1 The kidney stone is a hard , crystalline material formed within kidney or urinary tract.
2 Kidney stones occur in up to 10% of population in india.
3 Pain due to kidney stone is one of the most severe a person can suffer . it can lead to expensive and unpleasant hospitalizations , and surgical procedures.
4 Once it occurs a, a stone has bad habit of forming again and again .half of all untreated patients will form additional stones in next five years.
5 Prevention of stone formation again is the primary goal of treatment.
6 Patient who know what causes their one to form are more successful in preventing its recurrence.
1 Yes, kidney stone can be prevented ! during last few years there are numerous advances in detecting of stones . modifications in diet ,fluid intake , medication and surgery techniques have made it possible.
2 It is then up to you to follow your treatment as advised.Stopping your treatment will cause your chemistries to go back to a stone forming state.
1 Kidney stone form when urine has too many crystal-forming chemicals and/or not enough substances that protect against crystal formation .if the crystals do not rapidly pass though the urinary tract ,they can grow and form stones .when the volume of urine is too low ,stone-forming materials become concentracted ,helping to promoted stones.
2 Family history of stone ,diet ,fluid intake ,work environment, and ever geographical location are all factors which may influence the formation of stones.
To date over 200 components have been found in stone. However broadly ,stones are placed in four main groups as:
1. Calcium oxalate and calcium phosphate stones.(70 to 80%) .
2. Struvite stones.(10 to 20%).
3. Uric acid stone (5 to 13%).
4. Cystine and other uncommon stones like xanthine or drug induced.
Treatment :- treatment is done by medicines and if required by surgery also . the decision for surgery is taken by your treating doctor .the treatment option mainly depends on various factors like type of stone , size ,location in kidney and urinary tract , whether it is single or multiple, in one kidney or both , age and infection and abnormality in structure of kidney .
Northern India is part of the Geographical stone belt. It extends from Jammu & Kashmir, Himachal Pradesh, Uttranchal, Punjab, Haryana, and Western U.P & Rajasthan. Reduced water intake in these areas causes concentrated urine and stone formation.
The main symptoms of stone disease are:
• Pain in flanks(Radiating)
• Obstructed urination
• Burning sensation while passing urine
• Blood mixed in urine
• High BP
• Failure of kidneys
Stone can damage the kidneys permanently in long term.
If the stone is small(less than 4 mm) and there is no significant blockade to the flow of urine from the kidney, then medicines should be tried first.
Lithotripsy is the process of breaking kidney stones by using shockwaves generated in a machine and focused on the stone under X Ray guidance.
Laser energy can break the stone into small pieces when the laser carrying Fiber touches the stone. This can be introduced into the body through the natural urinary passage ( Ureteroscopy-URS) or through a key hole into the kidney ( PCNL).
The process of making a small channel (5-10 mm size) from skin into the kidney and removing the stone piecemeal after breaking it (PCNL).
Plenty of fluids orally to keep the color of urine as close to water as possible and eating balanced diet would usually reduce the chances of re occurrence of one disease. The chemical analysis of stone can guide to avoid the food items rich in those ingredients of stone. People having tendency for stone formation should restrict intake of foods rich in oxalates like spinach, tomatoes, lettuce and other leafy vegetables. Individuals having uric acid stones should avoid fish, red meat, Rajma(Red Beans) and black lentil.