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Conditions and Diseases > Kidney Conditions Forum > Renal colic and kidney stones
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Q: Renal colic and kidney stones
asked by: DoctorQuestion on December 12th, 2006
For about 15 years, I've been experiencing periodic pain on my right side both back and front. First I was told it was Endometriosis. In May of 2004, I had an episode that forced me to go to the hospital. I was told that they thought it was an ovarian cyst, given pain meds and sent home. I continued to have these episodes. They would last approx 12 hours. This fall, they started getting closer to each other, monthly, three weeks, two weeks, 1 week, 5 days and 2 days apart.

Let me describe the pain because I've never known anything like it, and I've had 4 children, 2 without so much as an asperin. This last episode started about 3 in the afternoon. By 7 pm, I was experiencing level 10 pain, to where I gritted my teeth to get through it. It started in my back, went down to my groin area and by 10, it encompassed my whole torso. It felt like waves, but with the pain only dropping to a 9. I was in agony and kept praying to pass out. Remember at this time, I thought it was ovarian cysts and it would burst soon. A trip to the ER would cost me $2,000. The pain stayed like this until 4 am. The next day, my teeth were loose from gritting, and my body felt like some one just beat the living crap out of me from tensing up so much.

Two days later, an episode started again and I went into my doctors. At that time, I was given a cat scan and told I had a blockage in my kidney that they felt was a congenital defect, handed the cat scan results and sent to the ER.

They placed a stint in but did not include complete surgery notes and even though I requested the notes and "retrograde pylogram" be forwarded. The new doctor took the stint out, took some tests and put it back in. The stint irritated my kidney and bladder via pain after I was up for a while. They took the stint out and did a renal scan with lasix which proved my kidneys are working. The blockage did not show.

So for now, since I'm not experincing pain, they said perhaps the stint opened it up and I won't have any more problems. They don't feel the blockage was in area where the tube goes into the kidney, they felt it was down further.

My questions are, is it common for a stint to permanently fix a blockage?, Is there anything I can do to prevent it from bocking again? The doctor told me to cut out caffine. No other instructions.


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Dr. Nikola Gjuzelov , MD
replied on August 8th, 2007
Kidney Conditions Answer A2002
According to the description of the pain you are experiencing, it is very likely that you have experienced renal colic. Colic is a severe pain that is due to the strong peristaltic contractions of the smooth muscles of tubular organs such as the intestines or ureters. It is often followed by frequent urination and even blood in the urine. Renal or ureteral colic occurs when something solid is found in the renal calyx or ureter’s lumen. Kidney stones are the most frequent possibility. In most cases, the ureter succeeds to expel the stone (followed by severe pains) through the urine, but sometimes the stone is so stacked that it can not be expelled. Prolonged stagnation of the urine in the ureter can lead to kidney damage (hydronephrosis) and urinary tract infections. In such cases, the stone should be pushed back with a transurethral drill into the renal calyx and then broken with ultrasound. If this doesn’t help, surgery is indicated. Kidney stones are usually detected with an abdominal ultrasound and a native X-ray image of the abdomen. Retrograde pyelography is also used to locate the end of the ureter’s passage. Intravenous pyelography is used to evaluate the kidneys’ function and also to locate the end of the ureter’s passage. Endoscopic cystoscopy with ureteral drilling can give us the most valuable data.
It doesn’t seem likely that a congenital anomaly would be manifested so late in life (at age of 54). It seems possible, rather, that you experienced a kidney stone earlier and that you managed to expel it. You can consult a nephrologist or urologist about this condition and to seek diagnosis and treatment.





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