My grown daughter (age 23) has had kidney stones for 5 years. She has passed many stones in those 5 years. This weekend she experienced the worst pains she has ever experienced. She began passing a white, think sandlike substance for several days She would experience horrible pain and pressure and then push and the substance would release in clumps. I am very worried about her . We have made an appointment at her urologist , but not expecting anything because they rarely have any answers for her. I was wondering if we should consider going to a nephrologist instead of a urologist. I am beginning to think we may be dealing with something in addition to kidney stones. Do you have any ideas of where we should turn at this point.
Welcome to Chat Doctor. It could be Chile(fat globules) or turbid urine. Urologist is the best person to see, not because I am one, but we are the ones to do surgical procedure if required. But there is no harm in seeing a nephrologist as well. She needs urinalysis, culture, urine for Chile, renal function tests and MVP/CT scan. Based on the results' treatment can be started. If pain is severe, obstruction can be relieved by a stent. Best regards Chat Doctor.