“Kidney stone?”
This will be lengthy. Friday morning I was rushed to the ER with severe back pain. I had a CT scan and was diagnosed with a 2mm kidney stone. Urine was positive for blood, protein and bacteria and negative for glucose and ketones. My blood glucose was 126 which it’s never been that high. My mom is pre-diabetic so I’m proactive in checking my blood sugar at home- fasting it’s usually in the 88-93 range. Next morning it was 112 at home. I ended up back in the ER Sunday morning because they didn’t give us proper pain management instructions. That time the glucose was 112- this morning it was 91 at home. Aside from the kidney stone, nothing was flagged but it did say something about atrophy of the pancreas- doctors didn’t mention it. I’m a 41 y/o white male. 5’7 195. I’m in the gym 4-5 days a week including a minimum of 180 minutes of cardio a week. I recently cut soda out of my diet. I don’t drink alcohol and to my knowledge I’ve never had pancreatitis and never been diagnosed with diabetes. No jaundice or weight loss.
Obviously I have severe back pain from the kidney stone but no abdominal pain with the exception of an ulcer that acts up one or twice a year at most. The CT scan was without contrast but everything else was reported as okay- liver, spleen, heart etc. My questions are how can I make this pass quicker- I have enough pain meds until tomorrow and I don’t like having to use heavy narcotics. I’m drinking as much water as I can. Two is the atrophy in the pancreas something to be alarmed over? As I said, unlike my blood work, nothing was flagged in CT. I asked the ER doc the second time I was there and they didn’t seem worried about it. There’s no family history of kidney stones or pancreatic issues. I’ll be honest, I have a history of being a hypochondriac when it comes to health. Any answers would be greatly appreciated.
Obviously I have severe back pain from the kidney stone but no abdominal pain with the exception of an ulcer that acts up one or twice a year at most. The CT scan was without contrast but everything else was reported as okay- liver, spleen, heart etc. My questions are how can I make this pass quicker- I have enough pain meds until tomorrow and I don’t like having to use heavy narcotics. I’m drinking as much water as I can. Two is the atrophy in the pancreas something to be alarmed over? As I said, unlike my blood work, nothing was flagged in CT. I asked the ER doc the second time I was there and they didn’t seem worried about it. There’s no family history of kidney stones or pancreatic issues. I’ll be honest, I have a history of being a hypochondriac when it comes to health. Any answers would be greatly appreciated.
Male | 41 years old
Complaint duration: 3 days
Medications: Tylenol as needed. Percocet, Zofran Naproxen Flomax
Conditions: Kidney stone, degenerative disc disease, Gilbert’s Syndrome
5 Answers
Nephrologist(KidneySpecialist)Nephrologist
Since you have a lot of issues and a lot of questions, you are best served by a discussion of these questions with your PCP. This forum is mostly for quick questions and quick answers but you need more deeper understanding of your issues to be fair in giving you answers. Hence you are best served by your PCP and/or your urologist.
Hello,
Gilbert’s syndrome is quite benign condition, characterized by slightly elevated total bilirubin in blood. Condition is usually without symptoms and requires only observation. Your kidney stone size 2mm have a potential to be passed spontaneously. You have to collect stone with a help of urine strainer. Stone composition is important for further stone profiling. Meanwhile, you must have plenty of fluids and use prescribed analgesics as needed for pain. For now, follow your doctor. In the future, with stone composition, you may use consultation of a urologist.
Good luck.
Gilbert’s syndrome is quite benign condition, characterized by slightly elevated total bilirubin in blood. Condition is usually without symptoms and requires only observation. Your kidney stone size 2mm have a potential to be passed spontaneously. You have to collect stone with a help of urine strainer. Stone composition is important for further stone profiling. Meanwhile, you must have plenty of fluids and use prescribed analgesics as needed for pain. For now, follow your doctor. In the future, with stone composition, you may use consultation of a urologist.
Good luck.
A 2 mm stone can be passed by drinking plenty of water and medication that relaxes the ureter. Regarding pancreas, please seek advice from an Endocrinologist.
-Pancreatic and diabetic issues see endocrinologist in your area and have your pcp check HBA1C.
-For kidney stone , see urologist, drink 3 liters of fluids/day. Take potassium citrate, flomax, and pain medications.
-Gilbert syndrome is a metabolic kidney disease, you need to see your local nephrologist. I don't have any lab data to make any comment on this syndrome.
-For kidney stone , see urologist, drink 3 liters of fluids/day. Take potassium citrate, flomax, and pain medications.
-Gilbert syndrome is a metabolic kidney disease, you need to see your local nephrologist. I don't have any lab data to make any comment on this syndrome.
You may have an underlying urine infection, which a kidney stone can cause as well. A urine infection can make your sugars elevated. But the ER should be able to see that and, if it is positive, they should give you an antibiotic.
Namrata Sharma Goel, M.D.
Namrata Sharma Goel, M.D.
