Do I Need to See a Doctor for a 0.4 cm Kidney Stone? - Urology

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Kidney problems


Doctor, I had an ultrasound during my company's health check-up, and it showed a 0.4 cm stone in my right kidney.
Do I need to seek medical attention? Sometimes I feel a slight ache in my lower back, and my right testicle occasionally feels like it's been strained, though it's not always present.
It doesn't hurt when I touch it.
Could this be caused by the kidney stone?

Chen, 40~49 year old female. Ask Date: 2019/02/16

Dr. Du Shixi reply Urology


Hello: Most stones measuring 0.4 cm are not visible on X-rays but can be detected via ultrasound.
However, you may experience some symptoms when the stones move.
It is important to drink plenty of water, avoid sugary drinks, and refrain from sitting for long periods.
Follow-up should be done every six months.
Wishing you good health.
The chance of these types of stones passing on their own is over 90%.
The key is to pay attention to lifestyle.
If you experience hematuria or daily back pain, seek medical attention.

Reply Date: 2019/02/16

More Info


When it comes to kidney stones, the decision to seek medical attention often depends on several factors, including the size of the stone, the presence of symptoms, and any potential complications. In your case, you have a 0.4 cm (4 mm) kidney stone, which is relatively small. Generally, stones that are less than 0.7 cm in size can often pass on their own without the need for surgical intervention.

Do You Need to See a Doctor?
Based on the information provided, it is advisable to follow up with a healthcare provider, particularly a urologist. While your stone is small and you may not be experiencing significant symptoms, the occasional discomfort in your lower back and the sensation in your right testicle could be related to the stone or other underlying issues. Here are some considerations:
1. Monitoring Symptoms: If you experience any worsening symptoms such as severe pain, blood in your urine, or persistent discomfort, you should seek medical attention immediately. These could indicate that the stone is causing a blockage or other complications.

2. Follow-Up Care: Even if you are asymptomatic, it is a good practice to have regular follow-ups with a urologist. They can monitor the size and position of the stone through imaging studies and determine if any changes occur over time.

3. Hydration and Lifestyle: It is crucial to stay well-hydrated, as this can help flush out small stones and prevent new ones from forming. Aim for a daily urine output of at least 2 liters. Additionally, dietary modifications may be necessary depending on the type of stones you are prone to developing.

4. Pain Management: If you are experiencing discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen can be helpful. However, consult with a healthcare provider before starting any medication.

5. Potential Causes of Symptoms: The sensations you describe in your lower back and testicle could be due to various reasons, including muscle strain, nerve irritation, or even referred pain from the kidney stone. A thorough evaluation by a urologist can help determine the exact cause.


Conclusion
In summary, while a 0.4 cm kidney stone may not necessitate immediate treatment, it is wise to consult with a urologist for a comprehensive evaluation. They can provide personalized advice based on your specific situation, including monitoring the stone and addressing any symptoms you may be experiencing. Regular follow-ups and lifestyle adjustments can significantly contribute to managing kidney stones effectively and preventing future occurrences. Remember, early intervention can often prevent complications, so don’t hesitate to seek medical advice.

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