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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering With Kidney Stones, Prescribed Zerodol With Baralgin. How Effective Is The Tablet?

Good Day, I live in Guyana, south America and my husband has been suffering from Kidney Stones fro the last 15 years. Normally when the stones are moving the doctor would prescribe Buscopan or Baralgin Tablets however yesterday he an attack and the doctor prescribed Zerodol to be used in conjunction with the Baralgin Tablets. i have never heard of this tablet. please advise on the side effects and how effective this tablet would be against the pains. Surgery is sort of not an option since what we were told is that with my husband s blood base type he has the tendency of forming the stones more faster as compared to someone who forms stones from the variety of foods eaten - Is this actually so????? also what can actually be done in order to prevent the stones forming, foods to stay away from and so forth???
Mon, 8 Jul 2013
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  User's Response
Hi, many thanks for the query!
To prevent recurrent stone formation, you need to do- Metabolic workup of 24 hrs urine sample, Sr. PTH, Sr. Calcium, Sr. Uric acid.
As per the reports, appropriate dietary instructions can be given.
If your Sr. Uric acid is raised, then uric acid synthesis inhibitors like allopurinol can be started, urine alkalizing agents with your Urologist's opinion.
Zerodol contains aceclofenac, that may cause more acidity, gastric problems as side effects if taken without antacids.
Take diuretics, antispasmodics (dicyclomine, drotaverine), pain killers (diclofenac) with your doctor's opinion.
If your stones are causing obstruction to urine outflow, viz. lodged in ureters, they will cause back pressure changes in the form of hydronephrosis/hydroureter, impairing renal function over a period of time, so, you should do repeat USG KUB, RFT, if suggestive of obstruction, must remove them surgically.
Drink plenty of water so that at least 2-3 litres of urine is voided in 24 hrs.
Wish you a good health.
Take care.
Regards.
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 1 user finds this helpful
  User's Response
Aceclofenac (zerodol ) are non-steroidal anti-inflammatory drug and used to relieve pain and inflammation and will have positive effect on him. Sometime this drug can cause adverse effects as a indigestion, heartburn, stomach pain and discomfort, diarrhea, headache, dizziness. If your husband will experience above mentioned effects then he need consult his Doctor for clarification. In many causes urinary calculi appear due to genetic predisposition. You can prevent recurrent calculi using diuretic drugs and increasing fluid intake > 3 liters per day, diet with low fat, low Na and high K , restriction of animal protein. If there will be confirmed infection , then treat accordingly.
I wish you and your husband good luck and speedy recovery,
Hope this helps and I have answered your query.


Best Regards,

Dr.Mihail
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Suffering With Kidney Stones, Prescribed Zerodol With Baralgin. How Effective Is The Tablet?

Hi, many thanks for the query! To prevent recurrent stone formation, you need to do- Metabolic workup of 24 hrs urine sample, Sr. PTH, Sr. Calcium, Sr. Uric acid. As per the reports, appropriate dietary instructions can be given. If your Sr. Uric acid is raised, then uric acid synthesis inhibitors like allopurinol can be started, urine alkalizing agents with your Urologist s opinion. Zerodol contains aceclofenac, that may cause more acidity, gastric problems as side effects if taken without antacids. Take diuretics, antispasmodics (dicyclomine, drotaverine), pain killers (diclofenac) with your doctor s opinion. If your stones are causing obstruction to urine outflow, viz. lodged in ureters, they will cause back pressure changes in the form of hydronephrosis/hydroureter, impairing renal function over a period of time, so, you should do repeat USG KUB, RFT, if suggestive of obstruction, must remove them surgically. Drink plenty of water so that at least 2-3 litres of urine is voided in 24 hrs. Wish you a good health. Take care. Regards.