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Dr. Saurabh  - Urologist, Delhi

Dr. Saurabh

86 (10 ratings)
MCH-Urology

Urologist, Delhi

10 Years Experience  ·  800 at clinic  ·  ₹350 online
Dr. Saurabh 86% (10 ratings) MCH-Urology Urologist, Delhi
10 Years Experience  ·  800 at clinic  ·  ₹350 online
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Hello friends. I am Dr Saurabh Mishra. I am a senior consultant in Urology in Lajpat Nagar, New D...

Hello friends. I am Dr Saurabh Mishra. I am a senior consultant in Urology in Lajpat Nagar, New Delhi. Now I am going to discuss something about Prostate. As you know prostate is a very common problem and it is not only seen by the urologist but so many other colleagues in the medical specialities, specially the physician. There are lot of myths and confusions about the Prostate in patients as well as the health care professionals. So, I would like to simplify the treatment methods for the prostate specially from the patient's point of view.

For the treatment protocol, we keep the patients into three categories;

  • Those patients who are asymptomatic and incidently been detected an emlarged prostate. Anything above 20g prostate, we call it as enlarged prostate. So, suppose a patient have some symptoms, he has undergone ultarsound and enlarged prostate was picked up. Such patients lie in Group-1. They do not need any treatment and kept under observation. Once they face any problem, they are given appropriate treatment.
  • Group-2 are those patients who suffer some urinary problems. Most commonly, they face frequent urine at night. In this category, they can have some obstructive features also. For example, they take long time to pass urine, the last part of the utine comes slowly that is called dribbling of urine. If these symptoms are present, the patient goes to the doctor and doctor evaluates and if no complicated factors are found then the medical treatment is started. So many medicines are available for the medical treatment of the Prostate. But unfortunately, most of them belong to same family. Due to this, if one drug fails to work then the options are least.
  • Group-3 patients are those who have complications. The complication may include the recurrent urinary tract infection, recurrent blood in urine, either of the kidney or both the kidneys are enlarged, bladder stones etc. If these symptoms are present, then it becomes the complicated factor. If any of tehse factors or all of these are present in the patient, then these patients may directly be planned for the surgery and no medical treatment is incorporated in such patients.

Few things we come to know. I have never dicussed about the size of the prostate. That means the size of the prostate will not tell about the treatment. There are so many patients who took treatment from the physician also. So, to such patients, I want to clarify the thing that the treatment is not that complicated but the treatment should be incorporated. The patient should be clarifies about the problem and the treatment and the group should be evaluated for the patient.

Thank you so much.

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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Saurabh
Dr. Saurabh Mishra is a trusted Urologist in Mayur Vihar, Delhi. He has helped numerous patients in his 9 years of experience as a Urologist. He is a qualified MCH-Urology. You can visit him at Dr Saurabh Clinic in Mayur Vihar, Delhi. Book an appointment online with Dr. Saurabh Mishra and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 38 years of experience on Lybrate.com. Find the best Urologists online in New Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MCH-Urology - AIIMS,New Delhi - 2008
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5 Effective Management Tips For Kidney Stones!

MCH-Urology
Urologist, Delhi
5 Effective Management Tips For Kidney Stones!

Having a stone in any organ of the body can be a harrowing experience but having a stone in your kidney is the most dreadful experience of the lot. The presence of a kidney stone causes excruciating pain in the host’s pelvic area, and if the stone enters the urinary tract of the host, the misery of the patient increases manifold. The urinary tract may also get jammed due to the presence of the stone, thereby causing problems in the urinary flow of the patient.

Ways to Manage a Kidney Stone-
Consulting a doctor is the first thing you should do when suffering from a situation such as a kidney stone. Doctors will provide the patients with medicines to curb their pain and improve their health. But, one can very well improve their condition by some of the basic home remedies as well. The most common home remedies a patient can act upon to manage a kidney stone in the best possible way are:

