{"id":1466,"date":"2020-08-07T08:00:00","date_gmt":"2020-08-07T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1466"},"modified":"2026-08-15T00:21:24","modified_gmt":"2026-08-14T17:21:24","slug":"%e1%80%80%e1%80%bb%e1%80%b1%e1%80%ac%e1%80%80%e1%80%ba%e1%80%80%e1%80%95%e1%80%ba%e1%80%80%e1%80%bb%e1%80%b1%e1%80%ac%e1%80%80%e1%80%ba%e1%80%90%e1%80%8a%e1%80%ba%e1%80%81%e1%80%bc%e1%80%84%e1%80%ba","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/my\/2020\/08\/07\/all-kidney-stones-need-to-treat\/","title":{"rendered":"Does Every Kidney Stone Need Treating?"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/my\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Chonon \u1014\u103e\u1004\u1037\u103a Cambodia \u1010\u103d\u1004\u103a \u1021\u1000\u1031\u102c\u1004\u103a\u1038\u1006\u102f\u1036\u1038 \u1006\u102e\u1038\u101c\u1019\u103a\u1038\u1000\u103c\u1031\u102c\u1004\u103a\u1038\u1006\u102d\u102f\u1004\u103a\u101b\u102c \u1021\u1011\u1030\u1038\u1000\u102f\u1006\u101b\u102c\u101d\u1014\u103a\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, 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is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/my\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone\u104a \u1006\u102e\u1038\u1021\u1011\u1030\u1038\u1000\u102f<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"\/my\/\u1010\u102d\u102f\u1004\u103a\u1015\u1004\u103a\u1006\u103d\u1031\u1038\u1014\u103d\u1031\u1038\u1019\u103e\u102f \u1000\u103c\u102d\u102f\u1010\u1004\u103a\u1019\u103e\u102c\u101a\u1030\u1001\u103c\u1004\u103a\u1038\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u1018\u1014\u103a\u1000\u1031\u102c\u1000\u103a\u1006\u1031\u1038\u101b\u102f\u1036\u100c\u102c\u1014\u1001\u103b\u102f\u1015\u103a\u104a \u1018\u1014\u103a\u1000\u1031\u102c\u1000\u103a<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">\u0dc3\u0dd0\u0db8\u0dd2\u0da7\u0dd2\u0dc0\u0dda\u0da2\u0dca \u0dc1\u0dca\u200d\u0dbb\u0dd3\u0dbb\u0dcf\u0da0 \u0dbb\u0ddd\u0dc4\u0dbd \u2014 \u03bf\u03c5\u0dbb\u0ddc\u0dbd\u0ddc\u0da2\u0dd2 \u0d85\u0d82\u0dc1\u0dba: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"\/my\/\u1010\u102d\u102f\u1004\u103a\u1015\u1004\u103a\u1006\u103d\u1031\u1038\u1014\u103d\u1031\u1038\u1019\u103e\u102f \u1000\u103c\u102d\u102f\u1010\u1004\u103a\u1019\u103e\u102c\u101a\u1030\u1001\u103c\u1004\u103a\u1038\/\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer 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1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"\u1002\u1030\u1002\u1032\u101c\u103a \u1005\u1000\u1031\u102c\u101c\u102c\u1038\u101b\u103e\u1005\u103a\"\n     aria-label=\"\u1002\u1030\u1002\u1032\u101c\u103a \u1005\u1000\u1031\u102c\u101c\u102c\u1038\u101b\u103e\u1005\u103a \u1015\u101b\u102d\u102f\u1016\u102d\u102f\u1004\u103a\u1000\u102d\u102f \u1000\u103c\u100a\u1037\u103a\u1015\u102b\u104b\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">One of the commonest conversations in my office starts with a health-check report: a kidney stone, found by chance, in someone with no symptoms at all. The assumption that follows is almost always the same \u2014 that it has to come out. Often it does not, and sometimes there is no stone there to begin with.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">First: is it really a stone?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Health-check packages use <strong>ultrasound<\/strong>, and for good reasons \u2014 it is quick, inexpensive and involves no radiation. But it is a <strong>screening<\/strong> tool, and screening tools are built to avoid missing things rather than to be precise.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"1470\" data-permalink=\"https:\/\/drsoaraweeurology.com\/my\/2020\/08\/07\/all-kidney-stones-need-to-treat\/close-up-doctor-conducts-ultrasound-diagnostics-of-the-patients-abdomen-and-internal-organs\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Ultrasonography.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.2&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Close-up doctor conducts ultrasound diagnostics of the patients abdomen and internal organs.&quot;,&quot;created_timestamp&quot;:&quot;1556323200&quot;,&quot;copyright&quot;:&quot;Kukota Ekaterina Mobile phone: +380638533305&quot;,&quot;focal_length&quot;:&quot;35&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;Close-up doctor conducts ultrasound diagnostics of the patients abdomen and internal organs&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Ultrasonography is a good tool in screening check up\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Ultrasonography is a good tool in screening check up&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Ultrasonography.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Ultrasonography.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Abdominal ultrasound examination, the usual way a kidney stone is found at a health checkup\" class=\"wp-image-1470\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Ultrasonography.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Ultrasonography.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Ultrasonography.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Ultrasonography.jpg?resize=768%2C512&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Ultrasound is an excellent screening tool \u2014 which is not the same as a definitive one.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Where ultrasound falls short<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>It depends on the operator.<\/strong> Accuracy varies considerably with the experience of the person holding the probe.<\/li>\n\n\n\n<li><strong>It <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27578040\/\">overcalls small stones<\/a>.<\/strong> Its accuracy for small stones is only around 45%, and calcified blood vessels or calcification within kidney tissue can look very like a stone. A good number of people are told they have one when they do not.<\/li>\n\n\n\n<li><strong>It struggles in larger patients.<\/strong> Thick tissue degrades the image and the reliability with it.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Where the finding needs confirming, the gold standard is a <strong>non-contrast CT<\/strong>: around 95% accurate, able to detect stones as small as 1.25 mm, and able to tell you exactly how big the stone is and where it sits \u2014 which is what actually decides the management. Modern low-dose stone protocols use radiation far below any level of concern.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"1469\" data-permalink=\"https:\/\/drsoaraweeurology.com\/my\/2020\/08\/07\/all-kidney-stones-need-to-treat\/doctor-and-patient-in-the-room-of-computed-tomography-at-hospital\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/CT-scan.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;Zaiets Roman&quot;,&quot;camera&quot;:&quot;NIKON D600&quot;,&quot;caption&quot;:&quot;Doctor and patient in the room of computed tomography at hospital. Medical equipment.