<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am a 39 year old lady, have had appendix out, have had 3 cesarians and a full hyrsterectomy. I have a history of small kidney stones for 8 yrs in both kidneys. Been hospitalised twice with the pain on passing. Last one passed was 5mm, very painfull with vomitting. This week, bloody urine for 6 days. My doc picked up UTI assumed stones again, gave pain relief. Not coping at home, went to ED st Hospital. Catscan revealed a 14mm by 8mm stone in left kidney. Sitting in the pelvis of left kidney. Cant possibly pass. I live in a Regional area of Australia. Cant get it operated on for about a month as I have no private health insurance. My question is: How do I deal with the pain without becoming reliant on the drugs? Do I have to keep treating the UTIs in the meantime with antibiotics? I have to work full time and look after 3 children on my own, what can I do to make this wait easier?  <response>: HelloThanks for query. You are known to get recurrence of urinary stones since many years and now detected to have stone of a size of 14 mm in pelvis of your left kidney. The best treatment option for this stone to be removed is Extra Corporeal Shock Wave LithographyESL. This is a non-invasive technique and does not require hospitalization and can be done as out patient procedure so that one can carry on hisher routine work . It is a non obstructing stone and can be certainly managed for a couple of weeks till you decide to go for Estate following treatment 1 Antibiotics to prevent infection 2Pain killers as on when required Diclofenac or Cyclops3 Chat Doctor. 4 Avoid lifting heavy objects You can go ahead for ESL once you decide to go for it preferably within a month or two. 