  1. Drinking Water- By drinking water in large amounts, the kidney stone starts to break down into smaller pieces, and the elements of the stone get diluted slowly. Ultimately, due to the dilution of the elements of the stone, the stones pass through with the urine of the patient. By drinking the water, you will be passing urine faster than the normal rate. As the stone enters the urinary tract, there are chances that the stone may be passed out while urinating.
  2. Watching Diet- Kidney stone patients should be a bit cautious with the food they consume. They should try and not have food which has high acid content. Low cholesterol levels need to be maintained, so if you want to prevent this from happening you need to cut down on fried and junk food.
  3. High Calcium Intake- Having food which has a high calcium content will help in flushing the stones out. The calcium will combine with oxalates and crystalize them, thereby enabling it to pass it through the urinary tract of the patient.
  4. High lemon consumption- Lemon juice is filled with citrates. Citrates can easily break up the kidney stones into minute particles and give it a Sandy texture. Citrate also helps in moving the stone in the right direction. You can drink lemon juice directly or mix it with warm water and then consume it.
  5. Apple cider vinegar- This again contains a high amount of citric acid which worked very efficiently in our body. It manages to set everything in place. You will be able to digest food in a better manner and will also reduce the pain. It will break down the stone and then pass it. Apple cider vinegar can be consumed with a warm glass of water mixed with one spoon of honey.

Kidney stones is a pretty common yet a serious condition, therefore one should not take it lightly and should consult a doctor as soon as possible.

3 people found this helpful

Urinary Retention: Know Its Causes and Management!

MCH-Urology
Urologist, Delhi
Urinary Retention: Know Its Causes and Management!

An individual's inability to empty the bladder, completely, through urination is known as urinary retention. People of all age groups and genders suffer from urinary retention. However, it is more common in 50- or 60-year-old men. The causes vary according to the types of urinary retention.

  1. Acute urinary retention: It is a life-threatening medical condition and a person can be affected quite suddenly. The affected person goes through great discomfort and pain as it prevents one from urinating, though the bladder is full. This severe medical condition requires immediate emergency treatment. Inability to urinate, painful and urgent need to urinate, severe pain or discomfort in the lower abdomen and bloating of the lower abdomen are the symptoms of acute urinary retention.
  2. Chronic urinary retention: A patient is able to urinate but not empty the bladder completely if affected by the chronic type. Higher urinary frequency, increased abdominal pressure, inability to feel when the bladder is full, and the need to urinate after urination are some of the symptoms of chronic urinary retention.

Causes
The causes behind the two types of urinary retention are different.

Acute/Obstructive type:

Any type of blockage restricts urine to flow through the urinary tract. The reasons behind this are:

Chronic/Non-obstructive:

Improper functioning of nerves and weakened bladder muscles may lead to this condition. The reasons behind this are:

  • Stroke
  • Childbirth
  • Pelvic injury or trauma
  • Nerve diseases
  • Impaired nerve or muscle function
  • Brain or spinal cord injury

Management
There are various methods of treating urinary retention at home though they are all limited care measures. Sitting in a bathtub filled with warm water helps relax the pelvic floor muscles. Another method is self-stimulation for urination by using running water in the bathroom. Limited mobility might be one of the primary reasons for urinary retention. Hence, daily walking or exercising not only helps facilitate urination but also helps strengthen the pelvic muscles. Women suffering from mild Cystocele or Rectocele are advised to exercise every day to prevent urinary retention.

Certain food items are also unsuitable for people suffering from urinary retention. Therefore, the patient is recommended to avoid or reduce the intake of spicy food, citrus fruits, and foods containing artificial sweeteners. Also, the intake of packaged items needs to reduce to help cure urine retention. The physician often advises the patient on dietary changes along with some exercises that help strengthen the pelvic muscle and thus help cure the disease quickly. Moreover, adoption of a healthy lifestyle goes a long way to help treat urinary retention.

It is advised not to delay the visit to a doctor, once the patient knows that he/she is suffering from the symptoms of urinary retention. If it is a serious case, then surgery is the only cure. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

2662 people found this helpful

Diet For The Prevention Of Kidney Stones!

MCH-Urology
Urologist, Delhi
Diet For The Prevention Of Kidney Stones!

A kidney stone is a solid mass that is formed from crystals present in the urine. People with normal body functioning have natural chemicals in their body that prevent the formation of kidney stones. Commonly, there are two kinds of kidney stones –

  1. Calcium - Stones that are made of oxalate and calcium.
  2. Uric acid - This develops when the urine of a person is too acidic.
  3. Struvite - Large stones that cause urinary obstruction.
  4. Cystine - These are very rare. Often occur in people with a genetic disorder called cystinuria.

A special diet or changes in diet is mostly suggested along with the prescribed medication who have kidney stones. This helps not only in the cure of kidney stones but prevention as well. Struvite and Cystine stones usually require intervention to help deal with the problem, the other two, calcium and uric acid stones can be managed with diet and medication both.

Thus, if you are diagnosed with calcium and uric acid stones, you can follow a diet specific to the type of stone which can assist in preventing the formation of stones.

