How to manage moderate hydronephrosis, hydroureter, and renal calculi?

Question

Hi doctor,

My mother is diagnosed with moderate right hydronephrosis, and proximal hydroureter is seen due to a calculus (1400 HU in attenuation value) in the right upper ureter measuring 13.2 x 7 mm, located approximately 6.5 cm below the pelvic ureteric junction. Two calculi are seen in the mid pole of the right kidney, the largest measuring 3 mm. Tiny calculus measuring 2 mm is seen in the upper pole of the left kidney. She is taking the medications Tenegliptin 20 plus and Metformin 500 mg. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern for your mother.

The stones which are less than 5 mm are not of much concern because they may pass with adequate water intake, that is, 84.5 to 101.4 ounces of water every day. But the stone size of 13 mm has increased pressure in the right side of the kidney, which in the long run may cause irreversible kidney injury. So my suggestion would be this is the clear-cut indication to go to a urologist for stenting and stone removal. As a preventive measure, I suggest taking syrup Potassium citrate two teaspoonfuls daily. Consult a specialist and take medications with their consent.

Hope this helps.

Kind regards.

How to manage moderate hydronephrosis, hydroureter, and renal calculi?

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