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Urology (Expert Forum)
Can passing sand from a Kidney Stone sometimes be very painful?
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Can passing sand from a Kidney Stone sometimes be very painful?
by Cherie D., Aug 29, 2007 07:34PM
Hello
I'm 37 and I passed my first stone at age 11. I tend to develop very small stones that never show on ct scans, ivps or ultrasounds. I also have ALOT of difficulty passing these small stones even with stents in. I have had 2 lithotripseys on stones that were so small that no one but my retired Doc could ever see. This has been an uphill battle dealing with other Doc's that don't believe I have stones because they can't see them. For the past 3 weeks I have had extremely bad pain & blood in the urine. I have passed large "chunks" of tissue with several pieces of sand attached to it. I got back from the ER today to have an IVP done , which showed nothing (of course) the ER Doc tells me flat out that I don't have Kidney Stones. I know I do. So, my question to you is, is it possible to experience this horrible pain with passing sand? And how big does a stone need to be to show up on tests? Is there other procedures that can be done, to get to the bottom of my "MISERY"
Thanks for your help,
Sincerely,
Cherie
I'm 37 and I passed my first stone at age 11. I tend to develop very small stones that never show on ct scans, ivps or ultrasounds. I also have ALOT of difficulty passing these small stones even with stents in. I have had 2 lithotripseys on stones that were so small that no one but my retired Doc could ever see. This has been an uphill battle dealing with other Doc's that don't believe I have stones because they can't see them. For the past 3 weeks I have had extremely bad pain & blood in the urine. I have passed large "chunks" of tissue with several pieces of sand attached to it. I got back from the ER today to have an IVP done , which showed nothing (of course) the ER Doc tells me flat out that I don't have Kidney Stones. I know I do. So, my question to you is, is it possible to experience this horrible pain with passing sand? And how big does a stone need to be to show up on tests? Is there other procedures that can be done, to get to the bottom of my "MISERY"
Thanks for your help,
Sincerely,
Cherie
Doctor's Answer
by Kevin Pho, MD, Aug 30, 2007 06:35AM
, Aug 30, 2007 06:35AM
Passing small stones is a possibility. However, the CT scan is normally very sensitive for detecting stones, and it is in uncommon cases where it would be missed.
Straining the urine can be considered to see if any sediment can be sent off to the lab.
I would consider further evaluation of the lower GU tract. A cystoscopy can image the bladder and lower GU lining, looking for possible cancer that may be responsible for the symptoms.
This option can be discussed with your personal urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Straining the urine can be considered to see if any sediment can be sent off to the lab.
I would consider further evaluation of the lower GU tract. A cystoscopy can image the bladder and lower GU lining, looking for possible cancer that may be responsible for the symptoms.
This option can be discussed with your personal urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
