Do I Need To Go To The Er For A Kidney Stone
In some cases, small kidney stones can pass on their own without the need for medical or surgical intervention. However, larger kidney stones often require treatment to make it possible for them to pass through the urinary tract. Additionally, stones with an extremely low probability of passing on their own may require surgical extraction. Because untreated stones can lead to a host of other complications, including infection, severe pain, and prolonged illness, it is important to seek evaluation in order to determine whether your stone may pass on its own or whether you need more immediate intervention.
In cases of severe, prolonged, or worsening symptoms related to a kidney stone, patients should visit their nearest ER in Frisco or Fort Worth. This includes:
- Blood in the urine
Furthermore, your provider can help you better understand what may have caused your kidney stones and offer guidance on how to prevent developing additional stones in the future. This may include recommendations regarding your diet, lifestyle, fluid intake, current medications, and more.
How Kidney Stones Formed
Kidney has the function of removing toxins and waste metabolites from the blood stream. The blood enters the kidney cells, also known as nephrons, and these nephrons are responsible for filtering the blood at various stages. The impure blood enters in to the kidney and a pure blood exit from the kidney. The kidney removes the waste from the body through urine. The kidney stones formed inside the kidney when the concentration of particular ingredients in the kidney is at higher concentration. In the initial stage, the crystal of calcium and oxalate starts binding to each other in kidney. Then, the crystal which is formed in the kidney binds to each other forming a compact stone. If the stone is too small to pass easily through the ureter, if will come out from the body through urine. However, if it is too large to pass through the urinary tract, it will block the flow of urine and also brushed upon the walls of the ureter. This will cause severe pain. It is when a medical intervention is required. The doctor may either try to dissolve the stone, so that it can easily pass through the urinary tract or advice a surgery.
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Get Care From An Expert
Kidney stonesare formed when there are more of certain chemicals in the urine than fluid to dilute forming a crystal. That crystal tries tomake its way out of your system through the urinary tract. Sadly, the urethrais smaller than the stone, so its a painful process. Symptoms of kidney stones can include intense pain inthe lower abdomen or back, blood in your urine, or a blockage that stops youfrom being able to urinate. If the pain you are feeling resemblesone of the stories above, get to your healthcare provider fast. They can helpwith some of the pain and put a treatment plan together.
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Let Kidney Stones Pass
Stones typically take several weeks to a few months to pass, depending on the number of stones and their size. Over-the-counter pain medications, like ibuprofen , acetaminophen , or naproxen , can help you endure the discomfort until the stones pass. Your doctor also may prescribe an alpha blocker, which relaxes the muscles in your ureter and helps pass stones quicker and with less pain.
If the pain becomes too severe, or if they are too large to pass, they can be surgically removed with a procedure called a ureteroscopy. Here, a small endoscope is passed into the bladder and up the ureter while you are under general anesthesia. A laser breaks up the stones, and then the fragments are removed.
How Long Does It Take A Kidney Stone To Form
You can have kidney stones for years without knowing theyre there. As long as these stones stay in place within your kidney, you wont feel anything. Pain from a kidney stone typically starts when it moves out of your kidney. Sometimes, a stone can form more quickly within a few months.
Talk with your healthcare provider about your risk factors. They might do a 24-hour urine test to check how quickly you develop stones.
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Treatment For Kidney Stones
Most kidney stones can be treated without surgery. Ninety per cent of stones pass by themselves within three to six weeks. In this situation, the only treatment required is pain relief. However, pain can be so severe that hospital admission and very strong pain-relieving medication may be needed. Always seek immediate medical attention if you are suffering strong pain.
Small stones in the kidney do not usually cause problems, so there is often no need to remove them. A doctor specialising in the treatment of kidney stones is the best person to advise you on treatment.
If a stone doesnt pass and blocks urine flow or causes bleeding or an infection, then it may need to be removed. New surgical techniques have reduced hospital stay time to as little as 48 hours. Treatments include:
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Causes Of Kidney Stones
The most common cause of kidney stones isdehydration. Youre not drinking enough water to dilute the concentration of minerals in your urine . Recommended water consumption is about two liters or half a gallon of water a day.
Water is the best fluid to drink in order to prevent kidney stones, Dr. Abromowitz explains. But water from a well is very high in solutes, which increases your chance of kidney stones. So i f you’re drinking well water, you ought to have a purification system on it. Every year I see patients who develop a kidney stone for this reason.
