What should I do about a 0.5-0.6 cm stone in my left kidney?
Last week, I felt discomfort in my kidney and went to the hospital for an examination. It was found that I have a 0.5–0.6 cm stone in my left kidney. I would like to ask, what should I do in this situation?
Doctor's answer (1)
For a left renal calculus measuring 0.5-0.6 cm, the management plan depends on the stone's size, location, and the patient's specific symptoms.
I. Conservative Treatment
For renal stones smaller than 0.6 cm in diameter, most cases can expel the stones through conservative management.
1. Increased fluid intake: Maintain a daily urine output of 2-3 liters. It is recommended to drink magnetized water with low mineral content to achieve a daily urine volume exceeding 2000 ml. This helps dilute the urine, reduce crystal precipitation, flush the urinary tract, and facilitate the passage of small stones.
2. Appropriate physical activity: Increase physical movement, such as jumping or running, which may help dislodge the stone from the kidney into the ureter and promote its expulsion from the body.
II. Pharmacological Treatment:
1. Symptomatic treatment: If the patient experiences severe flank or abdominal pain, analgesics such as ibuprofen or sodium diclofenac can be used to relieve the pain.
2. Spasm relief: Medications such as tamsulosin hydrochloride or progesterone can help relieve ureteral spasms, alleviate pain, and promote stone expulsion.
3. Promotion of stone passage: Oral Chinese patent medicines such as Shentong Granules or JingShi Ling Capsules may assist in facilitating stone expulsion.
