I have a 8 mm renal calculi in the upper ureter. Can it be cured by medication?

Hi,

Welcome to icliniq.com.

CT KUB (kidneys, ureter, and bladder) is 95 percent accurate to diagnose urinary stones. Usually, stones form in the kidney and drop down the ureter causing extreme pain due to stretch of the renal capsule. Since your right kidney is blocked, I need to check on your kidney functions by doing a blood test called creatinine level, especially if you have other medical problems like diabetes or hypertension. I also want to make sure you do not have urinary infections after this if kidney functions are normal and no infection then we can try medical therapy for four to six weeks with capsule Tamsulosin (Contiflo) 0.4 mg at night daily for six weeks the possibility of passing the stone is 25 percent. If you need more urgent treatment with a 70 percent stone clearance rate will be shock wave lithotripsy. If you got pain again in spite of medication or you got high creatinine level then endoscopic ureteroscopy DJ stent will be the best first-line option. On follow up after treatment you need needs calcium level, phosphate, and uric acid.

I hope this helps.

Hi,

Welcome back to icliniq.com.

Thanks for sharing your follow up reports and prescription (attachment removed to protect patient identity). Yes, the stone is in the same position after a week. We recommend medical treatment for six weeks with the prescription given already to you is good enough. Since you have no pain then continue with the same medications as it is the best treatment given to you. No need to repeat the scan after one week but you need to do it after weeks. The chances of passing with medicine for this type of stone is 25 percent but can increase by proper hydration and jogging with eating a lot of citrus fruits. I will follow you up again after six weeks with a new ultrasound scan.

I hope this helps.

Thank you.