Thank you for your consult at DoctorSpring.com.
You are suffering from stone in the ureter and that is the cause of your pain as well as the initial nausea you had.
You should start yourself on the following medications under the care
of your local doctor.
T. Tamsulosin 0.4 mg once in night X 2 weeks
T. Drotaverine 40 mg thrice daily x 5 days
T. Cefixime 200 mg twice daily x 5 days
T. Deflazocort 6 mg BD x 5 days
T. Diclofenac 75 mg thrice daily x 5 days
With the help of above mentioned medications your stone shall pass out and you shall be perfectly alright.
You are not suffering from intercostal neuralagia and stop worrying about it. Please let me know if you have any queries.
Patient replied :
Thank you for your response.
Is it possible for a stone in the ureter to stay for this long though? My doctor is convinced that since it was on 10/29 that the stone was seen in the ureter, it must have passed long ago. He is not convinced that the stone is still there. Can a stone remain in the ureter for this long? Is there any reason why multiple stones would show up on an ultrasound but not on a CT/X-ray?
I feel that a stone is the only thing that makes sense as well, but my doctor has lost a lot of faith in the idea that my stones are causing the pain, so I'm just very confused now.
The stone can remain in the ureter for indefinite period of time and can even damage the kidney. You should certainly follow up with the urologist and get repeat USG or CT scan.
CT scan is very sensitive and specific for stones and in significant number of patients even vessels can appear as stones on ultrasound. I shall be keen for you to have CT scan with 0.5 mmm cuts on a good CT scan machine.
Dr Rajiv Goel
MS (AIIMS), MCh (AIIMS), DNB ( Uro)
Patient replied :
Thank you for your responses! I would just like to ask one or two more questions.
First of all, in the case of a stone being stuck in the ureter, is it normal for my pain to increase proportionate to the amount of time that I am moving around? It seems that if I simply lay in bed all day my pain levels are manageable, but once I go out and start walking, the pain increases significantly.
Also, does that mean that ultrasounds will often lead to a misdiagnosis of kidney stones? The CT scan I had showed no stones in my kidney and only an uncertain one in my ureter, while the ultrasound showed several in my kidney.
The pain due to kidney stone can get aggravated with activity; however, you should certainly get evaluation by orthopaedician to rule out any bony problems causing the pain.
Ultrasound is not very specific for kidney stone and we shall rely more on CT scan rather than ultrasound for stones.