Kidney stones, one of the most painful of the urological disorders, have affected humans for many centuries. They form when there is a large quantities of calcium oxalate or uric acid in the urine; a lack of citrate in the urine; or insufficient water in the kidneys to dissolve waste products. Kidney stones are most prevalent in patients between the ages of thirty and forty five, and the incidence declines after age 50. They may be as tiny as a grain of sand or as large as a pearl and frequently do not produce any symptoms.
Symptoms
Stones that cause continuing symptoms or other complications may be treated using various techniques, the majority of which do not require major surgery. Often stones are found on x-rays taken during a routine health exam. The physician determines if the patient has a history of kidney stones, documents past medical conditions, and evaluates present symptoms.
When the stone enters the bladder, the blockage in the ureter is relieved and the symptoms are resolved. Kidney stones usually exit the body by passage in the urine stream, and many are formed and passed without causing any pain. People with severe symptoms might need hospitalization. Call your doctor if you have symptoms or if symptoms return, urination becomes painful, urine output diminishes, or new symptoms develop.
Treatment
Therapy varies, depending on the type of stone and the cause and often includes pain medication and extra fluids until the stone has passed. If a stone has been removed, or if the patient has passed a stone and saved it, an analysis by the lab may help the doctor in planning treatment. A 2nd 24-hour urine collection may be necessary to determine whether the prescribed treatment is working. Today, treatment for kidney stones has greatly improved, and many options do not require major surgery and can be done in an outpatient setting.
To lower the chance of complications, doctors routinely tell patients to avoid taking aspirin and other drugs that affect blood clotting for several weeks prior to treatment. Sometimes the stone is not totally shattered with one treatment, and additional ones may be necessary. As with any interventional, surgical procedure, possible risks and complications should be discussed with your doctor before making a final decision.
If no specific treatment is known, you may be able to stave off additional kidney stones simply by drinking more H2O and making some dietary changes. After treatment, the pain may come back if the stone moves and causes blockage in another location. The goal of treatment is to relieve and prevent future symptoms.
Conclusion
Kidney stones are tiny, hard deposits of mineral and acid salts on the inner surfaces of your kidneys and form when a change comes about in the normal balance of water, salts, minerals, and other things found in urine. They are very painful but often can be removed from the body without causing permanent damage. They normally cause no pain while in the kidneys, but can produce sudden, severe pain while traveling to the bladder. Kidney stones are more common in developed nations and do have regional variation in occurrence. They occur all year; however, most people seem to develop or become aware of stones during the summer time. They are an ancient affliction dating back to the age of the Egyptian pyramids, yet are still a common ailment in present times. Stones are usually passed out of the body within 48 hours, but attacks can sometimes last for more than 30 days. Most however, pass out of the body without help from a doctor.
If someone in your family has them, you're more likely to develop them too and if you've already had one or more, you have an increased risk of developing another. Most people who develop stones are between 20 and 70 years of age. Having high blood pressure doubles your risk. According to The National Institute of Health, 1 person in 10 develops kidney stones during their lifetime and renal stone disease accounts for ten out of every one thousand hospital admissions. Conventional wisdom and common sense have long believed that consuming too much calcium could promote the development of kidney stones. However, current evidence suggests that the consumption of low-calcium diets is ACTUALLY associated with a higher overall risk for the development of kidney stones. Call your physician right away if you have symptoms that suggest you have them.
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