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What is Kidney Stone ?
Calcium stones Struvite stones. Uric acid stones Cystine stones
All that you need to know about kidney stone
Kidney stones form in your kidneys. As stones move into your ureters — the thin tubes that allow urine to pass from your kidneys to your bladder — signs and symptoms can result. Signs and symptoms of kidney stones can include severe pain, nausea, vomiting, fever, chills and blood in your urine.
Doktors will help you in finding the best urologist in India with better medications along with high advanced technology treatments.
What are kidney stones?
Kidney stones (also called renal calculi, nephrolithiasis or urolithiasis) are hard deposits made of minerals and salts that form inside your kidneys. Diet, excess body weight, some medical conditions, and certain supplements and medications are among the many causes of kidney stones.
How to kidney stone occur?
Kidney stones form when your urine contains more crystal-forming substances — such as calcium, oxalate and uric acid — than the fluid in your urine can dilute. At the same time, your urine may lack substances that prevent crystals from sticking together, creating an ideal environment for kidney stones to form.
Types of kidney stones
- Calcium stones. Most kidney stones are calcium stones, usually in the form of calcium oxalate.
- Struvite stones. Struvite stones form in response to a urinary tract infection.
- Uric acid stones.
- Cystine stones.
Causes
ü Low fluid intake (Dehydration)
ü Consuming high calcium supplements
ü High animal protein diet
ü Excess salt consumption
ü Family history
ü Chronic diarrhea
Symptoms
ü Severe pain
ü Nausea
ü Vomiting
ü Fever
ü Chills and blood in urine
Diagnosis
Tests
- - Blood testing. Blood tests may reveal too much calcium or uric acid in your blood. Blood test results help monitor the health of your kidneys and may lead your doctor to check for other medical conditions.
- - Urine testing. The 24-hour urine collection test may show that you're excreting too many stone-forming minerals or too few stone-preventing substances. For this test, your doctor may request that you perform two urine collections over two consecutive days.
- - Imaging. Imaging tests may show kidney stones in your urinary tract. High-speed or dual energy computerized tomography (CT) may reveal even tiny stones. Simple abdominal X-rays are used less frequently because this kind of imaging test can miss small kidney stones.
- Ultrasound, a noninvasive test that is quick and easy to perform, is another imaging option to diagnose kidney stones.
- Ultrasound, a noninvasive test that is quick and easy to perform, is another imaging option to diagnose kidney stones.
- - Analysis of passed stones. You may be asked to urinate through a strainer to catch stones that you pass. Lab analysis will reveal the makeup of your kidney stones. Your doctor uses this information to determine what's causing your kidney stones and to form a plan to prevent more kidney stones.
Self-diagnosis
It is not always possible to self-diagnose a kidney stone, though certain signs and symptoms may point to the likelihood that you have a stone. Keep in mind, kidney stones may cause virtually no symptoms early on. In fact, many patients are unaware that they have kidney stones until the stones begin to pass.
Diagnosis by doctor
Doctors typically diagnose kidney stones based on a physical exam, signs and symptoms you're experiencing (such as blood in the urine and difficulty urinating, among others), and imaging tests
Severity
Kidney stone pain — also known as renal colic — is one of the most severe types of pain imaginable. Some people who've experienced kidney stones compare the pain to childbirth or getting stabbed with a knife. The pain is intense enough to account for more than half a million visits to emergency rooms each year.
Risks and complications
During the procedure
For certain kidney stones — depending on size and location — your doctor may recommend a procedure called extracorporeal shock wave lithotripsy (ESWL). ESWL uses sound waves to create strong vibrations (shock waves) that break the stones into tiny pieces that can be passed in your urine.
If left untreated
Left untreated, kidney stones can block the ureters or make them narrower. This increases the risk of infection, or urine may build up and put added strain on the kidneys. These problems are rare because most kidney stones are treated before they can cause complications
After the surgery
Most people can go back to their regular daily activities 1 or 2 days after this procedure. Drink a lot of water in the weeks after treatment. This helps pass any pieces of stone that still remain. Your health care provider may give you a medicine called an alpha blocker to make it easier to pass the pieces of stone.
