Chapter 734 - 340: Stone Expulsion and the Deadly Limin Clinic

Chapter 734: Chapter 340: Stone Expulsion and the Deadly Limin Clinic

Don’t assume the patients are foolish.

Li Jingsheng and Luo Cheng were compared briefly, and the difference was clear.

"Thank you for your trust, please follow me."

He took her into the medical exam room, and since she was a female patient, Li Jingsheng specifically called Meng Luo to join them.

According to hospital regulations, when a male doctor examines a female patient, a female medical staff member is required to be present. It can be a female doctor or nurse.

This is to prevent any misconduct by male doctors during examinations.

If a female patient shouts ’inappropriate conduct,’ having a third person in the room can clarify the situation.

After performing an ultrasound on the patient, it showed high echogenicity with shadowing, and there was also hydronephrosis.

At this stage, Li Jingsheng felt more confident in his diagnosis.

"It should definitely be ureterolithiasis. Because there’s hydronephrosis, I’m a bit worried there might not just be urinary stones but also kidney stones. But judging from your described pain symptoms, the stones should be quite small. We can prioritize conservative treatment; I’ll prescribe some stone-expelling medication and guide you to drink plenty of water and engage in activities to expel the stones."

Li Jingsheng explained to the patient.

If the stone diameter is less than 0.6cm and it has a smooth surface, theoretically, they can be expelled through conservative treatment.

If some stones are stubborn, not smooth or oddly shaped, and can’t be expelled, we can consider extracorporeal shock wave lithotripsy.

Ureterolithiasis is not considered a major illness; as long as it is detected timely, correctly diagnosed, and treated scientifically and reasonably, it can be cured quickly.

"Hmm, I’ll follow your advice."

The patient nodded in agreement.

"Earlier, you mentioned that intense pain could indicate a good thing, implying smaller stones?"

She was curious about this question.

"There’s no absolutes in nature. From my clinical experience, large stones cause less pain due to restricted movement in the urethra or kidney. Small stones have greater mobility and roll around, causing intense colic and radiating pain. They often trigger sudden severe pain, accompanied by nausea and vomiting symptoms.

Your nausea and vomiting were actually due to the extreme pain."

Li Jingsheng gave her a detailed explanation of the pathological mechanism.

"Got it. Thank you for educating me on this topic. Next time, when similar symptoms occur, I’ll know the cause." She looked like she learned something valuable.

A long illness makes a good doctor.

Having dealt with this illness once, she’ll indeed be capable of diagnosing similar symptoms next time.

"Thinking of getting ureterolithiasis again, are you? You should check your daily eating habits and change the bad ones. For example, if you love eating persimmons, especially on an empty stomach, their tannic acid may form stones with alkaline substances in the digestive tract. But persimmons tend to cause digestive tract stones like gastric stones. Also, consuming animal offal, seafood, beetroot, spinach, etc., can easily lead to stones.

Most urinary stone patients typically suffer because of stubborn behavior like drinking little water and sitting for long periods."

Li Jingsheng jokingly teased her while educating her about foods prone to causing stone illnesses.

"I usually work long hours, sitting for several hours straight. To avoid frequent toilet visits, I drink less water. Seems like this habit needs to change."

She quickly applied what she learned to identify the root of her problem.

"Identifying the problem is a good thing! Sitting still for too long can lead to many issues, like deep vein thrombosis, constipation, or disc herniation. Work is important, but health is even more so. Henceforth, drink more water and visit the toilet when needed. Holding urine is also harmful, as if not expelled timely, your body reabsorbs it. Those toxins meant for expulsion get reabsorbed instead.

Pale skin, blemishes, liver, and kidney damage issues all arise."

It’s not mere scare tactics; holding urine does pose great dangers.

The kidney is a super-efficient filter.

It arduously filters harmful substances into the urine.

Yet, the body owner doesn’t appreciate its hard work and stubbornly holds onto urine, refusing to expel.

This leads to reabsorption by the body.

The kidney worker is left exhausted with no energy to cry. Just silently, it endures the owner’s abuse, and kidney functions deteriorate further.

"After you’ve explained everything, I’ll surely change. No more holding urine next time, I must drink more water." She subconsciously touched her face, which had quite a few blemishes.

Her complexion wasn’t too good either, appearing dull and lackluster.

If it weren’t for makeup, her face might look significantly aged.

"Drinking water shouldn’t be excessive either. Two to three liters a day is about right. Ideally, drink water evenly distributed throughout the day to aid expelling the urinary stones."

Li Jingsheng advised her on the importance of drinking water.

Then, he prescribed some medication.

Considering her urinary stones and severe symptoms, he prescribed diclofenac sodium suppositories for rectal administration.

Why use rectal administration for treating urinary stones?

This medicine primarily helps reduce ureter swelling, alleviates pain, and promotes stone expulsion in the ureter.

Much like antipyretics, some are indeed rectally administered for excellent fever reduction effects.

There are numerous administration methods, contrary to the common belief that they can only be orally ingested.

Methods like intramuscular, intravenous, intravenous drip, topical application, rectal administration, or applied ointment are all utilized.