Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr, Greetings. I am Thambi Durai, 59 Male from Tirunelveli. I am having a calculi measuring 3 to 4 mms present in upper and mid pole of right kidney . Calculus measuring 4 mms present in upper pole of left kidney. Calculus measuring 6 mms present in right upper ureter causing obstruction and mild proximal hydroureteroneohrosis. Please give me the solution for that.
[|AI|]  Hi Thai, you have stones in both kidneys and one lodged in your right upper ureter. Luckily the stones are 6 mm or smaller. So medical treatment is preferable. Take lots of fluids (unless you have any heart/kidney or liver problems). Take citrus juice (lemon/wasabi/orange). Your family physician or a urologist may prescribe you medicines to decrease pain/avoid infection/ help expel the stones. Flush therapy can also be given if fluid intake is less. Get a repeat sonography done after 7-10 days. If you have severe pain/vomiting/fever or if the ureteric stone refuses to move even after 10-15 days of flushing, endoscopic surgery may be needed. Good luck.