Is frequent nausea and vomiting a normal symptom of ureteral calculi?

Nausea and vomiting in the presence of ureteral stones alone are mostly considered normal. However, if accompanied by diarrhea, abdominal pain, or other symptoms, they are generally indicative of an abnormal condition. A detailed analysis is as follows:

Normal Condition:

Ureteral stones primarily arise from the descent of kidney stones into the ureter. When these stones move within the ureter, they irritate the ureteral mucosa, causing pain and smooth muscle spasms, which subsequently trigger nerve impulses. This leads to frequent gastrointestinal symptoms such as nausea and vomiting, which are considered normal reactions. Timely medical attention is crucial, and treatment options may include extracorporeal shock wave lithotripsy, ureteroscopic lithotripsy and stone extraction, or percutaneous nephrostomy, as advised by a physician.

Abnormal Condition:

If patients frequently experience nausea, vomiting, and are accompanied by abdominal pain, diarrhea, or other symptoms, it may suggest that the symptoms are not solely caused by ureteral stones. Instead, it could indicate a pathology within the digestive system, such as acute gastritis, ulcerative colitis, or other abnormalities. Identifying the underlying cause is essential for individualized treatment. For acute gastritis, treatment may involve medications like Levofloxacin Hydrochloride Capsules, Domperidone Tablets, and Montmorillonite Powder, as prescribed. For ulcerative colitis, treatments may include Azithromycin Enteric-coated Tablets, Mesalazine Enteric-coated Tablets, and Prednisone Acetate Tablets, also as prescribed.

It is not recommended for patients to engage in self-treatment, as this may lead to inappropriate treatment methods. Instead, patients are advised to seek medical attention and receive targeted therapy under the guidance of a physician.