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Ken M

Mountain climber
Los Angeles, Ca
May 5, 2013 - 01:26am PT
Sorry for the terrible experience.

The state of the art for stones has changed. For an attack, the best current treatment is not narcotic pain meds, but a drug called Toradol, given by injection (oral doesn't work). For most people, it works miraculously in about 15 min. The effect may be quite long lasting, as well, and a person may feel no more pain until it passes out of the body.

Toradol is related to ibuprofen, but is the only one that is injected. It is not as strong as narcotics, but it's potent anti-inflammatory effects appear to relax the ureter (the tube in which the stone is stuck). It is actually the spasm of the ureter that causes the pain.

For some, narcotics work poorly. For some, one works better than another, and it is unpredictable. However, for all, the narcotics wear off in a few hours, and the problem is not fixed.

The hot new thing the last few years for treatment after the initial pain is relieved, is Medical Expulsive Therapy, which is the use of drugs to assist the body in pushing the stone out.

It depends upon the size of the stone, but this approach can move the stone in from 30% to 75% of patients.

The most common drug used is generic Flomax, although there are others.

Prevention of recurrent stones is most efficiently done by drinking more water. There are a variety of other things, but water is the most effective.

Mountain climber
Anchorage AK, Reno NV
May 5, 2013 - 02:29am PT
Dean...All i know is if i were in anything close to the type of pain you are describing .. I'd get me some morphine.. f*#k it .. load me up and wake me up when it's over. Or maybe that Toradol that ken mention plus morphine.

Big Wall climber
Denver, CO
May 5, 2013 - 04:09am PT
Puking on the hospital floor, sniveling like a newborn babe, including the wailing.

After morphine (God bless poppies!), I apologized to the nurse for all my carrying on.

She said, "Nothing to apologize for. I've had three kids and one kidney stone. I would give birth to the three kids one after the other instead of having another kidney stone."

The level of pain is beyond description to those that have not experienced it. It's like you become pain itself.

The amazing thing about morphine (in my experience) is that it doesn't take the pain away. It's like you still know the pain is there. But in some weird way, it's no longer YOUR pain. It's like you can say, "There is pain," but it's not "attached" to you; like it's no longer troubling you. It's "distant." At least that's what the experience was like for me.

I hope you've gotten passed it by now! (lame pun intended)

May 5, 2013 - 04:55am PT
Yes, and it was a little bitty tiny stone. I thought I was dying, I was curled up in the fetal position for a full 18 hours before it passed. Goes to show that there is a price to pay for habitually not drinking enough water.

Trad climber
June Lake, California....via the Damascus Road
May 5, 2013 - 05:27am PT
KenM, when I initially went to the hospital, I was given Toradol....along with Fentanyl. I was a very happy camper after that.

And I agree that if you are going to do this at home, and not have the benefit of IV drugs in the hospital, forget the Percocet.....accept nothing but morphine.

The nurse in the hospital shared the same thing about babies versus stones....she had 3 kids as well....her one kidney stone was by far worse.

I should get the results back this week, in regards to what food caused my stone. I'm certain it's not a dehydration issue....I drink more water than most fish....always have.

Big Wall climber
Denver, CO
May 6, 2013 - 12:09am PT
Another thing that occurred to me:

When you give birth to a baby, you've really got something to show for the pain and effort. When you give birth to that little fleck of a pebble, you really have almost nothing to show for it.

The pain to gain ratio is quite whacked!

Mountain climber
The Other Monrovia- CA
May 6, 2013 - 01:59am PT
Goes to show that there is a price to pay for habitually not drinking enough water.

I rarely drink water, after all, I'm Irish. Beer is the answer.
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