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Hi, I am Dr Sarwar Eqbal. I am Urologist and I hav done MBBS in the year 1999, MS in General surgeon in 2002. Later I have done snior residency in Urology from reputed Insitute of Delhi. Then I have done the urology in kidney transplant in Sir Gangaram Hospital, Delhi, in the year of 2008. I am working as a consultant urologist from last 8 years. And I would have attached to reputed hospitals in the Delhi NCR region.
Today I am going to talk about the major problem which people are facing in Delhi, that is, Urolithiasis or Kidney stones. The kidney stone issue has become very commonin the Delhi-NCR region. Out of 8-10 cases of OPD, we a can see 5-6 cases of kidney stone, and it is more common in male. The most common cause we see is an inadequate hydrateion body because of which there occur crystallization of urine which sediments in kidney and become stones later on. So , you have to be more carefull about your health. This kind of problem is very common in summers because of the sweating, there is a lack of water in the body which gets precipitated in the kidney and takes the shape of a stone.
Stone is one of the common cause of destruction or damage of the kidney world wide. So, what we do in case of the kidney stone?
The first thing is the awareness. They should know the cause of kidney stones, or how it can be checked or prevented. So, keep yourself hydrated throughout the summer. You are supposed to have that much amount of water which can make you produce atleast 2 litres of urine pe day.
In certain cases, it is very common amongst the family. May be in the family, or may be related to some kind of food which is very common, specially the non veg which may cause urinary stones.
Now, let us come to the different kind of stones which is vry common all around India;
- Oxalate stone
- Ureteral stones and the other stone
Now, what does these Kidney stones cause?
These types of stones are formed in the kidney and they grow with time and they can take the size of the stone, ehrein they are called size of the kidney. So they start forming in the kidney. If proper precautions are not taken , they can take the shape of the kidney and can enlarge to the kidney size. This is called staghorn calculus, which can cause complete destruction of kidney and leads to kidney failure. When the stone size is small, they can cause obstruction of the kidney at certain point, like the pigeon of the kidney is the common cause of obstruction, which leads to swelling in the kidney, pain, infection. If it is not treated on time, it can cause complete damage to kidney permanently. They can trickle down to uretor. Uretor is a line that connects kidney and the urinary bladder. So, they can obstruct the uretor at any point of kidney upto the bladder level. This can cause urinary chronic which is a severe pain associated with Nausea, vomiting, burning sensations and also sometimes can cause blood in the urine. If it is not treated on time, it can lead to complete destruction of kidney.
Sometimes these stones enetrs the urinary bladder and can choke the urethera. Due to this, patients may have some problem in passing urine, which is called obstruction of the retention of urine for which we may require catheterization and later the removal of the stone.
What are the modality in the treatment of kidney stones?
The modalities depends on the size of the kidney stones as well as the location of the stones. The other parameters like the diabetes, hypertension, CADS related conditions with the patients.
The size and position of the stone.
The management depends on the stone size and the location. If the size of the stone is < 1 cm and lies anywhere inside the kidney. Then the treatment procedure is very simple, which is known as ESWL lithotripsy. It requires some small waves targeting the stones which makes the stone pulverised (sand like) and expelled out through the urine itself. But if the stone size is big, like more than 1 cm or 1.5 cm, then the choice of treatment will be miniperc. And if the size of the stone is < 1.5 cm and the patient is not ready for ESWL. Because ESWL requires some staging, then the other great option is RIRS, which is known as the Retrograde Intrarenal Surgery.
In RIRS, we put the endocscope through urinary passage and break the stone through laser. The fragments are taken out from the kidney itself. The patient does not require any kind of incision, not even the button hole incision. When the stone is inside the ureter, then the treatment of choice is URS, which is called Ureteroscopy. If the stone is inside the bladder, then the treatment procedure will be Laser lithotipsy. In this process, we pass the endoscope through the bladder and pulverise the stone and take out the fragments through it.
If you have any such problem. Like stones in the kidney or ureter or bladder, you can contact me through Lybrate.
Sir I have night urination problem during sleep only. So what kind of problem is it. I hv consultant to urologist. He didn't find any disease.
