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 upper ureter. The urologist advised urgent ureteroscopy, but I decided to try some home remedies. I had another USG done after 10 days, and the report still shows the same size stone in the left lower ureter, causing mild hydronephrosis and proximal hydroureter. Id prefer to try medication if possible instead of proceeding with ureteroscopy. Any suggestions on how to manage this with medication?

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.