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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Calculus In Middle Calyx Of His Right Kidney. Alkaline Phosphatase Serum Is High? Fear?

My 9 year old son is having a calculus of 3mm in right middle calyx of his right kidney, most of the time he is complaining of seviere pain in right back side, but the urologist says that such a small stone cannot create pain, all other blood test, urine test, ultrasound & x-ray does not indicate any other type of abnormality. My sons Alkaline Phosphatase Serum is 301, Haemoglobin is 13.8, ESR is 22 & RBC are 4-5. Kindly suggest as to what could be the reason for pain also should we do surgery to remove the stone.
posted on Fri, 12 Oct 2012
Twitter Sat, 13 Oct 2012 Answered on
Twitter Mon, 15 Oct 2012 Last reviewed on
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Nephrologist,  's  Response
Dear Kumar
Your urologist is right, such a small stone will not cause pain. Even larger stone unless obstructing the urine flow are painless.

Stone removal is not needed here. The alkaline phosphates are higher in children, and normal ranges differ with age. Check the reference value from the lab which performed the test.

He needs to be assessed probably by a surgeon or orthopaedics.

regards
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Calculus In Middle Calyx Of His Right Kidney. Alkaline Phosphatase Serum Is High? Fear?

Dear Kumar Your urologist is right, such a small stone will not cause pain. Even larger stone unless obstructing the urine flow are painless. Stone removal is not needed here. The alkaline phosphates are higher in children, and normal ranges differ with age. Check the reference value from the lab which performed the test. He needs to be assessed probably by a surgeon or orthopaedics. regards