Doctor insights on:
What To Do After You Pass A Kidney Stone
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
See or feel it.: Small stoes may cause may or may not cause significant pain & discomfort when they are passed & can be seen at bottom of toilet or in a filter. There is usually significant pain relief when stone exits ureter and reaches bladder. Passage from bladder out thru urethra usually > painful for men than women. ...Read more
Drink lots of water: Urologist may prescribe tamsulosin (flomax) to help ureter dilate and facilitate passage of stone. Some stones are larger than 5 - 6 mm in diameter or have little spikes & get stuck. You may then need a urologist to perform laser lithotropsy or lithoclast lithotripsy to break up stone endoscopically.Larger kiney stones may require shock wave treatment to break up or percutaneous kidney lithotripsy. ...Read more
Be thankful!: Consider an ultrasound to see if there are other stones hiding in your kidneys and to make sure you don't have hydronephrosis (enlargement of the urine collecting part of the kidney) on the side of the stone. If you've "saved" the stone, get it analyzed to see its composition. This could help direct dietary changes or medical therapy to prevent more stones especially if you've passed more than 1. ...Read more
Very variable: Can be as little as virtually none or so little that it can only be identified by microscopic examination all on extreme low side. Can be severe enough to to actually see pure blood &/or clots being passed in the urine.Mostly beeding is minor, varying from invisible to naked wye to mild pink dicoloration of urine. Amount of bleeding is no indication of size of stone or degree of blockage caused. ...Read more
Here are some ...: The fundamental underlying reason for kidney stone formation is kidney's inborn functional defects in handling the excretion of acidity, salt, and stone inhibiting factors. So, all the ideas for stone prevention is still gear up the effort to make urine so diluted below the threshold of forming stone crystals by maintaining daily urine output > 2500 cc and decreasing oral consumption of salt, ... ...Read more
Kidney stone (KS): If a ks is causing a blockage then a stent or a nephrostomy tube is indicated especially in light of an infection +/- intractable pain. Surgical intervention to "remove" the stone is avoided because of the desire to minimize radiation exposure to the fetus. A non-obstructive ks does not need to be treated. www.peedoc.com @drhtay. ...Read more
See below: The only way is to remove the stone see a urologist immeditely. ...Read more
Lithotripsy : There are a couple of ways to get the offending stone. Sometimes a urologist may insert a stent or plastic tube that can act as a sort of guide for the stone. Depending on the size of the stone ultrasound shock waves may be used to break up the stone so that it can pass. There maybe other ideas a urologist has and talk to your doctor for your options. Best of luck ...Read more
Painfully: Kidney stones are more common in men, and have further to go along the longer male urethra. Not all kidney stones are passed, some remain, some need surgical treatment for removal or ultrasound treatment in help of breaking them down to smaller, more passable size. The kidney stones are passed by the fluid current along the ureter, and then by the bladder muscle's pressuring urinary stream. ...Read more
Depend...: Shockwave rx (eswl) for urinary stone is advised for less than some 1.5 cm. But the stone density and past response to eswl may sway this fix rule. Besides, the frequency of using eswl has change and evolved over the past 10-15 yrs due to the availability of fine, smaller instruments coupling with the best-ever optical visualization, resulting in some 65% of stones ... By scope, not eswl today. ...Read more
Medicate and Hydrate: Whenever you are passing a stone, flank pain may ensue (associated nausea and vomiting). Usually fever, malaise , chills, rigors & weakness are not good signs & are usually associated with sepsis and you should receive urgent/emergent care. Small stones can be allow to pass by taking pain medications, hydration and Flomax (tamsulosin) (to dilate ureter). ...Read moreSee 1 more doctor answer
Pass or obstruct.: A stone in the ureter may pass or it may obstruct the ureter. The likelihood that a stone will pass decreases significantly the larger it is, especially over 5mm. If the stone fails to pass, obstruction of urine can cause the kidney to swell in a process called hydronephrosis. Over time this can lead to increased risk of infection and kidney atrophy. Work with your urologist for options. ...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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