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Abdominal pain , fever , not appendicitis

My 16 year old daughter was sent to the ER from the Urgent Care Clinic thinking she had appendicitis. ER ran blood work, urine test and CT scan. All were pretty well normal. They did find a kidney stone that had not dropped and the ER doctor said it could be there for years and never move. Anyways... it is now 4 days later and she is still having right lower abdominal pain, low grade fever and nausea. She just wants to sleep and half the time she cant because she is in pain. She looks drained and has no energy. They sent her home with pain meds and anti-nausea meds. But she is not improving. I feel bad for her but not sure what to do next.
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replied January 27th, 2017
Though Renal stones cause severe disturbances of life due to the pain, they are not that serious to ‎affect the ‎‎allround health. But on the long term, presence of urinary obstruction due to stones in ‎strategic locations can end up ‎‎damaging the kidneys.

Most kidney stones less than 6mm in size that is 70-80% of stones can be treated conservatively. ‎If pain, nausea ‎‎and vomiting, infection can be controlled, most of these stones will pass ‎spontaneously. Adequate hydration is ‎‎needed while trying to pass a kidney stone.‎

In cases, (such as in your case) where the stone is 7mm or larger in diameter, or fixed in position, and producing symptoms ultimately treatment measures ‎‎including lithotripsy or cystoscopic retrieval of stone may be required.

A variety of dietary modifications and drug therapies can reduce the likelihood of recurrence of ‎‎stones. ‎

Dietary modification — From the viewpoint of diet, increasing the intake of fluid, dietary calcium, potassium and ‎‎phytate and decreasing the intake of oxalate, animal protein, sucrose, fructose, sodium, supplemental calcium and ‎‎supplemental vitamin C may be beneficial.

In the mean time, consult your doctor who can help you with better pain management options.



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