Kidney Stones: Causes, Prevention, and Minimally Invasive Treatments

Kidney stones are a major public health concern in India. When there is excessive mineral presence in blood like oxalate, calcium, phosphate etc. and there is dehydration too, these substances do not get flushed out of the body via urine. Instead, they band together and form tiny clumps or crystals. They can be very minute or grow substantially in size. They can come out when you pee or if they are pretty large, can cause a blockage and lead to unwanted symptoms and side effects. Kidney stones need dedicated treatment and you will require a long term management plan from the best urologist in Hyderabad in place as they can recur too.Â
Kidney Stone Causes
Some of the most well known causes include
- Dehydration
- Having a family history of kidney stones can increase your risk substantially.
- Eating foods that are very high in sodium, sugars, proteins or Vitamin C
- If you have had gastric bypass surgery
If you have to take calcium based medications like antacids, diuretics or antiseizure medications. - Have issues with the parathyroid gland.
- If you have hypercalciuria – high amounts of calcium in blood.Â
- If you are diabetic or have gout or chronic conditions like these.Â
- Have a blocked urinary tract.Â
Symptoms Of Kidney Stones
These are some of the most common symptoms associated with having kidney stones-
- Severe flank pain – which is the lower back, groin, sides and belly, which has a radiating quality.
- Blood in urine
- Pain and burning sensation while peeing
- Needing to pee often but you have the feeling that you have not finished urinating completely.
- You may have fever or chills
- Your urine may look cloudy or smell bad.
Diagnosis and Treatment for Kidney Stones
A simple urinalysis can detect the presence of minerals or check for infections. Imaging – like CT scans, ultrasound or X-rays can detect number, size and shape of the stones along with their precise location. Blood tests check for kidney function and can also tell if you have high concentrations of stone forming minerals present.
Treatment approach depends on the size and location of stones. If they are very small, then you may pass them on your own and will be asked to drink more water. Other times, ureter relaxing drugs like tamsulosin or nifedipine are prescribed.Â
If there is too much pain, then painkillers can help.Â
If you cannot pass the stone and there is a blockage, surgery is recommended. Options include shockwave lithotripsy, ureteroscopy, percutaneous nephrolithotomy and laparoscopic surgery in rare cases, respectively. Laser treatment for kidney stones includes the use of lasers to break stones down into very minute fragments, so they can pass easily in urine. It is a good option to consider when you have large, hard stones. Since lasers are used, there is very high precision and surrounding tissue does not get damaged, when the ureteroscope is inserted through the urethra and bladder into the ureter.Â
Lithotripsy procedure involves the use of shockwaves to break stones down, so they can get out of the body in urine.
Kidney Stone Prevention Tips
Recurrent kidney stones are a problem as stones can form again if there is dehydration or diet is not addressed. The easiest ways you can stay stone free include drinking plenty of water, limiting consumption of oxalate, sugar and sodium rich foods and including calcium rich foods- as these can bind to oxalate and prevent stone formation. But, the calcium should NOT come from supplements, but must be from food. Such a diet is kidney friendly too in the long term.Â
Conclusion
Kidney stones are preventable as long as you monitor water and diet choices. If you have made changes to your diet but notice no relief, then you may be given specific medications to prevent stone formation- and this depends on the kind of stones you have had before. Kidney stones can cause a lot of pain, so getting the right treatment from the best urologist in Hyderabad can help you understand treatment modalities and also work to prevent recurrent kidney stones from affecting your daily life. Â