Kidney stones (Kidney stones)

What are kidney stones?
Kidney stones are a condition urinary disorders occurs when salts or chemicals in the urine form crystals. These crystals grow and clump together to form stones that block the flow of urine and can lead to serious complications including infection, kidney damage, or even kidney failure.
Types of kidney stones
- Calcium oxalate stones or calcium phosphate stones . Kidney stones are mainly calcium oxalate and less commonly calcium phosphate. Oxalate is a substance produced by the liver or absorbed from the daily diet. On the other hand, calcium phosphate stones are often found in people with metabolic diseases, such as renal tubular acidosis.
- Cystine stones . Made from cystine, an amino acid found in digestive enzymes. This rare type of stone forms in people with a genetic condition that causes the kidneys to excrete too much cystine into the urine.
- Struvite stones . These stones develop when there is a urinary tract infection. The bacteria produce ammonia that builds up in the urine.
- Uric acid stones . These stones form when urine is normally too acidic and uric acid can form stones on its own or calcium. Uric acid stones are common in people who lose too much water due to chronic diarrhea or eat a diet high in purines. People with diabetes or metabolic syndrome are also prone to uric acid stones.
Kidney stones mainly affect men between the ages of 20 and 40.
What are the symptoms of kidney stones?
Symptoms of kidney stones include:
- Blood in urine
- Difficulty urinating (if the stone is too large)
- Nausea and vomiting
- Painful urination
- Severe pain in the back and flank area of the abdomen, radiating to the front and groin area
- No symptoms. Some stones, especially those that occur in the kidney fluid, may not cause any symptoms.
Request medical attention right away if you have pain so severe that you cannot find a comfortable position or sit still, and it is accompanied by nausea, vomiting, fever and chills, blood in your urine, and difficulty urinating.
What causes kidney stones?
Kidney stones can occur when:
- Urine contains little or no substances that can usually prevent these minerals from building up into crystals.
- Urine contains more minerals (calcium, oxalate, phosphate, uric acid, or cystine) than can be diluted.
- Have other medical conditions such as cystic kidney disease, urinary tract infections, and metabolic disorders.
What factors increase the risk of kidney stones?
Risk factors that may increase your chances of developing kidney stones include:
- Diet-related factors such as low fluid intake while high salt intake, foods high in oxalate (e.g., peanuts, almonds, strawberries, tea, and coffee), and foods high in purine (e.g., organ meats and shellfish)
- Environmental factors such as living in hot climates that cause excessive sweating and low fluid intake, leading to decreased urine output and increased mineral concentrations in the urine
- Genetic factors including a family history of kidney stones
What are the complications and related diseases of kidney stones?
If left untreated, kidney stones can lead to more serious complications and illnesses, including:
- Kidney failure and loss of kidney function occurs when the kidneys lose their ability to filter waste from the blood sufficiently. The body becomes overloaded with toxins if the kidneys fail to do their job, which can be life-threatening.
- Infection . Kidney stones increase the risk of urinary tract infections by causing interruption of urine flow and stasis. Infection of a closed and infected urinary tract is an emergency and needs to be treated promptly.
How to prevent kidney stones?
You can reduce your risk of kidney stones by drinking enough water every day. Choosing a diet low in salt and animal protein and eating foods high in oxalate can also help prevent kidney stones from forming.
If you are at higher risk of kidney stones, ask your doctor about diet.
How are kidney stones diagnosed?
After reviewing your symptoms and medical history, your doctor will order some tests, including:
- Blood tests . Blood tests are important to check the levels of uric acid or calcium in your blood. Blood test results help monitor your kidney health and can help your doctor check for other conditions.
- Urine tests . These tests can show whether you are excreting too few stone-fighting substances or too many stone-forming minerals.
- Imaging tests . Ultrasound or computed tomography (CT) scans can help detect kidney stones. Ultrasound, a noninvasive procedure, is a common imaging option used to diagnose kidney stones, while CT scans can detect very small kidney stones.
- Assessing the Passed Stones . You may be asked to urinate through a strainer to collect the passed stones. The stones will be tested in a laboratory to determine the composition of the kidney stones. This information is useful in finding the cause of the kidney stones and in developing a plan to prevent more kidney stones from forming.
How are kidney stones treated?
Your doctor will assess your condition and develop an appropriate treatment plan, depending on the size and type of kidney stone you have.
If the kidney stone is large in size small :
- No treatment is needed. Kidney stones can gradually pass through the urine if the patient drinks plenty of water.
- Your doctor may prescribe pain medication to help relieve pain during the process of passing the stones.
If kidney stones too big to let you discharge yourself:
- Extracorporeal shock wave lithotripsy. This is a non-invasive procedure in which shock waves are sent into the body to break kidney stones into smaller pieces, which are then passed out in the urine over the next few days.
- Medication . You may be given medication to help pass or prevent certain types of stones. The specific medication prescribed depends on the type of kidney stone.
- Percutaneous nephrolithotomy . This is a surgical procedure performed by making a small incision in the back to insert a special instrument to locate and remove the stone.
- Ureteroscopy - nephroscopy . This is a surgical procedure in which a scope (a thin, flexible tube with a camera on the end) is passed through the urethra into the bladder and kidney to the location of the stone. The stone is then broken up and removed.
Talk to your specialist to find the best treatment option for you.
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