Question 1

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 2

Im a 64-year-old male and have been having high fever since yesterday, along with frequent urination every 2 hours. The feeling of needing to urinate is more frequent than the actual amount I pass. My doctor advised Citralka and Dolo. Is there any ot...

Accepted Answer

Considering your symptoms of high fever, frequent urination, and a persistent urge to urinate, it's possible that you have a urinary tract infection (UTI) . Your doctor has already advised Citralka and Dolo, which should help alleviate your symptoms.In addition to your current medication, your doctor may recommend:- Antibiotics: To treat the underlying UTI or bacterial infection.- Pain relief medication: To manage any discomfort or pain while urinating.- Fluid management: To ensure you're drinking enough water and managing your fluid intake.It's essential to follow up with your doctor to monitor your condition and adjust your treatment plan as needed. If your symptoms worsen or you experience severe abdominal pain, vomiting, or blood in your urine, seek immediate medical attention.

Question 3

Hi, Ive been having pain in my stomach and left kidney because of a 7mm stone in my kidney. Do you think surgery is needed to remove it, or are there other options I can try first?

Accepted Answer

Ideally its small will pass in urine ,if its causing any obstruction or soo,then surgery is required.

Question 4

Ive been dealing with a gout problem for the last four days and its been really painful. Ive already taken Goutnil, 8 pills so far. Could you please advise which type of doctor I should visit for this?

Accepted Answer

1. Continue medication: Finish the prescribed course of Goutnil (Colchicine).2. Pain management: Ask your doctor about additional pain relief options, such as NSAIDs or corticosteroids.3. Dietary changes: Discuss dietary modifications with your doctor to help manage gout symptoms.4. Follow-up: Schedule a follow-up appointment with your doctor to monitor your condition and adjust treatment as needed. Specialist Options1. Rheumatologist: A specialist who deals with arthritis and gout.2. Orthopedic Doctor: A specialist who treats musculoskeletal disorders, including gout.

Question 5

I recently had a urine culture done at a local lab, and it showed 80,000 E. coli count. Ive had this issue before, and a few months ago, the same lab gave the same result. I was prescribed antibiotics for two weeks, and after a short break, I did ano...

Accepted Answer

It sounds like you're dealing with a persistent E. coli infection that may not have fully cleared despite antibiotics. Chronic or recurrent infections can be due to incomplete treatment, an underlying issue like a urinary tract abnormality, or antibiotic resistance. It's important to consider a urine culture with antibiotic sensitivity testing, possibly imaging studies beyond ultrasound (like CT or MRI), and reviewing the semen culture results to address any underlying causes. A urologist or infectious disease specialist could help explore further options.

Question 6

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...

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.

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?

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?

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Related Questions

Im a 64-year-old male and have been having high fever since yesterday, along with frequent urination every 2 hours. The feeling of needing to urinate is more frequent than the actual amount I pass. My doctor advised Citralka and Dolo. Is there any ot...

Hi, Ive been having pain in my stomach and left kidney because of a 7mm stone in my kidney. Do you think surgery is needed to remove it, or are there other options I can try first?

Ive been dealing with a gout problem for the last four days and its been really painful. Ive already taken Goutnil, 8 pills so far. Could you please advise which type of doctor I should visit for this?

I recently had a urine culture done at a local lab, and it showed 80,000 E. coli count. Ive had this issue before, and a few months ago, the same lab gave the same result. I was prescribed antibiotics for two weeks, and after a short break, I did ano...

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...

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