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I Feel A Sharp Prick. When The Urine Stops Stone Of 5 Mm ?

Posted on 6 days ago

Question: Dear doctor,

I have a stone of 5 mm in the ureter and doctor prescribed tamsulosin 0.4 once daily for me. The problem is since two days I am taking the medication, I have sever nasal congestion which interfere with my breath. I believed it's related to the medicine.

Does the medicine cause that ? And what alternative I can take ?

Thanks

Answered by Dr. Dr. P. T. Patil (8 hours later)

Brief Answer:
Stop taking Tomsulosin .

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted you seem to have a stone in ureter and your Dr has prescribed Tomsulosin and you have been facing problem of Nasa congestion .Tomsulosin is known to cause side effect of Nasal congestion .

Stop taking Tomsulosin and switch on to Tab Epidosin 10 mg .twice daily.

Ensure to drink more water .

Hope I have answered your query ,please feel free to ask if you have more questions, I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (10 hours later)

Thanks for your answer doctor.

I have sever pain two days ago when I did the ultrasound and found that I have 5mm stone in the lower part of ureter. I started drinking a lot of water and diuretic since then. On the second day my pain just gone and I have very slight pain now which is even not bothering and I am not taking anything analgesics for it. Is that due to may be the stone dissolved and excreted in urine ? Or it could be stayed there without pain ?

Thanks

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Mostly stone has passed out in urine.

Detailed Answer:
Hello
Thanks for follow up
Absence of pain suggests that most likely the stone has passed out in urine.. This can be confirmed by repeating Ultrasound Scanning of abdomen.
Thanks and Regards
Dr Patil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (3 days later)

Thanks for your answer doctor.

I did Ultrasound and Both kidneys are normal in size and position, normal both PCS, no stone or SOL .
UB normal in thickness, no stone or SOL and the same for GB .

It seems the stone was pass out through the urine.
But I still have some pain in lower abdomen or in the right side . Any reason for that ?

Thanks

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Pain is due to inflammation of ureter (Ureteritis)

Detailed Answer:
Hello
Thanks for follow up and feedback .
The pain in lower abdomen that you have is due to inflammation of ureter (Ureteritis) caused by impacted stone in ureter .It gets resolved gradually within two weeks .
You may take pain killers once daily .

The person who gets urinary stones has chances of getting stone again 50% more than a normal individual hence ensure to drink more water (4-5 liters in 24 hours ) to prevent recurrence of stone again .

Thanks and Regards.
Dr Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar