Doctor insights on:
How Do Kidney Stones Effect Homeostasis
Kidney stones: Kidney stones form due to supersaturation of minerals, stasis (lack of flow) of urine or infection. Think of it like pouring salt into a glass of water — once you pour in too much salt, it begins to come out of solution and precipitate at the bottom of the glass. So it is with stones — too much calcium, oxalate, etc or too little water (urine) can cause stones to precipitate in the urine. ...Read more
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
I have had a kidney stone pass before but what does spasm of rib cage feel like what s the difference in symptoms?
KIDNEY STONE: Rib issues are generally as tender as they are painful. Stones are more pain than tenderness. Kidney stone pain is not helped by position or rest either. ...Read more
I had a stent put in my ureter because they thought I had kidney stones. Turns out, my ureter is like an "S" shape. They proceeded to put the stent in anyways and now I'm in critical pain and my kidney seems to be "contracting" or having a spasm...the
Kidney stone.: Kidney stones up to 5mm in size will predictably pass on their own. Just drink plenty of water so you produce a lot of urine, dilate those ureters and allow the stone to pass. It may hurt while it's on its way out, but it'll pass. Bigger stones will likely get stuck and will cause tremendous pain and will have to be removed by lithotripsy or cystoscopy. ...Read more
A metabolic work-up : The best way to fight stones is to understand your metabolism. I believe that most stone formres should have a metabolic work-up. This should include blood levels of calcium, 24 hour urinalysis (looking at calcium, citrate, oxalate, etc). Good intake of water avoiding certain foods (high in calcium, oxalate) and medications (citarte, diuretics) may be necessary to fight stones. ...Read more
Yeah, that's big.: A stone up to 5mm in size will predictably pass, with variable degrees of pain. A 12mm stone is going to get stuck if it decides to move out of the kidney. You should get that stone managed before it starts to move. ...Read more
Metabolic issue.: Kidney stones are initiated by metabolic derangements in the handling of urinary oxalate, uric acid or calcium, for example. These derangements can be hereditary, and they allow for crystals of these substances to form. These crystals serve as a nidus for stone creation. ...Read more
Pain: Depends. Sometimes are symptom free for years but if they start to move from kidney down the ureter people can experience intense pain that can come and go but usually some degree of continuous pain. As the stone move down toward the bladder the pain may change from the midback area moving down toward the bladder. People say this is one of the worst pains. Go to er or see your doctor asap. ...Read more
Depends on site: If the stone is in the ureter (kidney to bladder tube), there is something call "peristalsis", which helps move things along. That would mean a periodicity to the pain: every few minutes. However, if the stone is in the kidney, and blocking the exit, it may be a constant pain; if it is in the urethra (exiting), it may be excrutiating and constant! ...Read more
ESWL,fluids,etc.: Whatever can dissolve or break down the stone is used to remove it. For example, eawl or extracorporial shock wave lithotripsy use shock waves to break up the stone from outside the body. Meanwhile, patients are encouraged to drink plenty of fluids to hopefully pass the stone on the urine. If these and other things fail then surgery might be done, as a last option. ...Read more
Kidney stones: Medical "expulsive therapy" involves using one or more medications (tamsulisin, ketorolac etc) to dilate and/or relax the ureter, in conjunction with pain control and vigorous oral hydration. The success rate of this approach depends on the size of the stone, your particular ureteral anatomy and your willingness to endure some discomfort in the process. ...Read more
Flank pain & colic.: Passing a kidney stone is usually painful, and his been famously compared to childbirth. There is commonly flank pain radiating to the groin, occasionally with nausea and vomiting. Pain occurs usually if the progress of the stone is held up, and the ureter squeezes against the obstruction. If the size & orientation of the kidney stone are favorable, is may pass without much difficulty. ...Read more
No: This is too large to pass. In general, stones less than 5 mm in size should be given an opportunity to pass. Patients can be advised that stones less than 4 mm in size generally pass within one to two weeks. A 7.5 mm stone should be referred to a urologist for treatment options. ...Read more
Yes: There can be a myriad of reasons a person produces kidney stones. Dietary factors and hydration play a role, but in most case, there is some metabolic predisposition. Having a family member who had kidney stones increases one's risk of having stones as well. A work-up to determine the cause of stones is warranted if you have had more than one episode. See your urologist. ...Read more
Be thankful!: Consider an ultrasound to see if there are other stones hiding in your kidneys and to make sure you don't have hydronephrosis (enlargement of the urine collecting part of the kidney) on the side of the stone. If you've "saved" the stone, get it analyzed to see its composition. This could help direct dietary changes or medical therapy to prevent more stones especially if you've passed more than 1. ...Read more
1.1cm: Is a relatively large stone, and may lead to problems in the future, even though now it is non-obstructing. Discuss the risks/benefits with your Urologist in an informed decision-making conversation/visit and decide the best option for your specific case. Good luck. ...Read more
Drink: If the stone is in the kidney you may have to do nothing. If you have pain the stone has moved and lodged in the drainage system. If this occurs drink lots of fluid. The extra urine output should distend the drainage system making it easier for the stone to pass and less likely for it to cause obstruction. Severe pain, nausea or vomiting go to er. It should be small enough to pass on its own. ...Read more
Kidney stone. : Mm or cm? A stone 5mm in size or smaller should pass, albeit with some degree of pain and with drinking lots of water. Bigger stones have a very good chance of getting stuck, which can lead to crazy pains and infections, too. At that size, it should pass, and when it do you need to catch it (urinate into coffee filter) and have it sent to lab for metabolic analysis. ...Read more
Solutes precipitate and combine to form stones formed of calcium oxalate usually around a nidus of uric acid. Other solutes that form stones are ca and mg phosphates, cystine, and uric acid staghorn calculi form in the presence of chronic urinary tract infections. Stones can be painful, may require ...Read more
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