|July 27, 2005 Update||What About Using a Combination of Jumps and Bumps||Disclaimer|
WHAT IF YOU CAN DRINK ONLY A SMALL AMOUNT OF WATER?``
Then you may need to wait longer than the 5 minute period between the pairs of jumps or bumps, to give the associated kidney extra time to produce a nice, heavy, liquid tool of urine. Of course drinking large amounts of water will not always ensure a heavy weight liquid tool. For instance, I always drank 1½ to 2 pints of water during the first 10 minutes, yet with the 3 – 4 mm stones, the obstruction was so minimal, and the resulting liquid tool of urine so small and lightweight, that it took 40 to 50 minutes vs. the 15 to 25 minutes required to move the larger stone to the bladder.
WHAT IF I ONLY WANT IMMEDIATE PAIN RELIEF?
I have never used the J or B for pain relief only, but I think it would work. According to the newer literature, by the time you have the sudden ureter stone pain, it means that you have at least a tiny liquid tool of urine above the stone. While this tiny tool might not be large or heavy enough to move the stone much, if at all, it should be heavy enough to push by the obstruction. Probably about 4 to 6 quick jumps or bumps will be enough to deflate the ureter. And remember, it will take several minutes for the pain to completely subside after the basic cause of pain, the dilated ureter, has been deflated. Be prepared for the pain to return possibly 30 to 60 minutes later, as the ureter slowly re-inflates with urine above the obstruction.
WILL THE JUMP OR BUMP HELP MOVE A STONE FROM THE BLADDER?
It is very doubtful. Anyway, the urethra is so much larger than the smallest parts of the ureters, a stone that has passed through the ureter will usually pass easily from the bladder to the outside, although it sometimes takes hours or even days for a stone to pass from the bladder to the outside!
The rationale for an alternate to the Jump method anticipates the possibility that physical limitations, such as ankle, knee, or hip joint problems might preclude use of the Jump. And, as stated earlier, either method should be effective. However, due to the curved route that the ureter takes as it enters the bladder, and the fact that the body is bent forward in the suspended Bump position, thereby at least partially compensating for the curve in the ureter, the Bump method may prove to be more effective in getting the stone into the bladder, especially if the stone is large. Starting with 2 or 3 pairs of Jumps and finishing with the required pairs of Bumps could be very effective.
HOW WILL I KNOW IF MY STONE IS IN THE BLADDER?
You may not know for sure! If you drank at least a pint or two of water, waited the 25-30 minutes before doing the first pair of jumps (or bumps), and kept the bladder empty, then when you suddenly feel the pain fade away you can be reasonably sure that the stone has entered the bladder. However, this may not always be the case; your stone may only be down to the bladder.
According to the older literature, it was common practice to leave a stone at the UVJ (very near the bladder) for up to several months. It would usually enter the bladder during this time if it was 6mm or less in size. It was found that a stone in this size range could remain in this location for months without causing significant pain or other complications, contrary to a stone left in much larger sections of the ureter!! Just what mechanisms cause/allow a stone to remain "trouble free" for months in the tiniest part of the ureter is unclear.
Whether the jump and bump, or some variation, will be consistently effective for stones larger than 6-7 mm is not known. Stones this size are generally considered the upper limit for spontaneous passage.
This site was designed by Linda Hepburn
Content written by Dil Barnett
Jump and Bump 2003