  1. In case of a calcium kidney stone: If the patient is diagnosed with a calcium kidney stone, then he/she is advised to reduce the consumption of salt. Also, it is recommended to reduce the intake of processed food as well as food from any restaurant. The regular intake of calcium needs to be analyzed. A doctor will advise the daily intake of calcium. Also, try to avoid the artificial supplements, and have food that contains the basic level of calcium.
  2. In case of an oxalate stone: The patient is advised to reduce the consumption of oxalate-rich food, such as chocolates, nuts, and dark green vegetables if detected with oxalate kidney stone. As this cannot be completely excluded from the diet chart, the levels of consumption are hence kept low.
  3. In case of a uric stone: Uric stones are commonly detected in people who eat a lot of red meat. Red meat contains high levels of a chemical compound known as purine, which leads to the formation of higher levels of uric acid. A healthy diet in case of a uric stone comprises of fruits, vegetables, low-fat products, and whole grains. It is recommended to reduce or limit the consumption of alcohol as well as to opt for a diet that is low on animal protein and high of vegetables and fruits.
  4. Keep the body hydrated: Water reduces the concentration levels in urine, thereby bringing down the chances of stone formation. Sufficient consumption of water can work wonders to help cure or reduce kidney stones. Drinking enough water helps wash out the toxins while keeping the body well hydrated. It helps reduce chances of formation of a new stone. However, there is always confusion with the amount of water that needs to be consumed in a day. It is advised to have a minimum of 12 cups of water per day. This amount helps the body to stay hydrated, and thus function properly.

Medication is an obvious way to cure kidney stones, but a healthy diet can prevent further developing of kidney stones. Hence, following a diet suggested by your dietician, and avoiding certain types of food can prevent kidney stones.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2595 people found this helpful

Symptoms You Might Be Suffering From Kidney Stones

MCH-Urology
Urologist, Delhi
Symptoms You Might Be Suffering From Kidney Stones

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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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!

2544 people found this helpful

Tips To Improve Overall Urological Health!

MCH-Urology
Urologist, Delhi
Tips To Improve Overall Urological Health!

Urological problems such as urinary tract infection, urinary incontinence, and kidney stones are highly prevalent across gender and age groups. But there are several simple measures you may undertake to improve urological health and prevent such problems.

Read on to know how to go about it.

  1. Drinking adequate amount of fluids: Waste products are mostly eliminated through urine, and when you drink more water, you will be able to remove more toxins from the body. The general recommendation is having 8 glasses of water in a day even though this varies on an individual basis. You must also consider drinking cranberry juice which offers protection from various types of infections of the urinary tract. And you should drink an extra amount of water while exercising and when you are spending a lot of time outside as you might excrete more water through perspiration.
  2. Cutting down the intake of caffeine and alcohol: Both alcohol and caffeine act as a diuretic and they irritate the lining of the urinary bladder. This causes frequent urge to urinate.
  3. Avoid holding urine: You should never practice holding the urine for a long span of time but try going to the toilet whenever you feel the urge.
  4. Controlling the daily intake of salt: When you consume too much of salt, the sodium in the body increases and it causes retention of fluids in the body. This is invariably linked with high blood pressure which can cause damage to the kidneys and formation of kidney stones. Thus, it is essential to reduce the intake of canned foods, fried stuff, and processed foods.
  5. Keeping the genital area clean: You should always aim to keep the genital area clean by washing it with plain water or some mild cleanser once in a day. Also, while indulging in sexual intercourse, bacteria along with other micro-organisms can enter into the urinary tract causing infection. Women are at a higher risk of developing urinary tract infections since they have a shorter urethra. Male groins and female vaginas are considered breeding grounds for different pathogens which can transfer from one partner to another during intercourse hence care should be taken.
  6. Preventing urological problems in women: Once you use the washroom, you should wipe the genital area from the front part to back. You should not use perfumed soaps and cleansers in the vaginal areas. Wearing cotton panties is always a healthier option than other fabrics. One should also avoid using vaginal deodorants and spermicidal creams to prevent infections.

Though numerous treatment options are available for these disorders since prevention is always better than cure, adopt these practices to steer clear of these common problems. Further, incorporating lifestyle changes such as eating a balanced diet coupled with exercise and leading a stress-free routine can pave the way for general good health.

4 people found this helpful

Kidney Stones - How To Manage Them?

MCH-Urology
Urologist, Delhi
Kidney Stones - How To Manage Them?

