Friday 5 March 2021

Kidney Stones: Treatments and Recommendations

 

Kidney stones are hard deposits of salts and minerals that form in the kidneys. The vast majority of these correspond to calcium salts and depending on each patient, their size and shape will vary.

The urologist in Hari Nagar explains, this pathology can produce sudden onset pain that, generally, is of great intensity and begins in the lumbar area on one side, radiates to the lower abdomen and, on occasions, to the lower back. genitals. Also, it can be accompanied by a feeling of nausea, anxiety and sweating, in addition, it can cause darkening of the urine and urinary symptoms, such as pain when urinating and increased frequency of urination.

The risk of not treating kidney stones adequately can be associated with the risk of developing infections of varying severity in a poorly drained urinary tract and can cause kidney function to be reversibly or irreversibly impaired. If the obstruction is temporary or remains long-term, there is even a risk of causing kidney loss, says the urologist in Hari Nagar.

How to relieve kidney stone pain?

There are various types of treatments for kidney stones and these range from medical management to surgical management.

According to the urologist in Uttam Nagar, the main objective of medical treatment is to relieve pain for patients, since, as mentioned above, it can be very intense.

This treatment will vary according to the characteristics of each patient, which will be determined with an imaging study that should be performed as soon as possible. According to urologist in Uttam Nagar, the most effective is Pielotac (non-contrast computed axial tomography) and according to this result, the urologist in charge must decide on the conduct of medical treatment.

Likewise, he adds that it is extremely relevant to consult and not self-medicate, since there is the possibility that the stone that is causing the obstruction of the ureter may stop hurting, which would lead to the patient thinking that the problem is solved and stop consult a specialist, with the risk of being left with a chronic obstruction and deteriorating kidney function.

Regarding home remedies for kidney colic, the specialist assures that they are inefficient, since there are no studies that support practices such as taking pineapple juice, coconut water or other herbs to facilitate its elimination. However, if the stone is small, it is thought that it is likely to be spontaneously expelled. Likewise, abundant fluid intake can help, but this should be indicated once the intense and acute pain has subsided.

The urologist in Dwarka is emphatic when commenting that the prevention of kidney stones is of the utmost importance and the fundamental pillar of this is the abundant intake of fluids (enough to urinate two liters a day), which must be accompanied by certain eating habits and physical activity.

Surgery for kidney stones

The kidney stone treatment in Hari Nagar for removing a stone that is in the ureter will depend a lot on its size. If it is less than five millimeters, it has an 80% chance of being expelled spontaneously, but this percentage decreases dramatically if the stone is greater than seven millimeters, to less than 20%, says the urologist in Dwarka.

So, in the same way, the most indicated surgery for each kidney stone will vary depending on its size.

When it comes to small kidney stones, that is, less than two centimeters, retrograde intrarenal surgery is the most indicated. The calculations of patients who wish to undergo this surgery must also meet other requirements related to its density, location, shape, size and quantity.

The main benefits of this technique are that it is a well-tolerated, minimally invasive surgery, which can be ambulatory or short-term in the clinic.

On the other hand, when kidney stones are larger, generally greater than two centimeters, or when they occupy a large part of the kidney’s excretory pathway (staghorn calculus), or have failed other less invasive methods, renal surgery is recommended for kidney stone treatment in Uttam Nagar.