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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In The Lower Abdomen Along With Painful Urination?

I had huge pain in my lower abdomen, I went to doctor, they gave an injection to reduce the pain after that I ve never had that pain again but the doctor gave me test and I found out I hace 4mm stone in my lower kidney now I have a little pain during urinating, the doctor told me to drink less water and under go a surgery now what should I do? Please tell me
Thu, 30 Mar 2017
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General & Family Physician 's  Response
Hello friend, what you have mentioned is highly irrelevant. Kindly cross-check few things-Stone size? if its size is 4mm only never go for surgery. The stone till 7mm size normally passes through urine.
Take following precautions
Drink plenty fluids (at least 2 litre urine output necessary)
Syp Alkasol 15 ml with a glass of water at bed time
If urine microscopy is positive for pus then take Tab Norfloxacin 400 mg twice a day for 7 days or Levofloxacin 500 mg once daily for 5 days

The only problem is you will have Renal colicky again while stone passing through urine. You have to add take one more tablet during pain (while having colicky)
Tab Drotin-M 1 tablet S.O.S, During excessive pain you can continue twice daily for 5 days

If you have recurrent renal calculus then go for following test
24hr urine for uric acid, citric acid, Calcium
Serum Calcium
Serum Uric acid
these will help to rule out metabolic disorders and help to take measures to prevent stone if any.

Most import thing to prevent stone is fluid..fluid..fluid
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What Causes Severe Pain In The Lower Abdomen Along With Painful Urination?

Hello friend, what you have mentioned is highly irrelevant. Kindly cross-check few things-Stone size? if its size is 4mm only never go for surgery. The stone till 7mm size normally passes through urine. Take following precautions Drink plenty fluids (at least 2 litre urine output necessary) Syp Alkasol 15 ml with a glass of water at bed time If urine microscopy is positive for pus then take Tab Norfloxacin 400 mg twice a day for 7 days or Levofloxacin 500 mg once daily for 5 days The only problem is you will have Renal colicky again while stone passing through urine. You have to add take one more tablet during pain (while having colicky) Tab Drotin-M 1 tablet S.O.S, During excessive pain you can continue twice daily for 5 days If you have recurrent renal calculus then go for following test 24hr urine for uric acid, citric acid, Calcium Serum Calcium Serum Uric acid these will help to rule out metabolic disorders and help to take measures to prevent stone if any. Most import thing to prevent stone is fluid..fluid..fluid