Kidney Stones: Symptoms, Types and Diagnosis
A kidney stone
is a concentrated, hard matter that is formulated from compounds in the urine.
Urine has various debris and faeces deliquesced in it. When there is ample junk
in meagre liquid, crystals initiate to crop up. The crystals captivate
supplementary elements and band together to forge a solid that will get heavier
unless it is transmitted out of the body with the urine.
Usually, these compounds are obliterated with
the urine by the body's master cleaning agent: the kidney. In maximum people,
having enough fluid rinses them out or supplementary chemicals in urine resist
a stone from cropping up.
After it is formulated, the stone may dwell in the kidney or slip down the urinary tract into the ureter. Sometimes, diminutive stones stride out of the body in the urine without inflicting too much pain. But stones that don't proceed may induce a back-up of urine in the kidney, ureter, bladder, or urethra. This often stimulates the pain.
Symptoms of Kidney Stones:
Few kidney
stones are as little as a grain of grit. Some are as big as a pebble. A few are
as huge as a golf ball! As an extensive rule, the gigantic the stone, the more
apparent the symptoms.
Kidney stones may cause harsh and overwhelming
pain. Symptoms of kidney stones may not emerge unless the stone initiates to
slip down the ureters. This terrible pain is called Renal Colic.
In men, pain
may flicker to the groin region. The pain of Renal Colic sets in motion but can
be severe. People combatting Renal Colic may face restlessness.
The symptoms as
described by Dr Sujit Chatterjee, CEO of LH Hiranandani Hospital Kidney Care might be all or a few of
the following:
• AIntense pain on either side of the
lower back
• Blood in the urine
• Nauseousness or vomiting
• Frequent fever and chills
• Urine has a bad odour
• Urine appears to be cloudy
Types of Kidney
Stones:
Kidney stones
are of distinct kinds and colours. Their treatment and avoidance of fresh
stones from forming depend on what category of stone you have.
(80 per cent of stones) Calcium stones -
Calcium stones
are a vastly widespread kind of kidney stone. There are two sorts of Calcium
Stones: Calcium Phosphate and Calcium Oxalate. Many people have too much
calcium in their urine, increasing the threat of calcium stones. Even with
regular amounts of calcium in the urine, calcium stones may develop due to
additional reasons.
(5-10 per cent
of stones) Uric Acid Stones -
Uric acid is a
junk product that comes from chemical transformations in the body. Uric acid
crystals do not deliquesce well in acidic urine and rather they will form a
uric acid stone. Having acidic urine may stem from:
Obesity
Persistent diarrhoea
Type-2 diabetes (high blood sugar)
Gout
A diet high in animal protein and
meagre in fruits and vegetables
(10 per cent of
stones) Struvite/Infection Stones -
Struvite stones
are not a widespread category of stone. These stones have pertained to chronic
urinary tract infections (UTIs). Some bacteria make the urine trivial acidic
and excessively alkaline. Magnesium ammonium phosphate (struvite) stones
feature in alkaline urine. These stones are usually large, with branches, and
they often germinate very soon.
People who get
protracted UTIs, such as those with long-term tubes in their kidneys or
bladders, or people with bad bladder vacating due to neurologic illnesses
(paralysis, multiple sclerosis, and spina bifida) are at the increased threat
of formulating these stones.
(less than 1
per cent of stones) Cystine Stones -
Cystine is an
amino acid that is in distinct foods, it is one of the constituents of protein.
Cystinuria is a rare, inherited metabolic condition, it portends too much
cystine in the urine. When high quantities of kidney cystine are present in the
urine, it results in stones to formulate. Cystine stones often initiate to crop
up in childhood.
Diagnosis of
Kidney Stones:
If the doctor
infers that you have a kidney stone, you may have to undergo some diagnostic
tests and methods, such as:
• Urine testing - The test may reflect
that you're excreting too many stone-formulating compounds or limited
stone-preventing substances. For this test, your doctor may ask you to execute
two urine sample collections for two consecutive days.
• Blood testing - Blood tests may
indicate an excess of calcium or uric acid in your blood. Blood test results
enable you to oversee the fitness of your kidneys
• Imaging - Imaging tests may exhibit
kidney stones in the urinary tract. High-speed computerized tomography (CT) may
reflect even diminutive stones.
Simple
abdominal X-rays are employed less often because this sort of imaging test can
overlook tiny kidney stones.
Ultrasound, a
non-invasive test that is short and simple to conduct, is another imaging
alternative to diagnose kidney stones.
• Examination of passed stones – This
involves urinating through a strainer to capture stones that you may pass. Lab
inspection will disclose the composition of your kidney stones. Your doctor
utilizes this information to infer what's inducing your kidney stones and to
construct a strategy to stave off further kidney stones.
Hiranandani Hospital Kidney Transplant has an Illustrious and esteemed team of world-class kidney care doctors who are efficient and highly skilled in treating patients facing any sort of kidney ailments including End Stage Renal Disease.
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