Other kidney stone risk factors include:
- Too little or too much exercise
- Being overweight
- Eating food with excess salt, sugar, and animal protein
- Weight loss surgery
- Kidney infections. Infections increase the risk of kidney stones by slowing urine flow or changing the acid balance of urine.
- Family history of kidney stones
- Some drugs used to treat AIDS, seizures, and migraines can cause kidney stones.
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Effective Treatment At St Pete Urology
At St Pete Urology, we provide a multidisciplinary approach to treating and managing kidney stones of all sizes. We have assembled a highly integrated team of nephrologists, urologists, radiologists and dietary and metabolic specialists to ensure comprehensive diagnosis, treatment and proper assessment of the risks leading to the formation of kidney stones. By applying the latest technology in treating kidney stones and a broad range of noninvasive and minimally-invasive procedures for removing small and large stones, we guarantee only the highest quality and successful treatment to all our patients. For more information, visit the St Pete Urology site.
Should I Cut Calcium Out Of My Diet If I Develop Calcium Oxalate Kidney Stones
If you develop kidney stones composed of calcium, you may be tempted to stop eating foods that include calcium. However, this is the opposite of what you should do. If you have calcium oxalate stones, the most common type, its recommended that you have a diet higher in calcium and lower in oxalate.
Foods that are high in calcium include:
Its also important to drink plenty of fluids to dilute the substances in your urine.
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Whos Most Likely To Get Kidney Stones What Are The Risk Factors
White men in their 30s and 40s are most likely to get kidney stones. However, anyone can develop kidney stones.
There are several risk factors for developing kidney stones. These include:
- Not drinking enough liquids.
- Having a diet that includes the substances that form the stones .
- Having a family history of kidney stones.
- Having a blockage in your urinary tract.
Certain medical conditions can also increase your risk of developing stones. This is because they may increase or decrease levels of the substances that make up a kidney stone. These conditions can include:
- Hypercalciuria .
Certain foods can also place you at risk of a kidney stone. These foods include:
- Meats and poultry .
Making It Easier To Pass The Stone
Alpha blockers are believed to make it easier for the stones to pass out of the body. They relax the muscles in the lower part of the bladder. Alpha blockers are medications used to treat benign prostatic hyperplasia . They have not been approved for the treatment of kidney stones. But particularly the alpha blocker tamsulosin is sometimes used off-label.
According to current research, alpha blockers can help pass stones. An analysis of 67 studies showed this to be true for kidney stones that are about 5 to 10 millimeters in diameter.
- Without alpha blockers, the stones passed within four weeks in about 50 out of 100 people.
- With alpha blockers, the stones passed within four weeks in about 73 out of 100 people.
So the treatment helped 23 out of 100 people to pass the stone.
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Removing Stones Through An Endoscopic Procedure
There are two common methods for removing stones through a surgical procedure: ureterorenoscopy and percutaneous nephrolithotripsy .
- Ureterorenoscopy : In this method, tiny instruments are moved through the urethra and bladder with the help of an , and pushed up into the ureter where the stone is. There the stone is either broken up mechanically or using a laser so that the pieces can be flushed out in the urine or removed using the endoscope. URS is used for stones that are bigger than 10 millimeters in diameter and are in the middle or lower third of the ureter. Kidney stones up to 20 millimeters in diameter are often removed using URS.
- Percutaneous nephrolithotripsy : In this method, an is moved into the renal pelvis or the kidney through a small cut made on your back. There the stones can also be either broken up mechanically or with a laser. Tiny forceps are used to remove the pieces of the kidney stones. This method is mainly used to treat kidney stones greater than 10 millimeters in diameter.
General anesthesia and a short hospital stay are necessary for both of these approaches.
Nowadays, more major surgery is only very rarely needed to remove kidney stones.
Symptoms Of Kidney Stones
Small stones are unlikely to cause you much of a problem. Symptoms dont usually occur until the kidney stone has got to a size where it becomes stuck in either the kidney, ureters or urethra. A stone blocking the ureter can also cause a kidney infection to develop, which can cause a different set of symptoms.
If you have a large stone you may experience:
- Persistent ache in your lower back or groin
- Intense pain that comes in waves in your back, abdomen or groin that can last for several minutes or several hours
- Feeling generally uncomfortable or restless
Symptoms of a kidney infection include:
- A high temperature of 38C or higher
- Chills and shivering
- Cloudy and/ or foul smelling urine
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What Are The Symptoms Of Kidney Stones
You can have a stone in your kidney for years and not know its there. But, when it starts to move or becomes very large, you may have symptoms. Symptoms of a kidney stone include:
- Feeling pain in your lower back or side of your body. This pain can start as a dull ache that may come and go. It can also become severe and result in a trip to the emergency room.
