Kidney Stones Causes,
Symptoms and Treatment
There are several different types of kidney stones, but each of them can
cause a lot of pain. Kidney stones are a build-up of crystals in the kidneys that form hard lumps, which in turn can
cause pain and problems in the urinary system.
Kidney stones are fairly common and affect around 15% of men and 10% of women
during their lives.
Kidney stones are small chunks of solid material that can form in your
kidneys, a pair of organs that filter your blood. Small stones can be as tiny
as a grain of sand and may remain in the kidneys without causing any symptoms.
Pain can occur as stones get bigger.
Some stones may be as big as a golf ball. If the stone moves around or
gets stuck in the kidney or ureter, this can cause pain.
The "stones," which are usually yellow and brown, vary in size
and shape.
For instance, some may be jagged and as small as a grain of sand, while
others may be lumpy and the size of golf balls.
A stone may stay in the kidney or
travel down the urinary tract — the body's waste and excess-water drainage
system — and get stuck, causing severe pain in the belly or side of the back.
Other symptoms may include
nausea, chills, and blood in the urine. Kidney stones can also cause infections.
Problems with kidney stones are most common
between the ages of 30 and 60
What Are the Kidneys?
Part of the urinary system, your
two kidneys are fist-sized, bean-shaped organs, located just below the rib
cage, one on each side of the spine.
They have a number of important
functions, mainly filtering the blood to remove waste and excess water,
resulting in the formation of urine, which is stored in the bladder and emptied
from the body through the urethra.
The kidneys also:
- Balance the body's levels of electrolytes,
including sodium, potassium, and phosphate, to maintain the body's balance
of acids and bases
- Produce hormones involved in regulating blood
pressure, producing red blood cells, and maintaining bone strength
- Prevent the buildup of waste and fluid in the
body
Development of Kidney Stones
Kidney stones develop when the
concentration of normal kidney substances (especially calcium, oxalate, and
phosphorus) increases substantially.
This process — sometimes known as
nephrolithiasis — can be due to various factors, including low fluid intake,
diet, or medications such as diuretics and calcium-based antacids.
A number of issues can increase a
person's risk of developing kidney stones, including:
- A family history of kidney stones
- Medical conditions that affect the levels of
urinary substances
- Urinary tract blockage
- Digestive problems
- Recurrent urinary tract infections
Types of Kidney Stones
Kidney stones are classified by the substance that forms them. The main
types of kidney stones are:
·
Calcium stones
·
Struvite stones
·
Uric acid stones
·
Cystine stones
Depending on the type, stones may
be harder or softer, bigger or smaller, and more or less likely to cause pain
or infections, and the treatment may differ.
Calcium stones, of which there
are two forms — calcium oxalate and calcium phosphate — are the most common
type of kidney stone.
In most cases, calcium oxalate stones form from high levels of calcium
and oxalate in urine.
But if there are high levels of urine calcium and the urine is alkaline
(has a high pH), calcium phosphate stones may form instead.
Uric acid stones develop from overly acidic (low pH) urine.
This can result from a diet high in purines, substances that are broken
down to form uric acid and are found in high concentrations in animal protein.
Struvite stones, sometimes called infection stones, are made of
magnesium, ammonium, and phosphate, and typically form in alkaline urine.
They develop from upper urinary tract infections, including kidney
infections, when bacteria produce urease, an enzyme that helps convert urea (a
compound in urine) into ammonia and other products.
Cystine stones result from a genetic disorder that causes cystine, an
amino acid, to leak into the urine from the kidneys.
Symptoms of kidney stones
Although the
stone is in the kidney or ureter, pain from the stone or any infection is
usually felt elsewhere.
The symptoms
of kidney stones include:
·
Painful lower back ache
·
Groin ache
·
Testicle or scrotum ache in men
·
Pain felt on the side of the abdomen
·
Unable to find a comfortable position, restlessness
·
Nausea
·
Urinating more often
·
Painful urination
·
Blood in urine
·
Cloudy urine
·
Smelly urine
·
Fever
·
Shivering
·
Chills
·
Weakness
·
Diarrhoea
Seek urgent
medical attention if there's fever, quickly worsening pain with or without
chills or shaking.
What causes kidney stones?
Causes of
kidney stones include:
·
Not drinking enough fluids every day (dehydration)
·
Some medications causing substances to build up in
the kidneys
·
Following a high-protein, low-fibre diet
·
Inactivity
·
Family history of kidney stones
·
Kidney infection
·
Kidney disease
·
Urinary infections
·
Previous kidney stones
·
Having only one kidney working
·
Digestive system bypass operations
·
Crohn's disease and other digestive conditions
·
The genetic condition hypercalcuria causing extra
calcium in the urine
·
Overactive parathyroid gland affecting calcium in
the body
·
Sarcoidosis
·
Gout
·
Some cancers, chemotherapy treatment for cancer
·
Cystinuria, a condition affecting acid in the
urine.
Diagnosis of kidney stones
A diagnosis
of kidney stones will be based on the symptoms, medical history and tests,
including:
·
Urine tests
·
Testing for stone type of any stones or fragments
passed in urine, this can be collected in an old pair of tights or in a piece
of gauze
·
Blood tests for kidney problems
·
CT scan
·
X-ray
·
Ultrasound scan
·
Intravenous urogram (IVU), intravenous pyelogram
(IVP), enhanced X-rays taken after special dye is injected into the arm
Treatment of kidney stones
Treatment
may not be needed, especially if stones are small enough to pass in the urine.
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