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Extreme pain after kidney stone remove with stent
by Leighlee, Jul 13, 2008 10:20PM
I had outpatient kidney stone surgery, removal of a 3 mm. stone. I was sent home. About an hour and a half later I
got pain 10x worse than the stone pain, and began urinating what looked like pure blood.
After unsuccessful attemps to reach the dr that did the surgery my husband took me to the ER.
The ER doctor gave me pain meds and did an Xray and admitted me to the hospital. The next morning my surgeon came in furious with me, and told me that there was no reason for me to be having such pain, and told me that my pain thresh hold must be very low. When I asked if it might be the stent that was causing the pain, he said no...but if I wanted him to take it out he would. I asked him what was the right thing to do..since I was not a Dr, I didnt know...he told me it was up to me. I stayed in the hospital with pain and still passing bloody urine for 2 days...then I passed a two inch straw like piece of tissue. It was sent to pathology. After that I began to feel better, but still have quite a bit of discomfort and use pyridium round the clock with occassionally darvocet. What could have been wrong? Why was my surgeon so unsympathic? Now I am afraid to get the stent out until I get the report from pathology. I am afraid that what I passed was a huge chunk of my ureter?
got pain 10x worse than the stone pain, and began urinating what looked like pure blood.
After unsuccessful attemps to reach the dr that did the surgery my husband took me to the ER.
The ER doctor gave me pain meds and did an Xray and admitted me to the hospital. The next morning my surgeon came in furious with me, and told me that there was no reason for me to be having such pain, and told me that my pain thresh hold must be very low. When I asked if it might be the stent that was causing the pain, he said no...but if I wanted him to take it out he would. I asked him what was the right thing to do..since I was not a Dr, I didnt know...he told me it was up to me. I stayed in the hospital with pain and still passing bloody urine for 2 days...then I passed a two inch straw like piece of tissue. It was sent to pathology. After that I began to feel better, but still have quite a bit of discomfort and use pyridium round the clock with occassionally darvocet. What could have been wrong? Why was my surgeon so unsympathic? Now I am afraid to get the stent out until I get the report from pathology. I am afraid that what I passed was a huge chunk of my ureter?
Post Comment
"Complications associated with ureteral stenting include:
* bleeding (usually minor and easily treated, but occasionally requiring transfusion)
* catheter migration or dislodgement (may require readjustment)
* coiling of the stent within the ureter (may cause lower abdominal pain or flank pain on urination, urinary frequency, or blood in the urine)
* introduction or worsening of infection
* penetration of adjacent organs (e.g., bowel, gallbladder, or lungs)"
www.answers.com/topic/ureteral-stenting
It is possible that there was a small obstruction of the stent that caused such severe flank pain.
Rushing to the ER was the right thing to do in view of the serious complications possible after ureteral stenting.
Everyone has individual pain tolerance levels and there is no reason to be agitated over an individual patient's response to pain.
It is your doctor's duty to inform you and advice you on the options open to you and helping you deal with post-operative pain is also part of his duty.
It would be best to wait until the report from pathology before deciding on interventional manoevers.
try to go easy on the pain medications where possible.
Do keep us posted on your doubts and progress.
Regards