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Kidney & Urinary Health
Question #19897
245 days ago
502

who treat kidney stones

Shreya

I am feeling really frustrated and kinda lost right now. For the past few weeks, I’ve been dealing with some intense pain in my lower back and abdomen, and after a trip to the ER, I found out I have kidney stones. The doctors were nice and explained what was happening, but I realized I have no idea who treat kidney stones. I mean, I thought my primary care doc could handle everything, but I feel like I might need a specialist for this?! The ER doc mentioned a urologist, but that just sounds a bit intimidating to me, especially since I have no idea what to expect. I’ve read online about different treatments, but honestly, it’s confusing. Do you guys think I should just stick with my regular doctor, or is it really important to see who treat kidney stones specifically? Also, like, how do I even know if I need surgery or if there’s something less invasive? I’m just worried because the pain sometimes gets so bad, I can’t even focus on my work or life, ya know? Anyway, any advice on who treat kidney stones would be super appreciated; feeling kinda overwhelmed here!

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Doctors' responses

Kidney stones can indeed be a frustrating experience, and it makes sense to wonder who you should see for further treatment. While your primary care physician can definitely guide you on initial pain and symptom management, a urologist is generally the specialist you would see for more comprehensive treatment of kidney stones. Urologists focus on conditions related to the urinary tract and are well-equipped to handle both non-surgical and surgical management of kidney stones. Depending on the size and location of your stones, as well as any symptoms you’re experiencing, different approaches might be needed. If they’re small, they might pass on their own with adequate hydration and pain management under the initial guidance of your primary care physician. Larger stones or stones causing significant symptoms might require more advanced interventions like extracorporeal shock wave lithotripsy (ESWL), where sound waves are used to break the stone into smaller pieces, or ureteroscopy, which involves visualizing and removing the stones directly or using laser to break them down. Surgery is generally considered when non-invasive methods fail or are unsuitable because of the stone’s size, location, or the patient’s overall health status. The decision to move forward with a specific treatment will usually be guided by imaging studies such as an ultrasound or CT scan, which help evaluate the stone’s size and position. You should definitely see a urologist for a thorough evaluation and discussion of your treatment options. They can address your worries and offer a clear plan tailored to your situation, so youachieve the best possible outcome.

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