Post-Stone Treatment Discomfort: What to Expect

Q: Post-Stone Treatment Discomfort: What to Expect

Hello： 1) Treatment for kidney stones may take a considerable amount of time; however, medications typically do not cause these symptoms, and kidney stones are not commonly associated with them. <br>It is advisable to monitor the situation. <br>Additionally, lifestyle modificatio

Abnormal sensations after stone treatment?

Hello Dr.
Du: In May, I asked you a question, and later I visited the hospital for a consultation.
The doctor believed I might have small stones and prescribed "Benzylpenicillin tablets, Piroxicam tablets, and Alverine citrate." After taking "Alverine citrate" for about another month, my condition improved significantly.
My bathroom habits are normal, and I do not experience frequent urination.
However, I still have a few minor issues: 1.
Occasionally, I feel a complex sensation on the right side below, similar to soreness or pressure.
2.
I have noticed my testicles swelling about three times before sleep, but the swelling disappears upon waking.
3.
After using the restroom, I notice a few drops of semen (the last occurrence was on September 6).
I mentioned these issues to my doctor, but he believes that this condition does not resolve quickly and that the symptoms I described are not particularly significant.
He suggested we could discuss it further during my next appointment in early November.
However, since I still experience discomfort at times, I would like to seek your opinion.
Is it normal for these symptoms to persist for several months? Could it be related to psychological stress? If the symptoms continue, what tests should I consider for my next visit? Thank you.

Li, 20~29 year old female. Ask Date: 2021/09/12

Dr. Du Shixi reply Urology

Hello: 1) Treatment for kidney stones may take a considerable amount of time; however, medications typically do not cause these symptoms, and kidney stones are not commonly associated with them.
It is advisable to monitor the situation.
Additionally, lifestyle modifications are important in the management of kidney stones, such as drinking plenty of water, avoiding excessive salt intake, not sitting for prolonged periods, and engaging in regular physical activity.
Limit the consumption of sugary beverages.
Wishing you good health.

Reply Date: 2021/09/12

More Info

When dealing with post-stone treatment discomfort, it’s important to understand that some symptoms can persist for a while after the removal of kidney stones or after treatments like Extracorporeal Shock Wave Lithotripsy (ESWL). Your experience of discomfort, particularly the sensations you describe on the right side, can be attributed to several factors related to the healing process and the nature of kidney stones.

1. Post-Treatment Symptoms: After treatment for kidney stones, it is not uncommon to experience residual discomfort. This can include sensations of pressure, aching, or even sharp pains in the lower abdomen or flank area. These symptoms can arise from inflammation in the urinary tract, irritation from the passage of stones, or even muscle tension in the surrounding areas. The fact that you are experiencing a complex sensation that feels like soreness or pressure is not unusual and can be part of the healing process.

2. Swelling of the Testicles: The occasional swelling of the testicles that resolves by morning could be related to several factors, including fluid retention or lymphatic drainage issues. It’s important to monitor this symptom, especially if it becomes more frequent or is accompanied by pain or other changes. While it may not be directly related to your kidney stone treatment, it’s worth discussing with your physician during your next visit.

3. Discharge of Semen: The presence of a few drops of semen after urination can be concerning, but it may not necessarily indicate a serious issue. This could be related to residual effects from the treatment or even a normal physiological response. However, if this continues or is accompanied by other symptoms such as pain or changes in urination, it would be prudent to bring this up with your doctor.

4. Psychological Factors: Anxiety and stress can exacerbate physical symptoms. If you are feeling anxious about your health or the possibility of recurring stones, this could manifest as increased sensitivity to discomfort. It’s essential to address any psychological stressors, as they can impact your overall well-being and perception of pain.

5. Follow-Up and Further Testing: If your symptoms persist or worsen, it’s advisable to discuss further diagnostic options with your physician. This could include imaging studies such as an ultrasound or CT scan to rule out any remaining stones or complications. Additionally, your doctor may consider blood tests to check kidney function and assess for any signs of infection or other issues.

In conclusion, while some discomfort is expected after kidney stone treatment, it’s essential to keep an open line of communication with your healthcare provider. Documenting your symptoms, their frequency, and any changes can provide valuable information for your next appointment. If you feel that your symptoms are significantly impacting your quality of life or if new symptoms arise, do not hesitate to seek medical advice sooner than your scheduled follow-up. Your health and comfort are paramount, and addressing these concerns proactively can lead to better outcomes.

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