Alternative
Names:
Renal calculi; Nephrolithiasis; Stones - kidney
What are Kidney stones?
Kidney Stones are hard, stone-like masses that
can form in one or both kidneys. Kidney stones may
occur when salts or minerals normally found in urine
become solid crystals inside the kidney. In some cases,
the crystals are too tiny to be noticed, and passes
soundly outside the body. Other than, they can construct
inside your kidney and form much larger stones.
Kidney stones are generally painless
when within the kidney but can cause harsh pain as
they travel from the kidneys to the bladder. An attack
of this pain is identified by the name of renal or
uteric colic. Kidney stones are not a creation of
modern life, scientists have found verification of
kidney
Stones in a 7,000-year-old Egyptian mummy. Unfortunately
kidney stones are much common problem of disorders
of the urinary tract. In 2000, patients made 2.7 million
visits to health care providers and more than 600,000
patients went to emergency rooms for kidney stone
problems. Men tend to be affected more frequently
than women.
Types of kidney stones
Different categories of kidney stones develop from
different salts in the urine.
Calcium stones are the most common
type of kidney stone. They are either spiky or large
and smooth, and are made up of calcium oxalate or
calcium phosphate. It can be formed by the excess
amount of vitamin D or an overactive parathyroid gland.
People who have diseases such as cancer, some kidney
diseases, are also more likely to develop calcium
stones.
Uric acid stones are soft and brown.
These can be originated by eating excess amount of
meat. Peoples having conditions such as gout and treatments
such as chemotherapy can also raise the risk of getting
uric acid stones.
Struvite stones (infection stones)
are generally large and in the horn-like shape. They
can develop by the excess quantity of ammonia in the
urine also can happen if someone’s have urinary
tract infection (UTI), because the bacteria that cause
these infections can produce ammonia. This kind of
disease is most common in women.
Cystine stones are yellow and crystalline.
They can be developed by having high levels of cystine
in urine, which happens if you have a hereditary disorder
called cystinuria. Only one in a hundred kidney stones
are caused by this condition. Cystine stones extend
earlier in life than other kidney stones, usually
between the ages of 10 and 30 years.
Causes of kidney stones
Doctors do not always know what causes a stone to
form. Kidney stones may form when your urine becomes
too concentrated with certain substances.these substaces
may create small crystals that become stones. Even
the researches shows some risk factors such as family
history of kidney stones, taking
certain medicines such as antacids and thyroid medications,
having only one kidney, or an abnormally shaped kidney,
eating a diet high in protein, having only one kidney,
or an abnormally shaped kidney, being regularly dehydrated,
having a disease of the small intestine or a small
intestinal bypass. A person who has had kidney stones
often gets them again in the future. Kidney stones
are common in premature infants.
Symptoms and diagnoses of kidney stones
Kidney
Stones may not produce symptoms until they begin
to move down the ureter, causing pain. The pain is
usually severe and often starts in the flank region,
then moves down to the groin. People who have kidney
stones report the sudden onset of excruciating cramping
pain in their low back and/or side, groin, or abdomen.
Changes in body position do not relieve this pain.
It may be so severe that it is often accompanied by
nausea and vomiting.
Kidney stones also characteristically cause blood
in the urine. If infection is present in the urinary
tract along with the stones, there may be fever and
chills.
Treatments of kidney stones
The main opproach of the treatment is to relieve symptoms
and prevent further symptoms. Usually kidney stones
pass on their own. Treatment varies depending on the
type of stone and the Stage of symptoms or complications.
Hospitalization may be required if the symptoms are
severe. When the stone passes, the urine should be
strained and the stone saved for analysis to determine
the type.
Depending on the type of stone, medications is given
to decrease stone formation and/or aid in the breakdown
and excretion of the material causing the stone. These
may include such medications as diuretics, phosphate
solutions, allopurinol (for uric acid stones), antibiotics
(for struvite stones), and medications that alkalinize
the urine such as sodium bicarbonate or sodium citrate.
In many cases, you can prevent kidney stones simply
by drinking more water and making a few dietary changes.
Pain relievers may be needed to control renal colic
(pain associated with the passage of stones). Severe
pain may require narcotic analgesics. If the stone
is not passed on its own, surgical removal may be
required. Lithotripsy ( it is the procedure in which
shock waves are used to break up a large stone into
smaller pieces that can pass through the urinary system)
may be an alternative to surgery. |