I go by the guidelines . Some patients pass out 2 cm stones also but some don’t pass 4 mm stones . So I can’t make all of them to wait until there kidneys go for a toss . There are patients who have lost their kidneys be

I go by the guidelines . Some patients pass out 2 cm stones also but some don’t pass 4 mm stones . So I can’t make all of them to wait until there kidneys go for a toss . There are patients who have lost their kidneys because of a 5 mm stone .for your information CT scan is more sensitive and specific than ultrasound. Gives you complete information. As per guidelines CT is a must for a patient with stone to plan line of management. If I ask you to strictly follow the diet for stones , you will starve . There is no diet that can prevent further formation of stones . I advised you to consume more water and less salt . Now coming to pain killers? You already had stones and kidney function was affected. How can I damage your kidney with more pain killers. Good you didn’t get treated by me . You don’t deserve it.