How to get relieved from kidney stones, pain, and fever?

Question

Hello doctor,

I had three kidney stones on my right side. I passed the bigger kidney stone six days ago but yet there are two smaller ones that did not pass. I can still feel the pain that comes and goes from my right kidney along with some fever. I am drinking Meloxicam an anti-inflammatory drug with some Ibuprofen for some pain relief.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I would need some more details from you to understand your situation better.

How big are the stones in size (each)?
Did they do a CT scan or were the stones diagnosed on ultrasound?
Are you diabetic?
Have you had kidney stones previously or is this the first time?
Have you had any surgeries in the past?
Did they do any blood tests for you to check your infection levels and kidney function?
How do you know the stone you passed was the bigger?

Unfortunately, in my opinion, the drugs you are taking will not help pass the stone, they will only help with the pain. You will need some alpha-blockers to help you pass the stones.

Please revert back with the details and upload any test results you have; I will do my best to assist you.

I hope this has helped you. Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I see that you are a second time stone former which is because once a stone former there is always a risk of recurrence in the future. The tablet they gave you is appropriate and should help you pass the stone. How quickly (or even if it happens) depends on the location of the stone. Stone in the lower pole of the kidney is difficult to pass as they have to rise up against gravity. Stones in the ureter are most likely to pass with Tamsulosin. Chances are the other stones are also moving down and that is what is causing the pain. However, even if they do not come out with this medication, there is no need for any surgical procedure as the size is too small unless you start having repeated high-grade fevers or pain which cannot be managed by medication. Please continue to take the medication and along with that follow this advice:

Drink at least three liters of water daily. Water is your best defense against stone formation.
Increase your intake of lemon, citrus, and cranberry juices.
Limit milk intake to around 1 to 1.5 glasses a day.
Limit intake of salt.
Limit intake of protein.
Continue taking Tamsulosin for at least a month.

I hope this helps. Thank you.