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What Causes Back Pain After Stent Placement

Home Remedies For Kidney Stone Removal And Stent:

Why do I have pain after my stent was removed?-Dr. Manohar T

Pain, abdominal discomfort and urinary troubles after kidney tone removal and stent can be reduced or avoided by following simple home remedies:

  • Drink plenty of water to maintain adequate hydration. Plenty of fluids also enable to flush the bladder to try and maintain clear appearance of urine.
  • Bladder cramps and spasm can be relieved by warm application or use of a hot water bag.
  • Include vitamin C rich foods in diet like orange, tomatoes, dark green leafy vegetables. Vitamin C helps in enhancing recovery and also provides the necessary antioxidants to prevent infection.
  • Include anti-inflammatory foods in diet like ginger, garlic and turmeric. These foods help in fighting infection naturally thereby preventing pain after kidney stone removal and stent caused due to urinary tract infection.
  • Over-the-counter medications for pain and spasm can be taken.
  • Avoid extreme physical activity or over-lifting immediately after being discharged to home.
  • Avoid straining too much to pass urine. Extreme physical activities and over-exertion can increase bleeding in urine.
  • What Happens During Ureteral Stenting

    Stenting is typically an outpatient procedure. You go home the same day. A urologist, a doctor who specializes in conditions that affect the urinary system, performs the procedure.

    Before the procedure, you receive anesthesia. Most often, you have general anesthesia, so youre asleep. You lie on your back for the procedure. Your provider:

    • Uses X-ray imaging or a kidney ultrasound to locate the obstruction and guide the procedure.
    • Inserts a small scope device with a lens through the urethra and into the bladder. The urethra is the tube where urine leaves your body when you pee.
    • Threads a thin, flexible wire through the cystoscope into the blocked ureter.
    • Uses the guidewire to place the ureteral stent. A curled part of the stent sits in the kidney, while another curled part rests in the bladder. These coils hold the stent in place.
    • Gently removes the guidewire and cystoscope, leaving the stent in place.

    When To See A Healthcare Provider

    People will often assume that sudden flank pain is caused by a pulled muscle or overexertion, and, in many cases, it will be.

    If the pain persists, worsens, or is accompanied by urinary symptoms or signs of infections, you should see your healthcare provider as soon as possible. This is especially true if you are experiencing high fever, chills, vomiting, or the inability to urinate.

    Even if a kidney infection is mild, it can sometimes progress and lead to bacteremia if left untreated. This is a condition in which a local bacterial infection âspills overâ over into the bloodstream, causing systemic and potentially life-threatening symptoms, including irregular body temperatures, disruptions in breathing, a severe drop in blood pressure, and shock.

    Given that acute pyelonephritis can strike in as little as two days, a rapid response is essential.

    The same applies if you experience a dull but persistent pain alongside uncommon symptoms such as painful urination, chronic fatigue, or unexplained weight loss. None of these should be considered normal, and you shouldnât wait until there is visible blood in urine to seek care.

    If you are pregnant, dont assume that persistent back pain is pregnancy-related. Be cognizant if there is a dull ache across your lower back or along the sides of your back between the ribs and hips. If accompanied by symptoms of infection or changes in urination, call your healthcare provider immediately.

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    What Causes Back Pain After Stent Placement

    Back pain often occurs after stent placement and resolves after 2 to 3 weeks in most patients.

    Back pain may occur due to compression of the nerves arising from the lower lumbar and upper sacral region as the stent traverses the spine and sacrum to the pelvis.

    The side effects of stenting are few and usually minor.

    Since veins dont carry sensation, the stents shouldnt be felt by the patient.

    A sensation of tugging or pulling in the area is usually caused by tissue swelling or muscle spasm, but not directly caused by the stent.

    This is generally harmless. However, some patients may experience moderate back pain which responds to medication and exercise.

    If back pain does not respond to medication or if it persists, call your doctor.

