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Post Lithotripsy

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I had lithotripsy two weeks ago on a 5mm kidney stone in my left ureter and after four days of horrific urge to urinate I passed the stone. There was no stent and it was lodged in my ureter for weeks preceding. I had mild hydronephrosis but post stone CT Scan the urologist said not anymore. The trouble is that ever since three days after the ESWL I began having a dull discomfort on the left side that feels like a constant tug or pull. Sometimes it is left abdomen but mostly on the side. It is almost crampy at times and is much worse sitting as opposed to standing or even lying down. Waking up is its best and seems like after a big meal its worst although I'm not sure. It is pretty constant and worrisome. No fever, no vomit, a little diarrhea here and there, no UTI. Any ideas? I'm on no meds.
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replied August 14th, 2017
Welcome to e health forum.

ESWL is a well-established, safe and effective therapeutic alternative to surgical treatment for urolithiasis. Complications of ESWL do occur in a small number of patients, and when they do, they typically involve the kidney.

Lithotripsy attempts to break up the stone with minimal collateral damage through the use of an externally applied, focused, and high-intensity acoustic pulse. The successive shock wave pressure pulse results in direct shearing forces, as well as cavitation bubbles surrounding the stone, and this fragments the stones into smaller pieces that can then easily pass through the ureter.

Because it is a noninvasive and safe treatment, complications of ESWL occur in only 3% to 7% of the patients who undergo this procedure. the complications are usually mild, and life-threatening complications are extremely rare .

Most of the complications include transient gross hematuria, flank pain, and urinary tract infection that can usually be treated with conservative management.

You might consult with your doctor and ask for better pain medications which might help you manage your pain better.

I hope this helps.



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