instruction: hi doctor I am suffering from kidney stones problem for the past four days I took an ultrasound scan test in the report it mentioned that tiny my calculus is seen in the upper pole of the left kidney mild hydronephrosis is noted on the left side with dilated ureter due to obstructing 5 my calculus in the lower ureter doctor prescribed me dytor aceclofenac and paracetamol drotavarine hydrochloride and mefenamic acid tablets but today again my sharp abdominal pain is seen what to do please suggest
output: hi stones smaller than my are likely to pass without any intervention those that are larger than my or which cause severe pain vomiting or fever need surgical removal endoscopic in your case the stone should pass in a few days time if pain recurs you can go for admission and flush therapy intravenous fluids to flush out stone for one or two days you can stop either aceclofenac or mefenamic acid as both are pain killers take either of the two also add capsule urimax 4 my tamsulosin and dutasteride once daily for five days this may relax your ureter and help decrease the pain repeat us ultrasound after five to seven days to confirm the stone passage