#1  
Old 08-12-2019, 01:21 PM
Napier is online now
Charter Member
 
Join Date: Jan 2001
Location: Mid Atlantic, USA
Posts: 9,527

Bummed. Big kidney stone.


Urologist: "We have the results of your X-Ray, and you have a stone on the left side. The size is one point seven..."

Napier (thinking): (Oh, easy, a one point seven millimeter stone could pass without me even noticing it...)

Urologist: "...centimeters."

Napier: "Wait, what? you mean millimeters?"

Urologist: "No, centimeters. Seventeen millimeters."

Crap. This is gonna hurt. She said they could probably blast it with lithotripsy, but I'll probably need a stent for 2 or 3 days. I've never had one of those and find the idea unappealing.

I had a 13 mm stone in 1988, for which they did a lithotomy, with a ten day hospital stay, a 7" scar on my flank, and a good 8 weeks out of work. Maybe this stone is in a better place, or maybe lithotripsy is way better now (if it was even available then). I've never had a stone bigger than the 13, and the second biggest was only 9, which was bad enough.

I've had forty something stones over the years. In addition to that one lithotomy, I've had enough cystoscopies and lithotripsies to have lost count of each. And, many times, passed the stones on my own. Between this and the back and neck surgeries, I've unfortunately acquired some opioid tolerance, too. But, jeez, 17 mm. That's 2/3 of an inch. I'm feeling this is uncharted territory for me.

Ick.

Last edited by Napier; 08-12-2019 at 01:21 PM.
  #2  
Old 08-12-2019, 01:50 PM
The Vorlon is offline
Charter Member
 
Join Date: Jan 2004
Location: Sol III
Posts: 2,182
That is near the point where they stop giving asteroids numbers, and start slapping names on them. May they zap the thing to dust as painlessly as possible!
  #3  
Old 08-12-2019, 02:14 PM
Napier is online now
Charter Member
 
Join Date: Jan 2001
Location: Mid Atlantic, USA
Posts: 9,527
Quote:
Originally Posted by The Vorlon View Post
That is near the point where they stop giving asteroids numbers, and start slapping names on them. May they zap the thing to dust as painlessly as possible!
Great idea! I'm thinking "Napier's Stones" has a clever ring to it. Feel free to log your other ideas here.
  #4  
Old 08-12-2019, 02:36 PM
Sunny Daze's Avatar
Sunny Daze is offline
Member
 
Join Date: Feb 2014
Location: Bay Area Urban Sprawl
Posts: 12,532
Ugh. I had one about that size. I'd go for the with the lithotomy myself.
  #5  
Old 08-12-2019, 03:16 PM
Omar Little's Avatar
Omar Little is offline
Guest
 
Join Date: Apr 2000
Location: Within
Posts: 13,043
Ask your urologist about lasers.

I had two (similar size), several years ago, removed using lasers. It was an outpatient procedure through the urethra, no scar. The stent was left in for several days and then removed in the urologists office. The stent just made you feel like you have to urinate all the time. I went snow skiing with the stent in a day after the procedure. No ill effects. Actually the skiing took my mind off the feeling to urinate.
  #6  
Old 08-12-2019, 03:50 PM
campp is online now
Guest
 
Join Date: Mar 2010
Location: Arizona, USA
Posts: 3,162
Laser all the way. I worked in this field for decades. Hopefully they can blast it into stuff you can pee out. I've heard of much bigger stones.
  #7  
Old 08-13-2019, 09:38 AM
VOW is offline
Guest
 
Join Date: Apr 2002
Location: NE AZ
Posts: 2,812
ow!


~vow
__________________
Klaatu Barada Nikto
  #8  
Old 08-13-2019, 04:46 PM
Zyada is offline
Guest
 
Join Date: Apr 1999
Location: Foat Wuth!
Posts: 5,248
Maybe you need to spend more time in the future riding roller coasters
  #9  
Old 08-13-2019, 04:56 PM
Baker is offline
Charter Member
 
Join Date: Dec 1999
Location: Tottering-on-the-Brink
Posts: 20,301
And I thought the ones I'd had were bad. Good luck with the lithotripsy I had four of them.
__________________
Never give up, never surrender!
  #10  
Old 08-14-2019, 04:35 PM
Napier is online now
Charter Member
 
Join Date: Jan 2001
Location: Mid Atlantic, USA
Posts: 9,527
Quote:
Originally Posted by VOW View Post
ow!