    Aside from stenting, your back pain may be caused by other conditions, such as vertebrogenic low back pain, abdominal aortic calcification back pain, or some other joint problem.

    Its best to have yourself checked to determine whether your stent is causing the pain or if its something else.

    Disclaimer: The information on this site is not intended to be a substitute for professional medical advice, diagnosis, or treatment. All information contained on this website is for general information purposes only.

    Is My Pain Normal After Stent Placement

    Renal Artery Stenosis: Symptoms &  Treatment

    live42day140522 over a year ago


    over a year ago


    over a year ago

    In reply to sickofdrs on 2012-05-14 – click to read

    over a year ago

    In reply to bubbaluvsgaaba on 2012-10-15 – click to read

    johnny5 over a year ago

    Strumforchrist over a year ago

    I had a 10mm stone removed yesterday from my right ureter and a stent put in place for the next 6 days. I was very fortunate while I had the kidney stone as I felt some discomfort but none of the terrible pain I’ve read others have with them.

    I’m thankful for the posts here as they prepared me for what I might be in for after surgery. The spasms were very uncomfortable yesterday, as well as all the pressure in the urinary track and rectum! Make sure your doctor provides you with anti-spasm meds. They will be your best friend. Also something for the nausea as many of the meds I’m taking with this are causing me to feel nauseas. Ther narcotics provide have not really helped and give me a headache and sick to my stomach as well.

    Try to drink plenty of water/fluids as they will help in the healing process.

    over a year ago

    In reply to johnny5 on 2012-12-18 – click to read

    over a year ago

    Hi everyone

    Guest over a year ago

    Guest over a year ago

    over a year ago

    I’ll start this post with some information about myself:

    The surgery:

    The first 48 hours after surgery:

    I thought I would post a few things that helped me and continue to help me get through the pain, and some suggestions to make this easier .

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    How Is The Stent Removed

    The stent is removed by having a small procedure called a Flexible Cystoscopy under a local anaesthetic. You may experience some discomfort and see blood in the urine following the procedure. Simple pain relief such as Paracetamol will help the discomfort. You are encouraged to increase your fluid intake to clear any blood in your urine and help prevent a urine infection.

    What Causes Sharp Pain After Heart Stent Insertion

    Chest pain is common after cardiac stent placement, reported by as many as 41 percent of people within the first 72 hours after the procedure, according to an April 1999 Herz research article. This pain can be caused by stretching or spasms of the artery walls where the stent was placed, or it could be a sign of a serious heart attack.

    Is the procedure for putting in a heart stent painful?

    The use of stenting and angioplasty is associated with risks, one of which is the redevelopment of blockages after implanting the stents. When this happens, patients can feel severe stabbing pain in the chest area . While undergoing these procedures, they also have a chance to experience heart attack.

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    Are There Any Restrictions

    Your doctor will let you know if you have any restrictions following urinary stent placement.

    Typically, you can perform most activities, work, and even sexual activity with a stent in place, providing it doesnt cause you great discomfort to do so.

    There is one exception: when you have a stent with an extraction string. This is a special stent designed so you can remove the stent yourself after its been in place for a certain amount of time.

    Stents with strings have a slightly higher rate of dislodgment. Avoid sexual activity while you have one in place to prevent dislodging the stent.

    According to a 2015 study , people with stent strings also reported a bit more sleep disturbances than people who had stents without strings.

    When you sleep, make sure the string is in a place where you can locate it easily. Sometimes, your doctor will tape the strings down to your leg or groin until you remove it.

    Stent-related irritation can cause a lot of different symptoms including discomfort. Examples include:

    • visible blood in urine
    • incontinence, or loss of control over urine
    • pain when urinating

    Ideally, these symptoms will subside within a few days after the stent placement when youre more used to the stents presence.

    A urinary stents presence can increase the risks of a urinary tract infection . Call your doctor if you experience some of the following symptoms, as they can indicate you may have an infection:

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    How Long Does A Stent Take To Settle

    Why do stents cause some kidney stone patients pain?

