Hi.. I Ve Been Passing A Kidney Stone. The Pain

Posted on Wed, 24 Jul 2019

Question: Hi.. I've been passing a kidney stone. The pain is gone but, for days since the pain subsided, I have had the intense urge to pee... especially when at rest. Is that a residual effect from passing a kidney stone? I saw some very small particles in my urine the past few days... but nothing big.

Answered by Dr. Dr. P. T. Patil (46 minutes later)

Brief Answer:
Stone likely located at the lower end of ureter .Needs to investigate

Detailed Answer:
Hello
Thanks for query .
Based on the facts that the urge to pass urine frequently that you have is mostly to be due to stone likely to be located at lower end of ureter and needs to be investigated .

Consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis

.Further treatment will depend upon result of these tests and final diagnosis.

In the mean time you can start taking antibiotic like Norfloxacin twice daily and alpha blocker like Tomsulosin once daily.

Ensure to drink more water to help to produce more urine .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 minutes later)

What is an alpha blocker? Whats it for?

Answered by Dr. Dr. P. T. Patil (17 minutes later)

Brief Answer:
These are the group of drug that relaxes smooth muscle in ureter

Detailed Answer:
Hello
Thanks for follow up .

alpha blockers are the group of drug that relax smooth muscles in ureter and help to dilate it so as to help to move the stone down with ease and fast.

Thanks and Regards.
Dr XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 hours later)

Ok... and how long will this feeling last? Does it last as long as the stone is in there?

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
feeling will last till stone slips in to bladder

Detailed Answer:
Hello
Thanks for follow up .

The feeling of urge will go away when stone will move down into bladder .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 days later)

Hi there... I had a CT scan... the report came back saying there is a probable .3cm left ureteral vesicular junction stone but it's hard to see because there are numerous phleboliths surrounding it. No hydronephrosis or hydroureter.

And there is a non-obstructing stone in the right kidney.

The pressure in the area above my penis is pretty intense and the urgency to pee is still there. All other areas of the CT scan were normal except finding "nonspecific minimal soft tissue stranding around the celiac axis and multiple appendicoliths in my appendix but no appendicitis"

How long do you think this pressure/urgency will last? Shouldn't the stone just drop in the bladder and what is making it stay there?

Thank you.

Answered by Dr. Dr. P. T. Patil (9 hours later)

Brief Answer:
The feeling will go away when thr stone slips in to bladder in week or so ,

Detailed Answer:
Hello
Thanks for follow up .
The stone of 3 mm is bound to pass down in to bladder spontaneously within a week .

Ensure to drink more water and start taking treatment suggested .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (18 hours later)

One last question... on the report it said I had an "under distended bladder" which made it hard to evaluate... what does that mean?

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
Under distended bladder means it was not filled with adequate urine

Detailed Answer:
Hello
Thanks for follow up .

While doing ultrasound scanning bladder has to be filled with minimum 250-300 ml of urine so as to have clear visualization of interior ,nature and thickening of bladder wall .Under distended bladder signifies that it was empty or may be filled with inadequate quantity of urine .

Thanks and Regards.
Dr Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar