Conversation: The conversation between human and AI assistant.
[|Human|] hello sirI am Harjinder singh (age 22). I am suffering from stonesleft kidney has stones of size 2,3,4.5 & 7 mm near lower pole and 2.5 mm near upper pole & ureatic stone of size about 5.5 mm in its lower part>Right kidney shows grade 1hydronephrosis & stone of size about 6.5mm near upper pole and 6 mm near lower pole & ureatic stone of size about 7.5mm in its upper part.>what is the treatment and what are the precautions.with regards Harjinder Singh
[|AI|]  Treatment for stones under 6 mm that aren't causing obstruction is to wait and let it pass on its own while providing supportive treatment to patient such as intramuscular analgesics for pain that is severe and antibiotics in case of infection.  Treatment for stones above 6 mm is shock wave lithography or surgery.  In your case there are multiple stones that need to be removed bilaterally.  The best approach would be to try shock wave and pass a Stent which would allow for the passage of stones.  In case of failure more open surgical approach would be needed.  Besides multiple calculi means you might have a blood disorder that is causing formation of stones.  After passage or removal of stones, send them for analysis, and you would need some dietary modification depending on what it turns out to be