I had excruciating right abdomen and back pain. I went to a nearby clinic who told me to get an ultrasound since it doesn't feel like appendicitis. Ultrasound revealed a 6.8mm calculus in the right proximal ureter + mild hydronephrosis on the right side. The doctor gave me some syrup and told me to wait for it to pass through urine. But my life is a living hell. Pain shoots up every 3-4 hours and NSAIDs don't cut it. I am taking Tramadol + NSAID to get relief but even they don't last for more than 3 hours. Every 3 hours, the pain comes back again and it's worse this time.
1) What should I do - Should I ask for Lithotripsy instead of waiting for normal passage? Because I read it's difficult to pass 6.8mm sized stone. 2) Also, how long will this renal colic pain last? It's been a day and still it keeps coming back. I can't bear the pain anymore. 3) Will it stop after a day or will it continue till the stone is out?
PLEASE HELP ME OUT.
Answers (1)
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Ureteric stone of < 6mm size pass down naturally in 30-45%of patients
Indications for intervention
Persistent pain
Fever with chills
Deterioration of Kidney function
Vomiting
Symptomatic management
. Levoflox 500mg once daily x 5 days
T.drotin 40 mg for pain
T.veltam 0.4 mg daily night x 7 days
Next Steps
I think you will require URS with stenting
if you have any queries you can consult with me
thanks
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Kidney
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