Stones (Calculous Disease)

WHAT ARE THE SYMPTOMS OF THE PRESENCE OF KIDNEY STONES?
The symptoms for kidney stone may vary from person to person depending upon the location, size, and shape of the stone. Even sometimes there are chances for no symptoms in the patient; they are called as silent stones. Following are the commonly seen symptoms of kidney stone.

  • Sudden, severe pain- moving towards groins from the flanks. Typically, described as ureteric colic and loin to groin pain
  • Nausea and Vomiting.
  • Bleeding Urine.
  • Increase in Urine frequency.
  • Burning sensation while passing of the Urine.
  • Infected Urine.

WHO HAVE GREATER TENDENCY TOWARDS KIDNEY STONES?

There are certain common factors seen in the people who have great tendency to form stones.

  • People living in kind of the hot environment like tropical areas.
  • Any history of stone in the blood relation of the family.
  • Less intake of fluid which results in supersaturated urine.

WHAT CAUSES STONE FORMATION?
In the last decades medical science has advanced and improved treatments for all types of stone disease. Often, stones have no specific single cause, although several factors can increase your risk.

Various factors play a role in the formation of kidney stone in an individual patient or suspect.. These factors can be:

  • Diet – Intake of calcium, oxalates, uric acid, and phosphates in excessive high amount which often results in excessive excretion of these components in the urine. With the intake of calcium in the form of milk, ice-creams, cheese, chocolates, cocoa, calcium contaminated drugs or Vitamin D, the stone can be precipitated.
  • Water Intake and Urinary Output – These both terms are co-related with functionality of the body. Increased water intake will result in increased excrete of urine which reduces chances of urinary stone in patient predisposed to the disease.
  • Climate – Hot surroundings or environment increases sweating, which may result in increased concentration of urine, which may contribute to stone formation in a suspect’s body.
  • Occupation – Your occupation is also one of the factors which may cause stone formation. Stone diseases are more likely to be found with sedentary occupation like professionals and managerial class rather than unskilled and/or partly skilled labors.
  • Genetic Disorders – The role for genetics has long been recognized, especially in cases of the more common calcium nephrolithiasis. Like Gout, Cystinuria, primary Oxaluria, metabolic disorders like bowl, endocrine and kidney problems that increase blood and urine calcium and oxalates can promote the tendency for stone formation.
  • Obstruction and Infection – Due to stricture or enlarged prostate may cause stagnation of urine leading to stone formation. Chronic infection in the kidney may also allow stone formation around the debris in the urine.
  • Functional or structural obstruction of the urinary system can precipitate the stone formation. Like Pelviureteric junction obstruction, Ectopic kidney, Horseshoe kidney.

How water intake can help you to bury the stone?

Definitely yes. Increased water or fluid intake can lower the chance for the formation of stone in a body. Dr. Atul Agarwal, a Consultant Urologist, Andrologist & Kidney Transplant Surgeon suggest having 6-8 glass of water per day. Also people with cysteine stones needs to have even more intake of water.

What to do if having stone in Urine?

First of all, if you feel like symptoms of having urine stone then consult the best urologist in Palam. Also keep some prevention by your own as to avoid much salted food, have lots of calcium intake in your food, eat a low-fat diet and take timely medicines prescribed by your doctor.

As well you may be needed to have additional tests and x-rays to ensure that new stones do not form.

I HAVE STONE BUT I DON’T HAVE ANY SYMPTOMS SHOULD I UNDER GO TREATMENT?
Generally people having gallstones don’t have any symptoms which are known as silent stones. But if you are aware of having stone then don’t avoid it. Go for kidney stone treatment in Dwarka. Dr. Atul Agarwal is the best urologist in Dwarka for the stone treatment. You will be prescribed to have some of the following tests to detect the size and location of gallstone.

  • Ultrasound– It is a procedure to detect the stone with transmitting high-frequency sound waves through body tissues. Then the echoes are recorded and transformed into images or video of the internal structure of the body.
  • Endoscopic Retrograde Cholangio Pancreatography (ERCP)- In this test, a flexible tube with a light and a camera attached, called an endoscope is inserted through patient’s moth, down to the throat, and then into the stomach and small intestine. If there are gallstones in the bile duct then they are removed with the help of endoscope.
  • Endoscopic ultrasound (EUS) – This procedure is a combination of endoscopy with ultrasound. During the test, a small ultrasound transducer is installed on the tip of an endoscope and then it is inserted to patient’s mouth. As the EUS transducer is closer to the gallbladder and bile ducts, the images are more clear and accurate to determine the actual size and location of the stone and it becomes easy to diagnose when the exact size and location of the stone is known to urologist.