My urine culture report is alkaline (ph 7.5), pus cells 4-6/hhpf, epithelial cell 15-20/hpf, r. B. C. 2-4, bacteria, others amorphous ohosphate present.
My aunt is suffering from urinary infection n white urine is passed. She lives in a village. Doctor is treating her. Antibiotic does not seem to work. Pls advise.
Information given above is of my baby girl of two months. She is not doing motion everyday since from 15 days and from 3 days onwards she is doing urination only 3 to 4 times daily. Is tat normal in this summer? Are there any solutions for tat?
Frequent urine coming at the interval of every one hour. If drinking water. I am getting the sensation of urine coming within 45 minutes. Please advice.
Burning urine. .some time occur. Penis ma vi burning hota ha. PATHOLOGY REPORT. Kiya ha CBC report normal. ESR REPORT-28 ROUTINE urine EXAMINATION. QUANTITY- 50 ml Colour - light yellow Appearance -hazy Deposit -absent Ph -acidic Specific gravity-1.010 CHEMICAL EXAMINATION proteins -absent Sugar - absent Ketone -absent Occult blood -negative Bile pigment -absent Urobilinogen -absent MICROSCOPIC EXAMINATION OF CENTRIFUGALISED DEPOSIT. epithelial CELLS -occasional RED BLOOD CELLS- ABSENT Pus cells -2-3/h.p.f Cast -absent Crystals - absent Amorphous materials - absent Yeast -absent Bacteria -occasional Trichomonas - absent Spermatozoa -absent Mucus -absent Sonography full abdomen. Bladder is distended and shows anechoic lumen .no calculus. Pervoid volume 509 cc and post void volume 95 cc.
My creatine is 1,7 how to reduce it in ayurvedic allopathy homeopathy way and little prostate problem is there. Please guide me. Thanks.
Past few months I am not able to control my urination once after drinking a small quantity of water and once immediately when I feel to urinate I don't have any control kindly advise.
I was urinating .all of sudden I felt tiredness fitness n difficulty in breathing n then I fell down. I banged my head several times on floor. I regained consciousness after 1 min what was that? It happened to me around 5 times before.
Hi doctor, I want to increase my height my height is 5.5 so can you suggest me to how to improve my height. And when I hang to any rod getting pain in spinal cord and in kidney. so please reply.
Is lymph nodes in kidney means cancer? Ultrasound shows - few non specific lymph nodes in right iliac fossa bigger measuring 12x5 mm.
I am 23 year old had hemorrhoidectomy 4 months ago. I am still suffering from irritation in anus while bowel movement what should I do. I tried all pills and creams. I am also suffering from constipation.
1.In addition to eating right and controlling your weight, you can take other simple steps to keep your kidneys healthy, including monitoring your blood pressure, cholesterol and blood glucose level, going to the doctor every year, exercising regularly, not smoking and being aware if kidney disease runs in your family. Kidney stones can develop when minerals build up in your urine. However, eating a diet rich in fruits and vegetables, and low in salt or oxalate-rich food can help prevent mineral build up. Additionally, drinking lots of water throughout the day, especially if you exercise frequently, is important for kidney health.
Staying hydrated is necessary for prevention and treatment. Keeping your urine diluted is important for keeping your kidneys healthy. Water is the best choice, but you can also drink fruit juices, ginger ale or tea. If your urine is light colored after you go to the bathroom, you are getting enough fluid. Also try to limit caffeinated beverages to one to two cups a day because it can actually make you dehydrated.
3.Fruits and Vegetables
Fruits and vegetables improve your kidney function. Such fruits include grapes, cranberries and blueberries; vegetables include fennel, onions, celery, beets, spinach, string beans and asparagus. If you are suffering from kidney disease, make sure the fruits and vegetables you eat are low in potassium.
Since kidneys regulate potassium, it’s important that you monitor your potassium intake. If your potassium level gets too high, you may develop a greater risk of suffering a stroke or heart attack. Some examples of low-potassium foods include apples, beans, corn, rice, noodles, pasta, eggplant, cookies without nuts or chocolate, pears, peas, peppers and zucchini.