What steps should I take if I suddenly encounter acute pain in both my abdomen and waist simultaneously?

Sudden severe pain in the abdomen and waist is considered to be caused by kidney stones or ureteral stone impaction. It is essential to visit a hospital for a B-ultrasound examination to determine the underlying cause. If kidney stones are the culprit, the appropriate treatment, whether medicinal or surgical, depends on the stone's size, cause, and symptoms. In the case of ureteral stones, the choice between conservative methods and surgical treatment hinges on the stone's size.

Treatment of Kidney Stones

Symptomatic treatment is the initial approach for kidney stones. For instance, analgesic medications can alleviate the pain during a bout of colic. If infection or obstruction is detected, controlling the infection comes first, tailored to the specific circumstances. In severe cases, ureteral catheterization or nephrostomy may be necessary to ensure unhindered urine flow, aiding in infection control and preventing renal function impairment. Prompt intervention is crucial for renal colic and infection, with antibiotics administered immediately for infections and renal puncture drainage considered if necessary. Patients with bilateral ureteral stones accompanied by obstruction and anuria should consider immediate surgical stone removal. For urinary tract stones stemming from pathological factors, addressing the underlying disease is equally important. Aggressively treating the causes of stone formation helps prevent their formation and recurrence.

Treatment of Ureteral Stones

Ureteral stones typically less than 5mm in size have an 80% to 90% chance of passing within 6 weeks, making conservative treatment the preferred option. This may involve traditional Chinese medicine for stone expulsion, anti-spasmodic analgesics, and ureteral relaxants. For stones larger than 5mm, extracorporeal shock wave lithotripsy (ESWL) or ureteroscopy are viable options. ESWL generally yields better results for upper ureteral stones, while ureteroscopy offers better management for middle and lower ureteral stones. If the ureteral stone is excessively large, or ESWL and ureteroscopy are unsuccessful, open surgery may be necessary for stone removal.