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How long does pain and discomfort last after lithotripsy?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At May 15, 2021
Reviewed AtDecember 28, 2022

Patient's Query

Hi doctor,

I have been having a feeling of abdominal discomfort or swelling on both sides for a couple of months now while dealing with kidney stones. I had an ultrasound scan three months ago, which showed a stone in the left and right kidney. I had lithotripsy on my right side about two and a half months ago, which got rid of the stone. After that procedure, I have noticed some discomfort in my lower back on the right side and upper abdomen, which becomes better when lying down. I followed up about the pain and had a CT scan to confirm the stone was gone. The CT scan showed the right side stone had passed, and only the stone in the left kidney remained. The scan also showed normal functions for the pancreas, gallbladder, liver, and intestines. I had lithotripsy on my left side to crush that stone about three weeks ago. The stone has passed, but I also feel some discomfort in my left upper abdomen since passing the stone. The discomfort for both sides of the abdomen usually occurs when I am sitting up on a chair or after drinking alcohol (usually four or five drinks a day, maybe five days a week) and gets better when laying down. I have no nausea or loss of appetite because of the discomfort and regular bowel movements. I wondered if this could be like IBS or a similar thing if the last CT scan came back normal.

Answered by Dr. Sugreev Singh

Hi,

Welcome to icliniq.com.

Thank you for writing, and I understand your concern.

I have checked your CT (computed tomography) reports (attachments removed to protect the patient's identity), and it is suggestive of a small renal stone (3 mm) in the left kidney. The discomfort is due to renal stone only. Because you recently had lithotripsy, there is slight discomfort, and the left renal stone also could be the cause for it. For the left renal stone, you do not need lithotripsy because it is small. So I would suggest you drink plenty of water throughout the day. It will build up pressure, and the stone will pass through the urine. Also, you can take a tablet of Pantoprazole 40 mg once daily before the meal, tablet Diclofenac 75 mg once daily after the meal (if there is pain in the back and lower abdomen) for three days and let me know. Are you taking any medicine currently? Do you pass stool normally, or is there any diarrhea? Please let me know. Thank you.

Patient's Query

Hi doctor,

Thanks for the reply.

I do not take any medications, and my stools are pretty normal. I already had lithotripsy on the left side, and the stone has passed already. But there is still some discomfort for three weeks. The pain is towards the upper left abdomen. Please help.

Answered by Dr. Sugreev Singh

Hi,

Welcome back to icliniq.com.

Thank you for the quick reply.

It is good if it has passed already. Now you can take both the medicines for three days and let me know afterward. Please reduce alcohol consumption for few days so that it will help you. Alcohol leads to dehydration, and liver enzymes may be elevated due to alcohol, which could cause discomfort. So please avoid it for few weeks. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

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