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Is my husband on the right medication?

Dr Ashutosh Singh
Consultant Nephrologist,
Knoxville,
USA

Q: My husband had acute pain in the left side of his lower abdomen. After consulting a physician he was adminstered pantocid, buscopan and ketorol intravenously. They mentioned either renal colic or a kidney stone. I would like to understand the effect of the medication administered. What are the medical solutions in either case?

A:The characteristic pain in the left side is suggestive of a possible stone, in the left urinary tract anywhere from the kidney down to the ureter. Among the medications listed, Pantocid is prescribed to prevent and treat the inflammation of the food pipe (erosive esophagitis and gastritis), Buscopan is meant to treat the colicky pain and cramps arising out of the contraction/spasm of the urinary tract while Ketorol is a non-steroidal anti-inflammatory pain medication which has the potential to cause kidney damage and elevation of blood pressure if prescribed continuously. Understandably, you have been prescribed the cocktail of these medications to deal with the ongoing symptoms. But you would need the imaging study of the kidneys and the remaining urinary tract (CT scan study) to localize possibly the stones and accordingly manage them under the care of an Urologist.