&quot;,&quot;created_timestamp&quot;:&quot;1523967878&quot;,&quot;copyright&quot;:&quot;Zaiets Roman&quot;,&quot;focal_length&quot;:&quot;17&quot;,&quot;iso&quot;:&quot;500&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Doctor and patient in the room of computed tomography at hospital.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"CT scan is the definite investigation in urinary tract stone surveillance\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;CT scan is the definite investigation in urinary tract stone surveillance&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/CT-scan.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/CT-scan.jpg?resize=800%2C534&#038;ssl=1\" alt=\"CT scanner used for definitive low-dose imaging of urinary tract stones\" class=\"wp-image-1469\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/CT-scan.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/CT-scan.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/CT-scan.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/CT-scan.jpg?resize=768%2C513&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Non-contrast CT settles both questions at once: whether there is a stone, and how big it is.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Why 4 mm is the number that matters<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">No \u2014 not every stone needs removing. The narrowest part of the urinary tract is the ureter, and a stone of <strong>4 mm or smaller<\/strong> has a good chance of passing through it on its own, often without severe pain. Below that size, <strong>watchful observation is a legitimate plan<\/strong>, not a delay tactic: there is no benefit in an expensive procedure for a stone that would have left by itself.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practical measure while you wait is fluid. <a href=\"https:\/\/drsoaraweeurology.com\/my\/2020\/06\/19\/%e1%80%80%e1%80%bb%e1%80%b1%e1%80%ac%e1%80%80%e1%80%ba%e1%80%80%e1%80%95%e1%80%ba%e1%80%90%e1%80%bd%e1%80%84%e1%80%ba-%e1%80%80%e1%80%bb%e1%80%b1%e1%80%ac%e1%80%80%e1%80%ba%e1%80%90%e1%80%8a%e1%80%ba\/\">Drinking more than 2.5 litres of still water a day<\/a> produces enough urine to help move a small stone along. And since the stone that formed once tends to be followed by another, this is also the point at which <a href=\"https:\/\/drsoaraweeurology.com\/my\/2020\/11\/06\/%e1%80%98%e1%80%ac%e1%80%80%e1%80%bc%e1%80%b1%e1%80%ac%e1%80%84%e1%80%b7%e1%80%ba-%e1%80%80%e1%80%bb%e1%80%b1%e1%80%ac%e1%80%80%e1%80%ba%e1%80%80%e1%80%95%e1%80%ba%e1%80%80%e1%80%bb%e1%80%b1%e1%80%ac\/\">looking at why it formed<\/a> is worth the effort.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When a stone stops being a wait-and-see problem<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Watchful waiting assumes you stay well while you wait. <strong>Seek urgent medical care rather than waiting if you develop a fever alongside stone pain<\/strong> \u2014 fever with an obstructing stone means an infected, blocked kidney, which is a genuine emergency and needs drainage promptly, not antibiotics alone. The same applies if the pain is severe and unrelieved, if you are vomiting and unable to keep fluids down, or if you stop passing urine altogether.