Brief Answer:
It normalizes usually with in a week

Detailed Answer:
Hi

Thank you for contacting Healthcaremagic.

Alpha blockers usually are short acting and act immediately usually with in 24 to 48 hours. Hence on stopping it the side effects like stuffiness of nose and headaches usually disappear almost immediately. But some side effects like ejaculation problems may persist for about a week.

Hope that answers your query.

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Brief Answer:
You can stop the alpha blocker

Detailed Answer:
Hi
Thank you for your follow up query.

Alpha blockers only work for stones in middle and lower part of ureter. They relax the tubes draining from the kidneys(called ureter). So stones come down quicker and with less pain. It does not help the stones in the kidney. Small stones in the kidney also do not cause any pain but causes pain when drops down to ureter.

If the 2.8 mm stones on the right side was in the ureter on previous scan then I would advice you to get an ultrasound to see whether the stone has passed. If it was in the kidney then you can stop the alpha blocker straight away(an ultrasound may not pick up such a small stone in the kidney -so no use in repeating the ultrasound)

Regarding the preventive method for stones and to prevent the right side stones from increasing- please drink adequate fluids to make urine colorless, reduce salt in diet and avoid red meat and reduce animal protein.

You can continue taking alkasol for 2-3 months and stop as most people find it difficult to continue it for longer periods. Instead you can drink freshly squeezed lemon juice every day. Kulthi water helps by adding to fluid intake but I do not believe it works in any other way.

Hope that answers your query.

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Brief Answer:
Ultrasound will detect most if not all stones in ureter.

Detailed Answer:
Hi
Thank you for your follow up query.

If small stones drop into ureter it is likely to show what is called hydronephrosis or prominence of pelvicalyceal system of kidney. This associated with pain indicates that there is stone in ureter. Only very rarely there will not be hydronephrosis but there will be pain prompting us to go for CT scan if ultrasound is normal.

Citrate present in alkasol is helpful in preventing formation of stone or enlargement of stones. Lemon has very high concentration of citrate. Two lemon per day is equivalent to taking alkasol three times per day which is the normal recommended dose. Alkasol also has sodium which may be undesirable if taken for prolonged periods.

Hope that answers your query.

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Brief Answer:
A tablet called Naproxen.

Detailed Answer:
Hi
I normally prescribe my patients a tablet called Naproxen and the dose depends on severity of pain - from 250 mg to 500 mg twice daily provided you do not have ulcer, bleeding tendencies or kidney failure or asthma. You will have to get the prescription from your doctor.
Thank you

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Brief Answer:
Naproxen is better

Detailed Answer:
Hi
Naproxen is better than Spamoproxyvon. It takes about 15 minutes to work. Naproxen has less side effects than voveron.

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Brief Answer:
Avoid red meat, drink adequate fluids, decrease salt.

Detailed Answer:
Hi
To avoid recurrence of stones
1) Increase fluid intake enough to make the urine colourless.
2)Decrease salt in your diet
3) If you are non vegetarian, stop taking red meat and decrease animal protein- chicken, fish egg etc.
4) Increase citrate in diet - two lemons in a day in the form of lemon juice.
5) Decrease Oxalate in your diet - reduce nuts, chocolates, spinach and other leafy vegetables, radish, tomatoes, strawberry.
6)Increase diary products like milk, cheese, yogurt.

Hope that answers your query.

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