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Comprehensive stone disease is a term that encompasses various conditions associated with the presence of stones and calcifications in the urinary tract. The term is inclusive of conditions like urolithiasis, nephrolithiasis, kidney stones, and nephrocalcinosis, their diagnosis, and medical or surgical management. Stone disease is an increasingly common chronic health condition which frequently recurs.
The formation of stones in the urinary tract causes pain, bleeding, infection, or blockage in the flow of urine. Although tiny stones do not cause symptoms, the larger stones cause severe pain between the ribs, hip, or back. Most stones pass through urine on their own, but the larger stones are removed with Lithotripsy or Endoscopic Techniques.
Consult our urologists if you need Kidney Stone Treatment in Kolkata.
Our Centre of Excellence in Urology is a fully-fledged diagnostic, medical and surgical to holistically treat and cure the entire gamut of urinary stone diseases in patients of all ages.
Kidney stones are deposits of minerals and acid salts that form within the kidneys. These stones can cause the individual to develop significant pain or obstruction when the stone passes through the ureter to the bladder. If left untreated, the kidney stones can cause infection, impaired kidney function, and kidney damage.
These kidney stones are shaped in the form of deer’s horns, as they grow to fill inside kidneys. It is caused by repeated urinary tract infections from a specific bacteria. Although they grow to larger size, they cause little to no pain.
The types of kidney stones based on composition are:
Calcium stones (most common)
Uric acid stones
Struvite or infection stones
Cystine stones
Initially, kidney stones do not cause symptoms, but as they pass through the ureter or bladder, they cause sudden pain and discomfort. Other symptoms include:
Pain while urinating
Blood in urine
Pain in the back or lower abdomen
Nausea and vomiting accompanied by extreme pain
Cloudy urine
Individuals experiencing the following symptoms must seek immediate medical attention:
Fever above 101.5 degrees Fahrenheit
Urinary tract infection with symptoms of burning sensation while urinating, cloudy urine, or bad-smelling urine
Persistent nausea and vomiting
Excruciating pain
Individuals with one functional kidney and decreased kidney function or diabetes must seek medical attention
Pain is only felt when the stones are blocking the ureter or trying to pass into the bladder. Stones that form within the kidney’s calyx are generally not painful. However, recent findings suggest that some stones in the kidneys do cause pain due to obstruction of the collecting duct or due to other unclear reasons.
A diet with high salt content or processed food is linked to kidney stone formation. Individuals with digestive diseases or those who underwent gastric bypass surgery also develop kidney stones. Dehydration and dietary changes also cause stone formation.
The doctors order the following tests:
Urine tests: Multiple urine tests within 48 48-hour periods help ascertain whether the patient has large amounts of stone-forming minerals in the urine.
Blood tests: The kidney health of a patient can be monitored by measuring calcium or uric acid levels in the blood.
Imaging test: Non-invasive radiographic imaging such as ultrasound or CT scan helps identify or quantify kidney stones.
Pain caused by urinary stones can be stabbing or extremely severe. The pain typically begins in the back and migrates to the abdomen or groin. The pain is primarily due to the blockage of urine passage through the ureter. Additionally, the increased pressure on the kidney and ureter can also cause pain. Once the stone passes the ureter tube into the bladder, most patients experience instant relief as the blockage and pressure get relieved.
Urinary stones can be treated by allowing the stone to pass by itself, medications can be used to pass a stone, or surgery can help remove the stone.
Stones formed from calcium oxalate and calcium phosphate crystals cannot be dissolved with medications. Unfortunately, they account for the majority of urinary stones. Patients having uric acid stones can be successfully treated with potassium citrate. Patients with less common cystine-type stones are also treated with potassium citrate and high water intake to dissolve stones.
Stones can be surgically treated with Ureteroscopy, Shockwave Lithotripsy, and Percutaneous Nephrolithotripsy.
A stent is a hollow tube-like structure placed within the ureter, which helps the urine drain around the stone and aids in the healing of the ureter post-surgery. The placement of the ureteral stent can cause pain, minor bleeding, and frequent urination.
Diet plays a vital role in preventing the formation of urinary stones in the future. Individuals with a potential risk for kidney stones should increase their fluid intake, decrease salt intake, and reduce their protein intake to prevent kidney stone recurrence.
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