PREGNANCY-BIRTH Messages for December, 2000: Re: Kidney Stone - 23 weeks pregnant, Dr.'s opinion needed

Re: Kidney Stone - 23 weeks pregnant, Dr.'s opinion needed

From: Harvey S. Marchbein, M.D.

anonymous@obgyn.net

Sat, 30 Dec 2000 20:21:37 -0600 (CST)

Hope this helps and write back anytime for more information.

HSM

At Sat, 30 Dec 2000, Cherine wrote: >
>Hello. I was away on vacation in Arizona when this happened so I
>couldn't see my regular doctor. I woke up with pressure and pain in my
>abdomen and back (on the 26th) but I figured it was from stress and
>running around during the holidays. I didn't think too much of it. That
>day we left on vacation. That night I went to the bathroom and noticed
>that my urine was dark pink. I first thought it was vaginal bleeding
>but it wasn't. I thought I was having a UTI or a kidney infection but I
>didn't have all of the normal symptoms like irritation when urinating or
>urgency.
>
>The next morning my urine was fine - but I still felt some pressure and
>back pain. That afternoon the blood in the urine happened again. After
>that, there was flecks of blood in the urine. I started drinking a ton
>of water because I thought it was an infection and I was trying to flush
>it out. This made the blood decrease.
>
>That night when we left for dinner, I started walking and the pain in my
>back got so back I couldn't walk any more. I went back up to the hotel
>room and layed down. The pain was becoming very localized in my back on
>the right side. I decided to call my insurance's 800 number for a
>nurse. I describe everything to her and she recommended seeing someone
>ASAP.
>
>We then went to the local hospital's ER. After about 4.5 hours - I was
>seen by the doctor. They tested my urine (which by now because of the
>water didn't have any blood in it) and there was no sign of bacteria or
>infection. They did an ultrasound and found a stone in my right kidney.
>The doctor briefly saw me and said I had a kidney stone, there wasn't
>much they could do because I am pregnant, and said it was basically a
>pain management thing. They gave me a shot of demerol that night and
>gave me a prescription for percocet.
>
>I gave my OB/GYN a call the next morning and spoke to his nurse (he is
>on vacation). She gave me basically no information at all and said just
>to come in on my next visit. She said it wasn't pregnancy related. FYI:
>We went through infertility treatement with this dr. and it took us
>over 1.5 years to get pregnant (this is my first).
>
>I am basically in the dark here. I understand that the ER doctor
>doesn't have a whole lot of time to sit down and explain this situation
>to me. But I feel that my doctor should. I have no idea how big this
>stone is. I don't know if I am going to pass it or if it is just going
>to stay there. The ER doctor said that these medications were fine for
>pregnancy but I don't feel right taking them. I am only taking the
>percocet when I absolutely need it. Plus, I can't drive when I take it.
>
>Any information you could provide would be helpful. I want to know if
>all of this sounds right to you. And what you suggest should be done
>from now on. If you could point me in a direction to read up on this,
>I'd appreciate it. I have read some, but I don't know what happens when
>you are pregnant. Also, they never told me how big the stone was so I
>don't know if I am going to pass it or not.
>
>Thanks in advance for any information.
>
>--
>Cherine
>

-- Harvey S. Marchbein, M.D. FACOG, FACS Great Neck, New York

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