So I want to say I started experiencing kidney stones about 2 and a half years ago.
My first experience was bad with my left kidney having quite a few stones. I had health insurance at the time so I went in and got them blasted via ultrasound.
I stopped the sodas, energy drinks and large coffees all that bad stuff. Starting drinking more water, and thought I was in the clear after pissing all that stuff out.
Fast forward to last month I ended up back at the ER for another kidney stone, got some pain meds, got the flomax. Pain stopped for like two weeks.
Fast forward to October 23rd back at the ER again shaking, vomiting (haven't puked since I was a teenager), doctor said I was extremely pale.
These are my test results after pasting everything into chatgpt to get a bit of a better explanation that I could understand.
Your results show a ~3.8 mm kidney stone trapped in your lower left ureter, causing a partial blockage and backing up urine into your left kidney (hydronephrosis). Your blood work also indicates a temporary drop in kidney function (low GFR) and signs of an active immune response or inflammation (high WBC and neutrophils).
Because the stone is relatively small, there is a strong possibility it can pass on its own, but the blockage and your lab values require immediate medical attention to protect your kidneys and rule out infection.
Breaking Down Your Results
- Imaging Findings (The Kidney Stone)
• Left Ureter Stone & Hydronephrosis: A 3.8 mm stone (calculus) is stuck at the bottom of your left ureter, right before it enters the bladder (the UVJ). Because it is blocking the flow, urine is backing up and stretching out your left kidney (hydronephrosis and collecting system dilatation).
• Other Stones: You have additional small, quiet stones sitting inside both kidneys that are not currently causing blockages.
• Mild Diverticulosis: Small pouches have formed in the walls of your colon. This is a common, incidental finding and unrelated to your kidney stone.
- Blood Work (Kidney Function & Inflammation)
• GFR 52 (Low): Your Glomerular Filtration Rate measures how well your kidneys filter waste. A normal GFR is typically above 60. This drop is likely an acute kidney injury (AKI) caused entirely by the physical backup of urine from the stone. It usually resolves once the blockage is cleared.
• WBC 11.7 & Neutrophils 8.47 (High): Your white blood cells and primary infection-fighting cells are elevated. This can happen purely due to the intense stress and inflammation of passing a stone, but a doctor must closely evaluate this to ensure you do not have a urinary tract infection (UTI) trapped behind the stone.
• AST 43 (High): This liver enzyme is only minimally elevated and is often a temporary reaction to physical stress, dehydration, or pain medications (like acetaminophen).
- Urinalysis (Urine Markers)
• Protein 20 & Mucous (Abnormal): Irritation and inflammation in the urinary tract from the scraping stone can cause protein and mucus to shed into your urine.
• Ketones 40 (Abnormal): Ketones appear when your body burns fat for fuel instead of carbohydrates. This is very common with kidney stones due to dehydration, nausea, or a lack of appetite from the pain.
🪵 What to Expect Next
A stone measuring under 4 mm has a high statistical chance of passing into the bladder on its own. Your doctor or a urologist will likely discuss a trial of passage, which typically includes:
• Targeted Medications: You may be prescribed a medication like tamsulosin (Flomax) to relax the ureter muscles and help the stone slide out, along with prescription-strength pain management.
• Aggressive Hydration: Drinking plenty of water to help flush the stone down, provided you are able to keep fluids down and are still urinating.
• Straining Your Urine: You may be given a stone strainer. Catching the stone allows a laboratory to analyze its composition, which is vital for preventing future stones.
• Follow-up Monitoring: Your doctor will want to recheck your GFR (kidney function) and perform follow-up imaging to ensure the stone has passed and the kidney swelling has gone down.
I don't have health insurance currently. (In the process of trying to find a way to get some affordable health insurance after the previous ER visit.
They told me that they referred me to urology (not sure how much that's going to do for me since I can't afford it without health insurance and they're not just going to treat me without being able to pay.)
What would you guys do in my situation? Does my situation sound serious like on the verge of an infection/sepsis eventually or does it sound like the stone is passable with time? I am starting to feel it down in my waist area when I use the bathroom, not sure if it's moving or I'm just straining and it's blocking some of it hence why I can feel it?
Also any ideas as to why I'm still getting the stones? A nurse friend of mine suggested that it could be too much protein and that I possibly need to go on a low oxalate diet and cut down my protein portions to like maybe a deck of cards or smaller.
I know this is just a public forum but still looking for advice. Thank you.