apollo
  • male
  • 40 Years
  • 29/01/2025

I'm worried about some stones in my kidneys. I've got a 6mm calculus in the upper pole calyx of my right kidney, and a 5mm one in the mid pole calyx of my left. Is that serious? I'm drinking about 6 liters of water a day. Is there anything else I can do or any medicine I should consider?

Doctor 1

Answered by 1 Apollo Doctors

Kidney stones can be painful and uncomfortable. Given your situation:

Stone Size and Location

  • 6mm calculus in the upper pole calyx of the right kidney
  • 5mm calculus in the mid pole calyx of the left kidney

Both stones are relatively small, but their location in the calyces can cause discomfort and increase the risk of complications.

Recommendations

  1. Increase fluid intake: You're already drinking 6 liters of water per day, which is excellent. Continue to stay hydrated to help flush out the stones.
  2. Dietary changes: Reduce your intake of:
    • Oxalate-rich foods (spinach, beets, rhubarb)
    • Sodium
    • Animal protein
    • Calcium supplements (unless recommended by your doctor)
  3. Pain management: Over-the-counter pain medications like acetaminophen (Tylenol) or ibuprofen (Advil) can help manage discomfort.
  4. Medical consultation: Schedule an appointment with a urologist or nephrologist to discuss your condition and determine the best course of action.

Medications

Your doctor may prescribe medications to help manage your condition, such as:

  1. Alpha-blockers: To help relax the muscles in your ureter and improve stone passage.
  2. Pain relievers: To manage discomfort and pain.

Surgical Intervention

Depending on the size, location, and number of stones, your doctor may recommend surgical intervention, such as:

  1. Extracorporeal shock wave lithotripsy (ESWL): A non-invasive procedure that uses shock waves to break up the stones.
  2. Ureteroscopy: A minimally invasive procedure that uses a small scope to remove the stones.
  3. Percutaneous nephrolithotomy (PCNL): A minimally invasive procedure that uses a small incision to remove larger stones.

Dr. Dhankecha Suggests...

Consult a Urologist

Answered 04/07/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.