcium into the tissue/collecting systems/tubules of either the cortex (outer portion) or medulla (inner portion) of the kidney - this can lead to stone formation. Corticol and medullary nephrocalcinosis have different mechanisms/causes and are associated with different physiologic/anatomic conditions (eg msk). ...Read more
Mal-rotated relatively small right kidney with nephrolithiasis and hydronephrosis due to narrowing at puj. (but I don’t feel any pain)?
I am a hemophhilic from nepal. I puj stenosis bilateral and right kidney gross hydronepheosis and left mild hydronephrosis. Rt.Multiple nephrolithiasi?
Cyst and stone: This is not dangerous but can cause symptoms and bleeding; operation not essential; ask your doctor if more than one cyst is present; ask if stone is part of cyst or separate; ask if more than one stone exists; then ask for 24 hour urine analysis to assess chemistry of urine - to determine why stone formed. ...Read more
Interpret the result hyperechoic foci right 0.36cm left 0.42cm diffused fatty liver change, mild nephrolithiasis, bilateral female 49?
On a recent us it came back as hydronephrosis and no nephrolithiasis or focal renal parenchymal lesion mean in the right kidney. What does this mean?
? kidney infection: Hydronephrosis is a condition of expansion of the internal areas of the kidney that hold urine. This is seen with a blockage of the system, an infection or sometimes as a normal variant. When it is on one side, with your symptoms, it is likely due to kidney infection. You should be on antibiotics if you are not already. Please see your doctor right away if you are not. ...Read more
On a recent sonogram, I was diagnoed with mild hydronephrosis and then the next sentence said no hydronephrosis or nephrolithiasis or focal parenchyma?
Ask: Are you sure it was not "mild hydronephrosis"for one side and"no hydronephrosis"for the other? If there is mild hydro then no hydro may be a typographic error. The side with no stones will have no hydro. It is best to check with the doctor who ordered the study who can always call the radiologist who dictated the report and talk to her or him. Best wishes. ...Read more
What does this KUB impression means: Renal Calcification vs. Nephrolithiasis; right kidney. There is 7.1 mm high level echo in the right kidney.
It probably means: You have a 7.1mm kidney stoneGet a more detailed answer ›
Pain RLQ for 2 wks, CT w/blt nephrolithiasis, largest 3 mm on rt. Also says "Pulmonary single punctate stone seen on the left." What does that mean?
Unsure: The language doesn't make sense other than right kidney stone. Ask for clarification. ...Read more
I have nephrolithiasis (4, 9, 10 mm) in the two kidneys after lithotripsy. The last abdominal sonogram confirmed this. Is required other study (kub)?
KUB: If your stones are visible on a kub x-ray, this is the easiest most accurate way to follow the course of the stones as they hopefully pass after lithotripsy. Some stones do not show up on kub well, however ultrasound evaluation for specific location of stones can be a bit nebulous at times. Your treating urologist will certainly have recommendations for what study is best for you. ...Read more
Symptoms, flank & side pain (intermittent), bubbles & wbc in urine. CT reports, punctate upp pole right nephrolithiasis. No obstruction. Urologist, wait?
ForeverBlowingBubbls: There are bubbles in the urine and then there are bubbles in the urine! I'll assume right now that those bubbles are just the usual foam. If not, you'll need a urologist pronto. Otherwise, if you don't have a lot of pain, or it is relieved easily with Motrin or Tylenol (acetaminophen) and the urine stays its usual pretty yellow (ish) color then you can go on and hope it passes (which can get pretty painful) ...Read more
Kidney Stones: The pain that occurs as a result of kidney stones comes from one thing and that is obstruction. So, the answer to your question is no. Non-obstructing kidney stones can not be felt at all. However, a stone can sometimes move in and out of an obstructing position. Imaging studies may catch a previously obstructing stone when it is no longer causing blockage (obstruction). ...Read more
1.1cm: Is a relatively large stone, and may lead to problems in the future, even though now it is non-obstructing. Discuss the risks/benefits with your Urologist in an informed decision making conversation/visit and decide the best option for your specific case. Good luck. ...Read more
Indefinitely: A kidney stone can remain nonobstructive indefinitely. ...Read more
Obstructing 4mm kidney stone & hydros. Symptoms gone 24 days, but no passage. Pain recurred yesterday & persistent. Same stone? Cause for concern?
Kidney stone: You need to see your doctor. Stones are tricky and unpredictable. They can also have serious complications so get an appointment with your doctor very soon and have this checked out. ...Read more
No waiting: Would not wait a second.Get a more detailed answer ›
Pain?: Are you having pain? Most kidneys stones will eventually pass on their own with increased water consumption. If you are not having symptoms, then don`t worry about it. Rarely, painful or "blocking" kidney stones require minimally invasive surgery or lithotripsy. Be sure to keep yourself hydrated with water. ...Read more
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