Post-Extracorporeal Shock Wave Lithotripsy: Common Symptoms and Concerns - Urology

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After undergoing Extracorporeal Shock Wave Lithotripsy (ESWL) for ureteral stones, it is not uncommon to experience a variety of symptoms, some of which you have described. Let’s break down your concerns and symptoms to provide a clearer understanding of what you might be experiencing.


Common Symptoms Post-ESWL
1. Abdominal and Back Pain: It is typical to experience pain in the abdomen and back following ESWL. The shock waves used to break up the stones can cause bruising and irritation to the surrounding tissues. This pain can vary in intensity and usually subsides within a few days to a week. However, if the pain is severe or worsening, it is essential to consult your healthcare provider.

2. Nausea and Vomiting: The nausea and vomiting you are experiencing, especially after drinking water, can be attributed to several factors. The procedure can cause irritation in the urinary tract, leading to discomfort and nausea. Additionally, if you are experiencing abdominal bloating, it may be due to gas or irritation in the gastrointestinal tract, which can also lead to nausea.

3. Dizziness and Fluctuating Temperature: Feeling dizzy and experiencing chills or fever can be signs of dehydration or an infection. After ESWL, it is crucial to stay well-hydrated to help flush out the stone fragments. If you have a fever or persistent dizziness, it is advisable to seek medical attention.

4. Feeling of Stones Moving: After the procedure, it is common to feel sensations in the urinary tract as the fragments of the stone pass through. This can sometimes feel like movement or pressure. While it may be uncomfortable, it is usually a normal part of the recovery process.

5. Pain in the Urethra and Bladder: Pain in the urethra or bladder can occur after ESWL due to irritation from the stone fragments. If you are experiencing significant pain or difficulty urinating, it is essential to contact your healthcare provider, as this could indicate a blockage or infection.


Recommendations for Managing Symptoms
- Hydration: While you mentioned not liking to drink water, it is crucial to increase your fluid intake to help flush out the stone fragments. If plain water is unappealing, consider alternatives like herbal teas, diluted fruit juices, or electrolyte solutions. Aim for at least 2-3 liters of fluids daily unless otherwise directed by your physician.

- Dietary Adjustments: To alleviate bloating and gas, consider a diet low in gas-producing foods (such as beans, broccoli, and carbonated beverages) and high in fiber to promote healthy digestion. Eating smaller, more frequent meals may also help.

- Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. However, consult your doctor before taking any medication, especially if you have other health conditions or are taking other medications.

- Follow-Up Care: It is essential to have follow-up appointments with your healthcare provider to monitor your recovery and address any ongoing symptoms. If you experience severe pain, fever, or any signs of infection (such as chills or persistent vomiting), seek medical attention promptly.


Conclusion
While some discomfort and symptoms are expected after ESWL, it is crucial to monitor your condition closely. If your symptoms persist or worsen, do not hesitate to reach out to your healthcare provider for further evaluation and management. They can provide personalized advice and treatment options to ensure a smooth recovery.