Prevention
- - Drink water throughout the day. For people with a history of kidney stones, doctors usually recommend drinking enough fluids to pass about 2.1 quarts (2 liters) of urine a day. Your doctor may ask that you measure your urine output to make sure that you're drinking enough water.
If you live in a hot, dry climate or you exercise frequently, you may need to drink even more water to produce enough urine. If your urine is light and clear, you're likely drinking enough water.
- - Eat fewer oxalate-rich foods. If you tend to form calcium oxalate stones, your doctor may recommend restricting foods rich in oxalates. These include rhubarb, beets, okra, spinach, Swiss chard, sweet potatoes, nuts, tea, chocolate, black pepper and soy products.
- - Choose a diet low in salt and animal protein. Reduce the amount of salt you eat and choose non animal protein sources, such as legumes. Consider using a salt substitute, such as Mrs. Dash.
- - Continue eating calcium-rich foods, but use caution with calcium supplements. Calcium in food doesn't have an effect on your risk of kidney stones. Continue eating calcium-rich foods unless your doctor advises otherwise.
Treatment options & costs
Non-surgical treatment
Traditional non-invasive treatment for kidney stones is called shock wave lithotripsy. This therapy uses high amplitude shock waves to break up stones. Shock wave lithotripsy often requires the use of x-ray imaging to target the stone, anesthesia, and higher pressures as compared to the Break Wave device
Surgical treatment
- - Shock wave lithotripsy.
- - Ureteroscopy.
- - Percutaneous nephrolithotomy or percutaneous nephrolithotripsy.
- - Open surgery.
Types of procedures
- - Ureteroscopy. At NYU Langone, the most common surgery to treat kidney stones is ureteroscopy with Holmium laser lithotripsy.
- - Shockwave Lithotripsy.
- - Percutaneous Nephrolithotomy.
- - Robotic-Assisted Kidney Stone Removal.
Surgery preparation
- Stop smoking, if you smoke, well in advance of surgery.
- Stop taking certain medications that can make it hard for your blood to clot, such as blood thinners like Coumadin, Plavix, Xarellto, and the like.
- Do not eat or drink anything after midnight prior to your surgery.
What to except during the surgery?
During this procedure, you lie on a table. You'll get medicine beforehand to limit any pain or discomfort. The doctor uses an X-ray or ultrasound to find the stone (or stones) in your kidney. Then, they aim high-energy shock waves at your kidney from the outside.
After the surgery
Most people can go back to their regular daily activities 1 or 2 days after this procedure. Drink a lot of water in the weeks after treatment. This helps pass any pieces of stone that still remain. Your health care provider may give you a medicine called an alpha blocker to make it easier to pass the pieces of stone.
Recovery rate
Around 80% of kidney stones that are smaller than 4 millimeters (mm) will pass on their own in about 31 days. Approximately 60% of kidney stones that are 4–6 mm will pass on their own in about 45 days. Around 20% of kidney stones that are larger than 6 mm will pass on their own in about 12 months.
Long term outlook treatment of kidney stones
The outlook for kidney stones is very positive, although there is a risk of recurrence (the stones coming back). Many kidney stones pass on their own over time without needing treatment. Medications and surgical treatments to remove larger kidney stones are generally very successful and involve little recovery time
The medical coordinator understand the patient's problem on your first meet and advice's the best treatment for your problem. And starts scheduling your OPD and helps to connect the doctor based on your problem
DOKTORS only perform the advance scheduled surgeries, it doesn't provide any kind of emergency surgeries or treatments.
DOKTORS is not any hospital owner, it collaborates with other hospitals to perform surgeries which are done by doctors/surgeons using the medical infrastructure of the affiliated hospitals.
DOKTORS always provide online consultations, patients can select a doctor based on their specialization from anywhere based on the available slots. Patients can talk to the doctor through online call or chat to share their health problem. The doctor identify the problem and suggest the tests and medications as they require.