Staying hydrated and consuming plenty of fluid is the key to manage kidney stone. Fluid can help the stone pass through the urinary tract, as well as refrain the body from forming new stones. While drinking water itself is good, adding certain ingredients with water can improvise flushing of stones and managing the pain. It’s recommended that every person with kidney stone should drink at least 2 litres of water every day. .

Apart from consuming 12 glasses of water every day, here is a list of alternative methods to manage kidney stones:

  1. Lemon juice: Consuming 2-4 glasses of lemon juice can do wonders to reduce the symptoms of kidney stones. Lemon contains citrate, a chemical ingredient that prevents calcium formation inside the body. Citrate is also capable of breaking smaller calcium crystals and flushing them through the urinary tract. Apart from this, lemon contains vitamin C and is immensely beneficial for the body.
  2. Basil juice: Basil comprises of acetic acid that has the capability to break down kidney stones and reduce pain. Furthermore, basil juice can lower the uric acid level and reduce the chances of future kidney stone formation. Basil leaves can be consumed with water, tea or a smoothie. However, a person should refrain from consuming basil leaves, if he is suffering from low blood sugar, low pressure and increased bleeding.
  3. Apple cider vinegar: Apple cider vinegar is yet another agent that is immensely beneficial to get rid of kidney stones. Being alkaline in nature, it can increase the acidic level of the stomach and prevent stone formation. Apple cider vinegar has citric properties that can dissolve smaller stones of the kidney and flush them through the urinary tract. This should not be consumed if a person is suffering from diuretics, undertaking insulin and have digoxin.
  4. Celery juice: Celery juice can be consumed twice or thrice a day to get rid of kidney stones. It can also be used in salads or dishes for flavour and taste. It regulate urine flow, reduce pain and clear toxins from the body. People suffering from blood disorder problems should not consume celery.
  5. Pomegranate juice: Pomegranate juice can improve the overall function of the kidney. It can successfully lower the acidic level of the urine and reduce the chances of kidney stone formation in future. . People suffering from liver diseases and blood pressure should refrain from having this juice.
  6. Kidney beans: As its name indicates, the kidney bean broth can improve the overall health of the kidney and the urinary function. It can flush out kidney stones. Kidney beans soaked in water and 2-3 glasses consumed in a day can do wonders in removing the kidney stone. In case you have a concern or query you can always consult an expert & get answers to your questions!
2154 people found this helpful

Kidney Stones - Symptoms You Must Not Ignore!

MCH-Urology
Urologist, Delhi
Kidney Stones - Symptoms You Must Not Ignore!

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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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!

1871 people found this helpful

Benign Prostate Enlargement

MCH-Urology
Urologist, Delhi
Play video

Hello friends. I am Dr Saurabh Mishra. I am a senior consultant in Urology in Lajpat Nagar, New Delhi. Now I am going to discuss something about Prostate. As you know prostate is a very common problem and it is not only seen by the urologist but so many other colleagues in the medical specialities, specially the physician. There are lot of myths and confusions about the Prostate in patients as well as the health care professionals. So, I would like to simplify the treatment methods for the prostate specially from the patient's point of view.

For the treatment protocol, we keep the patients into three categories;

  • Those patients who are asymptomatic and incidently been detected an emlarged prostate. Anything above 20g prostate, we call it as enlarged prostate. So, suppose a patient have some symptoms, he has undergone ultarsound and enlarged prostate was picked up. Such patients lie in Group-1. They do not need any treatment and kept under observation. Once they face any problem, they are given appropriate treatment.
  • Group-2 are those patients who suffer some urinary problems. Most commonly, they face frequent urine at night. In this category, they can have some obstructive features also. For example, they take long time to pass urine, the last part of the utine comes slowly that is called dribbling of urine. If these symptoms are present, the patient goes to the doctor and doctor evaluates and if no complicated factors are found then the medical treatment is started. So many medicines are available for the medical treatment of the Prostate. But unfortunately, most of them belong to same family. Due to this, if one drug fails to work then the options are least.
  • Group-3 patients are those who have complications. The complication may include the recurrent urinary tract infection, recurrent blood in urine, either of the kidney or both the kidneys are enlarged, bladder stones etc. If these symptoms are present, then it becomes the complicated factor. If any of tehse factors or all of these are present in the patient, then these patients may directly be planned for the surgery and no medical treatment is incorporated in such patients.

Few things we come to know. I have never dicussed about the size of the prostate. That means the size of the prostate will not tell about the treatment. There are so many patients who took treatment from the physician also. So, to such patients, I want to clarify the thing that the treatment is not that complicated but the treatment should be incorporated. The patient should be clarifies about the problem and the treatment and the group should be evaluated for the patient.

