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Suggest Treatment For Kidney Stones
Question: Hello DOc,
my sister (29 yr) is having pain of stones from past 3 days of kidney stones. after CT scan, it seems there are multiple stones in both of the kidneys. and one of the stone of 5mm came down to the tube. is it safe to go for laser operation for that stone? is there any side effect of the same?
my sister (29 yr) is having pain of stones from past 3 days of kidney stones. after CT scan, it seems there are multiple stones in both of the kidneys. and one of the stone of 5mm came down to the tube. is it safe to go for laser operation for that stone? is there any side effect of the same?
Brief Answer:
Surgery is not advisable for a 5mm stone.
Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist, i must advise you to take an informed decision.
A stone less than 6mm, usually may pass spontaneously, with conservative treatment.
You can very well wait for about 2-3 weeks and try medical treatment.
Keep surgery (endoscopic laser lithotripsy), as an option, after that period only.
Conservative treatment means the following :
1. Drink at least 15 glasses fluids daily.
2. Take potassium magnesium citrate syrup/tablets twice daily.
3. Take an alfa-blocker drug like,Alfuzocin once daily at bedtime.
4. Take an anti-spasmodic tablet like serratio-peptidase,chymotripsin twice daily.
5. repeat ultrasound scan of abdomen, after 3-4 weeks.
Continue the medication,so that remaining stones decrease in size and also may flush out. Also continue drinking fluids 3L/day.
Further treatment will need to be reassessed after the next scan report.
Laser surgery has side-effects of injuring the tube, in which stone is lodged.
Wish you a spedy recovery.
Surgery is not advisable for a 5mm stone.
Detailed Answer:
Hello XXXXXXX and welcome to HCM.
As an Urologist, i must advise you to take an informed decision.
A stone less than 6mm, usually may pass spontaneously, with conservative treatment.
You can very well wait for about 2-3 weeks and try medical treatment.
Keep surgery (endoscopic laser lithotripsy), as an option, after that period only.
Conservative treatment means the following :
1. Drink at least 15 glasses fluids daily.
2. Take potassium magnesium citrate syrup/tablets twice daily.
3. Take an alfa-blocker drug like,Alfuzocin once daily at bedtime.
4. Take an anti-spasmodic tablet like serratio-peptidase,chymotripsin twice daily.
5. repeat ultrasound scan of abdomen, after 3-4 weeks.
Continue the medication,so that remaining stones decrease in size and also may flush out. Also continue drinking fluids 3L/day.
Further treatment will need to be reassessed after the next scan report.
Laser surgery has side-effects of injuring the tube, in which stone is lodged.
Wish you a spedy recovery.
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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