Kidney stone inquiry?
Hello Dr.
Lai, I was diagnosed with kidney stones a day ago and have seen a urologist.
The doctor informed me that the stones have moved to the bladder, but I still feel discomfort in my lower back and bladder the next day.
Additionally, I noticed blood in my urine (there was no blood during the renal colic, but I had blood in my urine after taking medication the following day).
Is this normal, or should I see a doctor again? The doctor mentioned to return in two weeks for an X-ray to check if the stones have passed.
RED, 30~39 year old female. Ask Date: 2007/09/20
Dr. Lai Ronghao reply Urology
Hello: Trust your attending physician, observe for a few days, and if you feel any discomfort, please return to the urology clinic for evaluation.
Reply Date: 2007/09/20
More Info
When dealing with kidney stones, understanding the symptoms and knowing when to seek further medical attention is crucial. Based on your recent diagnosis and the symptoms you’ve described, it’s important to consider a few key points regarding kidney stones and their management.
Firstly, the presence of blood in your urine (hematuria) after experiencing kidney stones can be concerning. While it is not uncommon for patients with kidney stones to experience blood in their urine, especially after passing a stone, the timing and persistence of this symptom warrant further evaluation. Blood in the urine can occur due to irritation of the urinary tract as stones move through it, but if it persists or is accompanied by significant discomfort, it may indicate that there are additional issues at play, such as residual stones, urinary tract infections, or other complications.
The discomfort you are feeling in your lower back and bladder area could also be a sign that the stone has not fully passed or that there is inflammation in the urinary tract. It is not unusual for patients to feel some discomfort even after a stone has passed, as the tissues may still be healing. However, if the discomfort worsens or is accompanied by fever, chills, or worsening hematuria, it is advisable to seek medical attention sooner than your scheduled follow-up.
In terms of the timeline for follow-up, while your doctor has recommended a follow-up X-ray in two weeks, it is essential to communicate any new or worsening symptoms to your healthcare provider. If you continue to experience discomfort, blood in your urine, or any other concerning symptoms, it is appropriate to contact your doctor for further evaluation. They may decide to perform imaging studies sooner to assess the situation, especially if there is a concern that a stone may still be lodged in the urinary tract.
Additionally, if you are experiencing severe pain that resembles renal colic (the intense pain often associated with kidney stones), or if you develop symptoms such as fever or chills, you should seek immediate medical attention. These symptoms could indicate a more serious condition, such as a urinary tract infection or obstruction, which may require prompt intervention.
In summary, while some discomfort and hematuria can be expected after passing a kidney stone, persistent or worsening symptoms should not be ignored. It is always better to err on the side of caution when it comes to your health. If you have any doubts or concerns about your symptoms, do not hesitate to reach out to your healthcare provider for guidance. They can provide you with the appropriate recommendations based on your specific situation and ensure that you receive the necessary care.
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