Sir, I Have Taken Abdomen Scan . Listed Major Points

Posted on Sat, 10 Nov 2018

Question: Sir, I have taken abdomen scan . listed major points . I have been drinking water . No medicines. Now pain almost nil .

Scan main points:
Right Kidney : There is a calculus measuring 3mm in the mid calyx . XXXXXXX dilatation of pelvicalceal system seen.
A calculus measuring 5mm seen in lower ureter about 1 cms above vesico-ureteric junction

Left Kidney : The are three calculi measuring 3mm to 4 mm seen . No hydronephrosis.

Impression: Bilateral renal calculi.
Right lower ureteric calculus with hydronephrosis.

Please let me know the course of action n diet allowed in the future. Thanks.

Answered by Dr. Dr.Raju.A.T (1 hour later)

Brief Answer:
Excess water intake

Detailed Answer:
Hi,

Thanks for your query.

Excess water intake is the best approach for small stones.

Also, avoiding green leafy vegetables for few days would help. Oxalic acid present in the green leaves can increase the risk of getting stones.

The right side 1 cm stone is one which must be meddled with. If the repeat scan after 6 months shows the stone not reduced than 1 cm in size you may have to go for extraction via cystoscopy.

Hope, I answered your query.

Wish you good health.

regards,

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

Follow up: Dr. Dr.Raju.A.T (4 minutes later)

Sir, it's not 1cm stone. It's 5mm stone 1cm above junction.

"A calculus measuring 5mm seen in lower ureter about 1 cms above vesico-ureteric junction"

Answered by Dr. Dr.Raju.A.T (15 hours later)

Brief Answer:
I apologize

Detailed Answer:
Hi,

Thanks for writing back.

I sincerely apologize for misreading the report.

The advice stands same, drinking more water and avoiding the green leafy vegetables.

5mm stone is not big enough to cause blockade and cause back pressure leading to hydronephrosis. I am sure the size will be bigger than 5mm. A CT scan can ascertain that.

For not if you do not have pain abdomen, then we shall stick to water therapy alone.

But repeat scan after 6 months is a must. Next time you can go for a CT scan directly, as the stone size will be accurate in measuring the stone size.

Hope, I answered your query.

Wish you good health.

Regards,

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