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  #1  
Old December 16th, 2012, 04:36 PM
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Kidney Stones

I don't know if any of you are afflicted, but holy crap these things hurt. Male childbirth. Totally shuts me down. Just now thinking it has moved as it isn't as bad as it was an hour ago.
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  #2  
Old December 16th, 2012, 04:38 PM
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I have seen kidney stones reduce some of the toughest men I have ever met to lying in bed in tears. It's no joke!

Don't deal with too much pain... if it gets bad insist on stronger meds. Better living through chemistry.
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Old December 16th, 2012, 04:43 PM
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Every two or three years I can count on it. Yes I have good pain management and without narcotics.
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  #4  
Old December 16th, 2012, 05:06 PM
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Isn't it primarily a result of diet, or is it also hereditary?
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Old December 16th, 2012, 05:12 PM
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I've had them twice in the last couple of years. I thank the person who discovered morphine. In small doses of course, worked great to dull the pain. Changes in diet, no salt, no more soft drinks and a lot of water and green tea have kept them away since.
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  #6  
Old December 16th, 2012, 07:35 PM
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In addition to your pain meds (ibuprofen might be enough, lots of people need narcotics like vicodin), get a rx for tamsulosin (Flomax). Lots of older guys are on it for their prostate but it will also help pass a kidney stone. I deal wtih this all the time (from the non-painful side of medicine)...
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Old December 16th, 2012, 07:51 PM
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Oh yes. Kidney stones. I wasn't so lucky and i got to get the "fished" out method. Not fun, it's a size able diameter tool to get the job done. Not cool. Hurt pretty dang bang. I have had a number of head injuries. Most were pretty rough but the stone hurt a lot worse but still not unbearable.

I was still happy I was alive. Usually a male in our family goes down and it's a brain tumor. So a kidney stone is a welcome invitation. I was never so happy to poop in my life after a week of pain killers.
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  #8  
Old December 16th, 2012, 08:01 PM
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Quote:
Originally Posted by Dr Mark View Post
....... I deal wtih this all the time (from the non-painful side of medicine)...
Which side of medicine is that?
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  #9  
Old December 16th, 2012, 10:03 PM
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Quote:
Originally Posted by MUDSUX View Post

Which side of medicine is that?
The "prescribing medicine" side, rather than the "having a kidney stone" side...
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  #10  
Old December 16th, 2012, 10:17 PM
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Quote:
Originally Posted by Dr Mark View Post
The "prescribing medicine" side, rather than the "having a kidney stone" side...
Do you tend to see a material drop in BUN/creatinine with stones? GFR? Or nothing at all?
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Old December 16th, 2012, 10:23 PM
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Dad had them. He was so miserable when it occurred.
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  #12  
Old December 16th, 2012, 10:33 PM
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Originally Posted by SMOB View Post
Do you tend to see a material drop in BUN/creatinine with stones? GFR? Or nothing at all?
While in theory a significant obstruction to the ureter caused by a large enough stone would decrease that kidney's GFR and cause a rise in BUN & Cr, 2 things:
1) these rises only mean much if you know the patient's baseline levels and check the blood soon enough that the other kidney hasn't had time to pick up the slack and
2) if I have a suspicion for renal stones, I'll just go straight to imaging to prove it. The labs are not specific enough for a good diagnosis. They also don't tell me the size of the stone. Little stones should hopefully pass, big stones might need help (from the urologist). I'd order either an ultrasound (relatively cheap, non-invasive) or noncontrast helical CT urogram (gold standard but more $$ and + radiation exposure). We could also order an X-ray (won't see all stone types) or IVP (really only used in nonpregnant patients when CT not avialable) but in most cases these aren't used.
-Mark
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Old December 17th, 2012, 01:59 AM
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Nothing a week, some narcotics, and a few handles of wild turkey won't fix.
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Old December 17th, 2012, 05:23 AM
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In addition to your pain meds, get a rx for tamsulosin (Flomax).
That's what they gave me and it did help them pass quickly.
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  #15  
Old December 17th, 2012, 08:02 AM
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Quote:
Originally Posted by Dr Mark View Post
The "prescribing medicine" side, rather than the "having a kidney stone" side...
With "Dr Mark" as a call sign that was pretty obvious I meant what kind of medicine do you do?
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  #16  
Old December 17th, 2012, 09:51 AM
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Quote:
Originally Posted by MUDSUX View Post
With "Dr Mark" as a call sign that was pretty obvious I meant what kind of medicine do you do?
Family Medicine
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  #17  
Old December 17th, 2012, 10:46 AM
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I suffered for years after seriously dehydrating myself after a desert trip. Mostly I can pass them with a strong painkiller, have a hot bath and relax, and sleep. Otherwise a painkiller suppository or " magic bullet" called Diclofenac Sodium (Voltarol) works...makes you totally relaxed and sleepy...you wake up refreshed and feeling great. To keep them at bay always keep hydrated...yellow pee is a sign you are starting to de- hydrate....keep it clear!
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Old December 17th, 2012, 10:54 AM
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Originally Posted by TD590 View Post
I suffered for years after seriously dehydrating myself after a desert trip. Mostly I can pass them with a strong painkiller, have a hot bath and relax, and sleep. Otherwise a painkiller suppository or " magic bullet" called Diclofenac Sodium (Voltarol) works...makes you totally relaxed and sleepy...you wake up refreshed and feeling great. To keep them at bay always keep hydrated...yellow pee is a sign you are starting to de- hydrate....keep it clear!
I love that that was your first post here. Welcome! haha
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  #19  
Old December 17th, 2012, 11:09 AM
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Cheers! Lol..strange to introduce myself on a D90 forum and talk about kidneystones!
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