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Hello, I am Dr Anil Agarwal I am a practising neurologist from last 15 years and I specialise in minimally invasive treatment for kidney stones. Kidney stones may cause pain, blood in the urine, infection, obstruction and damage to the kidney. These stones may be located either in the Kidneys along with the line of the ureter in the urine bladder or sometimes it will be stuck in the urethra. Then when there is a patient of urinary stones we investigate either by ultrasound, X-Rays, CT-Scans, kidney function test and urine examination. For very small stones in the Kidneys or in the ureter medications maybe try and they are sometimes very helpful in removing the stones, especially patients who have uric acid stones may be treated with medication. Surgery for kidney and urinary stones has now become very simple it has evolved a lot over the years and now minimally invasive treatment is available which is very safe. For Stones in the urethra and urinary bladder endoscopic surgery is done surgery where there no cuts and stitches patient can go home on the same day and he is back to work on the next day, it is so easy and simple. For Stones in the lower ureter patients undergoes the ureterorenoscopy surgery discharge next day, back to work in two days and treatment is very easy there are no cuts and stitches it is very simple for stones in the upper ureter and kidneys. There are three forms of treatment that we do, one is the ureterorenoscopy surgery second is retrograde internal surgery or RIRS or third is PCNL, now we have come down to mini PCNL, in which there is endoscope that is passed through the urethra into the ureter the stones are broken and remove. In PCNL and it was a small puncture in the kidney in mini PCNL we break the stones and take them out, a patient needs maximum hospitalization of one or two days and then back to work very early. Earlier they used to be open surgery that was the only form of treatment, now open surgery is only reserved for patients very few patients, it may be around 1 in 1000 only. There is one more treatment that is available for kidney and ureteral stones, that is Lithotripsy or ESWL in with shock waves are passed to the stone, the stone is broken by the machine and patient passes small fragment in urine. Now I must also tell that this treatment the success rate is up to 90% in very few selected store. Now in a nutshell what I have told you that don't be afraid of kidney stone, the treatment is very simple you just need to consult an experienced urologist who may help you with treatment options that are available and remove your stones. Now what happens, if you ignore this problem the stones and what happens next? The problems that may arise are repeated infections, now if the stone is obstructing then it may damage the kidney I have seen patients who have damaged their kidneys to extend that they are on dialysis and this is only because they have not followed the proper medication and advice by Neurologist. So I urge you all to consult a Urologist and take a proper remedial step so that your stones are removed and your kidneys are saved. Thank you all for your patience and wish you all a very happy and healthy life and wish to make every person stone free thank you.
I have done urine test. There are 1-2 epithelial cells and 0-1 pus cells. Is it is a urine infection. I also have two kidney stones. Are these cells due to the presence of stones?
Kidney stones are caused when certain minerals of your urine are retained and not wholly released, causing them to amalgamate and form a stone. Passing kidney stones is one of the most painful experiences you may face physically. Its magnanimity is often compared to childbirth, and those who are suffering from kidney stones dread having this experience. If you are yet not affected by kidney stones and do not want to, read to know what dietary changes you can undergo to prevent it.
- Drink a lot of water: On an average, a person must be drinking at least 3 liters of water every day. If you live in a more hot and humid climatic area, your water intake must be even more than that, so that on an average, 2.5 liters of urine is passed throughout the day, which decreases the chances of unnecessary retention of minerals from the urine and release them more easily from the body.
- Continue eating calcium containing foods: It is a common misconception that calcium accelerates the formation of kidney stones. Calcium is digested in the intestine. Only the calcium which is excess and cannot be digested in the intestines are sent to the kidneys. Continue consuming calcium rich foods unless your doctor prescribes you against it. Make sure your diet includes enough dairy products such as milk, cheeses, etc, or other calcium rich foods like oats and broccoli.
- Limit intake of oxalic acid: Oxalic acid is mostly found in food obtained from plants. It restricts the absorption of calcium in the intestines and as a result, more calcium is passed into the kidneys; thus forming calcium oxalate, or oxalate stones. Try to avoid foods like rhubarb, Swiss chard, nuts, tea, sweet potatoes, etc; mainly leguminous plant products.
- Decrease the ingestion of sodium salts, sugar and meat protein: Salts and sugars, mainly found in packaged foods to prevent them from expiring, increase the release of calcium and oxalates into the blood, which thus increase the chances to develop kidney stones. Meat contains fibers which affect certain nutrients in the kidney, thus aggravating the formation of stones.
- Increase the consumption of insoluble fibers: Insoluble fibers are those rough fibers which are not soluble in water during the process of digestion. They are found in rice, wheat, barley, etc, and are found to decrease calcium absorption in the kidney. They attach themselves to the calcium and oxalates, which enable them to be released as stool instead of urine. In case you have a concern or query you can always consult an expert & get answers to your questions!