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Short of that, treatment is considered when the stone is larger than 4\u20136 mm and unlikely to pass, when it obstructs the flow, when the pain keeps recurring, or when you have only one working kidney. <a href=\"https:\/\/drsoaraweeurology.com\/my\/2020\/05\/02\/eswl-soarawee-%e1%80%91%e1%80%ad%e1%80%af%e1%80%84%e1%80%ba%e1%80%b8%e1%80%86%e1%80%ae%e1%80%b8%e1%80%9b%e1%80%b1%e1%80%ac%e1%80%82%e1%80%ab%e1%80%95%e1%80%ab%e1%80%9b%e1%80%82%e1%80%b0\/\">Shockwave lithotripsy<\/a> \u1014\u103e\u1004\u1037\u103a <a href=\"https:\/\/drsoaraweeurology.com\/my\/2020\/06\/26\/holmium-%e1%80%9c%e1%80%b1%e1%80%86%e1%80%ac%e1%80%80%e1%80%bb%e1%80%b1%e1%80%ac%e1%80%80%e1%80%ba%e1%80%80%e1%80%95%e1%80%ba\/\">\u101c\u1031\u1006\u102c\u1000\u103b\u1031\u102c\u1000\u103a\u1001\u103d\u1032\u1005\u102d\u1010\u103a\u1019\u103e\u102f<\/a> are the two routes then, chosen on the stone&#8217;s size, position and hardness.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The message worth taking away is that a stone on a checkup report is a finding, not a verdict. It deserves a proper look \u2014 sometimes to confirm it is really there, usually to measure it, and often to conclude that nothing needs doing at all.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u1000\u103b\u1014\u103a\u1038\u1019\u102c\u101b\u1031\u1038 \u1005\u1005\u103a\u1006\u1031\u1038\u1019\u103e\u102f\u1010\u103d\u1004\u103a \u1000\u103b\u1031\u102c\u1000\u103a\u1000\u1015\u103a\u1000\u103b\u1031\u102c\u1000\u103a\u1010\u103d\u1031\u1037\u101b\u103e\u102d\u1001\u1032\u1037\u1015\u103c\u102e\u1038 \u1006\u102e\u1038\u101c\u1019\u103a\u1038\u1000\u103c\u1031\u102c\u1004\u103a\u1038\u1006\u102d\u102f\u1004\u103a\u101b\u102c \u1021\u1011\u1030\u1038\u1000\u102f\u1006\u101b\u102c\u101d\u1014\u103a\u1014\u103e\u1004\u1037\u103a \u1015\u102f\u1036\u1019\u103e\u1014\u103a\u1010\u102d\u102f\u1004\u103a\u1015\u1004\u103a\u101c\u102d\u102f\u1015\u102b\u1000 \u1012\u1031\u102b\u1000\u103a\u1010\u102c\u1006\u102d\u102f\u101b\u102c\u101d\u102e \u101d\u102e\u101b\u102c\u1006\u102d\u102f\u1015\u102d\u102f\u1014\u103a\u1038\u101e\u100a\u103a \u1018\u1014\u103a\u1000\u1031\u102c\u1000\u103a\u1006\u1031\u1038\u101b\u102f\u1036\u104a \u1014\u1014\u103a\u1038\u101b\u1004\u103a\u1038\u1001\u1014\u103a\u1038\u1010\u103d\u1004\u103a \u1021\u1011\u1030\u1038\u1000\u102f \u1006\u103d\u1031\u1038\u1014\u103d\u1031\u1038\u1010\u102d\u102f\u1004\u103a\u1015\u1004\u103a\u1019\u103e\u102f\u1019\u103b\u102c\u1038 \u1015\u103c\u102f\u101c\u102f\u1015\u103a\u1015\u1031\u1038\u1015\u102b\u101e\u100a\u103a\u104b. <a href=\"\/my\/\u1010\u102d\u102f\u1004\u103a\u1015\u1004\u103a\u1006\u103d\u1031\u1038\u1014\u103d\u1031\u1038\u1019\u103e\u102f \u1000\u103c\u102d\u102f\u1010\u1004\u103a\u1019\u103e\u102c\u101a\u1030\u1001\u103c\u1004\u103a\u1038\/\">\u1010\u102d\u102f\u1004\u103a\u1015\u1004\u103a\u1006\u103d\u1031\u1038\u1014\u103d\u1031\u1038\u1019\u103e\u102f \u1000\u103c\u102d\u102f\u1010\u1004\u103a\u1019\u103e\u102c\u101a\u1030\u101b\u1014\u103a<\/a>. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u1000\u103b\u1031\u102c\u1000\u103a\u1000\u1015\u103a\u1000\u103b\u1031\u102c\u1000\u103a\u1000\u102f\u101e\u1019\u103e\u102f\u1021\u1000\u103c\u1031\u102c\u1004\u103a\u1038 \u1019\u1000\u103c\u102c\u1001\u100f\u1019\u1031\u1038\u101c\u1031\u1037\u101b\u103e\u102d\u101e\u1031\u102c \u1019\u1031\u1038\u1001\u103d\u1014\u103a\u1038\u1019\u103b\u102c\u1038<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">\u1000\u103b\u1031\u102c\u1000\u103a\u1000\u1015\u103a \u1000\u103b\u1031\u102c\u1000\u103a\u1010\u102f\u1036\u1038\u1021\u102c\u1038\u101c\u102f\u1036\u1038\u1000\u102d\u102f \u1000\u102f\u101e\u101b\u1014\u103a \u101e\u102d\u102f\u1037\u1019\u101f\u102f\u1010\u103a \u1016\u101a\u103a\u101b\u103e\u102c\u1038\u101b\u1014\u103a \u101c\u102d\u102f\u1021\u1015\u103a\u1015\u102b\u101e\u101c\u102c\u1038\u104b<\/strong> <p class=\"schema-faq-answer\">(\u1041) \u1019, (\u1042) \u1001, (\u1043) \u1002, (\u1044) \u1003, (\u1045) \u1004.