Is It Normal to Still Feel Pain 20 Days After Laser Lithotripsy?

After undergoing laser lithotripsy, it is not uncommon for patients to experience some degree of discomfort or pain even 20 days post-procedure. This is because the treatment doesn't always remove all stone fragments immediately. Small residual particles and stone dust may continue to pass through the ureter, which can cause varying levels of renal colic.

Understanding the Cause of Post-Procedure Pain

The pain experienced, known as renal colic, typically occurs due to spasms in the smooth muscle of the ureter. As the body works to expel remaining stone fragments, these spasms can trigger episodes of discomfort.

Effective Pain Management Strategies

To help alleviate this pain, doctors often prescribe alpha-blockers such as tamsulosin or silodosin. These medications are known to relax the ureteral muscles and ease the passage of stones, significantly reducing discomfort.

Hydration and Medication: Supporting the Healing Process

Patients are strongly encouraged to drink plenty of water. Increased fluid intake helps flush out remaining stone particles more effectively. In addition to hydration, certain stone-dissolving and stone-expelling medications such as herbal remedies like Qian Cao (Chinese loosestrife) or Shi Pai Granules may be recommended to support the recovery process.

Monitoring Your Recovery

It's important not to panic if mild pain persists. Often, the body continues to expel stones naturally over time. As part of standard follow-up care, imaging tests such as X-rays, CT scans, or ultrasounds are typically scheduled every 1–2 weeks after the procedure to ensure all stone material has been cleared from the urinary tract.