- Cloudy, foul-smelling urine, fever, chills or weakness which might be a sign of a serious infection.
- Blood in the urine.
Most pediatric kidney stones remain in the kidney, but up to a third may migrate from the kidney and get stuck in a ureter. Stones that remain in the kidney, although often painless, can be the source of recurrent urinary tract infections. Those that lodge in the ureter can create severe colicky pain.
Can Kidney Stone Symptoms Come And Go
The length of time a stone can hang around is the primary reason that a person may feel like kidney stone symptoms come and go.
Once you start feeling the pain of a kidney stone, it can take anywhere between one to four weeks for the stone to actually pass. In the meantime, the pain can seem sporadic. Here’s why:
“During a bout of kidney stones, the initial pain is typically caused by the stone making its way through your very narrow ureter tube. There can also be pain if the stone lodges itself there and blocks urine flow out of the kidney, which results in pressure buildup and painful swelling,” explains Dr. Kannady.
As your body tries to move the kidney stone through your ureter, some of your pain may also be from the waves of contractions used to force the kidney stone out. The pain may also move as the kidney stone moves along your urinary tract.
“Once the stone makes it to your bladder, the pain might subside to some degree and you may notice urinary symptoms in its place. The final push from your bladder to outside of your body can reignite sharp feelings of pain, as the stone is now passing through another narrow tube called your urethra,” says Dr. Kannady.
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Extracorporeal Shock Wave Lithotripsy
ESWL is used to treat stones that are situated inside the kidney and larger than 5mm in size but no larger than 2cm.
In this treatment, shock waves break up the large kidney stone into small pieces, which then pass out through the urine.
This procedure makes the use of high-energy sound waves that create strong vibrations, which pass through your body breaking the stone into small pieces. The shock waves are focused on the stone under ultrasound guidance.
ESWL consists of transmitting shock waves in the form of vibrations to help break up the kidney stone into smaller pieces. This will then allow the crushed small pieces to pass more easily out of the body.
High-energy sound waves that create strong vibrations pass through your body breaking the stone into small pieces. Shock waves focus on the kidney under ultrasound guidance.
This treatment may also be used when the stone is situated in the proximal part of the ureter and blocking urine flow and causing extreme pain.
This procedure is an OPD procedure done under sedation or light anesthesia and takes about an hour. There is no overnight admission required.
It is contraindicated in obese or pregnant patients, as there are risks for kidney injury with this treatment.
How Do I Know If I Have A Kidney Stone
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. Some of the most common signs and symptoms associated with passing a kidney stone include:
- Pain in the back or flank, typically on one side only
- Lower abdominal pain
- Fever, chills, or sweating
If you are experiencing any of the above symptoms, you may be attempting to pass a kidney stone. The only way to determine with certainty whether or not you have a stone, where in the urinary tract the stone currently is, and whether it has a high probability of passing on its own is to obtain a diagnosis from a medical professional using imaging studies and other diagnostic tools.
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Diagnosis Of Kidney Stones
When you have kidney stone symptoms, as described above, see your health care provider. Shell check your medical history, give you a physical examination, and order imaging tests, as needed.
Your doctor may ask you to drink extra fluid to help flush out the stone. By straining your urine, you may be able to save a piece of the stone. This will enable your doctor to determine the type of stone, what may be causing the condition, and how to reduce your risk of recurring stones.
If your stone doesnt flush out, your doctor may order a high-resolution CT scan from the kidneys to the bladder or a KUB X-ray to determine the size and location of the stone.
Another test used for some patients is the intravenous pyelogram , an X-ray of the urinary tract taken after injecting dye.
When Surgery Is Necessary
If you think you might have a kidney stone, you should see your doctor as soon as possible. If youre found to have one, your doctor can help you determine whether to try to pass the stone naturally, take medication, or get the stone surgically removed.
In some circumstances, your doctor might recommend immediate surgical removal without a waiting period. This will usually be because the stone is too big to pass naturally or is blocking urine flow. If the stone is blocking the flow of urine, it can lead to an infection or renal damage.
In other circumstances, your doctor might recommend waiting to see if you can pass the stone on your own. You should check in with your doctor often during this time to see if anything is changing, especially if you have new symptoms.
During the waiting period, your doctor might recommend surgery if the stone continues to grow, youre having unmanageable pain, or you develop signs of infection, such as a fever. Infection, fever, kidney damage, intractable pain, or intractable vomiting are all indications for immediate surgery.
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