~vow
Wow.
  #11  
Old 08-14-2019, 04:37 PM
Napier is online now
Charter Member
 
Join Date: Jan 2001
Location: Mid Atlantic, USA
Posts: 9,527
Well, team, great news! They sent me for a CT scan to get a more detailed understanding of shape to plan the procedure, and found no big stone! What they thought was a stone turned out to be a chance alignment of several shadowy things, an artifact of X-ray being a shadowgraph from along one dimension only. I have some <2 mm stones and some other calcification, but no big stones that need treatment. I'm off the hook! so to speak.
  #12  
Old 08-14-2019, 05:26 PM
not what you'd expect is offline
Member
 
Join Date: Nov 2010
Posts: 4,836
Yay.
  #13  
Old 08-14-2019, 05:44 PM
StGermain is offline
Charter Member
 
Join Date: Nov 1999
Location: Toon Town
Posts: 10,811
That's great news!

StG
  #14  
Old 08-14-2019, 08:14 PM
Qadgop the Mercotan's Avatar
Qadgop the Mercotan is offline
zymolosely polydactile
Charter Member
 
Join Date: Apr 2000
Location: Slithering on the hull
Posts: 27,255
Have you had a stone analysis done, so they can figure out just how to alter your metabolism so you're less likely to form more stones?

Here's a primer on how different stones are treated: https://boards.straightdope.com/sdmb...52&postcount=2
  #15  
Old 08-15-2019, 03:20 PM
Shodan is offline
Charter Member
 
Join Date: Jul 2000
Location: Milky Way Galaxy
Posts: 39,640
The only advice I have ever heard was "drink more water" (I don't have kidney stones). Does that help stop them from forming, or just flush them out?

Regards,
Shodan
  #16  
Old 08-15-2019, 03:36 PM
Napier is online now
Charter Member
 
Join Date: Jan 2001
Location: Mid Atlantic, USA
Posts: 9,527
Quote:
Originally Posted by Qadgop the Mercotan View Post
Have you had a stone analysis done, so they can figure out just how to alter your metabolism so you're less likely to form more stones?

Here's a primer on how different stones are treated: https://boards.straightdope.com/sdmb...52&postcount=2
Most of the stones over the years were analyzed and those were all calcium oxalate. I've also done 24 hour urine collections, three times I think, quite a few years apart (my first stone was in 1979). I understand I fall into a fairly large category of people who form stones for reasons not known.

I do take a magnesium and citrate ion supplement in a fairly high dose, which for several years has kept the formation rate way down. Before that I was taking a med called "Polycitra" that also helped, but tended to cause muscle cramps. Before that, I was a candidate for a surgery that moves the kidneys down and attaches them directly to the bladder, so there is no tiny ureter and the stones form right in the bladder, where it's easier to get them out. However I think I'm doing so much better these days that surgery is no longer getting talked about. I do drink a lot of water and just downed another liter while sitting at the computer this afternoon. I've had four urologists now -- they keep moving to bigger cities to practice, except the one that got caught fondling patients and lost his license. My current urologist, whom I've seen for probably about 8 years, I like a great deal.

I metabolize calcium oddly, I think. I form osteophytes and have some calcified areas in my body including the urinary tract and the coronary arteries. But I've also had trouble with low bone density and did an osteoporosis treatment for maybe 3 years (however I was a little below the technical threshold for osteoporosis).

I think new investigations are probably going to be driven by some new technology improvement, or else by a change in how I form stones.

What do you think?

And, thanks!

Last edited by Napier; 08-15-2019 at 03:40 PM.
  #17  
Old 08-21-2019, 09:36 AM
Mama Zappa is offline
Charter Member
 
Join Date: Feb 2003
Posts: 12,361
Quote:
Originally Posted by Qadgop the Mercotan View Post
Have you had a stone analysis done, so they can figure out just how to alter your metabolism so you're less likely to form more stones?

Here's a primer on how different stones are treated: https://boards.straightdope.com/sdmb...52&postcount=2
Never had a kidney stone, but as I understand it, this would involve the oh-so-fun peeing into a tea strainer (my late BIL had to do that for a bit - not sure whether it was to detect the composition, or just to see if he'd passed one).

Napier, glad to hear that boulder was just a shadow!!
  #18  
Old 08-21-2019, 12:01 PM
Qadgop the Mercotan's Avatar
Qadgop the Mercotan is offline
zymolosely polydactile
Charter Member
 
Join Date: Apr 2000
Location: Slithering on the hull
Posts: 27,255
Quote:
Originally Posted by Napier View Post
What do you think?
I think that drinking more water is probably your best bet for stone prevention. How pedestrian! I like putting people on fancy potassium citrate cocktails to reduce their stones.

