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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood In Urine, Pain In Lower Abdomen, Bloating. Diagnosed As Kidney Stones. Suggestions For A Speedy Recovery?

I have had blood in my urine for 5 days now. Day one, I went to the ER in a lot of pain and found out I have several stones in my kidneys, including one that hasn't passed that is 3mm in size. I am in intermittent pain still, that is mostly in my lower back and wraps down the right side of my lower abdomen. I feel a lot of bloating and pressure. I went to the Urgent Care yesterday and they read the CT scan from day one, I haven't had an ultrasound, should I get one? I am an athlete, am on a reality TV show, and am competing in two weeks and it is going to be filmed, for my work. What can I do, to speed up this process, I need to be practicing asap, but the Urgent Care Dr. said I shouldn't be doing anything physical strenuous for 5 more days, at least.
Mon, 1 Jul 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
3 mm size of stone is not large size and it will pass in urine very easily.
Plenty of fluid of different types( juice, water with lemon, soft drinks ).
In my patient I usually use diuretic drips and stone comes out within 3-4 days.
Disodium hydrogen citrate (solution)20 ml three times a day will help.
I usually allow my patients to work regularly.
Good luck.
Dr. HET
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  User's Response
Hi, many thanks for the query!
Yes, you should get an USG (KUB) dene along with X-ray KUB, Sr. creatinine, Sr. Uric acid, Urine (Routine & Microscopy).
This will help us to know the exact location, current size, type of the stone as those seen on USG but not on X-ray are Uric acid stones being radio-lucent, so diet & treatment for Hyperuricemia can be started.
USG will also tell us regarding Hydronephrosis & Hydroureter (back pressure changes in kidney & ureter due to obstruction caused by stone) which hamper the kidney-function, so that the decision regarding operative procedure can be taken, in which case IVP (Intra-Venous Pyelography) may be needed to decide the type of Surgery.
If all this is not needed (as per reports) then Stone Conservative Management can be started including- Diuretics, Anti-spasmodics, Pain killers, Urine alkalinizing agents etc with your doctor's opinion.
Drink plenty of water so that 3 litres of urine is voided over 24 hours.
Wish you a good health.
All The Very Best for your project.
Take care.
Regards.
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Blood In Urine, Pain In Lower Abdomen, Bloating. Diagnosed As Kidney Stones. Suggestions For A Speedy Recovery?

Hello, Thanks for the query to H.C.M. Forum. 3 mm size of stone is not large size and it will pass in urine very easily. Plenty of fluid of different types( juice, water with lemon, soft drinks ). In my patient I usually use diuretic drips and stone comes out within 3-4 days. Disodium hydrogen citrate (solution)20 ml three times a day will help. I usually allow my patients to work regularly. Good luck. Dr. HET