    Recovery from angioplasty and stenting is typically brief. Discharge from the hospital is usually 12 to 24 hours after the catheter is removed. Many patients are able to return to work within a few days to a week after a procedure.

    How do you relieve pain from a stent?

    Taking an over-the-counter pain reliever, such as ibuprofen or acetaminophen , before going to bed may help reduce stent-related discomfort while you sleep. Ibuprofen may be more effective for stent-related pain due to its combined pain-relieving and anti-inflammatory effects.

    Does angiogram cause backache?

    Coronary angiography is a gold standard tool for diagnosis of coronary artery disease. After this test, patients are restricted in bed to prevent vascular complications. Immobilization and bed rest can cause back pain in these patients.

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    About Your Ureters And Ureteral Stent

    Your ureters are tubes inside your body that drain urine from your kidneys to your bladder. If one of your ureters is blocked, your urine wont drain properly. When this happens, your kidney fills with urine and swells. This is called hydronephrosis. It can be caused by a tumor pushing on your ureter, kidney stones, or scar tissue. If your kidney remains blocked for a long period of time, it can become damaged. If both of your ureters are blocked, this will cause both of your kidneys to become weak and can place you at risk for kidney failure. Blocked kidney require ureteral stent placement.

    A ureteral stent is a thin tube thats placed in your ureter to help drain urine from your kidney . One end of the tube is inside your kidney and the other end is in your bladder.

    Figure 1. Ureteral stent

    Ureteral stents can be used for several weeks, months, or years. Theyre used to:

    • Let urine flow through your blocked ureter.
    • Keep your ureter open.

    When To Call Your Doctor Regarding Your Ureteral Stent

    While ureteral stents may be uncomfortable and unpleasant, they are typically a safe and routine intervention. However, patients should be aware of possible signs of an infection or other complications that may require emergency medical attention. Call your doctor if you experience any of the following symptoms while your stent is in place:

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    How Do You Relieve Pain From A Stent

    Taking an over-the-counter pain reliever, such as ibuprofen or acetaminophen , before going to bed may help reduce stent-related discomfort while you sleep. Ibuprofen may be more effective for stent-related pain due to its combined pain-relieving and anti-inflammatory effects.

    Is chest pain normal after an angiogram?

    Approximately 20% of patients undergoing diagnostic angiography for the evaluation of chest pain are found to have a normal coronary angiogram. Although this finding is generally associated with a low risk of cardiac events, approximately half will continue to experience chest pain over the next 12 months.

    Whats The Prognosis For Someone Who Has Ureteral Stents

    Abdominal Aortic Aneurysm graft. Abdominal aortic aneurysms can remain ...

    Ureteral stents are generally safe. They dont typically cause any long-term problems.

    Despite the risk of annoying side effects, ureteral stents are helpful. Ureteral stents often allow kidney stones to pass. They also work well to resolve ureteral obstructions. Left untreated, a ureteral obstruction can lead to life-threatening kidney failure and .

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    Palpitations And Heart Rhythm Disturbances

    Palpitations — the sensation of ones heart racing or skipping a beat — are common after cardiac stent placement.This may occur due to improved blood flow reinvigorating injured areas of the heart. Palpitations might also signal serious heart rhythm disturbances that could be the result of a heart attack. A study reported in January 2013 in “The Scientific World Journal” found that about 83 percent of people who underwent cardiac stent placement had some type of temporary heart rhythm abnormality within the first 48 hours after the procedure. The significance of palpitations can be easily determined by an electrocardiogram. Depending on the cause of the palpitations, additional treatment may be needed.

    • Palpitations — the sensation of ones heart racing or skipping a beat — are common after cardiac stent placement.
    • A study reported in January 2013 in “The Scientific World Journal” found that about 83 percent of people who underwent cardiac stent placement had some type of temporary heart rhythm abnormality within the first 48 hours after the procedure.

