My husband presented a couple of weeks ago with moderate back pain. It went away on its own. This past weekend brought us to the ER with severe back pain that he rated at 8/10, he's passed kidney stones before, so the score is not to be sneazed at. They gave him panadole, biprufen and morphine, the pain stopped. After what was presumed a negative blood in urine test and a couple of hours they sent him home.
My question is as he's had kidney stones before (11years ago) and his probability of having kidney stones again is very high, should this diagnosis have been dismissed? Does it warant further investigation (I.e. ultrasound and/or CT scan).? I would think so, but perhaps I'm being over critical. I'm not happy they are leaving it. Isn't it important to know there is something there even if it's not travelling at the moment. My thinking is if there is stones, and they turn out to be too big to pass, they should be blasted! Why put him through unnecessary pain if it can be avoided?
2007-03-19 10:46:41 · 6 answers · asked by shazzas01 1 in Health ➔ General Health Care ➔ Pain & Pain Management
Update: After 1 ER visit and 2 GP's we finally have a booking for CT scan. He's still has mild back pain.
2007-03-21 20:44:01 · update #1
Both times I've had stones, I went to the ER. I was given CT Scans to determine the diagnosis, placement and size of the stones. They did blood tests each time, but the first time I had one, no blood was detected in my urine. The second time, blood was present in all urine samples up until passing it.
My regular doctor was able to do nothing for me except give me more pain meds. I was instructed to see a urologist, who determined I was able to pass it on my own, which I did.
Good luck to your husband-I feel so bad for him!
2007-03-19 10:56:38 · answer #1 · answered by missbuttons 2 · 0⤊ 1⤋
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2016-09-23 15:44:01 · answer #2 · answered by ? 3 · 0⤊ 0⤋
People that have a history of stones don't need a 'work-up' every time they come in from what I've known. If their pain goes away, they don't have an infection, it's OK to wait and see. The pain goes away cause it either passed, or stopped traveling. So, why do more CT'? If the pain comes back or the stone isn't passing, that's the time to do something. Like see a urologist if there's a stone that's not passing. CT's are expensive and not needed for every stone passed. Some people would get them every 6 months! More even. Most people don't follow up as instructed from the ER and see their own docs or specialists. So, the fact that his pain was gone is a good factor for sending him home. That's usual and acceptable treatment!
2007-03-19 11:27:41 · answer #3 · answered by nickname 5 · 0⤊ 1⤋
You are right, kidney stone pain is horrible... the ER isn't going to do much more than try to make him comfortale until he can see his regular doctor. Please make an appt for him and they will schedule neccessary tests to determine what action needs to be taken.
2007-03-19 10:52:36 · answer #4 · answered by Anonymous · 0⤊ 1⤋
Oww. I would investigate this further hin as I'm in no doubt he's in agony and you have to wonder what damage the stones are doing to him as they move about
2007-03-19 10:51:21 · answer #5 · answered by Anonymous · 0⤊ 1⤋
Seeing as he appears no longer to be in pain, I would take him to his G.P. and explain the problem. The G.P. will then, if they judge the situation to be one of importance, refer him on to get various scans and diagnostic tests. This will confirm for sure what is wrong.
Hope this helps.
2007-03-19 12:36:16 · answer #6 · answered by Anonymous · 0⤊ 1⤋
If the urine was negative for blood, it's unlikely to be a stone.
However, he does need to see his primary doc soon.
2007-03-19 10:55:48 · answer #7 · answered by ckm1956 7 · 0⤊ 2⤋