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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Right Abdominal Pain While Taking Topamax For Kidney Stones?

My husband started Topamax 2 months ago and he was in the ER with pain in his side ,blood in The urin could not void they diagnosed him as having kidney stone he was also dehydrated, do the other Topamax family related drugs have all those extreme side effects, if not what R they
Fri, 17 Apr 2020
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General Surgeon 's  Response
Hi,

Topamax should not have such side effects. Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy.

Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease.

In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections, preventing scarring, identifying patients with a solitary functional kidney.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Iven Romic Rommstein
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What Causes Right Abdominal Pain While Taking Topamax For Kidney Stones?

Hi, Topamax should not have such side effects. Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy. Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease. In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections, preventing scarring, identifying patients with a solitary functional kidney. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Iven Romic Rommstein