A 27 yr old female which has bilateral kidney stones as reveal in usg (each of 6 and 7mm ) she took treatment 1 year ago from a private hospital for 1 month but there is no relief now she complaining severe flank pain with burning micturation , sometime aw fever past history - she had kidney stone 4 year ago then she took treatment and relieved no history of hypertension and diabetes Thyroid function test is normal patient want no operative procedure as when possible please suggest treatment

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This lady with bilateral small size renal stone and urinary infection should be quite easy to manage,must do culture and sensitivity of urine to eradicate the infection, once the infection Is clear ,three Negative cultures should be carried out before concluding treatment for infection. Treating urinary infection on the basis of presence of pus cells is greatly flawed and only causes resistance growth of bacteria due to repeated prescription of different antibiotics. Renal pain should be managed By IV inj. Of a mixture of diclofenac and Buscopan Da the time of renal colic ,and pt . Instructed to go on plenty of fluids. I have seen cases of upto 8 to 10 mm stones evacuated spontaneously without any surgery or any other intervention ,pt being able to lead normal life.

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A case of Bilateral nephrolithiasis Needs evaluation as to the cause of nephrolithiasis. Get S. Uric acid , s.calcium, phosphorus done . Get a urine culture and sensitivity done and give antibiotics for prolonged period. Best is nitrofurantoin which has got least resistance. . Right now give her symptomatic treatment with antispasmodics, plenty of oral fluids, potrate MB6 3tsf in a glass of water twice a day, As there is no hydronephrosis surgery can be avoided at this time . Plenty of Ayurvedic preparations are available like Neeri , Warstone , cystone etc which can be effective. In persistent UTI - Tab Utioff - containing cranberry extract and D- mannose can be given for 3 months

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Renal colic may be due to calculi or infection or spasam send urine for routine & culture & sensitivity cataspa TDs zintec 150 TDs lasilactone half od sy protrate MB 6 10 ml TDs in water iv glucose bolus of lasix homoeopathy 30 potency berberis vulgaris & sarsaparilla chew TDs repeat usg after 2 months plenty of fluid if passes stone then do stone analysis for proper treatment generally renal stone is silent avoid rough road

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Very good morning Doctor..... you can prescribe her Tab.Nitrofurantoin 100 mg bid for 15 days....Urikind KM sachet in one glass of water in alternative days 3....Syp.Cital UTI 10 ml TID .....and for flank pain .... you can prescribeDrotavarine HCl tab for 20 days in bid dose.....and also tab.Urimax 0.4 during night time....ask her to take plenty of water.. coconut water....

C/o Nephrolithiasis with UTI ,several pain Tab Zenflox UTI BD Tab Crush BD Tab Buscupan BD Tab Tramajec p sos Syp Neeri 2tsf with 1/2glass water. Treat and after 7 day repeat test urine examination ..
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She is known case of renal stones Now she is presenting with right flank pain With burning micturation It is likely that one stone has come in right ureter causing right renal colic with urinary tract infection Please repeat USG KUB, urine routine and culture, CBC plan Uretero reno scopy for treatment of ureteric stone if documented

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Repeat USG abdomen...starts drinking Plenty of water daily...start tab.cystone....BD for 15 days...again repeat USG if the size is not subsided...then opinion of the nephrologist...who will advice u to do endoscopic removal of the stone..by breaking it into particals and putting dj stent in ur urinary tract.

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Adv----KUB. Rt kidney stone 5.5 mm size,,Lt kidney 6.5 mm size,,Nephrolithiasis. WBC(8-10). Rx. Tab Cefuroxim 250 mg bd,,Tab Meftalspas+ Dynapar.,Tab Aciloc RD,,Tab Cystone bd,,Neeri syp 10 ml bd,,Berri-Berri drop(Homeopathic) 10 drop in half cup of water. bd. Intake plenty more Water.

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Stones are up in kidney.. No hydronephrosis Stone size is smaller Hence..conservative Analgesics Oral fluids up to 4 lots a day provided creatinine is normal. If stone z stuck in utter can go for URSL for ESWL stone should be at least 8mm...

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sir this is the yesterday's Usg plz suggest some more the patient also got appendectomy before 13 yr ago now a general physician again told him that there reinfection in appendix is that possible ? .the also feel pain at Mc brne point

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