Thank you so much.

3646 people found this helpful

Enlarged Prostate - 6 Warning Signs To Help You Detect It!

MCH-Urology
Urologist, Delhi
Enlarged Prostate - 6 Warning Signs To Help You Detect It!

The condition of enlarged prostate occurs due to the enlargement of a man’s prostate gland, with the passage in time. Also known as benign prostatic hyperplasia (BPH), it is more common in men over the age of 60. Some cases might have symptoms and others may be symptomless. Although the causes are relatively unknown, it is evident that BPH is not a form of cancer, neither does it cause cancer. The prostate is located below the bladder and is responsible for producing the fluid needed by semen. The growth of the prostate tissue that is associated with benign prostatic hyperplasia begins near the inner prostate which is a tissue ring around the urethra. Its growth is generally inward.

Causes
It is of common knowledge that in males, the urine originates from the bladder and flows through the urethra. BPH is a condition where the prostate experiences a benign i.e. non cancerous enlargement which leads to blockage of urine flow through the urethra (the urinary duct). The resultant enlargement, caused due to the gradual multiplication of cells, subjects the urethra to extra pressure. Further narrowing of the urethra causes more contraction of the bladder, resulting in the urine being forcefully pushed out of the body.

With time, the condition leads to the bladder muscles gradually becoming thicker, stronger and oversensitive. Contraction occurs even due to the presence of small amounts of urine, giving rise to frequent needs of urination. At one point, the bladder muscle is unable to overcome the effects of the narrowed urethra. Due to this, urine does not pass properly and the urethra is not emptied.

Some of the common symptoms of enlarged prostate include:
1. Frequent urination
2. Urgency to urinate
3. Difficulty during urination
4. A slow or weak urinary stream
5. Requirement of extra effort to urinate
6. Interrupted sleep due to need of urination

Further risks
Sometimes, when the bladder is not emptied completely, a risk of urinary tract infections develops. Some other serious problems which can be a result of enlarged prostate include blood in urine, bladder stones as well as acute urinary retention (inability to urinate). In some rare cases, kidney and/or bladder damage might also result from such a condition. If you wish to discuss about any specific problem, you can consult a Urologist.

2641 people found this helpful

Suffering From Kidney Stones - Things You Can Do!

MCH-Urology
Urologist, Delhi
Suffering From Kidney Stones - Things You Can Do!

There is a rich concentration of minerals in the kidneys, and when there is no sufficient medium to clear it out, these can form small crystals within the urinary tract and can settle anywhere along the urinary tract. Stones can, therefore, be found in any part of the kidney and the ureters, which connect the kidney to the bladder.

The pain that is associated with kidney stones is very diagnostic. It includes a sharp shooting pain in the back of the abdomen, on either side of the spine. Kidney stones tend to be recurrent, and so patients who have had an episode would be able to tell when they have kidney stone pain.

When the size of the stone is less than 4 mm, it is usually passed through urine and eliminated from the system. However, if it is more than that, shock waves are used from an external source to break the bigger stones into smaller ones, which then get eliminated from the body through the kidneys on their own.

Ways to manage kidney stones
Immediate relief measures would include intravenous injections of pain relievers, which will help in getting rid of the pain. An additional shot may be required after a while for people suffering from severe pain. Also most people present with severe nausea and vomiting may require anti-emetics for the same. When being sent home, they may be given these medications to be continued at home.

Once you are home, the doctor may ask you to drink lots of water (up to 3 liters of water) and strain the urine to collect the stone as it is passed. The urine turning colourless is an indication that the water intake is adequate. If there is any colour in the urine, water intake should be increased.

Immediate admission to the hospital may be required in the following conditions:

  1. In people with one kidney where the stone has already come down to the ureter
  2. Pregnancy
  3. Persistently high fever of up to 104 with shaking and chills
  4. Elderly people, greater than 60 years of age
  5. Severe dehydration and vomiting
  6. No improvement of symptoms after an hour of treatment

Larger kidney stones would be removed by one of the following methods:

  1. Extracorporeal shock wave lithotripsy (ESWL): This is the most common mode of treatment, where shock waves are used to break down the stones into smaller segments, which are then passed out through the urine.
  2. Ureteroscopy: This involves passing a tube from the urethra all the way up to the bladder to retrieve the stone.

Open surgery in people where the above measures are not feasible. If you wish to discuss about any specific problem, you can ask a free question.

2848 people found this helpful
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