Question 1

Hello, I have a 17 mm gallstone in my gallbladder, but I'm not experiencing any pain right now. I'm 42 years old, and I know surgery is likely necessary at some point, but Im wondering if I should go ahead and have the operation now or if its okay to wait for some time, maybe even up to a year. The stone is quite large, but since Im not in pain, Im unsure what the best course of action is. Should I get it done now or can I delay it without any major risks?

Accepted Answer

Given your situation, it's essential to consider the risks and benefits of immediate versus delayed surgery.Risks of Delayed Surgery1. Increased risk of complications: A 17 mm stone is considered large, and delaying surgery may lead to complications, such as:- Gallstone pancreatitis- Cholecystitis (inflammation of the gallbladder)- Jaundice2. Potential for stone growth: The stone may continue to grow, making it more challenging to remove and increasing the risk of complications.3. Risk of gallbladder cancer: Although rare, a large stone like yours may increase the risk of gallbladder cancer.Benefits of Immediate Surgery1. Reduced risk of complications: Removing the stone and gallbladder now can prevent potential complications.2. Less risk of stone growth: Removing the stone now will prevent it from growing larger and causing more problems.3. Improved quality of life: Surgery can alleviate anxiety and concerns about potential complications.RecommendationConsidering your age and the size of the stone, it's recommended to undergo surgery as soon as possible. The risks of delayed surgery outweigh the benefits of waiting.

Question 2

Ive been having severe pain in my lower left abdomen that radiates towards the groin. After a USG, it was found that I have a 5.9 mm calculus in the left mid ureter (around the L5-S1 level), along with mild hydronephrosis and dilatation of the left u...

Accepted Answer

Given your situation, medication can be explored as an alternative to ureteroscopy, but it's essential to consult your urologist for personalized guidance.Medication Options1. Alpha-blockers: Medications like Tamsulosin (Flomax) can help relax the muscles in the ureter, allowing the stone to pass more easily.2. Pain management: Your doctor may prescribe pain medication to manage discomfort and pain associated with the stone.3. Muscle relaxants: Medications like Diazepam (Valium) can help relax the muscles in the ureter and reduce spasms.Monitoring and Follow-up1. Regular ultrasound: Schedule regular ultrasound check-ups to monitor the stone's movement and kidney function.2. Blood tests: Regular blood tests can help monitor kidney function and detect any potential complications.3. Symptom monitoring: Keep track of your symptoms, including pain, nausea, and vomiting, and report any changes to your doctor.When to Consider Ureteroscopy1. Severe pain: If your pain becomes unbearable or persists despite medication.2. Infection: If you develop signs of infection, such as fever, chills, or burning during urination.3. Kidney damage: If your kidney function deteriorates or you experience severe hydronephrosis.

Question 3

Hi,My younger brother has a high creatinine level in his blood, around 9. What could be the proper treatment for this? If dialysis is recommended, which type would be suitabletemporary or permanent?

Accepted Answer

High Creatinine Levels in Blood_Creatinine Level 9: Indicates Severe Kidney Dysfunction__Proper Treatment_:1. _Dialysis_: Recommended to remove waste products and excess fluids from the blood.2. _Medications_: To manage underlying conditions, such as diabetes, hypertension, or kidney disease.3. _Lifestyle Changes_: Dietary modifications, fluid restriction, and avoiding nephrotoxic substances._Dialysis Options_:1. _Hemodialysis (HD)_:- Suitable for acute kidney injury or temporary kidney failure.- Typically performed in a hospital or dialysis center.2. _Peritoneal Dialysis (PD)_:- Suitable for patients with some residual kidney function.- Can be performed at home.3. _Continuous Renal Replacement Therapy (CRRT)_:- Suitable for critically ill patients with acute kidney injury._Temporary or Permanent Dialysis_:1. _Temporary Dialysis_: If your brother's kidney function is expected to recover, temporary dialysis (HD or PD) may be suitable.2. _Permanent Dialysis_: If your brother's kidney function is irreversibly damaged, permanent dialysis (HD or PD) or kidney transplantation may be necessary.

Question 4

My creatinine level is 3.6, and my eGFR is 19. Is it possible to reduce my creatinine levels or prevent them from increasing further? I was thinking about taking Ketosterilwould that help?

Accepted Answer

Creatinine levels can be managed, but reduction or stopping increase depends on underlying kidney function. Consult a nephrologistKetosteril (ketosteril): Not recommended as primary treatment

Question 5

I got my ultrasound report and it says there's a calculus in my right lower ureter, measuring 6mm, about 1 cm away from the UVJ. What should I do now? Is laparoscopic surgery absolutely necessary for this?

Accepted Answer

Ureteral Stone (Calculus) Diagnosis:6mm stone in right lower ureter, 1cm from Ureterovesical Junction (UVJ)Treatment Options:1. Watchful Waiting: Monitor stone movement with regular ultrasounds.2. Medical Expulsive Therapy (MET): Medications to help stone passage (e.g., alpha-blockers).3. Extracorporeal Shock Wave Lithotripsy (ESWL): Non-invasive shockwave treatment to break stone.4. Ureteroscopy: Minimally invasive procedure to remove stone.5. Laparoscopic Surgery: Reserved for complex cases or failed other treatments.Complications requiring immediate attention:1. Severe pain2. Infection (fever, chills)3. Kidney damageNext Steps:1. Consult Urologist for personalized guidance.2. Discuss treatment options and risks.3. Schedule follow-up ultrasound to monitor stone movement.

Question 6

Hey, I recently got some kidney measurements from an ultrasound and Im a bit concerned. My right kidney is 79x32mm and my left kidney is 83x33mm. Im 22 years old, so Im wondering if these sizes are normal for someone my age? Should I be worried about...

Accepted Answer

-Yes, your kidney sizes are within the normal range for an adult. Kidneys typically measure 8-12 cm in length and 3-5 cm in width, so your measurements are fine for your age.

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Related Questions

Ive been having severe pain in my lower left abdomen that radiates towards the groin. After a USG, it was found that I have a 5.9 mm calculus in the left mid ureter (around the L5-S1 level), along with mild hydronephrosis and dilatation of the left u...

Hi,My younger brother has a high creatinine level in his blood, around 9. What could be the proper treatment for this? If dialysis is recommended, which type would be suitabletemporary or permanent?

My creatinine level is 3.6, and my eGFR is 19. Is it possible to reduce my creatinine levels or prevent them from increasing further? I was thinking about taking Ketosterilwould that help?

I got my ultrasound report and it says there's a calculus in my right lower ureter, measuring 6mm, about 1 cm away from the UVJ. What should I do now? Is laparoscopic surgery absolutely necessary for this?

Hey, I recently got some kidney measurements from an ultrasound and Im a bit concerned. My right kidney is 79x32mm and my left kidney is 83x33mm. Im 22 years old, so Im wondering if these sizes are normal for someone my age? Should I be worried about...

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