Questions posted in the The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.

Question Title: Post kidney-stone problems...

Forum: The Urology Forum
Topic: Kidney/Urinary Stones

Posted by Grey on June 22, 1999 at 11:11:09

About a year ago I suffered from kidney stones, and since (8 months) I have suffered a dull, persistant burning sensasion in my extreme lower abdomin that also radiates down my legs and occasionally into my joints. I have recently had procedures to scope my bladder and stomach that revealed next to nothing...My Urologist stated that my bladder was enlarged but stated that this was not unusual and did not believe it was a concern or related to the pain. He prescribed a muscle relaxer that he thought would help ease the pain but was not sure if further examination was usefull...Well, since then the burning pain has persisted and desperation has set in. I never filled the perscription for the pain releiver nor have I seen anyone since. I am generally healthy, eat well and take in plenty of fiber and am not constipated. Any suggestions on what the pain can be and how to prevent it? I cannot see how it cannot be unrelated to the kidney stones...The pain started the night I passed them and has persisted since. I have had several IVP and CVT scans that have ruled out tumors amd lingering stones. Someone stated it could be my back but I have no back pain...Nor diahrea or naseia. I have also had my prostate checked, the results were negative. What could this be? Should I seek yet another opinion? Or just go back to my original Urologist and seek tha pain reliever (Lotran?..not sure) and hope it does more than just alleviate some pain? Any advice is appreciated...
P.S My Urologist stated something about a bladder flow test(?) Yet was unsure it was needed...could these symptoms be related to that? Thanks..


Posted by HFHS M.D.-AK on June 24, 1999 at 12:34:53

Dear Grey,
I think your urologist has managed you appropriately. The study he is talking about is called a uroflow. He may also be thinking of a full urodynamic work-up but as he stated, this maybe overkill. It is hard for me to get a true appreciation of the level of your discomfort from this problem. If your suffering was tremendous, I would continue my investigation with the tests your urologist mentioned. If your discomfort is minimal, I think the regimen your urologist prescribed would be sufficient.
Often burning, particularly at the tip of the penis, is really due to a prostate problem. If your burning is in this area, a flow test may identify the problem. Burning in the legs and joints however would not be related.
According to your question, you have had multiple studies to rule-out residual stones. A small stone at the junction of the ureter and the bladder could account for the majority of your symptoms.
Go back to see your urologist and ask for his recommendations. I hope you find a solution to your problem or a suitable treatment.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).

Sincerely,
HFHS M.D.-AK
*keyword:Dysuria




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