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My son who is 18 years old, was just diagnosed with

Sent to Health Experts September 23 05:04 PM

My son who is 18 years old, was just diagnosed with multiple kidney stones in the kidney. He was admitted in the hospital for urinating blood, thats how we found out what he had. My concern is he has so many stones to pass. How long can the stones remain there before it can cause damage to the kidney? You should know that he also has a horseshoe kidney. His uric acid level in his blood was a 12.2 and it was 1,700 in his urine. I know thats extremely high, especially for someone his age. Also, his endocronologist doesn't think its necessary to see a kidney specialist but I should see a urologist. His kidneys, they say are funtioning fine now. Please give me your input.

 

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Male , Age: 18

Customer (name blocked for privacy)
Status:  Closed   Value: $10
Info Request
September 23 5:09 PM (4 minutes and 29 seconds later)
         
REPLIED to Info RequestCheck Mark

Hello

Any idea of size of largest stone?

How many of them?

Is there associated hydronephrosis?If yes Mild ,moderate or severe??

 

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Dr Amit Munjal -- Physician -- 99% Positive Feedback on 4229 Health Accepts
B.A.M.S{Ayurveda Physician}Worked in various clinical departments like Medicine,ER,Gynae
Reply
September 24 11:34 AM (18 hours and 24 minutes and 56 seconds later)
         
Reply to Dr AMIT MUNJAL's Post: On the cat scan they said they saw 2 stones. One was 2cm and one was 3cm. The Sonogram is the one that showed a clearer picture of the kidney. That showed multiple stones in kidney. I asked how many and the size of them, and they didn't know because there was so many. It also showed sand residue from the stones. He has a strainer to urinate in and only passed very few orange sandy I think stones. The endoronologist wants me to take one that is big enough to the lab to analize it. They did not say anything about Hydronephrosis. I'm worried about how long they should remain there before they could damage the kidney. He is taking allopurinol and Colchicine.
Customer (name blocked for privacy)
Answer
September 24 1:26 PM (1 hour and 52 minutes and 37 seconds later)
         
ACCEPTEDCheck Mark

Hello

Stones less than 5 mm in size usually will pass spontaneously, however the majority of stones greater than 6 mm will require some form of intervention, especially so if the stone is stuck causing persistent obstruction and/or infection of the urinary tract. But since you are telling size in cm ,i dont think it will pass spontaneously.This needs some intervention . Horseshoe kidneys often sit in front of the great blood vessels in the abdomen. This plus its unusual blood supply make it a risk when performing surgery involving the abdominal aorta .ESWL (Extra corporeal shock wave lithotripsy) is considered the first therapeutic option for cases of lithiasis with a mean area 4 cm2 or less and pelvic location. In case of great lithiasic areas other therapeutic options should be considered (open surgery or percutaneous nephrolithotomy) either in monotherapy or complementary to ESWL.You can have a look on success rate of this procedure in the following link.

Source- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12701479&dopt=Abstract

Regarding the damage caused to kidney by stones i would say this depends on this factor

1) Degree of Hydronephrosis- Hydronephrosis is distention (dilation) of the kidney with urine, caused by backward pressure on the kidney when the flow of urine is obstructed.Prolonged hydronephrosis results in the eventual loss of kidney function .

 

 



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Dr Amit Munjal -- Physician -- 99% Positive Feedback on 4229 Health Accepts
B.A.M.S{Ayurveda Physician}Worked in various clinical departments like Medicine,ER,Gynae
Reply
September 24 5:32 PM (4 hours and 5 minutes and 52 seconds later)
         
Reply to Dr AMIT MUNJAL's Post: Thank you for your reply. That helped me but I also need to know how long can these stones remain in the kidney before causing harm to it. He got back from the hospital Friday afternoon and only passed these sand like stones which were orange in color. There are only about 2 or 3. The doctor said I should wait until he passes one bigger. Now, all day Saturday and today, he hasn't passed any. How dangerous is this, if he continues not to pass them. Thank you again.
Customer (name blocked for privacy)
Answer
September 24 5:41 PM (8 minutes and 56 seconds later)
         
REPLIEDCheck Mark

Hello

If the stone is causing obstruction and causing the kidneys to swell (moderate to severe hydronephrosis) than this is dangerous. If stone is not causing much obstruction than it can remain in kidney for two to three months without causing much damage. Also if the stone has sharp and pointed it can cause damage due to its shape.

So the extent of damage depends on size and shape of stone and associated obstruction.If a stone is causing obstruction then it can cause associated kidney infections to complicate the matter further.

Hope this helps.

 

 



Please press the accept button if you find my comments useful.
The information provided herein is for educational purposes only .
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Dr Amit Munjal -- Physician -- 99% Positive Feedback on 4229 Health Accepts
B.A.M.S{Ayurveda Physician}Worked in various clinical departments like Medicine,ER,Gynae
Reply
September 24 7:18 PM (1 hour and 36 minutes and 56 seconds later)
         
Reply to Dr AMIT MUNJAL's Post: My son is on Allopurinol. How long should this take to start to break up stones?
Customer (name blocked for privacy)
Reply
September 25 7:33 AM (12 hours and 15 minutes and 18 seconds later)
         
I asked this question yesterday at 7:18 pm and usually I would get a response the morning after, so I'll just ask again.

My son is on Allopurinol. How long should this take to start to break up the kidney stones in his kidney?
Customer (name blocked for privacy)
Answer
September 25 9:25 AM (1 hour and 51 minutes and 19 seconds later)
         
ACCEPTEDCheck Mark

Hello

If hypercalciuria is present, then allopurinol will not prevent calcium stones from forming. Also if the size of stone is in 2- 3 cm i dont think allopurinol will be efficacious in dissolving it all together.Allopurinol is more prophylactic in preventing formation of new stones rather than curative.



Please press the accept button if you find my comments useful.
The information provided herein is for educational purposes only .
Picture
Dr Amit Munjal -- Physician -- 99% Positive Feedback on 4229 Health Accepts
B.A.M.S{Ayurveda Physician}Worked in various clinical departments like Medicine,ER,Gynae
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