Thought I would share my story for those who might be in the same boat, and sorry if this is a tad long.
I have had stones off and on since I was a teenager, usually several years between them. When I hit 40 I started getting them more regular and now at 46 I was getting one every month. Most of the recent ones were small (2mm and under) but still painful. I got so used to passing them that I just stopped going to doc/ER and dealt with it. But about a 18 months ago I noticed whenever I did a lot of physical excursion I would get some blood in urine then within a week or two a small stone would come out ( of course there is always some pain in there too) but once the stone was out the pain was gone. Well about 9 months ago I noticed I would pass a stone but some pain remained and would come and go.
The odd thing was positions seemed to make a difference, like laying a certain way was better than this or that way... I was about to go out of my mind trying to figure out what the heck was wrong with me, usually my kidney stone pain was pretty much just pain no matter your position. Oh and more excursion = more blood.. Thought for sure it was the end. Went to regular doc and he said, well you need to drink more water..blah blah blah.
Finally found a REAL urologist and he said well lets run a bunch of test and see what we have going on. So they did blood work, the 24 hour urine test, CT scan, Bladder scope thing. Well lo and behold I had a 19mm kidney stone in my left kidney!!
I had had a CT scan about 24 months previous to this last one (had a 3mm stuck). So somewhere in that time period I developed this monster stone in there. The doc said that the reason the pain would come and go was sometimes it was blocking the exit and sometimes it probably would move enough not to, which would explain why some positions felt better.
So I had the shock wave lithotripsy. He gave me a few options including cutting on me but said he has had excellent results with SWL, but may take a couple times to bust one up that large.
So the procedure itself was fine, I was out, I didnt care what they did. The next few days were miserable, the stent thing is terrible. I thought I was going to pass out from the pain of going to the bathroom the first couple days, not sure what happens in there, but holy cow did it hurt. By day 7 I was feeling much better but still not super. By day 12 when they took the stent out I was almost back to normal besides intermittent pain from stent. During this time lots of "gravel" came out.
The stent removal was more painful that I thought it would be, but was short lived so ... I guess I cant complain too much about that. The X-ray showed only some small pieces left and I am pretty sure I have passed most of them (I am now a week out from stent removal).
I have not felt this good in a long time, I am SOOOO thankful to have found a good doctor and be done with the never ending pain over the last year.
Also during all this he found my PTH levels were pretty high (para thyroid hormone) and these control calcium levels from what I understand. So I have a follow up with a endocrinologist to figure that part out, but maybe, just maybe I can get rid of most of these things in the future.
So I guess what I am saying is find a good doctor ( I went through about 4 urologist that have just been telling me to drink more water... I drink a gallon a day and I HATE WATER) and if you get them on a regular basis push to find out why. And I would do the SWL again, though it was not pleasant by any means (the recovery time anyway) it sure beats the constant pain I was in.
Jack