Can a 19.35 mm Kidney Stone Be Treated Without Surgery Under ECHS?

Hello,

A 19.35 mm stone is considered quite large, but the treatment depends on where the stone is located. Since you have not mentioned whether it is a kidney stone or a gallbladder (gallstone), the treatment approach will be different for each condition.

In most cases, a stone of this size is unlikely to pass on its own with medicines alone. A specialist will recommend the most suitable treatment after reviewing your ultrasound, CT scan, or other imaging reports.

If It Is a Kidney Stone

A kidney stone measuring around 19.35 mm (almost 2 cm) usually requires a medical procedure or surgery because it is too large to pass naturally.

Common Symptoms

• Severe pain in the back, side, or lower abdomen.

• Pain while passing urine.

• Blood in the urine.

• Frequent urge to urinate.

• Burning sensation during urination.

• Nausea or vomiting.

• Fever and chills if an infection is present.

Treatment Options

Depending on the size, location, and type of stone, the urologist recommend

• Medicines for pain relief and infection control.

• Drinking adequate fluids (if advised by the doctor).

• Ureteroscopy (URS).

• Retrograde Intrarenal Surgery (RIRS).

• Percutaneous Nephrolithotomy (PCNL), which is commonly recommended for larger kidney stones.

• Shock Wave Lithotripsy (ESWL) in selected cases.

If It Is a Gallbladder Stone

A 19.35 mm gallstone usually does not dissolve with medicines, especially if it is causing symptoms.

Common Symptoms

• Pain in the upper right side of the abdomen.

• Pain after eating oily or heavy meals.

• Nausea or vomiting.

• Indigestion or bloating.

• Pain that may spread to the back or right shoulder.

• Fever and jaundice if infection or blockage develops.

Treatment Options

Treatment depends on whether the stone is causing symptoms.

• Observation if the stone is present without symptoms.

• Medicines may provide temporary relief from symptoms but generally do not remove large gallstones.

• Laparoscopic Cholecystectomy (Gallbladder Removal Surgery) is the most common and effective treatment for symptomatic gallstones.

Is Surgery Always Necessary?

Not always. The decision depends on

• Whether it is a kidney stone or gallstone.

• The exact location of the stone.

• Size and number of stones.

• Pain and other symptoms.

• Infection or blockage.

• Kidney or gallbladder function.

• Overall health of the patient.

A specialist will recommend the best treatment after reviewing your reports.

ECHS Coverage

Since you are an ECHS beneficiary, you be eligible for treatment at ECHS empanelled hospitals as per ECHS rules and approved packages.

ECHS generally covers medically necessary procedures such as kidney stone surgery or gallbladder surgery when advised by the treating specialist and carried out at an empanelled hospital after following the required approval process.

Documents Usually Required

• ECHS Card.

• Referral from the ECHS Polyclinic (if applicable).

• Aadhaar Card or another valid ID.

• Ultrasound, CT scan, or other imaging reports.

• Doctor's prescription.

• Previous medical records.

How HexaHealth Can Help

• Connecting you with experienced urologists (for kidney stones) or general surgeons (for gallstones).

• Helping you find suitable partner hospitals near your location.

• Guiding you about ECHS treatment eligibility and the treatment process.

• Assisting with specialist appointments and hospital coordination.

To guide you more accurately, please share

• Is the 19.35 mm stone in the kidney or the gallbladder?

• Please mention your city and state.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth