Max health hospitals has best urologists with 10 + years of experience in the field of urology in treatment of various types of kidney /ureteric/bladder stones with advanced and best technology with best outcomes through safe and successful surgery with less hospital stay duration and aiming to cure future stone related problems .
Kidney stones are formed from substances(minerals and salts ) in your urine. The substances that combine into stones normally pass through your urinary system. When they don’t, it’s because there isn’t enough urine volume, causing the substances to become highly concentrated and to crystalize. The stone-forming substances are:
Most of the kidney stones which are small in size (<4 mm) usually pass in urine along the urinary tract without any symptoms . when the size of the stone is larger (>4mm) they usually obstruct along their passage and cause symptoms like severe loin/back pain , vomitings , fever which is primarily due to swelling of kidney proximal to the obstructed stone . These stones will not pass along the urine and require surgical removal either open or endoscopically depending on the location and size of the stone .
Many kidney stone treatment options are available depending on the stone location and size which are as the following – Kidney stones( PCNL/RIRS/ESWL-laser kidney stone treatment) and Ureteric Stones( laser URSL/laser ureteric stone removal ) and for BLADDER or urethral stones(CLT- cysto lithotripsy -laser)
Kidney stones often have no definite, single cause, although several factors may increase your risk :
Factors that increase your risk of developing kidney stones include:
Family or personal history. If someone in your family has had kidney stones, you’re more likely to develop stones, too. If you’ve already had one or more kidney stones, you’re at increased risk of developing another.
Dehydration. Not drinking enough water each day can increase your risk of kidney stones. People who live in warm, dry climates and those who sweat a lot may be at higher risk than others.
Certain diets. Eating a diet that’s high in protein, sodium (salt) and sugar may increase your risk of some types of kidney stones. This is especially true with a high-sodium diet. Too much salt in your diet increases the amount of calcium your kidneys must filter and significantly increases your risk of kidney stones.
Obesity. High body mass index (BMI), large waist size and weight gain have been linked to an increased risk of kidney stones.
Digestive diseases and surgery. Gastric bypass surgery, inflammatory bowel disease or chronic diarrhea can cause changes in the digestive process that affect your absorption of calcium and water, increasing the amounts of stone-forming substances in your urine.
Other medical conditions such as renal tubular acidosis, cystinuria, hyperparathyroidism and repeated urinary tract infections also can increase your risk of kidney stones.
Certain supplements and medications, such as vitamin C, dietary supplements, laxatives (when used excessively), calcium-based antacids, and certain medications used to treat migraines or depression, can increase your risk of kidney stones.
Blood tests: Blood tests usually advised include complete blood picture (to see for infection) and serum creatinine (to know the effect of stone blockade on kidney function ) . Other tests advised may suggest that you have an excess of calcium or uric acid in your blood. .
Urine analysis: Complete urine analysis (CUE) for any urinary tract infection & 24-hour urine collection test may reveal that you are excreting either too many stone-forming minerals(calcium/oxalate/uric acid/ phosphate). Your doctor may recommend you collect two urine samples on two consecutive days for this test.
Imaging: Even small stones with accurate size and location can be detected using high-speed or dual-energy computerised tomography of kidney /ureter/and bladder (CT-KUB). Because simple abdominal X-rays might overlook tiny kidney stones,and cannot detect all types of stones ,it is usedc less frequently.
Another imaging technique for diagnosing kidney stones is ultrasound, a noninvasive test that is rapid and straightforward to administer.
Once diagnosed, your healthcare provider will first determine if you even need treatment. Some smaller kidney stones may leave your system when you urinate. This can be very painful. If your provider decides that you do need treatment, your options include medications and surgery.
Medications. Medications may be prescribed to:
You should ask your healthcare provider before you take ibuprofen. This drug can increase the risk of kidney failure if taken while you’re having an acute attack of kidney stones — especially in those who have a history of kidney disease and associated illnesses such as diabetes, hypertension and obesity.
Surgery. There are four types of surgeries used to treat kidney stones. The first three are minimally invasive, meaning that the surgeon enters your body through a natural opening (like your urethra), or makes a small incision.
Urologists/urology doctors /kidney specialists specialize in diagnosis and treatment kidney stones. you will be explained by the urologist after relavent investigations regarding the size and location of stone and safe and best treatment possible based on the medical condition of the patient.
if you hav a dull aching pain in the back which is persistant and present over some time get it evaluated for presence of kidney stones . or if you experience severe back pain on one side radiating to front with associated burnining micturition /vomitings – you might have a possibility of having a obstructed urteric stone – meet your doctor immeditly.
Some of the possible complications of untreated kidney stones include –
Yes, kidney stones are often associated with nausea, vomiting, and pain in the lower back.
URSL cost -Ureteroscopic liyhotripsy (Ureteric stones ) – 60000-80,000/-
RIRS cost- Retrograde intra renal; surgery (kidney stones <1 cm )- 90000 to 1.05000 /-
PCNL cost-percutaneous nephrolithotomy (kidney stones >1 cm)-80000-1,20000/-
The best kidney stone treatment can only be possible with a urologist trained with more than 10 years trained at his best for treatment of all types of kidney stones with advanced technology (lasers) . Best kidney stone treatment depemds on size and location of thestone and also patient condition at that poinyt of time.
1. stay hydrated
2. have low intake of vegetables rich in oxalates(tomato/spinach)
avod high animal protein intake
donot neglect any symptoms related to kidney stone
mainly chemicals filtered through blood form crystal in kidney and aggregations over this crystals leads to kidney stone formation . females , less intake of water , obese people , hot climates , and peolple with kidney diseases are more prone to have kidney stones
small kidney stones donot usually .cause symptoms and discovered accidentally .
it is when these stone pass along the urinary tract that they cause symtoms which include severe back / loin pain / vomitings / urinary problems (urgency / frequency / blood in urine / burning micturition ) and fevers .
best urologists have good experiene in treatmnet of all types of kidney stones and explains you regarding the stone size and locations in detail and will advise the safe and best treatmeent for the patient .