Kidney Stone in Children: Care Instructions

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Your Care Instructions

Kidney stone in the ureter

Kidney stones are formed when salts, minerals, and other substances normally found in the urine clump together. They can be as small as grains of sand or, rarely, as large as golf balls.

For most children, passing a stone takes at least 24 to 48 hours. While the stone is travelling through the ureter, which is the tube that carries urine from the kidney to the bladder, your child will probably feel pain. The pain may be mild or very severe. Your child may also have some blood in his or her urine. As soon as the stone reaches the bladder, any intense pain should go away.

If a stone is too large to pass on its own, your child may need a medical procedure to help pass the stone.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • Make sure your child drinks plenty of fluids, enough so that his or her urine is light yellow or clear like water.
  • Be safe with medicines. Give pain medicines exactly as directed.
    • If the doctor gave your child a prescription medicine for pain, give it as prescribed.
    • If your child is not taking a prescription pain medicine, ask your doctor if your child can take an over-the-counter medicine.
    • Do not give your child two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful.
  • Your doctor may ask you to strain your child's urine so that you can collect the kidney stone when it passes. You can use a kitchen strainer or a tea strainer to catch the stone.
  • Have your child take medicines exactly as prescribed. Call your doctor or nurse call line if you think your child is having a problem with his or her medicine. You will get more details on the specific medicines your doctor prescribes.
  • Apply heat to sore areas on your child's back or stomach for 20-minute periods. Moist heat (hot pack, bath, shower) works better than dry heat.

Preventing future kidney stones

Some changes in your child's diet may help prevent kidney stones. Depending on the cause of your child's stones, your doctor may advise your child to:

  • Drink plenty of fluids, enough so that the urine is light yellow or clear like water.
  • Avoid coffee, tea, and grapefruit juice.
  • Do not take more than the recommended daily dose of vitamins C and D.
  • Avoid antacids such as Tums or Gaviscon.
  • Limit the amount of salt (sodium) in the diet.
  • Eat a balanced diet that is not too high in protein.
  • Avoid foods that are high in a substance called oxalate, which can cause kidney stones. These foods include dark green vegetables, rhubarb, chocolate, wheat bran, nuts, cranberries, and beans.

When should you call for help?

Call your doctor or nurse call line now or seek immediate medical care if:

  • Your child is vomiting and cannot keep fluids down.
  • Your child has severe pain that is not controlled by pain medicine.
  • Your child has a fever or chills.
  • Your child has pain in the back just below the rib cage. This is called flank pain.
  • Your child's pain has not gone away after 3 days.
  • Your child has new or more blood in his or her urine.

Watch closely for changes in your child's health, and be sure to contact your doctor or nurse call line if:

  • Your child does not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Current as of: January 25, 2016