Question 1

I've been having this issue where my foreskin feels really tight. I can pull it back all the way, but it's super painful and takes a lot of effort. Is this something I should be worried about, or are there ways to make it better?

Accepted Answer

That looks like Phymosis donot retract your foreskin,visit surgeon for appropriate management

Question 2

I'm 19 and dealing with phimosis and considering surgery - is ZSR circumcision better than the normal procedure and what are the side effects of each Also how much does it usually cost

Accepted Answer

circumcision is advised.

Question 3

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?

Accepted Answer

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.

My friend Rahul has been dealing with this nightfall problem for about 3 years now. It happens like 4 to 5 times a week. We're really worried. Do you have any advice or medicines that might help him with this? Any suggestions would be appreciated.

consult physician

More Urology Health Queries

I've been having this issue where my foreskin feels really tight. I can pull it back all the way, but it's super painful and takes a lot of effort. Is this something I should be worried about, or are there ways to make it better?

I'm 19 and dealing with phimosis and considering surgery - is ZSR circumcision better than the normal procedure and what are the side effects of each Also how much does it usually cost

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?

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