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Pain from stones??
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Pain from stones??

I have moderate pain on my right side all the time. I have even worse pain at times when I pass a stone on my right or left side. I have been passing stones since I was 14.  I am now 37.  My urologist says I have MSK on the right side.  My latest CT shows multiple stones in both kidneys more in the lower pole of the left kidney without obstruction.  Stones in lower pole of right Kidney measuring 2X3mm.  More than one stone in lower pole of left kidney measuring 5X3mm.  No hydronephrosis. No inflammatory process.  But why do I have so much pain on my right side??  I had an IVP done a few months ago, which stated a slight tortuous ureter on the right side.  My urologist recommended a urethral dilatation might help the pain on my right side?  Based on my CT you would think my pain would be on the left side daily but it’s not, it’s on my right side.  I just need some answers and a good doctor to figure this out, as I don’t believe I’m a textbook patient anymore.   .
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Avatar_f_tn
Hi Jen, your story is so similar to mine! I too have MSK but it's in both kidneys. I have had stones since I was 24 and I'm turning 40 this year. I have a constant ache most of the time, I find drinking lots of water helps. I too have multiple stones in my kidneys but I was always told that if there is no obstruction and if they are not moving then there should be no pain. The ache is only in my right kidney, the latest scans showed minimal pelicaliectasis so maybe that is what is causing the achy feeling? I wish I could help you and give you some advise. Hopefully someone can shed some light on this and help us both out.
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Avatar_dr_f_tn
Hello and hope you are doing well.

Dietary changes may help prevent kidney stone formation if you are prone for it. Prevention strategies for kidney stones include - Increasing your daily fluid intake and taking the recommended daily allowance of calcium. Increase your fluid intake to the point where your urine volume reaches 2.5 litres a day. This may mean drinking up to 3 litres a day, if you live in a hot, dry climate or if you are involved in strenuous physical activity. Increasing urine volume decreases the concentration of minerals in the urine. This makes it less likely that a stone will form. Also, frequent voiding and drinking plenty of water can help prevent urinary tract infection.

Hope this helped and do keep us posted
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1444601_tn?1305305623

I have recently started seeing a nephrologist! He says I do not have MSK but I am a stone former an have several stones in both kidney. Largest stones 3 in left kidney measure of 5mm an growing. I have several small stones in both measuring under 2mm. The last IVP indicates no obstruction an no change in hydronephrosis. I have a lot of pain on my right side. The IVP indicates I have two 90 degree bends in my ureter an my kidney drains but a lot slower than my left. With that said, I have had several IVP done in the last 20 years and I have not ever had a crooked right uereter. I believe my last urologist did this to my urerter during my last stint placement or removal. Has anyone heard of this happening? I have passed stones for years an only had pain with the stone but this pain is everyday an only on my right side.
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1444601_tn?1305305623
Thank you for the information.  I drink a lot of fluids, this has helped to prevent the UTI's but has not helped with stone formation.  I still make and pass a lot of stones.  I wake up in the middle of the night just from not drinking through the night and my kidney's get dehydrated, and hurt!  My urine is very dark and concentrated at night and first thing in the morning.  The back pain starts to go away as the morning progresses.
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1444601_tn?1305305623
I have a very tortuous right ureter. My nephrologist is not sure if that could cause pain. I have lots of stones in both kidneys but my left side only hurts when I pass a stone. My right side hurts all day everyday, I even have a numb feeling at times in my back but still feel the pain on right side. My urine is dark then light then dark then light an sometimes clear. My ua are normal, no kidney infection, etc. The only other thing is that my urine has a foul odor from time to time!
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Avatar_dr_f_tn
Hello and hope you are doing well.

Understand your predicament.

The kinking of the ureters can cause an obstruction to flow and pain. This can happen due to procedures performed on the ureters. This can cause a back flow and hence the hydronephrosis. The pain could be due to hydronephrosis or due to the infection of the kidneys. Kidney function tests cold help assess the functional status of the kidneys.

Hope this helped and do keep us posted.
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