Good luck, glad you don't have a huge goober in there.
  #19  
Old 08-22-2019, 02:06 PM
Emily Litella is offline
Guest
 
Join Date: Feb 2005
Location: The swamps of Jersey
Posts: 1,204
Quote:
Originally Posted by Qadgop the Mercotan View Post
I think that drinking more water is probably your best bet for stone prevention. How pedestrian! I like putting people on fancy potassium citrate cocktails to reduce their stones.

Good luck, glad you don't have a huge goober in there.
Got a recipe for your potassium citrate cocktails for a 140 pound female with calcium oxalate crystals in her urine? Does it contain lemon juice?

A few years ago I had a sonogram done for a lypoma and they found a 6mm stone in my left kidney. The doc didn't say anything about it. A year before that they did a blood test and I had white blood cells in my urine and he asked me if I had a bladder infection, but I wasn't having any pain, I said no, he put me on an antibiotic anyway. I asked for a copy of the blood test and they gave me the results of the urine test by mistake. It wasn't until I started looking stuff up that I saw they found calcium oxalate crystals. Since then I've cut back on the foods with oxalates and really upped the water intake. My thyroid is fine. I'm going to look for a new doctor soon and stop running on luck.
__________________
NM
  #20  
Old 08-22-2019, 04:48 PM
dasmoocher is offline
Guest
 
Join Date: Apr 1999
Posts: 3,426
Quote:
Originally Posted by Mama Zappa View Post
Never had a kidney stone, but as I understand it, this would involve the oh-so-fun peeing into a tea strainer (my late BIL had to do that for a bit - not sure whether it was to detect the composition, or just to see if he'd passed one).
I've had one once and the strainer was to capture it when it passed. I gave up on it after a week and a week later I felt something shoot out and heard a ping off the porcelain of the urinal. I fished it out--eww, and being a lab tech, took some pictures with a stereoscope.

It was slightly bigger than a pea (heh) and globular on one side where I assume it was embedded. The other half of it looked like miniature stacks of broken crystal glass panes. Ouch.
  #21  
Old Yesterday, 07:08 AM
Napier is online now
Charter Member
 
Join Date: Jan 2001
Location: Mid Atlantic, USA
Posts: 9,527
Yeah, done the whole strainer bit plenty of times. The way I manage it is to get women's stockings and cut about two inches off of the toe, to get that fine mesh little bag to pee through. It's small and discrete enough to manage in the rest room at work. I'll wrap it together with a few squares of paper towel, and put it in a small ziplock bag in my pocket. I can rinse it in the sink without detection, if I'm a bit sneaky about it.

When one pops out unstrained in a public rest room toilet or urinal, I generally just wave good bye.

Last edited by Napier; Yesterday at 07:09 AM.
  #22  
Old Yesterday, 09:02 AM
aceplace57 is offline
Guest
 
Join Date: Oct 2009
Location: CentralArkansas
Posts: 26,040
I had a Lasix renal scan in the nuclear medicine Dept of our Med Center.

They made me drink the imaging solution. Took scans as the kidneys filled up. Then they injected the Lasix and did scans as the kidneys emptied.

Hi tech stuff. Urologist showed me the scans and gave percentages for each kidney. The one with the stone doesn't drain well. Doc said that's why they form in that kidney.

I wasn't a good candidate for lithotripsy because the kidney needs to flush the pieces out. I needed an operation to remove the stone.

Last edited by aceplace57; Yesterday at 09:04 AM.
  #23  
Old Yesterday, 09:21 AM
Qadgop the Mercotan's Avatar
Qadgop the Mercotan is offline
zymolosely polydactile
Charter Member
 
Join Date: Apr 2000
Location: Slithering on the hull
Posts: 27,255
Quote:
Originally Posted by Emily Litella View Post
they found calcium oxalate crystals. Since then I've cut back on the foods with oxalates and really upped the water intake.
Have you had a urine oxalate level done? If not, consider it. If so, never mind!
Reply

Bookmarks

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off

Forum Jump


All times are GMT -5. The time now is 06:47 AM.

Powered by vBulletin® Version 3.8.7
Copyright ©2000 - 2019, vBulletin Solutions, Inc.

Send questions for Cecil Adams to: cecil@straightdope.com

Send comments about this website to: webmaster@straightdope.com

Terms of Use / Privacy Policy

Advertise on the Straight Dope!
(Your direct line to thousands of the smartest, hippest people on the planet, plus a few total dipsticks.)

Copyright 2018 STM Reader, LLC.

 
Copyright © 2017