    Symptoms Will Usually Tell You If Theres A Problem

    Sometimes heart problems return after a stent procedure. If that happens, you usually have symptomslike chest pain, fatigue, or shortness of breath.

    If you do have symptoms, a stress test can help your doctor see whats going on. It can show if a blockage has returned or if theres a new blockage. It can also help you and your doctor decide what to doincrease your medicine or get another stent procedure.

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    Does Stent Pain Get Better

    Ideally, these symptoms will subside within a few days after the stent placement when youre more used to the stents presence. While stents can cause discomfort, they shouldnt result in severe pain. If over-the-counter or prescribed pain medications arent managing the pain well, call your doctor.

    Why do I still have chest pain after my stent?

    Residual soreness of the chest immediately following a coronary stent procedure is common. If you are still experiencing chest pain after having a stent that is similar to the pain before your stent then there could be several reasons. One, the pain you are having wasnt caused by the blockage in your heart artery where the stent was placed.

    Can Angioplasty Cause Back Pain

    What are the side effects of a ureteral stent?

    Back pain is a sequela of placing venous stents and resolves after 2 to 3 weeks in most patients. It is much more probable that it will occur when larger stent diameters are placed, and for this reason, it is important to ensure that nitinol stents are not oversized.

    Study Questions Whether Stents Relieve Chest Pain

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    What Is The Best Sleeping Position

    While doctors havent established a single best position for reducing stent-related discomfort when sleeping, there are some reports that people feel better sleeping on the opposite side where their stent is placed.

    However, this isnt backed up by research. You may have to try different sleeping positions to determine how you can get more comfortable.

    A Few Words About The Thorax

    To better understand intercostal pain, let’s first look at the anatomy of the ribs and rib cage.

    The rib cage is made up of 12 pairs of ribs. At the back of the body, they attach to the spine, at the level of vertebrae thoracic. And in the front, the first 7 pairs join the sternum. The role of the rib cage is to protect the vital organs within it. These include the heart, lungs, esophagus and large vessels.

    The intercostal nerves, for their part, are 22 in number. They originate at the level of the spinal cord and run through the intercostal space . These nerves have the function of transmitting sensory and motor information within the thoracic and abdominal regions.

    In general cases, the intercostal pain is due to inflammation, injury, irritation of an intercostal nerve or chest muscles.

    However, there are exceptions in which the chest pain comes from a lack of oxygen supply to the heart muscles . It can also come from the formation of a clot in the vessels that irrigate the heart.

    Stenting is supposed to restore the blood supply in the event of arterial narrowing, which will make the pain disappear. But without the precautions or because of the state of the patient, it happens that a few months or a year after the intervention, the coronary affection returns and generates again a intercostal pain. At this time, the state of the person worsens. The risk of myocardial infarction and death rises.

    To learn more about intercostal pain, click here.

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    Technical Reasons For Failure

    Technical failure is likely the single largest cause of early stent failure. In the majority of cases, failure is due to inadequate treatment of inflow by not extending the stent caudally enough to manage disease in the CFV or not extending the stents cranially enough to treat outflow disease . There are several consistent bony landmarks for ensuring that stents are placed correctly.

    Figure 2. Images of a patient undergoing reintervention after referral for an occluded stent. Panel A shows the line of the spinous process. The stent is short of the spinous processes and has therefore not extended cranially enough and has not stented beyond the May-Thurner/Cockett pinch point. Panel B shows the stent extended into the femoral vein beyond the confluence of the patent profunda vein. The lesser trochanter serves as a reliable landmark for the typical confluence point.


    Stent fracture may complicate extension of the stents beyond the inguinal ligament into the CFV. Typical fractures are approximately 1 cm beyond the line of the ligament and correspond to the head of the femur. Many hypotheses have been suggested regarding the cause of fracture, including compression by the ligament or against the bony prominence of the pubis. More work is needed to define this, and fracture will undoubtedly remain an issue. However, not all fractures cause clinical problems, and some may be totally asymptomatic.


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