Postoperative issues with double J stents after ureteral stone surgery?
I would like to ask the doctor who performed my cystoscopy.
The doctor prescribed me St007 (Cefuroxime Axetil), but I still have issues with bladder inflammation.
Should I continue taking the medication until the catheter is removed, or just for the duration prescribed by the doctor? After finishing the prescribed medication, I was not instructed to return for a follow-up appointment to get more medication.
Tian, 10~19 year old female. Ask Date: 2019/09/25
Dr. Du Shixi reply Urology
Hello: A follow-up appointment is needed to evaluate the removal time for the double J stent.
Antibiotics are prescribed to prevent infection, as the placement of a double J stent may cause some symptoms such as frequent urination, hematuria, lower back pain, and pain at the end of urination (not all symptoms will be present).
It can be difficult to distinguish these symptoms from an infection, but I strongly recommend returning for a follow-up if the symptoms worsen.
This will allow for an assessment of any potential infection.
Wishing you good health.
Reply Date: 2019/09/25
More Info
Managing medication after ureteral stent placement is crucial for ensuring a smooth recovery and minimizing complications. Ureteral stents are often placed to relieve obstruction in the urinary tract, and while they can be very effective, they can also lead to discomfort and complications such as urinary tract infections (UTIs) or bladder inflammation.
In your case, it seems that you were prescribed St007 (also known as "賜福力欣") to help manage your symptoms. This medication is typically used to alleviate pain and discomfort associated with urinary tract issues. However, it’s important to understand the context of your treatment and the underlying condition you are experiencing.
1. Duration of Medication: Generally, you should continue taking the prescribed medication until the doctor advises otherwise, especially if you are still experiencing symptoms like bladder inflammation. If the medication was prescribed for a specific duration, it is usually best to follow that guideline. However, if your symptoms persist after completing the medication, it is essential to consult your physician for further evaluation.
2. Follow-Up Care: Since you mentioned that you were not instructed to return for a follow-up appointment after finishing your medication, it may be beneficial to reach out to your healthcare provider. They can assess whether your symptoms are a normal part of recovery or if they indicate a need for further intervention, such as additional medication or a different treatment approach.
3. Managing Symptoms: In addition to taking your prescribed medication, there are several self-care strategies you can employ to help manage bladder inflammation:
- Stay Hydrated: Drinking plenty of fluids can help flush out the urinary tract and reduce irritation.
- Avoid Irritants: Certain foods and beverages, such as caffeine, alcohol, spicy foods, and artificial sweeteners, can irritate the bladder. It may be helpful to avoid these while you are experiencing symptoms.
- Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may help alleviate discomfort. However, consult your doctor before combining these with your prescribed medication.
4. Signs to Watch For: If you experience worsening symptoms, such as increased pain, fever, chills, or changes in urine color or odor, seek medical attention promptly. These could be signs of a more serious infection or complication.
5. Potential for Recurrence: Bladder inflammation can recur, especially after procedures like stent placement. If you find that your symptoms persist or return frequently, it may be worth discussing with your doctor the possibility of further diagnostic tests or alternative treatments.
In summary, while it is important to follow your doctor's instructions regarding medication, do not hesitate to reach out for further guidance if your symptoms continue. Effective management of your condition is key to ensuring a successful recovery after ureteral stent placement. Always prioritize open communication with your healthcare provider to address any concerns you may have.
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