Double J Catheter Issues: Pain and Concerns - Urology

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Double-lumen catheter issues


Hello, my mother is currently undergoing radiation therapy and had a double J stent placed last month.
For the past couple of days, she has been experiencing abdominal soreness that radiates down to her legs and then back to her abdomen.
Is this related to the placement of the stent? Thank you.

Fengmi Ningmeng, 40~49 year old female. Ask Date: 2021/08/18

Dr. Du Shixi reply Urology


Hello: It is common to experience discomfort with a double J stent, occasional pain during urination (especially towards the end), and light hematuria.
It is important to monitor for signs of significant hematuria, cloudy urine, fever, or even unilateral flank pain.
What you can do is to drink plenty of water (but avoid drinking to the point of edema or abdominal distension), and try not to hold your urine for too long.
Wishing your mother good health.

Reply Date: 2021/08/18

More Info


Hello! It sounds like your mother is experiencing some discomfort after having a double J catheter placed, which is often used to help drain urine from the kidneys when there is a blockage or obstruction in the urinary tract. While it's not uncommon to experience some discomfort after the placement of such a catheter, it's essential to understand the potential causes of her symptoms and when to seek further medical attention.

The double J catheter, also known as a ureteral stent, is designed to keep the ureter open and allow urine to flow from the kidney to the bladder. After the procedure, patients may experience a variety of sensations, including abdominal pain, discomfort, or a feeling of pressure. This can be due to several factors:
1. Irritation of the Urinary Tract: The presence of the stent can irritate the lining of the urinary tract, leading to discomfort. This irritation can sometimes manifest as pain that radiates to the abdomen and even down to the legs.

2. Muscle Spasms: The placement of a stent can cause muscle spasms in the ureter, which can lead to cramping and pain. These spasms can be quite uncomfortable and may cause pain that seems to move from the abdomen to the legs and back.

3. Infection: While not as common, urinary tract infections (UTIs) can occur after stent placement. Symptoms of a UTI may include increased pain, fever, chills, or changes in urine color or odor. If your mother develops any of these symptoms, it is crucial to contact her healthcare provider.

4. Stent Positioning: Sometimes, the stent may not be positioned correctly, which can lead to discomfort. If the stent is too long or if it has migrated, it may cause pain or discomfort.

5. Underlying Conditions: If your mother has an underlying condition that necessitated the placement of the stent, such as kidney stones or tumors, the pain could be related to those issues rather than the stent itself.

Given that your mother is experiencing persistent abdominal pain that radiates to her legs, it is advisable to consult her healthcare provider. They may want to perform an evaluation to determine the cause of her discomfort. This could include imaging studies, such as an ultrasound or CT scan, to assess the position of the stent and check for any complications.

In the meantime, here are a few suggestions that may help alleviate her discomfort:
- Hydration: Encourage her to drink plenty of fluids, as this can help flush the urinary tract and may reduce irritation.

- Pain Management: Over-the-counter pain medications, such as acetaminophen or ibuprofen, may help manage her pain. However, she should consult her doctor before taking any new medications.

- Warm Compresses: Applying a warm compress to the abdomen may provide some relief from cramping and discomfort.

In conclusion, while some discomfort after the placement of a double J catheter is common, persistent or severe pain should not be ignored. It's essential to communicate with her healthcare provider to ensure that any potential complications are addressed promptly. Your mother's health and comfort are paramount, and seeking professional advice is the best course of action.

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