Brief Answer:
Requesting to please attach complete report details

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
The report extract given by you does not give complete information on the condition.

A tiny echogenic structure related to a solid or probably calcification in some area which is not mentioned. I guess the information is about your kidney and tiny echogenic structure in kidney is most likely to be a stone. Another doubt is that a 3 cm echogenic structure is a big measurement and usually not called as tiny. Please re confirm.

I request you to please clarify on the above points so that I can give you an accurate answer.

No hydronephrosis or SOL means there is no obstruction to flow of urine in the concerned kidney and there is no tumor.

If there is a tiny stone in kidney (which I can confirm after you send complete report ddetail) then there is no need to strictly stop smoking and alcohol.

You can attach a copy of the report to your query or type out the report details clearly and please confirm there is no error in typing.

Regards,
Dr,Vivek

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Brief Answer:
Not a serious concern, please find details below

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

A stone measuring 3 mm in diameter is there in one of your kidneys. This size of stone is small and usually does not cause any obstruction. Rest of the words are a normal finding.

The stone in your kidney is not causing any obstruction at present and does not require any specific medication in the absence of any symptoms. However you might choose to follow instructions below to avoid any more stones in your kidneys and to cause the stone to disappear.

DOs for kidney stones
(i) Drinking as much as 1.5 to 2.5 liters a day may help flush out your urinary system. This will also allow small stones to pass through.
(ii) Visit washrooms regularly and empty your bladder when you feel like doing urination.
(iii) Please take fruits like apple, papaya, watermelon, pineapple, sweetlime, bananas and orange, vegetables like, white gourd, ladyfinger, pumpkin, pulses and legumes.
(v) If you have sharp pain then you should consult your doctor and take pain reliever medications under strict supervision.

DONTs for kidney stones
(i) Please avoid holding urine for long intervals.
(ii) Please reduce foods containing oxalates like non veg, vegetables like spinach, tomato, cauliflower, brinjals, nuts like cashew, pista and almonds.
(iii) Decrease extra salt in foods.
(iv) Avoid spicy pickles.
(v) Please eat meat products in normal amounts, avoid eating too much.

There is no strict prohibition of smoking and alcohol, you can continue if you are an occasional smoker and social drinker as long your heart, lungs and and liver are normal.

It will be good if you can get another ultrasound scan to know the size of the stone after 6 months.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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