Make sure that your son is checked for HYPERPARATHYROIDSM. He needs to check his serum calcium and PTH (parathormone) level. This will indicate why he is forming stones at a young age. IF the stones are too large to pass, then the stones can be "shattered" with ultrasound and flushed. If the stones are stuck in the kidney calyx system, operative intervention will be needed. Diet counseling will also be needed.
1. DO NOT PANIC
2. APPLY FIRM PRESSURE AT THE SITE OF THE BLEEDING until it stops. Exception, of course, is the neck where one has to be careful not to "choke to death."
3. In the operating room, we pack the area for a few minutes and slowly remove the packing to identify the source of bleeding and clamp as necessary and tie off the bleeder. If it is capillary or small vessel bleed, then certain medications (powder or dressing type) is applied to stop the bleeding. Transfusion is necessary if the hemoglobin falls very low, for example, below 9 g.
Risks: Death, anastamotic leak, infection of the wound, bleeding from the site, and narrowing of outlet due to scarring are the common ones. Side effects depend on the type of surgery for the tumor and then reconstruction:
a) No side effects noteworthy b) Narrowing of the "joints" c) Anemia and other nutritional problems, like weight loss d) DVT of the leg veins if not ambulated early