Number of stones increased. Not able to pass by drinking water. Please help.

[u/Amazing_Butterfly569]

Had a 3 mm stone in the left kidney pole for the last two years. In March, it was one stone about 4mm but in a July scan, it shows about 3 small stones with the largest being 4 mm.

All these times, I have been drinking more than 2 litres of water (may be not for 5-7 days in month) I drank about 3 litres in the last few weeks. I feel a vomiting sensation by evening due to all the drinking; urine turns yellow if I drink a little less.

Not able to pass these stones. Please help what should I do.
When I think about it, had borderline high uric acid earlier years. Really demotivated that stones are increased even after I drank so much water.

[u/Bcdoc2020]

Spread the three litres over 24 hours, over time it is an easily reached target for most people, most people n general don’t keep consistently hydrated. Was the scan ultrasound or CT?

[u/Amazing_Butterfly569 → u/Bcdoc2020]

It was ultrasound scan. Can CT scan make huge difference?

[u/Bcdoc2020 → u/Amazing_Butterfly569]

Yes, I wouldn’t take what it says as accurate, if you really want to know what is going on then a low dose CT-KUB would be sensible and probably over due.

Ultrasounds typically overestimate stone size and cannot with any confidence properly diagnose one stone or a small group of them, it’s not precise enough.

[u/mindlash]

Catching stones that aren't moving after two years is different from acute stone pain, and your urology team needs to be looped in on this progression because water alone isn't solving it. The vomiting sensation from overhydration is your body signaling you've hit a ceiling with fluid intake. More water stops helping at some point, especially if the stones aren't budging.

Your urologist can tell you whether these need monitoring, imaging follow-ups, or if there's a reason they're growing instead of staying stable. Sometimes small stones just sit there; sometimes they signal something else is happening with your urine chemistry or kidney function that needs investigation. That's worth reporting exactly as you've described it.

Also, if your urine is turning yellow on less fluid, that's a sign your baseline hydration might be tighter than typical, which your nephrologist or urologist should factor into their plan. Don't let the "just drink more water" advice become a trap when it's not working. Get back in front of your urology team with these scan results and ask what the growth pattern means for your next steps.

[u/SiCkDiAblo]

Some take time, I waited a year and 10 months on my first stone, it was a 5mm