Dr. Khant Shahil Ramesh Bhai
Urology
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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Patient's Query
Hello doctor,
I was suffering from back pain and after an examination with ultrasonography in the KUB region, a 0.1 inch calculus was found in the right kidney and a 0.102 inch calculus in the left. I consulted a urologist, who suggested further examination. I have attached the reports of the same. I have no other health issues except for high BP. The details of my blood report are shown in the medical prescription. Here, I would like to add that I had already gone through cystography to remove the stone from the left and right ureter on two different occasions. Now my questions are, is it curable without any surgery? Is there any health risk if I travel abroad in this condition? What is your suggestion to get rid of this problem? Do you think that surgery is required? Do I need further tests? My PSA is 1.69 and uric acid is 6.5.
Hello,
Welcome to icliniq.com.
I have gone through your history and your prescription (attachment removed to protect patient identity). You do have kidney stones, but they are too small to cause any pain. For this size, we usually we do not suggest any surgery. It can be dissolved with medicines. It is to be followed up every year. If the size increases to 0.19 inch, a surgery is considered. There is no health risk if you travel abroad. You may have pain sometimes for which you can carry painkillers. Your PSA is fine and no further examination is required. Take tablet Potrate MB6 (an oral solution of Potassium citrate, Magnesium citrate, and Vitamin B6), morning and evening for two months to dissolve the stone.
Patient's Query
Hi doctor,
Thanks for your reply.
Presently, I have done necessary examination, X Ray-KUB, CT Scan-IV with contrast in KUB region, blood and routine Culture) and go back to the doctor for opinion. I have been advised to 1. Get admitted to hospital for lithotripsy. 2. Otherwise, continue with medicine (Tablet OCHEK two and 10 ml STON 1 B6 syrup twice per day) and comeback after two months. Here, my question is (a) Is those tiny stone in Kidney requires surgery ? (b) Presently I am taking above mentioned medicine, now is there a chance that stone may come down to ureter and had to undergo cystoscopy? (c) Can I move to abroad with this stone without operation for five days?
Hi,
Welcome back to icliniq.com.
I understand your concern. As per your reports I feel your stone are very small for considering ESWL (extracorporeal shock wave lithotripsy). Stone are not in ureter. In case if they come in ureter, size is very small to cause obstruction and pain. They should come out on its own. Yes, I think you can go abroad as stones are of small size. There should not be a problem. To undergo any treatment is your call depending on your severity of pain. I usually recommend ESWL when stone size is 0.19 inch. ESWL is not a surgery, it is fragmenting stone externally only by waves.
I hope this helps.
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Urology
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