Kidney stone lodged in the ureter?
Hello doctor, a month ago I was diagnosed with two kidney stones in my left and right kidneys, approximately 0.3 cm in size.
At that time, I also had hematuria.
After taking a dilator, I could no longer see blood in my urine.
Recently, hematuria has returned along with pain, and I also experience pain when my scrotum is pulled.
After visiting the emergency room, an X-ray showed what appeared to be very small white spots in the mid-ureter.
I would like to know how to quickly pass this stone.
How much water should I drink? What type of exercise should I do? Can I continue taking the dilator, or do you have any dietary recommendations?
J, 20~29 year old female. Ask Date: 2019/06/12
Dr. Du Shixi reply Urology
Hello: For young people who do not sweat much, drinking 2500-3000 ml of water should be sufficient.
For exercise, activities like jumping in place or walking are recommended.
It is essential to take medication, and the diet should be light, as some patients with kidney stones may experience nausea and gastrointestinal discomfort.
However, pain relief medication should be kept on hand, as there may be times when pain occurs and it will be needed.
Wishing you good health.
Reply Date: 2019/06/12
More Info
Passing kidney stones can be a painful and frustrating experience, especially when they are located in the ureter. Based on your description, it seems you have two small stones (approximately 0.3 cm) in your kidneys, and you are experiencing symptoms such as hematuria (blood in urine) and pain, particularly when there is tension in the groin area. Here are some tips and advice on how to facilitate the passage of kidney stones and manage your symptoms effectively.
Hydration
One of the most crucial factors in passing kidney stones is staying well-hydrated. Drinking plenty of water helps to dilute the urine, which can facilitate the movement of stones through the urinary tract. Aim for at least 2 to 3 liters of water per day, or enough to produce clear or light yellow urine. If you are experiencing blood in your urine, it is especially important to stay hydrated, as this can help flush out any irritants and reduce the risk of further complications.
Physical Activity
Engaging in physical activity can also help move the stones along. Activities that involve bouncing or jarring motions, such as jogging, jumping, or even walking briskly, can help dislodge stones from the kidney and encourage them to move down the ureter. However, if you are in significant pain, it may be best to start with gentle movements and gradually increase intensity as tolerated.
Medication
You mentioned that you have been prescribed an antispasmodic medication (likely a medication like Buscopan) to help relax the muscles in the ureter. Continuing to take this medication as directed can help alleviate pain and facilitate the passage of the stone. Additionally, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, always consult your healthcare provider before taking any medication, especially if you have other underlying health conditions.
Dietary Considerations
While you are managing your kidney stones, it may be beneficial to adjust your diet. Reducing sodium intake can help prevent the formation of new stones, as high sodium levels can lead to increased calcium in the urine. Additionally, if your stones are calcium oxalate stones, you should limit foods high in oxalates, such as spinach, beets, nuts, and chocolate. Instead, focus on a balanced diet rich in fruits and vegetables, which can help maintain overall kidney health.
Monitoring Symptoms
Keep a close eye on your symptoms. If you experience severe pain, fever, chills, or if the blood in your urine worsens, it is essential to seek medical attention immediately. These could be signs of a urinary tract infection or that the stone is causing a blockage, which may require more invasive treatment.
Follow-Up Care
Since you have already had imaging done (X-ray), it is crucial to follow up with your healthcare provider to monitor the situation. If the stones do not pass within a reasonable timeframe or if your symptoms worsen, further interventions may be necessary, such as ureteroscopy or lithotripsy.
Conclusion
In summary, to facilitate the passage of your kidney stones, focus on staying well-hydrated, engaging in physical activity, adhering to prescribed medications, and making dietary adjustments. Monitor your symptoms closely and maintain communication with your healthcare provider for ongoing management. Remember, while small stones can often pass naturally, it is essential to be proactive in your care to avoid complications.
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