Category Archives: Kidney Stones

I’m a 62 yr old female who eats healthy, drinks lots of water & exercises regularly. Found out today from urologist I have a 1 x 1/2″ kidney stone. He talked of the treatment options and said he wants to start with stent & SWL. I’ve been doing a lot of reading & am very confused. Some info says SWL won’t work on this large stone & other info mentions trying SWL first & if it doesn’t work then doing PCL. I’ve read the horror stories about the stents & possible kidney damage & incomplete fragment removal possibilities plus other possible serious changes. Urologist said I would need multiple (at least 3) SWL treatments & stent would be in place for months! The idea of the stent in there for months just screams infection to me. I know SWL isn’t invasive but wonder if I should push for PCL and get it over with quicker?

The questions that you ask are urological in nature.  These are questions that need to be asked of a urologist.  I am a nephrologist and my expertise is in the prevention of new kidney stones.  Once you have kidney stones, … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

I started having kidney pain in May. I asked my Primary doctor about it she said muscle pain. I’ve gone to the ER 3 times still nothing. But when I look at my blood work it shows my gfr is now 57. In 10days its gone fron 67 to 57. I went to an urgent care they said my kidneys are fine. I have constant pain and no one is listening to me. Now my creatine is 1.20. I don’t know what to do. And no one will refer me to a specialist. I’m in a lot of pain and so uncomfortable. Please could you offer some advice?

Pain in the flank area is an uncommon presentation for kidney disease unless there is blockage from a kidney stone, infection, or injury.  I am unable to provide a specific diagnosis based on the information that you provide.  I suggest … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, GFR, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis

For three months I have been having a sharp stabbing pain in my lower right abdomen/groin area. I initially went to a GYN thinking it was related to my cysts, and because it seems to be more painful during my period, but was told the pain was too low for a cyst and thought it was an inguinal hernia. So she referred me to a surgeon, who felt around it and concluded that I tore a ligament or pulled a muscle since I’m so active and do crossfit, and to take a month off of exercising to let it heal. I did, and was still having pain. I returned to my normal doctor with concern and they did an ultrasound, which found a cyst on my left side and not my right, so they recommended a CT scan. I had that done yesterday, and my results came back normal, but with a “Non-obstructing 3mm right mid pole renal stone.” Is this the reason behind my pain that I have been having my my lower right side/groin area since March? If so, I drink plenty of water (about a gallon a day at least) and drink a tablespoon of apple cider vinegar daily, shouldn’t I have passed it by now? I am having the pain again in my inguinal area today.

The non-obstructing stone in your kidney should not cause pain.  I am unable to make a specific diagnosis for your pain based on the information that you provide.  I suggest that you continue to work with your primary care physician … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Treatments

Dear Doctor, my problem is frequent kidney stones formation that became more frequent recently. I had to make ESWL once yearly in the past 4 years, stone formation became faster. I formed 2 stones 8 mm and 1cm in 3 months. I analyzed it twice and its formed of ca oxalate. I need to know what to do to prevent stone formation. Please help.

I would recommend that you see a nephrologist and have a 24 hour urine to determine why you are forming calcium oxalate stones.  There may be a specific treatment for your problem but you must have further testing before specific … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions, Symptoms and Side Effects, Treatments

I have a 9 mm kidney stone. Please tell me what truly is a low oxalate diet. There is so much conflicting info on the internet. I’m taking chanca piedra too. Please help. I don’t want to all those procedures. The stone is my ureter.

A low oxalate diet is generally not very effective in treating a kidney stone that is already present.  In most cases, a urologist is the best person to consult for treatment of an existing stone.  Once the stone is passed, … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis

I got frequent bladder infections from ages 16-23 (despite following all the advice of peeing after sex, wiping properly, etc.). I had a brief reprieve 24-25. Then from 26-30 it seemed to move into kidney infections. I never consulted a doctor about these specifically as kidney problems since the first several years didn’t include flank pain or pain while voiding so urinary system problems didn’t even occur to me. (I did consult a few doctors about the symptoms in general who told me I was having panic attacks/psychosomatic issues.) This last year (30) I’ve had a textbook case on kidney infection symptoms at least twice (Flank pain, nauseated but no vomiting, fatigue, unusual urine.) I know kidney stones run in my family as my mom got sepsis from a stone blocking a UTI from exiting the kidney. I’m wondering: 1. Since antibiotic resistant UTIs are becoming more common amoung young women, does it seem likely that chronic or recurrent UTIs will become a more common cause of later stage kidney disease in the future? 2. If there are no other risk factors for kidney disease (no diabetes, normal bmi, etc.) do you think that persistent urinary tract infections still put a relatively healthy Caucasian female at risk of future CKD and if so, when and how would you recommend monitoring for it? 3. What do you make of my UTIs shifting from the bladder to the kidneys? Thank you.

I cannot provide a specific diagnosis based on the information that you present.  I cannot confirm that you have had kidney infections based on the information that you present.  Symptoms alone cannot provide a specific diagnosis.  You must be examined … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments, Urinary Tract Infection/Pyelonephritis, Urological Issues

I had pyeloplasty operation last year. The left side kidney showing hydronephrosis. But this same kidney having 2 stone sizes 1.2 cm each. Which treatment is good for this weak kidney for removing this stone?

The question that you ask is a urological question and is best addressed to a urologist.  I am a nephrologist and do not perform surgery.  You should consult with a urologist, who is a surgeon, and has expertise in the … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Treatments, Urological Issues

I was diagnosed with a bilateral non obstructing renal calculi on the left measuring 7 mm. The urologist prescribed lithotripsy to destroy the kidney stone. I have no symptoms, and I have no idea how long I have had the kidney stone. My concern is that the procedure may not work, and worse, might damage my kidney. Can you please give me advice regarding this? I’m not sure if I should proceed with this procedure.

Small and non-obstructing stones that do not have any symptoms can be monitored without lithotripsy, but there is some risk that they would move and cause a blockage.  It is best if you discuss your concerns with the urologist.  There … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Treatments

My husband has had kidney stones in the past and just developed one again last night. We are scheduled to fly tomorrow. Is that possible?

If your husband is having severe pain, travel is not advised.  I suggest you consult with your physician.  

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions

I have recently had a 8mm kidney stone removed from one kidney and I have another smaller one in the other kidney which the doctor felt he should leave it alone for now as it might flush out by drinking a lot of water. I am worried that the stone will not come out and start getting bigger which would mean I would have to have another stone removed once again, not to mention the pain. What can I do? I have also been feeling a lot of pressure on my abdomen which makes me feel like going to the toilet very often only to find that there is hardly any urine. This is extremely uncomfortable. Do you think I might have a bladder infection even though I am taking antibiotics?

I am unable to provide a specific diagnosis based on the information that you describe.  You need to be examined by your physician.  From your description, you may have a number of different possibilities and this must be evaluated by … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Stones, Kidney-Related Health Questions, Urological Issues