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To stent or not to stent. That seems to be an eternal question for us pregnant ladies.
In my case, the stent was definitely the right thing to do. The urologist was reluctant at first (because of the epidural), but I had 5 trips to the ER for morphine in a 2 week period, had missed 8 of 10 days of work, was told to expect more stones and was only 20 weeks pregnant. In addition, my hospital of choice was far away, and at one point I went to the nearest ER where my doctors were not "admitting," was sent to L&D (instead of the ER) where they didn't want me and didn't know how to treat me and refused to give me morphine. It took 3 hours of literally screaming my head off to get them to give me the proper pain treatment. That alone convinced me to get the stent.
The night of screaming turned out to be the night the stone left my kidney. It got impacted at the bottom of my ureter, never passed and was continuing to give me trouble.
The stent was the way to go to get through the next 20 weeks. During the procedure, my doctor did note that I have a very narrow ureter and he had to use a very narrow gauge stent. It "tickled" right where the impacted stone was, but didn't make me miserable until another stone developed (so maybe the stones are really to blame). Thanks to the stent, I didn't need morphine. Some Percocet was enough to manage the pain over the next week and the stent kept the urine flowing. But whatever that stone did to me, the UTI symptoms went through the roof, which was when I was given the Pyridium. I took it 2x/day for a month. I've been able to cut back to 1x/day, since the baby turned.
One other thing I noticed was that all of my attacks were accompanied by constipation. In fact, I was treating what I thought was only constipation for weeks before I ended up on the bathroom floor asking my husband to call an ambulance. I guess my backed up colon puts pressure on the ureter and complicates an already partially blocked kidney. SO in addition to LOTS of water, I now eat a bowl of HIGH fiber cereal everyday and take 100mg of Colace 3x/day. When I do get constipated (and sure enough the kidney starts to hurt), I take Milk of Magnesia to cure it. I also switched to 1 children's vitamin and 1 woman's nutrition bar per day. It seems to spread out the iron intake.
I have no idea if the 2nd stone passed out of my kidney or the 1st stone ever fell into my bladder. Given the occasional back pain, something is going on in there. We'll find out after the baby is born. But there is some comfort in knowing the stent is "doing its job" and I'm not continually running to the hospital for morphine or popping percocet.
It's been psychologically exhausting managing this pregnancy (my first was a cake walk in comparison). Oddly enough, my first pregnancy was during the winter. I was thirsty all of the time and drank lots of water with lemon juice (instead of tea) just by chance. I know nothing but the potential for kidney stones.
I have much empathy for the women who have experienced many more and/or larger stones and complications than I have.

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