Doctor insights on:
How To Give Yourself Kidney Stones
Kidney stones: Most of the stones can pass out spontaneously but 1 in 5 stones don't. Management of kidney stones depends on the number of stones, kind of stone, she of stone and location of stone. Urologist would be the best person to guide about the management . http://patient.info/doctor/urinary-tract-stones-urolithiasis ...Read moreSee 5 more doctor answers
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
Depends upon: Size & composition of stones. Stones smaller than 5mm usually pass on their own & treated with high fluid intake & possibly flomax (tamsulosin). May require ureteroscopic break up & extraction if stuck & causing obstruction. Shockwave lithotripsy for stones uup to 15 mm in diameter. Percutaneous lithotripsy if larger than 15 mm or staghorn stone. May require medication if 2 much calcium or uric acid in urine. ...Read more
Quite Variable: Several factors, primarily stone size and patient anatomy, determine how long a stone will take to pass. Larger stones generally take longer to get to the bladder. Stones larger than ~5mm are at higher risk of getting stuck in the ureter and requiring intervention to extract. Scar (stricture) in the ureter also decreases the chance a stone will pass. Good luck. ...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 moreSee 1 more doctor answer
Drink lots of water: If you drink enough so your urine is basically clear, you protect yourself from kidney stones. If you have parathyroid disease, cysteine stones, magnesium ammonium phosphate stones, or uric acid stones, there are additional treatments that will help. Diet and calcium restriction are of less importance than good hydration. ...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 moreSee 1 more doctor answer
Do your best...: Recurrent stone formers should follow instructions closely from treating urologist designed according to the report of stone work-up. So, to keep daily urine output constantly >2500 cc evenly through 24 hours, and consume less salt, red meat, and dairy products by at least 50% is a universal decent advice. Practicing stone prevention can be hard, but doable and effective. Best wish ... Always. ...Read moreSee 1 more doctor answer
Dehydration, stasis+: Not drinking enough results in concentrated urine + concentrated calcium salts which prexcipitate from urine, form nucleus for further calcium salt to come out of solution, attach & stone enlrges. Urinary stasis with hydronephrosis promotes precipitation & stone formation. Too much calcium in urine (hypercalcuria) major cause. Xs urinary uric acid or oxalate & low citrate all promote stones. ...Read more
Drink lots of water: Urologist may prescribe tamsulosin (flomax) to help ureter dilate and facilitate passage of stone. Some stones are larger than 5 - 6 mm in diameter or have little spikes & get stuck. You may then need a urologist to perform laser lithotropsy or lithoclast lithotripsy to break up stone endoscopically.Larger kiney stones may require shock wave treatment to break up or percutaneous kidney lithotripsy. ...Read more
Evidence is scanty: The pop idea is that iced tea is loaded with oxalate the causes stones. Some foods (famously rhubarb) have very high levels & do seem linked with stones. I searched the nih database for the past two decades and found one uncontrolled study in an obscure eastern european journal, two finding green tea drinkers have fewer kidney stones & couldn't find the hyped 2012 "loyola" study. ...Read moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
Fluids, pain relief: Kidney stones classically cause sudden severe lower back pain, which radiates to the groin, may be associated with nausea. Commonly blood in the urine. May be precipitated by dehydration, so drink plenty. Pain may be eased with NSAID medication such as Diclofenac, or Ibuprofen. If persisting pain, fever, or known impairment of kidney function recommend Dr review same day! ...Read moreSee 1 more doctor answer
Pain control: If the urologist already reviewed your case and decided that the stone is small enough to pass without intervention, then pain control would be indicated. Other medications are usually given to help pass the stones including flomax (tamsulosin). See your treating physician for consultation. ...Read more
Here are some ...: The fundamental underlying reason for kidney stone formation is kidney's inborn functional defects in handling the excretion of acidity, salt, and stone inhibiting factors. So, all the ideas for stone prevention is still gear up the effort to make urine so diluted below the threshold of forming stone crystals by maintaining daily urine output > 2500 cc and decreasing oral consumption of salt, ... ...Read more
Depends on size : Kidney stones can be fragmented with shockwaves (focused sound waves) directed at the stone, broken up with a laser directed by a scope or crushed with a variety of other energy sources directed against the stone. One of these energy sources, called "stone breaker, " is like a co2 powered jack hammer. ...Read more
Ureteral stone: The size of the stone does not correlate well to the intensity of the pain. The nearly unbearable pain of "ureteral colic" is from spasm of the muscular ureter. Although 50% probability to pass on its own within a few days, a 5- 6mm stone sometimes will get stuck and fail to progress. Usually after 5 days, i recommend having the stone extracted with a ureteroscope as an outpatient. ...Read moreSee 1 more doctor answer
Preventing stones: In general you can't always prevent stones. The things that have been associated with prevention is a high fluid intake, limit animal products to less than 8 oz daily, limit sodium to 2-4 g daily, limit oxalate containing foods, limit high sugar and fat content, avoid excessive vitamin c, daily exercise, maintain your ideal bmi, high vegetable fiber and calcium greater than 1000 daily. ...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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