Suspected urinary tract stone?
Hello Dr.
Hsu,
I have noticed that it takes a long time to urinate lately, but there is no significant pain.
A few days ago, I suddenly experienced severe pain in my lower left back while sleeping, which woke me up.
The pain has persisted for two days.
I suspect it might be a urinary stone because I had a similar experience about ten years ago when I had such intense pain in my lower back that I collapsed and couldn't stand up.
I went to the emergency room and found out it was a urinary stone.
I heard that only one in ten people suffer from this condition.
I consider my lifestyle to be normal, and I exercise regularly, so I am puzzled by these symptoms.
I often eat legumes (such as peanuts, dried tofu, and soy sauce); could this be related?
I am in severe pain right now.
I tried to make an appointment at the hospital, but they are almost fully booked and not accepting new appointments.
I might have to wait until next week or even next month.
This is a hospital where I regularly see my doctor, and there are no other doctors available.
There is only one doctor who sees patients once a week in the morning, and there are no evening or afternoon clinics.
It’s quite frustrating.
Is it possible to buy medication from a pharmacy that could help treat this condition? Would that be risky? I am in urgent need of assistance!
Gong Yu Shi, 60~69 year old female. Ask Date: 2011/08/09
Dr. Xu Weikai reply Urology
Hello, Gong Yushi.
That's quite a unique name.
First, we need to confirm the diagnosis, which means further examinations are necessary, such as X-rays, ultrasounds, and urinalysis.
If the pain is severe, you can go to a larger medical facility or even visit the emergency department.
Typically, hospitals at the regional level and above have urologists on duty 24 hours a day.
Currently, the management of kidney stones is very efficient; usually, once a diagnosis is confirmed, treatment can be completed on the same day or the next day.
Self-medication is not recommended, as it may delay the condition and lead to significant complications.
If a stone is obstructing the urinary tract, it is advisable to address it within 14 days to minimize the risk of complications such as hydronephrosis, infection, or uremia.
If you have any further questions, feel free to ask, and we can discuss and research together.
This message is from Dr.
Hsu Wei-kai, Chief of Urology, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2011/08/09
More Info
It sounds like you are experiencing significant discomfort and concern regarding the possibility of kidney stones, especially given your history of similar symptoms. Kidney stones, or urinary calculi, are indeed a common condition, affecting about 10% of the population at some point in their lives. They can cause severe pain, particularly when they move within the urinary tract, and symptoms can vary widely from person to person.
The symptoms you describe, such as difficulty urinating and sudden pain in your left flank, are consistent with kidney stones. The pain associated with kidney stones often comes in waves and can be quite severe, sometimes described as one of the most intense pains a person can experience. The fact that you have had a similar episode in the past reinforces the possibility that you may be dealing with kidney stones again.
Regarding your dietary habits, certain foods can contribute to the formation of kidney stones, particularly those high in oxalates, such as peanuts, soy products, and other legumes. If you consume these foods in large quantities, they could potentially increase your risk of developing calcium oxalate stones, which are the most common type of kidney stones. However, it’s important to note that diet is just one factor in stone formation; genetics, hydration levels, and other health conditions also play significant roles.
Given that you are experiencing pain and have a history of kidney stones, it is crucial to seek medical attention. While it can be frustrating to wait for an appointment, especially if your local healthcare provider is fully booked, it is not advisable to self-medicate without professional guidance. Over-the-counter pain relief medications may help alleviate some discomfort temporarily, but they will not address the underlying issue of the stones themselves. Additionally, certain medications can have contraindications or may not be suitable for your specific condition.
If you are unable to see your regular physician promptly, consider visiting an urgent care clinic or an emergency room, especially if the pain becomes unbearable or if you experience other symptoms such as fever, chills, or blood in your urine. These could indicate complications that require immediate attention.
In terms of management and prevention, staying well-hydrated is one of the most effective ways to prevent kidney stones. Drinking plenty of water helps dilute the substances in urine that lead to stones. If you are prone to stones, your doctor may recommend dietary modifications based on the type of stones you have had in the past. For example, reducing salt intake and avoiding excessive amounts of animal protein can be beneficial.
In some cases, medications such as potassium citrate may be prescribed to help prevent stone formation, particularly if you are at risk for calcium stones. This medication can help to alkalinize the urine, making it less conducive to stone formation.
In summary, while your symptoms may indeed suggest kidney stones, it is essential to consult with a healthcare professional for a proper diagnosis and treatment plan. Self-treatment can be risky, and timely medical intervention can help prevent complications and provide relief from pain. If you are unable to secure an appointment with your usual provider, seek alternative medical care options to ensure you receive the attention you need.
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