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">\u1006\u102e\u1038\u1000\u103b\u1031\u102c\u1000\u103a\u1019\u103b\u102c\u1038\u1000\u102d\u102f \u1005\u1005\u103a\u1006\u1031\u1038\u101b\u102c\u1010\u103d\u1004\u103a \u0986\u09b2\u099f\u09cd\u09b0\u0bbe\u1006\u1031\u102c\u1004\u103a\u1038 (Ultrasound) \u101e\u100a\u103a \u101c\u102f\u1036\u101c\u1031\u102c\u1000\u103a\u1005\u103d\u102c \u1010\u102d\u1000\u103b\u1019\u103e\u102f\u101b\u103e\u102d\u1015\u102b\u101e\u101c\u102c\u1038\u104b<\/strong> <p class=\"schema-faq-answer\">\u1021\u101c\u103a\u1011\u101b\u102c\u1006\u1031\u102c\u1004\u103a\u1038\u101e\u100a\u103a \u1005\u1005\u103a\u1006\u1031\u1038\u101b\u1031\u1038\u1021\u1010\u103d\u1000\u103a \u1021\u101e\u102f\u1036\u1038\u101d\u1004\u103a\u101e\u1031\u102c \u1000\u102d\u101b\u102d\u101a\u102c\u1010\u1005\u103a\u1001\u102f\u1016\u103c\u1005\u103a\u101e\u1031\u102c\u103a\u101c\u100a\u103a\u1038 \u1006\u102e\u1038\u1000\u103b\u1031\u102c\u1000\u103a\u101b\u103e\u102c\u1016\u103d\u1031\u101b\u102c\u1010\u103d\u1004\u103a \u1000\u1014\u1037\u103a\u101e\u1010\u103a\u1001\u103b\u1000\u103a\u1019\u103b\u102c\u1038\u101b\u103e\u102d\u101e\u100a\u103a\u104b \u101e\u1031\u1038\u1004\u101a\u103a\u101e\u1031\u102c \u1000\u103b\u1031\u102c\u1000\u103a\u1019\u103b\u102c\u1038\u1000\u102d\u102f \u101b\u103e\u102c\u1016\u103d\u1031\u101b\u102c\u1010\u103d\u1004\u103a \u1010\u102d\u1000\u103b\u1019\u103e\u1014\u103a\u1000\u1014\u103a\u1019\u103e\u102f\u1019\u103e\u102c \u1044\u1045% \u1001\u1014\u1037\u103a\u101e\u102c\u101b\u103e\u102d\u1015\u103c\u102e\u1038\u104a \u101e\u103d\u1031\u1038\u1000\u103c\u1031\u102c\u1019\u103b\u102c\u1038\u1010\u103d\u1004\u103a \u1016\u103c\u1005\u103a\u1015\u1031\u102b\u103a\u101e\u1031\u102c \u1000\u101a\u103a\u101c\u103a\u1005\u102e\u1016\u102d\u102f\u1000\u103a\u1012\u103a \u101e\u102d\u102f\u1037\u1019\u101f\u102f\u1010\u103a \u1021\u1010\u103d\u1004\u103a\u1038\u1015\u102d\u102f\u1004\u103a\u1038\u1000\u101a\u103a\u101c\u103a\u1005\u102e\u1016\u102d\u102f\u1000\u103a\u1012\u103a\u1019\u103b\u102c\u1038\u1000\u102d\u102f \u1000\u103b\u1031\u102c\u1000\u103a\u1019\u103b\u102c\u1038\u101f\u102f \u1019\u103e\u102c\u1038\u101a\u103d\u1004\u103a\u1038\u101e\u1010\u103a\u1019\u103e\u1010\u103a\u1000\u102c \u1021\u1010\u102f\u1021\u101a\u1031\u102c\u1004\u103a \u101b\u101c\u1012\u103a\u1019\u103b\u102c\u1038 \u1011\u103d\u1000\u103a\u1015\u1031\u102b\u103a\u1005\u1031\u1014\u102d\u102f\u1004\u103a\u101e\u100a\u103a\u104b \u1000\u103d\u1014\u103a\u1011\u101b\u1015\u103a\u1005\u103a\u1019\u1015\u102b\u101e\u1031\u102c CT \u1005\u1000\u1004\u103a\u101e\u100a\u103a \u101b\u103d\u103e\u1031\u1005\u1036\u1005\u1019\u103a\u1038\u101e\u1015\u103a\u1019\u103e\u102f\u1016\u103c\u1005\u103a\u1015\u103c\u102e\u1038 \u1010\u102d\u1000\u103b\u1019\u103e\u1014\u103a\u1000\u1014\u103a\u1019\u103e\u102f \u1049\u1045% \u1021\u1011\u102d\u101b\u103e\u102d\u1000\u102c \u1041.\u1042\u1045 \u1019\u102e\u101c\u102e\u1019\u102e\u1010\u102c\u1021\u101b\u103d\u101a\u103a \u1000\u103b\u1031\u102c\u1000\u103a\u1004\u101a\u103a\u1019\u103b\u102c\u1038\u1000\u102d\u102f\u1015\u102b \u101b\u103e\u102c\u1016\u103d\u1031\u1010\u103d\u1031\u1037\u101b\u103e\u102d\u1014\u102d\u102f\u1004\u103a\u101e\u100a\u103a\u104b.