A. Regular Control of Your Blood sugar level
B. Monitor your Blood pressure Regularly
C. Maintain a Healthy Fluid intake
D. Don't Smoke
E. Don't take over - the - Counter pills on a regular basis
My father age 78 have urinaty tract infection and urine colour thick white colour . How to normalise
7 secrets to kidney health
You can do a number of things to keep your kidneys functioning properly and keep them as healthy as possible at every stage of life.
1. Hydrate, but don’t overdo it.
“contrary to popular belief, no studies have proven over-hydration as an effective practice in enhancing kidney function,” so, while it’s always a good idea to drink enough water, drinking more than the typical four to six glasses a day probably won’t help your kidneys do their job any better.
2eat healthy foods.
Your kidneys can tolerate a wide range of dietary habits, but most kidney problems arise out of other medical conditions like high blood pressure and diabetes. Because of this, he suggests you follow healthy, moderate eating habits to control weight and blood pressure.
Preventing diabetes and high blood pressure will help keep kidneys in good condition.
3. Exercise regularly.
If you’re healthy, getting your exercise is a good idea because, like healthy eating habits, regular physical activity can stave off weight gain and high blood pressure. But do be mindful of how much exercise you do, especially if you’re not conditioned.“overexerting yourself when you’re not fit and healthy can put a strain on your kidneys, especially if you exercise so much that you cause excessive breakdown of muscle tissue.
4. Use caution with supplements and herbal remedies.
Excessive amounts of certain vitamin supplements and some herbal extracts may be harmful to your kidneys. Talk to your doctor about any vitamins and herbs you plan to take.
5. Quit smoking.
Smoking can damage blood vessels, which decreases the flow of blood in the kidneys. When the kidneys don’t have adequate blood flow, they can’t function at optimal levels. Smoking also increases the risk of high blood pressure as well as the risk of kidney cancer.
6. Don’t overdo it when taking over-the-counter medications.
“common non-prescription pills like ibuprofen and naproxen (nsaid’s) can cause kidney damage if taken too regularly over a prolonged period,” if you have healthy kidneys and use these medicines for occasional pain, they probably don’t pose a risk. That if you take them for chronic pain or arthritis, you should talk to your doctor about monitoring your kidney function or finding alternative ways to control your pain.
7. If you’re at risk, get regular kidney function screening. “if you have either diabetes or high blood pressure, your physician should screen for kidney dysfunction as part of routine care for those conditions.
I yesterday did my sonography I am having 4 kidney stones 2 in left side and 2 in right side kidney of 7.5 mm 2 stones and 4.5 mm 2 stones is it necessary to get operated to take it out.
Urine flow slow. Slight improvement with silodal 8. Motion (stool) urge with urine. Age 56. Male. Taking sartel am. Lopressor 50, r2 10.
Kidney stones are one of the most common urinary tract disorders. These stones are the result of an abnormal concentration of urine. The stones might get unnoticed, till it moves around the kidney or passes into the ureter. The stones are basically small deposits of calcium that can cause excruciating pain.
Here is a list of signs that can indicate that a person might be suffering from kidney stone disorder:
- Painful Urination: The most common sign of kidney stones is a sudden urge to urinate. The urination occurs even though an individual has maintained the normal rate of fluid intake. When an individual does try to urinate, the amount of urine expelled is less than normal. In case of a normal volume of urine, an individual might experience extreme pain. The pain is the result of kidney stones travelling from the bladder to the urethra.
- Back Pain: People suffering from kidney stones often suffer from localized back pain in the early stages. The pain initiates at the side and back, just near the kidney area. As the condition worsens, the pain might spread to the groin, lower abdomen and lower back area. The waves of pain might last from a few minutes to few hours, depending on the number and size of the stones. For men, the pain might also be felt in the testicles and scrotum area.
- Blood In Urine: Apart from pain and discoloration, visible signs of blood in the urine are seen in patients who have kidney stones. The color of urine might vary from brown, pink to slightly red with stains of blood. With kidney stones increasing in size, it blocks the urethra, thereby ticking blood along with urine. This condition is referred to as hematuria.
- Vomiting and Nausea: People suffering from kidney stones often complain of nausea. It can become so severe that can lead to vomiting. Some other complications related to this condition include dehydration, nutritional deficiency etc. Another theory suggests that, throwing up is the result of body’s endeavor of clearing the toxic material from the body.
- Pungent Smell: It is quite common among patients suffering from kidney stones to have a pungent smelling urine. The smell is foul and sticks for a long time. The smell is the result of creatinine waste being accumulated and slowly passing through the urine from time to time.
- Difficulty in Sitting: Once the kidney stones gain in size, it becomes increasingly difficult for a patient to sit or lie down for a longer duration. Sitting or lying down puts pressure in the kidney area thereby causing intense pain. People try to combat this condition, by frequently standing up or by having a small walk.
In case you have a concern or query you can always consult an expert & get answers to your questions!