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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Surgical Removal Of Kidney Stones Advisable?

My husband is diagonsed with calculi in both kidneys yesterday.He is having mild pai nwhile urinating. USG reports says-both kidneys are normal in size, position and ecohogenicity.E/o 4.5mm and 5.3 mm sized 2 calculi 2cm away from UV junction causing mild hydronephrosis and hydoureter of right kidney.E/o 3mm upper, 4 mm lower calyceal right renal and 5.7mm mid , 5mm sized lower calceal left renal non obstructing calculi. CM differential is normal. Kindly suggest do we need to go for surgery or it can be cured by medicines?
Tue, 22 Mar 2016
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Internal Medicine Specialist,  's  Response
Thanks for asking at Healthcare Magic. I read your question and I understand your concern.
Kidney stones treatment depends upon size and number of stones. if size is 5 mm or less than it can be treated with medicines. However some literatures have reported upto 6mm.
I would suggest that it would be treated with medicines.
All that you have to do is to take plenty of water 8-12 glasses per day; passing almost more than 2. 5 liters urine. Avoid oxalate rich foods like spinach, beet, low Sodium and sugar low proteins. Take antibiotics and cranberry juice to avoid infections.
Another option would ECSWL if stones after one month conservative management. However if the stones was increasing in size or hydronephrosis and hydroureter was getting worse than surgical option would be best to avoid renal failure.
Repeat ultrasound after one month and let your doctor see the report.
Hope it helps best.
Don't forget to rate this answer and close the discussion at Healthcare Magic.
Take your best care.
Regards
Dr Ejaz
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Is Surgical Removal Of Kidney Stones Advisable?

Thanks for asking at Healthcare Magic. I read your question and I understand your concern. Kidney stones treatment depends upon size and number of stones. if size is 5 mm or less than it can be treated with medicines. However some literatures have reported upto 6mm. I would suggest that it would be treated with medicines. All that you have to do is to take plenty of water 8-12 glasses per day; passing almost more than 2. 5 liters urine. Avoid oxalate rich foods like spinach, beet, low Sodium and sugar low proteins. Take antibiotics and cranberry juice to avoid infections. Another option would ECSWL if stones after one month conservative management. However if the stones was increasing in size or hydronephrosis and hydroureter was getting worse than surgical option would be best to avoid renal failure. Repeat ultrasound after one month and let your doctor see the report. Hope it helps best. Don t forget to rate this answer and close the discussion at Healthcare Magic. Take your best care. Regards Dr Ejaz