IS ESWL a SAFE Treatment for Kidney Stone?
ESWL is an abbreviation for extracorporeal shock wave lithotripsy. Kidney Hospital in Palam uses ESWL technique for the best kidney stone treatment in Palam. ESWL technique uses shock waves to break a kidney stone into small pieces which can then easily travel through the urinary tract and pass from the body.

WILL THERE BE PAIN AFTER THE PROCEDURE?

ESWL is a safe technique to treat the kidney stone as you don’t have to stay whole night in the hospital and can go home immediately once the treatment is done.

But it can cause pain with the passage of stone fragments. Blocked urine flow as a result of stone fragments becoming stuck in the urinary tract. The fragments may then need to be removed with an ureteroscope. As well bleeding around the kidney. Further there will be colic pain due to passage of stone particles. This normally responds to the medication.

IS THE ESWL TREATMENT SAFE FOR ALL PATIENTS?

ESWL treatment is generally not used if the patient is:

  • Pregnant as the sound waves and x-rays may harm the fetus.
  • Having bleeding disorder
  • Having infection in kidney, urinary tract, or having kidney cancer.
  • Having abnormal structure or function of kidney.

HOW KIDNEY URETERAL STONE CAN BE PREVENTED?

Urologist in Hari Nagar suggests drinking lots of fluids to prevent kidney and ureteral stones because the more fluid intake results in more urine pass which is important in preventing stones. Dr. Atul Agarwal recommends that you should pass at least 2.5 litres of urine every day to flush your urinary tract. Also, surrounding environment temperature and your exercise routine are also important factors for passing of urine. For most people, 2-3 litres of water intake is enough but if you are at high risk of initial stage of forming stones, urologist suggests testing your urine output for a while to make sure you are having enough urine passing. The color of your urine helps to detect how much fluid intake you are taking. If your urine is dark and cloudy, you probably need to increase your fluids.

MY STONE HAS NOT PASSED DO I NEED SURGERY?
Surgery is needed if your stone has not passed due to the following reasons.

  • has not passed even after a reasonable period of time and causes constant pain
  • is too large to pass on its own or is stucked in a difficult place
  • flow of urine is blocked
  • causes an ongoing urinary tract infection
  • damages kidney tissue or causes constant bleeding
  • has grown larger, as seen on follow-up x-rays

WILL MY CHILDREN GET STONES BECAUSE I HAVE THEM?
Urologist in west Delhi says that, “yes there are more frequent chances for having kidney stones as compared to those having no positive family history for kidney stone.”  Therefore, a positive family history of kidney stone did not modify the inverse association between intakes of dietary calcium and the risk of stone formation.  Thus, the stone formation in a first degree relative, i.e. a parent or sibling, can increase the probability for you. In addition, more than 70% of people with certain rare hereditary disorders are prone to the problem.

ARE GALLSTONES ARE URETERAL STONES RELATED?
To differentiate between gallstone and ureteral stone, we first need to understand the meaning of the both terms. Urologist in Uttam Nagar defines both the stones as ureteral stone is a solid mass made up of tiny crystals formed from the minerals, calcium, oxalate and uric acid. Whereas Gallstones are hard, pebble-like cholesterol or pigment deposits that form inside the gallbladder. It can be as small as a sand grain or as large as a golf ball. Thus both the stones are formed in different organs of the body so there is no known or possible link in between.

Conclusion

The treatment of renal calculi has undergone significant changes over the last decade. The endurologist has a large armamentarium of treatment options. The advent of ESWL, along with improvements in fiber optic technology and video equipment has virtually eliminated the need for open stone surgery. In an era of minimally invasive surgery, the use of ureteroscopy, Lithotripsy, and Percutaneous procedures has expanded the use of endoscopic management of renal stones. Continued progress in Lithotripsy technology, advances in endoscopic techniques and refinements in medical management will improve our ability to choose the appropriate treatments for renal calculi in an era of cost confinement.