DOKTORS doesn't provide any insurance. Insurance is based on the type of conditions given by insurance provider. Our insurance team gets maximum help to get benefits.
There is an option to get second medical check up by highly reputated doctors for all kinds of problems. The consulted doctor can check all the previous medications and reports and can guides the new treatment.
While in the case of surgery the caretaker should be mentioned to patient who takes care in every moment in the whole surgery.
What happens if you delay the treatment/surgery?
Delayed treatment may aggravate piles and may lead to complications. Surgery is advised in case of
Severe pain
Prolonged bleeding
Large haemorrhoids
Alteration in bowel movements
Alteration in bowel movements
Why Doctor Care ?
Expert surgeons
We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
Advanced Surgical Technologies
We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
Personal Care Assistants
We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
Financial aid and assistance
We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
Postoperative Care
We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
FAQ
Some kidney stones often pass on their own without
treatment. Other stones that are
painful or that get stuck in your urinary tract sometimes need to be removed
with surgery. You might have a procedure or surgery to take out kidney
stones if: The stone is very large and can't pass on its own.
The doctor uses a thin
viewing tool, called a nephroscope, to locate and remove the kidney stone. The doctor inserts the tool
directly into your kidney through a small cut made in your back. For larger
kidney stones, the doctor also may use a laser to break the kidney stones into
smaller pieces.
Surgical treatment is usually recommended for
stones 0.5 centimeters in size and larger, as well as for patients who
fail conservative management. The procedures used today to remove stones are
minimally invasive and highly effective.
Pain and Discomfort: Minimally invasive surgery causes less pain than traditional surgery
because it is less disruptive to unrelated tissue and muscles in the body.
Although less severe, patients should expect to experience some discomfort.
Your doctor will develop an appropriate treatment plan for pain management
The surgery takes 20 to 45 minutes. You'll typically have to stay in the hospital
for a day or two afterward. Usually, a stent will have to stay in your kidney
for a few days to help urine drain. Your doctor might do an X-ray or ultrasound
a few weeks later to see whether any parts of the stone are left.
You cantake
over-the-counter pain relievers to lessen any pain you may be
experiencing. These include acetaminophen (Tylenol), ibuprofen (Advil), or
naproxen (Aleve). Be sure to continue treatment until the stone passes, and
don't drink alcohol.
The kidney stent drains urine from the kidney into
a bag outside of the body, bypassing the ureters and bladder. Ureteral stenting
is an effective way to allow painful
kidney stones to pass through the ureters and out of the body. Ureteral
stents for kidney stones and ureteral stones are temporary.
Up to 3 months, and depending on if the growth
will be removed, a stent can be left in place for years. However, stents must
be changed on a regular basis of every 3-4 months.
Doktors
has a dedicated team that will assist you with the insurance claims for kidney
stones surgery. The insurance claims will depend on your health insurance
company and the terms and conditions set by them. Be rest assured that our team
will do their best to help you claim your insurance for kidney stones
surgery.
Treatment Specialities Of Doktors
Proctology – Laser Treatment for Piles, Fissure, Fistula, Pilonidal Sinus
Laparoscopic Surgery – Laparoscopic Treatment for Gallstone, Hernia
Vascular – Surgical and non-surgical treatments for Varicose veins, Spider Veins, Varicocele, Uterine Fibroids / DVT – Deep Vein Thrombosis, Diabetic Foot Ulcer
Urology – Phimosis, Hydrocele, Kidney stones, Urinary tract infections
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ENT – Surgical treatments for Sinusitis (FESS), Deviated Nasal Septum (Septoplasty), Perforated Eardrum (Tympanoplasty), Tonsillitis (Tonsillectomy), Adenoids (Adenoidectomy)
Aesthetics – Plastic Surgery for Gynecomastia, Hair Transplantation, Liposuction, Breast Surgery (Breast Augmentation and Breast Reduction)
Orthopedics Surgery – Treatments for ACL Tear, Carpal Tunnel Syndrome, Hip Replacement and Knee Replacement
Ophthalmology – Treatment for Cataract and LASIK
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