What causes increased urination and blood in urine after the lithotripsy procedure?

Hi,

Welcome to icliniq.com.

I have read your query and understand your concern.

Please assist me with a few additional details to enhance my understanding of your situation and to help us address your concerns effectively:

1. Are you diabetic or hypertensive?

2. What was the size and location of your kidney stone?

3. Has your doctor confirmed if the stone was completely fragmented, or are any residual fragments remaining?

4. Did the medical team leave a Double-J (DJ) stent after the procedure?

5. Are you currently experiencing a fever?

6. Do you have any discomfort or pain in your loin area?

7. You mentioned an episode of UTI. Were antibiotics prescribed by your doctor to address this UTI (urinary tract infection)?

8. Did your doctor also prescribe medications such as Tamsulosin, Mirabegron, or Solifenacin?

Pyridium 200 mg is known to cause orange urine potentially. However, taking just one tablet a day might not typically be sufficient for this effect. It is common to take Pyridium two to three times a day, which usually results in a noticeable color change in urine. Please be aware that Pyridium is primarily intended to alleviate the burning sensation during urination and does not directly reduce bladder spasms. In your case, the bleeding you have described could be attributed to the DJ stent if one was left inside after the procedure, or it may be related to the UTI, as you mentioned. We kindly request you provide the requested details and, if possible, upload any prescriptions that outline the treatments you have received and the post-operative medications prescribed.

Kindly revert.

I hope this helps.

Thank you.

Hello,

Welcome back to icliniq.com.

I misunderstood what was done, so please reconfirm.

Was the lithotripsy (a procedure to break the kidney stones using shock waves) performed extracorporeally, from outside the body through the skin, or did they insert a camera through your urethra into the kidney and use laser treatment to break up the stone? If it was an extracorporeal procedure, your symptoms are likely due to small stone fragments passing down your ureter. These fragments can cause urgency and increased frequency of urination. The presence of blood in your urine may result from these stone fragments rubbing against the ureteral wall.

Assuming you have no fever or loin pain, I suggest the following:

1. Consume six pints (three liters) of water per day to help flush out the stone fragments.

2. Continue taking Tamsulosin for at least a couple of weeks, as it aids in flushing out the stone fragments.

3. Drink at least a glass of cranberry juice every day.

4. I suggest taking one tablet of Mirabegron 50 mg (before food) daily. This should alleviate your symptoms and help flush out the stone fragments. Depending on your location, you may be able to obtain this over-the-counter or with a prescription from your general practitioner or urologist.

5. Use your pain medications as needed.

Please monitor your symptoms closely over the next couple of days, especially if the lithotripsy was an extracorporeal shock wave procedure. In approximately five percent of patients, complications like stone fragments getting stuck in the ureter (known as steinstrasse) can cause pain and fever.

I hope this helps.

Please revert in case of further queries.

Thank you.