Intravenous Pyelogram (cont.)
What are the next steps after intravenous pyelogram?
- If you are waiting for a stone to pass and your symptoms worsen, the doctor might order a repeat intravenous pyelogram to determine if the stone has changed location.
- If you are waiting to pass a stone, drink a lot of water to generate urine that will flush the stone through the ureters and into the bladder then out. The stone that passes out of the body through the urine can be easily captured if you urinate into a special cup that has a sieve at the bottom. The urine passes through the cup and into the toilet, and the stone (eventually, you hope) is trapped in the cup. Save the stone and take it to your doctor for analysis.
- If a procedure has been done to remove a stone, you will usually need to follow up with the urologist after a specified period of time.
When should you seek medical care for complications of intravenous pyelogram?
If you are waiting for the "stone" to pass, and the pain worsens or vomiting is frequent enough that you cannot keep down pain medicine or fluids, call the doctor. Other warning signs include fever, chills, and seeing more blood in the urine.
Picture of the Urinary System
Line drawing indicating the relationship between the kidney, ureters, and bladder.Click to view larger images.
Medically reviewed by Michael Wolff, MD; American Board of Urology
1. deShazo RD, Kemp SF. Allergic reactions to drugs and biologic agents. JAMA. Dec 10 1997;278(22):1895-906. [Medline].
2. Peacock WF. Urologic stone disease. In: Tintinalli JE, Krome RL, Ruiz E, eds. Emergency Medicine: A Comprehensive Study Guide. 4th ed. McGraw-Hill; 1995:549-53.
3. Schneider RE. Genitourinary procedures. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine. 3rd ed. WB Saunders Co; 1998:978.
Medically Reviewed by a Doctor on 11/20/2017
Scott H Plantz, MD, FAAEM
Francisco Talavera, PharmD, PhD
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