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Need help from the doctors
Old 02-15-2013, 02:28 AM   #1
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Need help from the doctors

OK, I can not believe how painful this is right now...


Two days ago I started to have some pain... it got worse... very worse... went to the doc and hospital and was told I had two kidney stones...

Well, since then the pain has gone UP... this is now the worst pain I have ever had... hydrocodone seems to take the pain from a 12 (on a scale of 0 to 10) down to a 10.... heck, I do not know if it is even working....

I plan on going back, but would like to know what else I can get to ease the pain... HELP!!!!
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Old 02-15-2013, 02:58 AM   #2
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Disclaimer: I'm not a doctor, just a long-time kidney stone sufferer.

TP, I feel for you. Kidney stones can be very, very painful. The most intense pain comes from muscle spasms in the smooth muscles of one of the ureters (tubes between kidneys and bladder). Surprisingly the irritation from the stone itself isn't all that bad (4 out of 10) while the spasms take the pain level off the charts. For me a high level of Ibuprofen (3 or 4 tabs every 4-6 hrs) sometimes will bring the intense pain under control, but on occasion I have had to go to the ER and get some sort of IV drug that eases the pain within a minute or two. The ER staff seemed very at ease with kidney stone patients and knew that I should expect immediate relief. Usually my kidney stone episodes pass in about a week...occasionally a little shorter or longer. During 95+% of the week the pain level is at 3-4, and only occasionally it shoots up to what you're feeling now.

Drinking lots of water is supposed to help pass the stone into the bladder faster. After it gets to the bladder the rest of the stone's journey is easier and pain-free (okay it's a little uncomfortable, but pain level 1). I also apply an orbital sander (no sandpaper) to my kidney area to try to help vibrate the little beasts down the tube and help them on their way. I'm not sure it really speeds the process, but it makes me feel better to think that I am doing something to actively get rid of the pain!

Best of luck for a speedy resolution!
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Old 02-15-2013, 04:19 AM   #3
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My understanding is that this is the worst pain ever and the only recourse is pain meds until it passes or is removed.
Get better pain med. Hydrocodone is the weak baby sister of the opioid class of drugs and wears an acetaminophen anchor that limits its flexibility. You cannot take more of the hydrocodone without taking dangerous amounts of acetaminophen. Not ideal in a situation where you may need a lot more. Get a pure opioid with nothing paired up with it that you can titrate to response and take as often as needed....morphine and Dilaudid are cheap. If your doc is not comfortable or trusting you enough to prescribe find a doctor who understands pain meds better.... And get on some powerful meds to keep your bowels going to counteract the constipation inevitably tied to this class of meds. Senekot, stool softeners, fiber, miralax, whatever....even all of the above to avoid getting stopped up.
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Old 02-15-2013, 05:48 AM   #4
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OK, an update...


I passed at least one of the stones within the last hour.... and the pain level has gone WAY down... now only about a 2 or 3.... So good news...
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Old 02-15-2013, 05:52 AM   #5
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My understanding is that this is the worst pain ever and the only recourse is pain meds until it passes or is removed.
Get better pain med. Hydrocodone is the weak baby sister of the opioid class of drugs and wears an acetaminophen anchor that limits its flexibility. You cannot take more of the hydrocodone without taking dangerous amounts of acetaminophen. Not ideal in a situation where you may need a lot more. Get a pure opioid with nothing paired up with it that you can titrate to response and take as often as needed....morphine and Dilaudid are cheap. If your doc is not comfortable or trusting you enough to prescribe find a doctor who understands pain meds better.... And get on some powerful meds to keep your bowels going to counteract the constipation inevitably tied to this class of meds. Senekot, stool softeners, fiber, miralax, whatever....even all of the above to avoid getting stopped up.

Yes. it was the one that had acetaminophen with it and like you said, was very weak....

I also did get flowmax which was supposed to open me up to get the stone moving... this is what I think caused the pain to go off the charts... but, it was just one night...

I was thinking last night that if someone wanted to torture somebody else, just give them a kidney stone!!! This WAS the worst pain I have every had, including the pain I had when the dentist had to cut into my jaw bone to get my wisdom teeth out... IIRC, I got percadane (sp?)... that worked great.... I was going to go to the doc this morning and ask for that...
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Old 02-15-2013, 08:45 AM   #6
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I've heard that for a man, the pain of passing a kidney stone is the closest thing to a woman giving birth. So..hang in there!
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Old 02-15-2013, 09:31 AM   #7
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Two days ago I started to have some pain... it got worse... very worse... went to the doc and hospital and was told I had two kidney stones...
Have you seen a urologist? There's a procedure called a lithotripsy where they can pulverise the kidney stones with shock waves, making them easier to pass.
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Old 02-15-2013, 09:38 AM   #8
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Ouch! Your first post was painful to read! I'm not the right kind of doctor to advise on kidney stones, but you might find this article and the algorithms helpful.