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">\u1000\u103b\u1031\u102c\u1000\u103a\u1000\u1015\u103a \u1000\u103b\u1031\u102c\u1000\u103a\u1019\u103b\u102c\u1038 \u1005\u1005\u103a\u1006\u1031\u1038\u101b\u1014\u103a CT scan \u1013\u102c\u1010\u103a\u101b\u1031\u102c\u1004\u103a\u1001\u103c\u100a\u103a\u1000 \u1021\u1014\u1039\u1010\u101b\u102c\u101a\u103a \u101b\u103e\u102d\u1015\u102b\u101e\u101c\u102c\u1038<\/strong> <p class=\"schema-faq-answer\">\u1000, \u1001, \u1002, \u1003, \u1004.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">\u1000\u103b\u1031\u102c\u1000\u103a\u1000\u1015\u103a\u1000\u103b\u1031\u102c\u1000\u103a\u1000\u102d\u102f \u1021\u102d\u1019\u103a\u1019\u103e\u102c \u101e\u1018\u102c\u101d\u1021\u1010\u102d\u102f\u1004\u103a\u1038 \u1016\u101a\u103a\u101b\u103e\u102c\u1038\u1014\u102d\u102f\u1004\u103a\u101e\u101c\u102c\u1038\u104b<\/strong> <p class=\"schema-faq-answer\">Yes, stones 4 mm or smaller have a reasonable chance of passing naturally with adequate hydration. Drinking more than 2.5 liters of still water per day increases urine output, which helps flush stones through the urinary tract. However, even small stones can occasionally cause obstruction or pain, so urological monitoring is advisable during the observation period. Fever alongside stone pain is an emergency and needs urgent assessment rather than waiting.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">\u1000\u103b\u1031\u102c\u1000\u103a\u1000\u1015\u103a \u1000\u103b\u1031\u102c\u1000\u103a \u1021\u1010\u103d\u1000\u103a \u1000\u102f\u101e\u1019\u103e\u102f \u1000\u102d\u102f \u1018\u101a\u103a \u1021\u1001\u103b\u102d\u1014\u103a \u1019\u103e\u102c \u1005\u1009\u103a\u1038\u1005\u102c\u1038\u101e\u1004\u1037\u103a\u101e\u101c\u1032<\/strong> <p class=\"schema-faq-answer\">\u1000\u103b\u1031\u102c\u1000\u103a\u1000\u1015\u103a\u1021\u1010\u103d\u1004\u103a\u1038\u104c \u1000\u103b\u1031\u102c\u1000\u103a\u1010\u100a\u103a\u1001\u103c\u1004\u103a\u1038\u1000\u102d\u102f \u1000\u103b\u1031\u102c\u1000\u103a\u1001\u1032\u101e\u100a\u103a \u1044-\u1046 \u1019\u102e\u101c\u102e\u1019\u102e\u1010\u102c\u1011\u1000\u103a \u1015\u102d\u102f\u1000\u103c\u102e\u1038\u1015\u103c\u102e\u1038 \u101e\u1018\u102c\u101d\u1021\u1010\u102d\u102f\u1004\u103a\u1038 \u1000\u103b\u1006\u1004\u103a\u1038\u1014\u102d\u102f\u1004\u103a\u1019\u100a\u103a \u1019\u101f\u102f\u1010\u103a\u101e\u1031\u102c\u1021\u1001\u102b\u104a \u1015\u103c\u1004\u103a\u1038\u1011\u1014\u103a\u101e\u1031\u102c \u101e\u102d\u102f\u1037\u1019\u101f\u102f\u1010\u103a \u1019\u1000\u103c\u102c\u1001\u100f \u1014\u102c\u1000\u103b\u1004\u103a\u1001\u103c\u1004\u103a\u1038 (\u1000\u103b\u1031\u102c\u1000\u103a\u1000\u1015\u103a\u1014\u102c) \u1000\u102d\u102f \u1016\u103c\u1005\u103a\u1005\u1031\u101e\u100a\u1037\u103a\u1021\u1001\u102b\u104a \u1006\u102e\u1038\u101c\u1019\u103a\u1038\u1000\u103c\u1031\u102c\u1004\u103a\u1038\u1015\u102d\u102f\u1038\u101d\u1004\u103a\u1001\u103c\u1004\u103a\u1038 \u101e\u102d\u102f\u1037\u1019\u101f\u102f\u1010\u103a \u1021\u1016\u103b\u102c\u1038\u101b\u1031\u102c\u1002\u102b\u1014\u103e\u1004\u1037\u103a \u1006\u1000\u103a\u1005\u1015\u103a\u1014\u1031\u101e\u100a\u1037\u103a\u1021\u1001\u102b\u104a \u1006\u102e\u1038\u101c\u1019\u103a\u1038\u1000\u103c\u1031\u102c\u1004\u103a\u1038\u1015\u102d\u1010\u103a\u1006\u102d\u102f\u1037\u1001\u103c\u1004\u103a\u1038\u1000\u102d\u102f \u1016\u103c\u1005\u103a\u1005\u1031\u101e\u100a\u1037\u103a\u1021\u1001\u102b\u104a \u101e\u102d\u102f\u1037\u1019\u101f\u102f\u1010\u103a \u101c\u1030\u1014\u102c\u1010\u103d\u1004\u103a \u1000\u103b\u1031\u102c\u1000\u103a\u1000\u1015\u103a\u1010\u1005\u103a\u101c\u102f\u1036\u1038\u1010\u100a\u103a\u1038\u101e\u102c \u101b\u103e\u102d\u1014\u1031\u101e\u100a\u1037\u103a\u1021\u1001\u102b\u1019\u103b\u102d\u102f\u1038\u1010\u103d\u1004\u103a \u1000\u102f\u101e\u101b\u1014\u103a \u1021\u1000\u103c\u1036\u1015\u103c\u102f\u1015\u102b\u101e\u100a\u103a\u104b \u1000\u102f\u101e\u1019\u103e\u102f\u101b\u103d\u1031\u1038\u1001\u103b\u101a\u103a\u1005\u101b\u102c\u1019\u103b\u102c\u1038\u1010\u103d\u1004\u103a \u1000\u103b\u1031\u102c\u1000\u103a\u1001\u1032\u104f \u1021\u101b\u103d\u101a\u103a\u1021\u1005\u102c\u1038\u1014\u103e\u1004\u1037\u103a \u1010\u100a\u103a\u1014\u1031\u101b\u102c\u1015\u1031\u102b\u103a \u1019\u1030\u1010\u100a\u103a\u104d \u101b\u103e\u1031\u102c\u1037\u1001\u103a\u1021\u101d\u1031\u1037 (shockwave lithotripsy)\u104a \u1006\u102e\u1038\u1015\u103c\u103d\u1014\u103a\u1021\u1010\u103d\u1004\u103a\u1038 \u1019\u103e\u1014\u103a\u1015\u103c\u1031\u102c\u1004\u103a\u1038\u1011\u100a\u1037\u103a\u104d \u1001\u103d\u1032\u1005\u102d\u1010\u103a\u1001\u103c\u1004\u103a\u1038 (ureteroscopy) \u1014\u103e\u1004\u1037\u103a \u1000\u103b\u1031\u102c\u1000\u103a\u1000\u1015\u103a\u1021\u1010\u103d\u1004\u103a\u1038\u1019\u103e \u1019\u103e\u1014\u103a\u1015\u103c\u1031\u102c\u1004\u103a\u1038\u1011\u100a\u1037\u103a\u104d \u1000\u103b\u1031\u102c\u1000\u103a\u1016\u101a\u103a\u1001\u103c\u1004\u103a\u1038 (percutaneous nephrolithotomy) \u1010\u102d\u102f\u1037 \u1015\u102b\u101d\u1004\u103a\u1015\u102b\u101e\u100a\u103a\u104b.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u101b\u103e\u1031\u102c\u1004\u103a\u1000\u103c\u1009\u103a\u1001\u103b\u1000\u103a:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. No medical advice, diagnosis or prescription is provided through personal messaging channels. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">{\n    \"@context\": \"https:\\\/\\\/schema.org\",\n    \"@type\": \"MedicalWebPage\",\n    \"headline\": \"Does Every Kidney Stone Need Treating?\",\n    \"description\": \"Why ultrasound overcalls small kidney stones, why non-contrast CT is the definitive test, why 4 mm decides whether a stone can pass on its own, and the warning signs that make a stone an emergency.\",\n    \"datePublished\": \"2020-08-07\",\n    \"dateModified\": \"2026-08-12\",\n    \"inLanguage\": \"en\",\n    \"author\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\",\n        \"url\": \"https:\\\/\\\/drsoaraweeurology.com\\\/\"\n    },\n    \"reviewedBy\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\"\n    },\n    \"about\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Kidney Stone\",\n        \"alternateName\": \"Nephrolithiasis\"\n    }\n}<\/script>","protected":false},"excerpt":{"rendered":"<p>A health checkup reports a kidney stone, and the immediate assumption is that it has to come out. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains why ultrasound often overcalls stones, why 4 mm is the number that matters, and when watching is the right answer.<\/p>","protected":false},"author":185281453,"featured_media":10063,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Not every kidney stone needs treating. Why ultrasound is only a screening tool with about 45% accuracy for small stones, why 4 mm decides whether a stone can pass, and the warning signs that make a stone urgent. 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