Age no bar for kidney stones
Age no bar for kidney stones.Kidney stones are a very common problem. Patients present more often in summer because of the dehydration caused by heat leads to stone pain.
Patients should adhere to dietary advice
Kidney stones are a very common problem. Patients present more often in summer because of the dehydration caused by heat leads to stone pain. No age is exempt for stones they can affect small children to old age people.Common symptoms are severe pain from loin to groin, blood in urine, burning while passing urine, fever and in some patients kidney failure.
Patients have to undergo Complete urine examination, S.Creatinie blood test,Ultrasound examination of abdomen. After seeing these test reports they may need further tests like IVP x rays,CT scan of abdomen for us to plan modality of treatment for stones.For children with stones and adults with multiple stones certain special tests may be needed.
Medical management of stones is done for small (less than 7mm ) stones. Medical management includes taking about 2.5litres of water everyday spaced over 24hours,Urinary alkalinizing syrup and in uric acid or cystene stones we do have special tablets to dissolve stones.
Dietary modification is very important and has to be followed by entire family. This includes reduction of tomato, cabbage, cauliflower, palak, red meat and salt reduction .Life style modifications like reducing weight has also shown to be of help in reducing stone. Milk and calcium need not be stopped but over indulgence is to be avoided.
Surgical treatment is advised for large stones, stones that don't pass with medical management and stones with kidney failure. Traditional open surgeries have come down in present era of endoscopic surgeries but still have a role in select cases. Small stones in kidneys can be treated by noninvasive method like ESWL(Extra Corporeal Shock Wave Lithotripsy) where we fragment stone by shock waves and stone fragments pass in urine.
URSL (Ureteroscopic Lithotripsy) is a method where we blast stones by means of a long instrument called ureteroscope which is introduced though the urine passage into the kidney .PCNL(Percutaneous Lithotripsy) is a method where we drill a hole into the kidney to take out large stones.
As laser has come into every field laser has come very handy in management of kidney stones and is a very recent development in which we can reach all areas in kidney with a flexible ureteroscope and remove multiple small stones any where in kidney with laser. Advice for general public is to take about 2.5litres of water every day spaced over 24hrs.
Special advice for kidney stone patients is to follow dietary advice,and be on regular follow up with urologist as stones are known to recur.The doctor is a M.S.(gen), MCh Urology Consultant Urologist,Andrologist, Transplant surgeon.
Care Hospital, Musheerabad.