KIDNEY STONES: WHAT YOU NEED TO KNOW. | Dr. Yeibake Weriwoyingipre Silver

Kidney stones are a prevalent medical problem that affects millions of individuals worldwide. There is no known single cause of kidney stones, although many risk factors do exist.

Kidney stones occur when our urine contains more crystal-forming chemicals — calcium, oxalate, and uric acid — than the water in it can dilute. Simultaneously, the urine may lack chemicals that prevent crystals from sticking together, resulting in an excellent environment for kidney stones to form.

The most frequent types of kidney stones are calcium stones, which are made of calcium oxalate or calcium phosphate. Other forms include uric acid, struvite, and cystine stones. There are various risk factors for kidney stones, including dehydration, a high sugar, sodium, or protein diet, obesity, certain medical diseases such as gout or urinary tract infections, certain supplements like high doses of vitamin C, and other dietary/nutritional supplements, medications like laxatives (purgatives), calcium-containing antacids, drugs for migraines and some antidepressants,  and a personal or family history of kidney stones.

The symptoms of kidney stones vary according to their size and location. Many persons with kidney stones suffer significant discomfort or sharp pain that spreads from the back below the ribs to the lower abdomen and groin. The pain usually comes in waves and fluctuates in severity. The location of the pain may change as the stone moves through the urinary system.

Other symptoms could include nausea, vomiting, pink, red, or brown urine, cloudy or foul-smelling urine, frequent urination, persistent need to urinate, pain or burning sensation during urination, and fever.

Small kidney stones may pass on their own without causing much discomfort. However, larger stones may require medical or surgical intervention for removal.

Treatment for kidney stones varies according to their size and nature. Many doctors advocate drinking plenty of water to help flush out the stones. Pain medication may also be provided to alleviate discomfort caused by the passage of stones. For larger stones or those that do not pass on their own, medical procedures such as shock wave lithotripsy, ureteroscopy, or surgery may be required to remove them.

Staying hydrated by drinking enough water, limiting salt intake, and eating a balanced diet rich in fruits and vegetables are all preventative methods for kidney stones.

To summarize, kidney stones are a painful and prevalent condition that can affect people of any age. Individuals can prevent kidney stones by recognizing their causes, symptoms, and treatment choices, and seek proper medical care when necessary. Anyone experiencing symptoms suggestive of kidney stones must visit a healthcare physician for proper examination and treatment.

Dr. Yeibake Weriwoyingipre Silver
Senior Registrar, 
Faculty Of Pediatrics, WACP.

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