4 doctors weighed in:

What would be the best treatment for kidney stones aside from surgery?

4 doctors weighed in
Dr. George Klauber
Pediatrics - Urology
1 doctor agrees

In brief: Mostly nonsurgical

Basic treatment and management consists of consuming lare volumes of water and maintaining a low salt diet.
Flomax (tamsulosin) by mouth can increase spontaneous passage of small stones. Larger stones should respond to eswl (electroshockwave lithotripsy). Other stones can be broken up by ureteroscopic laser lithotripsy technically non-surgical. Get stone and urine analysis ? Preventable metabolic problem.

In brief: Mostly nonsurgical

Basic treatment and management consists of consuming lare volumes of water and maintaining a low salt diet.
Flomax (tamsulosin) by mouth can increase spontaneous passage of small stones. Larger stones should respond to eswl (electroshockwave lithotripsy). Other stones can be broken up by ureteroscopic laser lithotripsy technically non-surgical. Get stone and urine analysis ? Preventable metabolic problem.
Dr. George Klauber
Dr. George Klauber
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In brief: Attempt at passing

For ureteral stones, you may opt for a trial of passage.
Passage rates can be predicted based on stone size, location at presentation and duration of presence. The larger the stone ( > 4-5 mm), the longer it's been trying to pass and the earlier in the ureter it gets stuck all suggest lower likelihood of passage. Some meds aid in passage. Stones in the kidney < 4mm can be watched for growth.

In brief: Attempt at passing

For ureteral stones, you may opt for a trial of passage.
Passage rates can be predicted based on stone size, location at presentation and duration of presence. The larger the stone ( > 4-5 mm), the longer it's been trying to pass and the earlier in the ureter it gets stuck all suggest lower likelihood of passage. Some meds aid in passage. Stones in the kidney < 4mm can be watched for growth.
Dr. Robert Donato
Dr. Robert Donato
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Dr. Timothy Ashley
Internal Medicine & Pediatrics

In brief: Wait

Most kidney stones will pass on their own with pain control (from Ibuprofen or occasionally narcotics), plenty of fluids, and time.
Stones that are large may not pass; the state of the art for many is lithotripsy, when stones are broken up by intense ultrasound waves, leaving a fine(r) gravel that should pass much more easily.

In brief: Wait

Most kidney stones will pass on their own with pain control (from Ibuprofen or occasionally narcotics), plenty of fluids, and time.
Stones that are large may not pass; the state of the art for many is lithotripsy, when stones are broken up by intense ultrasound waves, leaving a fine(r) gravel that should pass much more easily.
Dr. Timothy Ashley
Dr. Timothy Ashley
Thank
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