A kidney stone is a solid piece of material that forms in the kidney out of substances in the urine. A stone may stay in the kidney or break loose and travel down the urinary tract. A small stone may pass all of the way out of the body without causing much pain. A larger stone may get stuck in a ureter (the tube that connects your kidneys and bladder), the bladder, or the urethra (the tube in your body that urine leaves from). A large stone can block the flow of urine and cause great pain.
If you have a kidney stone, you may already know how painful it can be. Most kidney stones pass out of the body without help from a doctor, but sometimes a stone will not just go away or may even get larger. Your doctor can help.
Try to drink 8 to 12 full glasses of water every day. Drinking lots of water helps to flush away the things that form stones in the kidneys.
You can also drink ginger ale, lemon-lime sodas, and fruit juices, although water is best. Limit your coffee, tea, and cola to one or two cups a day because the caffeine may cause you to lose fluid too quickly.
Your doctor may ask you to eat more of some foods and to cut back on other foods. For example, if you have a uric acid stone, your doctor may ask you to eat less meat, because meat breaks down to make uric acid. Your doctor may give you medicines to prevent calcium and uric acid stones.
2007-02-26 16:19:26
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answer #1
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answered by paramedicguy_au 3
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Kidney stones are build up of minerals such as calcium. they are passed through the urinary tract and when they get "stuck" at certain parts, they cause pain and sometimes bleeding with urinating. Most of the time, you pass them in your urine (strain urine with special strainer to catch them for analysis to see whats causing them to prevent future ones). Other times they can use a special ultrasonic wave sound that shatters them, and then you pass the pieces. Worse case scenario, you have them surgically removed.
2007-02-26 16:20:39
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answer #3
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answered by nurselaura2005 2
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if the stones arent too big, you could have them subjected to "shock wave" and pee them out. Usually they are made of calcium deposit. If they are too big, you pee em out whole and its dang painful.
2007-02-26 16:20:59
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answer #4
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answered by rokdude5 4
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Kidney stones, or renal calculi, are solid concretions (crystal aggregations) of dissolved minerals in urine; calculi typically form inside the kidneys or ureters. The terms nephrolithiasis and urolithiasis refer to the presence of calculi in the kidneys and urinary tract, respectively. Renal calculi can vary in size from as small as grains of sand to as large as grapefruit. Kidney stones typically leave the body by passage in the urine stream, and many stones are formed and passed without causing symptoms. If stones grow to sufficient size before passage--on the order of at least 2-3 millimeters--they can cause obstruction of the ureter. The resulting distention with urine can cause severe episodic pain, most commonly felt in the flank, lower abdomen and groin (a condition called renal colic). Renal colic can be associated with nausea and vomiting due to the embyrological association of the kidneys and the intestinal tract. Recurrence rates are estimated at about 10% per year.
Kidney stones are most commonly composed of calcium oxalate crystals, and factors that promote the precipitation of crystals in the urine are associated with the development of renal calculi. Conventional wisdom and common sense has long held that consumption of too much calcium can 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. This is perhaps related to the role of calcium in binding ingested oxalate in the gastrointestinal tract. As the amount of calcium intake decreases, the amount of oxalate available for absorption into the bloodstream increases; this oxalate is then excreted in greater amounts into the urine by the kidneys. In the urine, oxalate is a very strong promoter of calcium oxalate precipitation, about 15 times stronger than calcium.
Kidney stones are usually asymptomatic until they obstruct the flow of urine. Symptoms can include acute flank pain (renal colic), nausea and vomiting, restlessness, dull pain, hematuria, and possibly fever if an infection is present. Acute renal colic is described as one of the worst types of pain that a patient can suffer. Note that the pain is generally due to the stone's presence in the ureter, and not—as is commonly believed—the urethra and lower genitals.
Some patients show no symptoms until their urine turns bloody—this may be the first symptom of a kidney stone. The amount of blood may not be sufficient to be seen, and thus the first warning can be microscopic hematuria, when red blood cells are found in the microscopic study of a urine sample, during a routine medical test. However, not every kidney stone patient demonstrates blood in urine, even microscopically. About 15% of proven kidney stone patients may not show even microscopic hematuria so this is not considered a definitive diagnostic sign.
Diagnosis is usually made on the basis of the location and severity of the pain, which is typically colic in nature (comes and goes in spasmodic waves). Radiological imaging is used to confirm the diagnosis and a number of other tests can be undertaken to help establish both the possible cause and consequences of the stone. Ultrasound imaging is also useful as it will give details about the presence of hydronephrosis (swelling of the kidney - suggesting the stone is blocking the outflow of urine). It can also be used to show the kidneys during pregnancy when standard x-rays are discouraged. About 10% of stones do not have enough calcium to be seen on standard x-rays (radiolucent stones) and may show up on ultrasound although they typically are seen on CT scans
90% of stones 4 mm or less in size usually will pass spontaneously, however the majority of stones greater than 6 mm will require some form of intervention. In most cases, a smaller stone that is not symptomatic is often given up to 30 days to move or pass before consideration is given to any surgical intervention as it's been found that waiting longer tends to lead to additional complications. Immediate surgery may be required in certain situations such as in people with only one working kidney, intractable pain or in the presence of an infected kidney blocked by a stone which can rapidly cause severe sepsis and toxic shock.
Preventive strategies include dietary modifications and sometimes also taking drugs with the goal of reducing excretory load on the kidneys:[3]
Drinking enough water to make 2 to 2.5 liters of urine per day.
A diet low in protein, nitrogen and sodium intake.
Restriction of oxalate-rich foods and maintaining an adequate intake of dietary calcium is recommended. There is equivocal evidence that calcium supplements increase the risk of stone formation, though calcium citrate appears to carry the lowest, if any, risk.
Taking drugs such as thiazides, potassium citrate, magnesium citrate and allopurinol depending on the cause of stone formation.
Depending on the stone formation disease, vitamin B-6 and orthophosphate supplements may be helpful, although these treatments are generally reserved for those with Hyperoxaluria. Cellulose supplements have also shown potential for reducing kidney stones caused by hypercalciuria (excessive urinary calcium) although today other means are generally used as cellulose therapy is associated with significant side effects.
Certain foods may increase the risk of stones: spinach, rhubarb, chocolate, peanuts, cocoa, tomato juice, grapefruit juice, apple juice, soda (acidic and contains phosphorus), and berries (high levels of oxalate). In the United States, the South has the highest incidence of kidney stones, a region where sweet tea consumption is very common. Other drinks are associated with decreased risk of stones, including wine, lemonade and orange juice, the latter two of which are rich in citrate, a stone inhibitor.
2007-02-26 16:22:09
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answer #6
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answered by Anonymous
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