Urinary Stones: Symptoms, Treatment, and Recovery - Urology

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Urinary stone passage?


Hello Doctor, I have been experiencing a sharp pain at the urethral opening yesterday and today.
Yesterday, it was just an occasional sharp sensation, but today, I feel slight discomfort even when I'm not urinating.
However, towards the end of urination, I experience a sharp pain.
Later, I had a particularly intense pain and suddenly passed a brown stone.
After that, I have not felt any pain or discomfort.
Is it sufficient to just monitor the situation for a few days? Thank you!

Y, 10~19 year old female. Ask Date: 2021/08/06

Dr. Du Shixi reply Urology


Hello: There is a chance of recurrence with kidney stones.
Generally, passing a stone indicates that there may still be other stones present.
It is advisable to visit a urology department for an examination to check for any remaining stones.
Additionally, review your lifestyle habits to identify any that should be improved to prevent the formation of stones again.
Wishing you good health.

Reply Date: 2021/08/06

More Info


Urinary stones, also known as kidney stones, can be a significant source of discomfort and pain. They form when certain substances in the urine crystallize and create solid masses. The symptoms you experienced, particularly the sharp pain during urination and the eventual passage of a brown stone, are common indicators of urinary stones.
When you passed the stone, it is a positive sign that the obstruction has been relieved, and the immediate pain should subside. However, it is essential to monitor your condition closely for the next few days. Here are some considerations and recommendations for your situation:
1. Observation: After passing a stone, it is crucial to observe for any recurrence of symptoms. If the pain returns, or if you experience symptoms such as blood in the urine, fever, or persistent discomfort, you should seek medical attention promptly.
2. Hydration: Increasing your fluid intake is one of the most effective ways to prevent the formation of new stones. Aim to drink enough water to produce at least 2.5 liters of urine daily. This helps dilute the substances in your urine that can lead to stone formation. If plain water is unappealing, consider alternatives like herbal teas or diluted fruit juices.

3. Dietary Modifications: Depending on the type of stone you passed, dietary changes may be necessary. For instance, if you passed a calcium oxalate stone, reducing foods high in oxalates (like spinach, nuts, and chocolate) may be beneficial. Conversely, if you have uric acid stones, limiting purine-rich foods (such as red meat and shellfish) can help.

4. Follow-Up Care: It is advisable to schedule a follow-up appointment with your healthcare provider. They may recommend a urinalysis to check for any remaining blood or crystals in your urine and possibly imaging studies to ensure there are no additional stones present.

5. Stone Analysis: If you can collect the stone you passed, having it analyzed can provide valuable information about its composition. This analysis can guide your healthcare provider in recommending specific preventive measures tailored to your situation.

6. Pain Management: If you experience any discomfort, over-the-counter pain relievers like ibuprofen or acetaminophen can be helpful. However, consult your doctor before taking any medication, especially if you have underlying health conditions or are taking other medications.

7. Potential Complications: While passing a stone can relieve symptoms, complications such as urinary tract infections or obstruction can occur. If you notice any signs of infection (fever, chills, or worsening pain), seek medical attention immediately.

In conclusion, while you may feel better after passing the stone, it is essential to remain vigilant and proactive about your health. Monitoring your symptoms, staying hydrated, making dietary adjustments, and following up with your healthcare provider will help ensure that you minimize the risk of future stones and maintain your urinary health. If you have any concerns or if symptoms persist, do not hesitate to reach out to your doctor for further evaluation and management.

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