Diagnosis and Initial Management of Kidney Stones - April 1, 2001 - American Family Physician
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Old 02-15-2013, 11:51 AM   #9
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I've not had, but a coworker did and his description of the pain matched or exceeded what others have said. At one point he fell to kitchen floor and proceeded to vomit. That's a pain I don't care to experience. Good luck.....
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Old 02-15-2013, 11:55 AM   #10
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Have you seen a urologist? There's a procedure called a lithotripsy where they can pulverise the kidney stones with shock waves, making them easier to pass.
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Originally Posted by Meadbh View Post
Ouch! Your first post was painful to read! I'm not the right kind of doctor to advise on kidney stones, but you might find this article and the algorithms helpful.

Diagnosis and Initial Management of Kidney Stones - April 1, 2001 - American Family Physician

FIRE'd, if you read the article that Meadbh attached, it says that a stone that was my size should be allowed to pass...


Meadbh, thanks for the article. It now makes sense of why my pain was at different places at different times... I am surprised that they talked about having this problem for 2 to 4 weeks... I would probably have shot myself if I was in pain that long... I was rolling around on the floor, rocking back and forth.... crying.... that is why I had asked about stronger pain meds.... I needed something besides what they recommended for the pain that I had...
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Old 02-15-2013, 11:56 AM   #11
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+1. The OP cannot go wrong with AAFP recommendations. On my way to the airport, will be back next week.

Meadbh : thanks for all your posts. We do seem to think alike. Impressive. :-) .
Quote:
Originally Posted by Meadbh View Post
Ouch! Your first post was painful to read! I'm not the right kind of doctor to advise on kidney stones, but you might find this article and the algorithms helpful.

Diagnosis and Initial Management of Kidney Stones - April 1, 2001 - American Family Physician
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Old 02-15-2013, 12:36 PM   #12
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+1. The OP cannot go wrong with AAFP recommendations. On my way to the airport, will be back next week.

Meadbh : thanks for all your posts. We do seem to think alike. Impressive. :-) .
Thanks obgyn. I believe we think alike on many health care related issues and general LBYM, but we differ when it comes to personal financial management, particularly asset allocation and calculation of net worth!
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Old 02-15-2013, 01:21 PM   #13
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Don't even play one on TV.

Had Kidney stones years ago, at work it choose to show up. Suprvisor called ambulance. One of the EMT's was female. She laughed all the way to the hospital, said it was the male's introduction to childbirth. I ried to laugh, was a bit hard with the pain, but did help the pain. The laughter is good medicine.

In the hospital's ER they did nothing, just waited until I shut up, and stopped rolling on the floor, and then figured the stone had passed.
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Old 02-15-2013, 01:31 PM   #14
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a stone that was my size should be allowed to pass...
... or do anything else it wants!
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Old 02-15-2013, 04:34 PM   #15
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... or do anything else it wants!

LOL.... OK, got me on that one....
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Old 02-15-2013, 05:04 PM   #16
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No advice or experience with kidney stones, but just want to wish you a pain free existence ASAP. The pain sounds very difficult to endure.
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Old 02-15-2013, 06:24 PM   #17
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I have passed 4 kidney stones in the past couple of decades. Yes, they are painful. It is amazing how large stone one can pass.

With my last episode, I did get some Flowmax which is rather like Cialis and I found helpful.

My advice would be to drink LOTS and LOTS of water and do NOT pee until your bladder is absolutely bursting. Repeat.

Also keeping moving and rolling around and writhing which may be helpful, too.

Two women friends who had kidney stones and children both told me that kidney stones was by far more painful.
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Old 02-15-2013, 06:47 PM   #18
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Also keeping moving and rolling around and writhing which may be helpful, too.
Sounds like he was doing that with the pain

A few years ago MIL had a really tough time with a kidney stone, and she said that the most beautiful sound in the world was that of her stone ricocheting around the toilet bowl.

TP, pleased to hear that you are feeling much better.
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Old 02-16-2013, 12:44 PM   #19
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Oh it sounds dreadful! I never had a kidney stone, don't care to experience it either. Hope you are past the worst of it.
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Old 02-16-2013, 01:25 PM   #20
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Hmmm... and I thought gout pain was bad
At least with that, they can cut off your foot.

Get well soon.
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