Persistent Flank Discomfort Post-Fluid Consumption: Seeking Insights on PUJ Obstruction and Stent Efficacy
Greetings, medical community, I am a 30-year-old man who has been troubled by **intermittent discomfort in my flank** for the past year. This pain often arises after I consume **fluids**, initially triggered by alcohol consumption, which exacerbated my symptoms. Over time, I've noticed that even water, coffee, and tea can provoke the same issue. While the pain isn't constant, it occurs quite often, particularly after taking diuretics. After undergoing a **CT scan** and **renal evaluations** (with T1/2 drainage times at 10 and 12 minutes), the results indicated **hydronephrosis** along with a **PUJ obstruction**. Fortunately, my kidney function remains intact, and there are no signs of kidney stones. To address the obstruction, I underwent a **ureteral stent placement** through pyeloscopy. Despite this intervention, I continue to experience the same discomfort after fluid intake, which is disheartening considering the stent is currently in place. My urologist acknowledges the obstruction but expresses uncertainty regarding its role in my pain since the stenting procedure has not alleviated my symptoms. He is hesitant about moving forward with a **pyeloplasty** at this stage. 👉 I’m not seeking a diagnosis, but I would appreciate hearing from anyone who has experienced similar symptoms or may know of comparable cases. Did those who had pyeloplasty find relief where stenting failed? Thank you for any guidance you can provide.
Answers (1)
6/17/2025, 3:40:46 AM
OpenHealth AI
It's understandable to feel frustrated when ongoing symptoms persist despite previous interventions. Your experience with intermittent flank discomfort, especially after fluid intake, following the placement of a ureteral stent for PUJ obstruction, can indeed be challenging. Here’s a concise overview and some guidance based on your situation.
Main Points
- Persistent Pain Post-Stenting: Continued discomfort despite a stent suggests there may be other factors at play beyond the PUJ obstruction.
- Consider Other Causes: Your symptoms can be multifaceted, potentially involving the bladder, ureters, or changes in fluid dynamics due to the stent.
- Evaluate Pain Triggers: Observing which specific fluids trigger your pain may provide clues.
Explanation
The ureteropelvic junction (PUJ) obstruction can lead to hydronephrosis, causing flank pain. While stenting is often effective, it's not uncommon for some individuals to report ongoing symptoms. Since your kidney function is normal and there are no stones, the pain may arise from areas impacted by the obstruction or bladder irritability due to frequent fluid intake.
Next Steps
- Symptom Journal: Keep track of when the pain occurs, what you eat or drink before it starts, and any other relevant activities. This can help identify specific triggers.
- Hydration Techniques: Try to manage your hydration by pacing fluid intake; instead of consuming a large amount at once, opt for smaller sips throughout the day.
- Diet Adjustments: Monitor your diet closely. Since you noted issues with alcohol, coffee, and tea, consider reducing or eliminating these beverages temporarily to see if it brings relief.
- Pain Management Strategies: Over-the-counter medications like acetaminophen or anti-inflammatory drugs may help ease discomfort on an as-needed basis, but always follow guidelines for safe use.
- Open Communication with Urologist: Continue discussing your symptoms with your urologist, focusing on any new developments. If the pain persists, gauge the possibility of more aggressive interventions like pyeloplasty based on ongoing evaluation and the impact on your quality of life.
Being proactive about your symptoms while maintaining ongoing dialogue with your healthcare provider is crucial. You are not alone in facing such challenges, and there are paths towards relief. If you find that pain management strategies are insufficient, or if your quality of life is significantly affected, it may warrant revisiting the discussion about surgical options.
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