Ureteral Stones: Symptoms, Treatment, and Home Remedies - Urology

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Ureteral stones


Hello, doctor.
Last Friday, June 24, I experienced sudden abdominal pain while at work.
After going to the emergency room, I was diagnosed with kidney stones.
When I returned for a follow-up on Monday, it was also discovered that I had some hydronephrosis.
I am scheduled to be hospitalized tomorrow and undergo endoscopic treatment the day after.
However, this morning I noticed that my urine output has returned to normal levels, similar to before the stone incident, but the urine has a reddish tint, resembling hematuria.
There is no pain during urination.
Could this mean that the stone has possibly passed, or do you still recommend hospitalization for examination tomorrow? Additionally, I have read online that drinking lemon water can help with passing kidney stones.
Is this true?

Mr. Zheng, 20~29 year old female. Ask Date: 2016/06/29

Dr. Xie Jiaxing reply Urology


Please return to the outpatient clinic to confirm whether the ureteral stone is still present or has been passed.
Then, decide whether to increase fluid intake for observation or to proceed with endoscopic intervention.

Reply Date: 2016/06/29

More Info


Ureteral stones, commonly known as kidney stones, can cause significant discomfort and may lead to various complications if not addressed properly. Your recent experience with sudden abdominal pain, subsequent diagnosis of stones, and the presence of blood in your urine are all indicative of the challenges associated with this condition. Let's break down the symptoms, treatment options, and some home remedies that may assist in managing ureteral stones.


Symptoms of Ureteral Stones
The symptoms of ureteral stones can vary based on the size and location of the stone. Common symptoms include:
1. Severe Pain: Often described as sharp or cramping, this pain typically occurs in the lower back or abdomen and may radiate to the groin.

2. Hematuria: The presence of blood in the urine, which you have noted, can occur due to irritation of the urinary tract by the stone.

3. Frequent Urination: An increased urge to urinate, often accompanied by discomfort.

4. Nausea and Vomiting: These symptoms may arise due to the body's response to pain.

5. Urinary Tract Infections: Symptoms may also include fever, chills, and cloudy or foul-smelling urine.


Treatment Options
Given your situation, where a hospital stay and endoscopic treatment are planned, it is essential to follow through with these medical interventions. Endoscopic procedures, such as ureteroscopy, allow for direct visualization and removal of stones, which can alleviate symptoms and prevent further complications like hydronephrosis (swelling of the kidney due to urine buildup).

If the stone is small enough, it may pass on its own with increased fluid intake. However, larger stones often require medical intervention. Pain management is also crucial, and medications such as NSAIDs or opioids may be prescribed to help manage discomfort.


Home Remedies
While medical treatment is paramount, some home remedies may assist in managing symptoms and potentially aiding in the passage of stones:
1. Hydration: Drinking plenty of fluids, particularly water, is essential. It helps dilute the urine and may facilitate the passage of smaller stones.

2. Lemon Juice: There is some evidence suggesting that citric acid, found in lemon juice, may help prevent stone formation and assist in breaking down existing stones. Drinking lemon water may be beneficial, but it should not replace medical treatment.

3. Apple Cider Vinegar: Some anecdotal evidence suggests that apple cider vinegar may help dissolve kidney stones, but scientific backing is limited.

4. Dietary Adjustments: Reducing sodium intake and avoiding foods high in oxalates (like spinach and nuts) may help prevent future stones.


Conclusion
In your case, the presence of blood in your urine could indicate that the stone may have moved or passed, but it is crucial to consult with your healthcare provider for a thorough evaluation. Given your upcoming hospitalization, it is advisable to proceed with the planned treatment. Monitoring your symptoms and maintaining hydration will be essential in the interim.

Always remember that while home remedies can provide some relief, they should not replace professional medical advice or treatment. If you have any concerns about your symptoms or treatment plan, do not hesitate to discuss them with your healthcare provider. Your health and well-being should always come first.

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