Kidney Stones Community
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Avatar universal

4mm stones no symptoms

Had a chest CT scan for shortness of breath which incidentally showed a 4mm left renal stone. I have no symptoms and my physician's nurse simply advised me to follow up the chest CT scan in 1 year and never mentioned anything about the renal stone.  
Does this sound correct - I shouldn't be worried about it unless I have pain?
2 Responses
Avatar universal
Hello and hope you are doing well.
The treatment for kidney stones depends on their size and what they are made of and also if they are causing pain or obstructing the urinary tract. Small stones usually pass through the urinary tract without treatment. It is good advice to stay well hydrated as that should prevent the stones from getting any bigger or new ones from forming.
For kidney pain you may take a nonsteroidal anti-inflammatory drug such as ibuprofen or naproxen .Few doctors also recommend Tamsulosin (Flomax) to speed the passage of stones. A person with a larger stone, or one which blocks urine flow and associated with pain, may need more urgent treatment. Early diagnosis and treatment will be helpful. This is only an advice and not a substitute for clinical examination. Consult a nephrologist for more queries and assistance . I hope it helps. Keep me posted. Best luck and regards!
4851940 tn?1515698193
Now you know that you have a kidney stone, make sure that you drink plenty of water and do not get dehydrated.  2-3 litres per day is usually recommended more if you sweat a lot.

Kidney stones do not cause any problems unless they get too big and when they start to move.  When the stone starts to move you will feel pain, feel nausea, sometimes a high fever and blood in the urine.  If you do start to have any symptoms make an appointment to see the doctor so that he can check your urine sample for any infections.  When a stone starts to move it can aggravate the urinary tract and cause bacterial infections.

Observe your urine.  A cloudy urine is indicative of an infection.  If your urine is dark in colour it may have blood in it, may be from certain foods like beetroot, and also can indicate that you are not drinking enough water.

Because you were sent for a CT scan for your chest, the nurse was only dealing with that.  I suggest you make an appointment to see your doctor with regard to the kidney stone and discuss that with your doctor.  As it is not giving you any problems at the moment, it is likely the doctor will tell you to drink plenty of fluids and to keep an eye on things.  He may refer you to the urologist.

Best wishes.
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