Lower Abdominal Discomfort After Kidney Stone Passage - Urology

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Discomfort in the lower abdomen?


Hello, I went to the hospital last month and was diagnosed with a stone on the left side, which I passed last Friday.
However, recently when I lie down, I feel tightness in the lower right abdomen near the groin area.
Since the day after passing the stone, I have been experiencing frequent urination (about every half hour) and occasionally feel a bit nauseous.
Yesterday, I had blood in my urine again (which I experienced 1-2 times during the stone issue).
Could you please tell me what this problem might be? Also, should I hold my urine to limit myself to about 8 times a day? Thank you.

Mr. Zheng, 20~29 year old female. Ask Date: 2021/10/01

Dr. Li Minghui reply Urology


Hello: 1) If there are small stones being passed, there may be some symptoms, including nausea and the urge to vomit.
2) However, in addition to drinking plenty of water, medications can also be used to alleviate symptoms.
3) It is not advisable to hold urine for too long, as it may lead to inflammation.
Wishing you good health.

Reply Date: 2021/10/01

More Info


After passing a kidney stone, it is not uncommon to experience various symptoms, including lower abdominal discomfort, frequent urination, and even nausea. These symptoms can be attributed to several factors related to the passage of the stone and the body's response to it.

Firstly, the discomfort you are feeling in the right lower abdomen near the groin could be due to residual irritation in the urinary tract. When a kidney stone moves through the ureter and into the bladder, it can cause inflammation and irritation of the lining of these structures. This irritation can persist even after the stone has passed, leading to sensations of tightness or discomfort. Additionally, if there are any small fragments of the stone that have not yet been expelled, they can also contribute to ongoing discomfort.

Frequent urination, especially after passing a stone, is another common symptom. This can occur because the bladder may become more sensitive after the passage of a stone, leading to an increased urge to urinate. It is essential to listen to your body; if you feel the urge to urinate, it is generally advisable to go rather than hold it in. Holding urine can lead to bladder overdistension and may exacerbate discomfort.

The presence of blood in your urine (hematuria) can also be a result of the stone passage. As the stone moves through the urinary tract, it can cause abrasions or tears in the lining, leading to bleeding. While some blood in the urine can be normal after passing a stone, if you notice significant changes in the color or amount of blood, or if the bleeding persists, it is crucial to consult your healthcare provider.

Regarding your question about whether to hold your urine to limit the number of times you go to the bathroom, it is generally not recommended. Instead, aim to maintain a healthy fluid intake, which can help flush out any remaining stone fragments and reduce the risk of new stones forming. Drinking plenty of water is essential, as it dilutes the urine and helps prevent the concentration of minerals that can lead to stone formation.

If you continue to experience nausea or vomiting, this could indicate that your body is reacting to the irritation or inflammation caused by the stone passage. It is essential to stay hydrated and consult your doctor if these symptoms persist or worsen.

In summary, the symptoms you are experiencing after passing a kidney stone, including lower abdominal discomfort, frequent urination, and blood in the urine, can be attributed to irritation and inflammation in the urinary tract. It is crucial to stay hydrated, respond to your body's urges to urinate, and monitor your symptoms closely. If you have any concerns or if your symptoms do not improve, please reach out to your healthcare provider for further evaluation and management.

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