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Kidney stone is formed due
to, the urine chemicals that crystallize in kidney. Kidney stones are small,
hard deposits of mineral and acid salts on the inner surfaces of the kidneys.
Normally, the substances that make up kidney stones are diluted in the urine.
When urine is concentrated, though, minerals may crystallize, stick together and
solidify. The result is a kidney stone. Most kidney stones contain calcium.
These stones are very tiny when they form, smaller than a grain of sand, but
gradually they can grow to a quarter inch or larger. The size of the stone
doesn't matter as much as where it is located. Kidney stones form when the
components of urine — fluid and various minerals and acids — are out of balance.
When this happens, the urine contains more crystal-forming substances, such as
calcium and uric acid, than the available fluid can dilute. At the same time,
the urine may be short of substances that keep crystals from sticking together
and becoming stones. Kidney stones are also prone to develop in highly acidic or
highly alkaline urine. Problems in the way the system absorbs and eliminates
calcium and other substances create the conditions for kidney stones to
form.
Kidneys are two bean-shaped organs, each about the size of our
fist. They're located in back of our abdomen on each side of the spine, and
their main function is to remove excess fluid, unneeded electrolytes and wastes
from the blood in the form of urine. The ureters carry urine from kidneys to
bladder, where it's stored until we eliminate it from the body. The kidney acts
as a filter for blood, removing waste products from the body and helping
regulate the levels of chemicals important for body function. The urine drains
from the kidney into the bladder through a narrow tube called the ureter. When
the bladder fills and there is an urge to urinate, the bladder empties through
the urethra, a much wider tube than the urethra.
When the stone sits in
the kidney, it rarely causes problems, but should it fall into the ureter, it
gives lot of pain. The kidney continues to function and make urine, which
accumulates behind the stone, stretching the kidney. This pressure build up,
causes the pain of a kidney stone, but it also helps push the stone along the
course of the ureter. When the stone enters the bladder, the obstruction in the
ureter is relieved and the symptoms of a kidney stone are resolved. When a
tubular structure is blocked in the body, pain is generated in waves as the body
tries to unblock the obstruction. These waves of pain are called colic. Renal
colic or kidney stone pain has a classic typical when a kidney stone is being
passed. The pain is intense and suddenly. Passing kidney stones can be
excruciating. The pain they cause typically starts in the side or back, just
below the ribs, and radiates to lower abdomen and groin. Painful as they are,
kidney stones usually cause no permanent damage. Those affected cannot find a
comfortable position, and many writhe in pain. Sweating, nausea and vomiting are
common. Blood may be visible in the urine because the stone has irritated the
ureter. Blood in the urine, however, does not always mean a person has a kidney
stone. Urinalysis with a microscope may detect blood even if it is not visible
by the naked eye.
There is little a person can do with debilitating pain
and vomiting other than approaching hospital for emergency treatment. If there
is fever associated with the symptoms of a kidney stone, this becomes a more
urgent problem, and medical care should be accessed immediately.
For
those who have a history of stones, then home therapy may be appropriate. Most
kidney stones, given time, will pass on their own, and treatment is directed
towards symptom control.
The signs and symptoms of kidney
stone:
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Fluctuations in pain in severity and duration
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Pain waves radiating from the side and back to the lower abdomen and groin
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Bloody, cloudy or foul-smelling urine
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Painful urination
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Nausea and vomiting
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Frequent desire to pass urine
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Fever and chills if there is an infection
These factors
may increase your risk of developing kidney stones:
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Lack of fluids
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Family or personal history
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Age and sex
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Diet. A high-protein, high-sodium and low-calcium diet may increase your
risk of some types of kidney stones.
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Limited activity
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Geographical location
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Obesity
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Medications like excess calcium-containing antacids, Indinavir used in HIV
can form indinavir stones, Topiramate which is an anti-seizure drug
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Diseases like Gout, inflammatory bowel disease, High blood pressure,
Gastric bypass surgery, chronic diarrhea
If a stone stays inside one
of the kidneys, it usually doesn't cause a problem unless it becomes so large it
blocks the flow of urine. This can cause pressure and pain, along with the risk
of kidney damage, bleeding and infection. Smaller stones may partially block the
thin tubes that connect each kidney to your bladder or the outlet from the
bladder itself. These stones may cause ongoing urinary tract infections or
kidney damage if left untreated.
Prevention is always the preferable way
to treat kidney stones. Remaining well hydrated and keeping the urine dilute
will help prevent kidney stones from forming. The patient should consume enough
oral fluids. While kidney stones and renal colic probably cannot be prevented,
the risk of forming a stone can be minimized by avoiding dehydration. Keeping
the urine dilute will not allow the chemical crystals to come out of solution
and form the nidus of a stone. Making it certain that the urine remains clear
and not concentrated will help minimize stone formation.
For people with
a history of kidney stones, doctors usually recommend passing at least 2 - 3
liters of urine a day. To do this, you'll need to drink about 14 cups (3.3
liters) of fluids every day or even more if you live in a hot, dry climate.
What should you drink? Water is best. Include a glass of lemonade every
day, too. Make your own with real lemons, or use a liquid or frozen concentrate,
but avoid powdered lemonade mixes. Lemonade increases the levels of citrate in
your urine, and citrate helps prevent stone formation.
In addition, if
you tend to form calcium oxalate stones, you may recommend restricting foods
rich in oxalates. These include rhubarb, star fruit, beets, beet greens,
collards, okra, refried beans, spinach, Swiss chard, sweet potatoes, sesame
seeds, almonds and soy products. What's more, studies show that an overall diet
low in salt and very low in animal protein can greatly reduce your chance of
developing kidney stones.
As a general rule, restricting intake of
calcium doesn't seem to lower the risk. In fact, researchers have found that
women with a high calcium intake are less likely to develop kidney stones than
are women who consume less calcium. Because dietary calcium binds with oxalates
in the gastrointestinal tract so that oxalates can't be absorbed from the
intestine and excreted by the kidney to form stones.
An exception to
this rule occurs when an individual absorbs too much dietary calcium from the
intestine. In such a circumstance, restricting calcium intake is useful.
Calcium supplements seem to have the same protective effect as dietary
calcium, but only if they're taken with meals.
Role of
Homeopathy in kidney stones: Homeopathy can not help you from
problems of kidney stone when it has reached a size where surgical intervention
becomes necessary. But homeopathy has significant role to play when stone is
smaller in size and it is not causing any enlargement of kidney
(hydronephrosis). In such cases where the stone size is small, patients do
experience episodes of pain every now and then. Repeatedly they have to resort
to pain reliving pills and even antibiotics. Homeopathy can help in such
situation. Homeopathic medicines also help in getting rid of minor size stones
purely by a regular course of few months. It is the most harmless way of
treatment and we are able to save patient from undergoing surgery. Besides this
homeopathy also helps in improving the clearing process of the
kidney.
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