USG report shows 3 mm calculus with mild nephrosis and dilated ureter. What to do?

Question

Hi doctor,

I am suffering from kidney stones problem for the past four days. I took an ultrasound scan test. In the report, it was mentioned that tiny calculus of 0.11 inches is seen in the upper pole of the left kidney. Mild hydronephrosis is noted on the left side with dilated ureter due to obstructing 0.17 inches calculus in the lower ureter. The doctor has prescribed Dytor, Aceclofenac and Paracetamol, Drotavarine Hydrochloride and Mefenamic acid tablets. But today again I could feel a sharp abdominal pain. What to do? Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

Stones smaller than 0.23 inches are likely to pass without any intervention. Those that are larger than 0.23 inches or those which cause severe pain, vomiting, or fever need surgical removal (endoscopic). In your case, the stone should pass in a few days time. If pain recurs, you can go for admission and flush therapy (intravenous fluids to flush out stone) for one or two days. You can stop either Aceclofenac or Mefenamic acid as both are pain killers. Take either of the two. Also, add capsule Urimax 0.4 mg (Tamsulosin and Dutasteride) once daily for five days, as this may relax your ureter and help decrease the pain. Repeat USG (ultrasound) after five to seven days to confirm the stone passage.

I hope I have resolved your queries. Do get back if you have any further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Glad to have you back.

Usually, when the stone passes from the ureter into the bladder, there may be a sharp pain followed by sudden relief, with or without one or two drops of blood in the urine. It then passes out through the urethra easily. Sometimes you may not notice unless you urinate into a urine pot.

Thank you.