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Kidney & Urinary Health
Question #16873
129 days ago
164

how to remove kidneys stones - #16873

Aradhya

I am super worried right now. Last week, I went to the ER because I had this unimaginable pain in my lower back and sides. The docs did a bunch of tests and confirmed I have kidney stones, two of them apparently, one being pretty big. They said that kidney stones can be really painful and that I should figure out how to remove kidney stones soon before it gets worse, right? But here's the kicker—I have no clue how to actually remove them. I've been drinking so much water and tried home remedies my friend suggested, but nothing seems to be working. I read about some medical procedures but honestly, it gets kinda confusing and scary. Like, do I need surgery? Is there a way to do this with just medication? How to remove kidney stones without going under the knife? I've heard mixed results about shockwave therapy too. What has worked for you guys or your patients? I just really need some clear advice on how to remove kidney stones effectively, but in a way that won’t take me out from my busy life for too long. Any tips or experiences you can share?

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Doctors' responses

Kidney stones can be quite a problem, and finding the right way to remove them is important. Since you have two stones with one being large, a personalized approach based on their size and location is essential. First, continue drinking plenty of fluids, ideally water, to help stones pass naturally, if they’re small enough. However, for larger stones, drinking more water may not be enough on its own. In certain cases, medications such as alpha-blockers may be prescribed by a doctor to relax the muscles in your ureter and make it easier for stones to pass. It’s true that shock wave lithotripsy (SWL) is a common non-invasive procedure used to break down stones into smaller fragments using sound waves, so they can pass more easily. It usually is effective for stones less than 2 cm. However, consult your healthcare provider to evaluate whether this option fits your condition, as its effectiveness varies with stone composition and location. If the big stone is resistant, or SWL isn’t ideal, a more involved approach may be necessary. Ureteroscopy, which involves inserting a small scope into the urinary tract to remove or break down the stone using a laser, is another less-invasive option. On good note, most people recover quickly from this procedure, typically the same day or next. Finally, if the stones are very large or situated in a less accessible spot, a surgical approach like percutaneous nephrolithotomy (PCNL) might be recommended. This involves making a small incision in your back to remove the stone. While it is more invasive, it’s well-suited for large stones that won’t respond to other treatments. In terms of urgency, any signs of severe pain, persistent nausea, or blood in urine indicate a need to seek immediate medical attention, as complications like infections or blockages can arise. It’s crucial to discuss these options with your healthcare provider to weigh the balance between efficacy, downtime, and your lifestyle needs. They will have the best insights on what’s appropriate for your specific situation.

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