After Using Shock Waves To Break Up Kidney Stones Do Medicines Called Alphablockers Help To Get Rid Of The Stone Fragments
What are kidney stones?
Waste products in the blood can sometimes form crystals that collect inside the kidneys. These can build up over time to form a hard stone-like lump, called a kidney stone.
Kidney stones can develop in both kidneys especially in people with certain medical conditions or who are taking certain medicines, or if people do not drink enough water or fluids. Stones can cause severe pain, fever and a kidney infection if they block the ureter.
Treatments for kidney stones
Most stones are small enough to pass out in the urine: drinking plenty of water and other fluids will help. Larger kidney stones may be too big to pass out naturally and are usually removed by surgery.
Shock wave lithotripsy is a non-surgical way to treat stones in the kidney or ureter. High energy sound waves are applied to the outside of the body to break kidney stones into smaller pieces. After shock wave treatment, medicines called alpha-blockers are sometimes given to help the stone fragments pass out naturally.
Alpha-blockers work by relaxing muscles and helping to keep blood vessels open. They are usually used to treat high blood pressure and problems with storing and passing urine in men who have an enlarged prostate gland. Alpha-blockers may relax the muscle in the ureters, which might help to get rid of kidney stones and fragments.
Why we did this Cochrane Review
What did we do?
Search date: we included evidence published up to 27 February 2020.
What we found
Kidney Stone Causes And Risk Factors
Both men and women can get kidney stones, but menâs chances of getting them are about double that of womenâs.
Itâs often hard to figure out what caused a kidney stone. But they happen when your urine has high levels of certain minerals. These include:
- Uric acid
If you donât have enough urine in your body to water down the high concentration of minerals, stones can form. Think about stirring up your favorite drink from a powder mix. If you donât add enough liquid — say, water or juice — the powder will clump up and turn into hard, dry chunks.
Things that can raise your risk for kidney stones include:
- What you eat
- Some medications like triamterene , a diuretic that treats high blood pressure antiseizure drugs corticosteroids and protease inhibitors like indinavir sulfate for HIV.
How Can I Prevent Kidney Stones
There are several ways to decrease your risk of kidney stones, including:
- Drink water. Drink at least six to eight 8-ounce glasses every day . Staying hydrated helps you urinate more often, which helps flush away the buildup of the substances that cause kidney stones. If you sweat a lot, be sure to drink even more.
- Limit salt. Eat less sodium. You may want to connect with a dietician for help with planning what foods you eat.
- Lose weight. If youre overweight, try to lose some pounds. Talk to your healthcare provider about an ideal weight.
- Take prescriptions. Your healthcare provider may prescribe some medications that help prevent kidney stones. The type of medication may depend on the type of stones you get.
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Complications Of Kidney Stones
Kidney stones can range in size from a grain of sand to that of a pearl or even larger. They can be smooth or jagged, and are usually yellow or brown. A large stone may get stuck in the urinary system. This can block the flow of urine and may cause strong pain.
Kidney stones can cause permanent kidney damage. Stones also increase the risk of urinary and kidney infection, which can result in germs spreading into the bloodstream.
Whats The Urinary Tract How Does It Work
Your urinary tract is vital to your body because it gets rid of waste and extra fluid. Its made up of both your kidneys, two ureters, your bladder and your urethra. Each organ has an important job :
- Kidneys: Your fist-sized, bean-shaped kidneys are located on either side of your spine, below your rib cage. Each day they filter 120 to 150 quarts of your blood to remove waste and balance fluids. Your kidneys make one to two quarts of urine every day.
- Ureters: After your kidney creates urine, the liquid travels through the tube-shaped ureter to the bladder. There is one ureter per kidney. Kidney stones can pass through the ureters or, if theyre too big, get stuck in them. You may require surgery if the stone is too large.
- Bladder: Between your hip bones is your bladder, an organ that stores urine. It stretches to hold about one and a half to two cups.
- Urethra: Like a ureter, your urethra is a tube through which urine passes. Its the final stop of the urinary tract where your urine leaves your body. This is called urination.
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How Do You Dissolve Kidney Stones And Get Them To Pass
So you have one or more kidney stones lodged in the kidney and want to dissolve and flush them out fast? Youll need a higher dose than the normal maintenance dosing. Many sufferers find they can fix the problem with pure chanca piedra and water.
Heres how to dissolve kidney stones:
The name, Chanca Piedra itself translates literally to Stone Breaker. Scientists and doctors globally have praised the use of this herbal remedy in the treatment of kidney stones. The analgesic compounds in lab grade Chanca Piedra help ease pain while passing stones and reduce those stones in size so the particles can pass through your urine stream easily. In addition, lab grade Chanca Piedra acts as a defense system, so to speak, to reduce reoccurrence of kidney stones. This effect is due to the herbal remedys reduction of the very minerals that build in up in the kidneys to produce kidney stones excess oxalate, phosphorous, and magnesium. You could spend days drinking olive oil, lemon juice, apple cider vinegar, large amounts of Coke, and asparagus puree, with limited success, if any. We find far superior and consistent results from kidney stone sufferers who took lab grade Chanca Piedra, and the science backs those real world findings.
Foods To Prevent Kidney Stones
Certain foods can increase your risk of developing kidney stones. Eating in moderation while maintaining a healthy diet with fruits and vegetables is encouraged. It is important to be mindful of the following foods that can lead to the formation of kidney stones in certain people: foods high in sodium, cola beverages, fast foods, processed meats, certain supplements, black tea, chocolate, spinach, soy milk, almonds, cashews, soy beans.
The good news is there are many items you can include in your regular diet to help prevent stones from occurring.
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What Causes Kidney Stones
Kidney stones are formed from substances in your urine. The substances that combine into stones normally pass through your urinary system. When they dont, its because there isnt enough urine volume, causing the substances to become highly concentrated and to crystalize. This is typically a result of not drinking enough water. The stone-forming substances are:
- 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.
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.
Temporary side effects of alpha blockers include low blood pressure, dizziness, and tiredness. In one large study, 4 out of 100 people stopped their treatment early due to such side effects. In 5 out of 100 men, the drugs also temporarily caused retrograde ejaculation . This is where no semen, or much less than usual, leaves the penis. Instead, the semen flows into the bladder.
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When To See A Doctor
A person should seek immediate medical attention if they experience severe pain in the lower abdomen or genitals. Many kidney stones are treatable using fluid therapy and pain medications.
However, stones can get stuck in the urinary tract or damage the urinary tissues. This usually requires immediate surgery.
A doctor should assess the following symptoms:
- persistent lower abdominal or lower back pain lasting longer than 4 weeks
Symptoms Of Kidney Stones
Many people with kidney stones have no symptoms. However, some people do get symptoms, which may include:
- a gripping pain in the back usually just below the ribs on one side, radiating around to the front and sometimes towards the groin. The pain may be severe enough to cause nausea and vomiting
- blood in the urine
- cloudy or bad smelling urine
- shivers, sweating and fever if the urine becomes infected
- small stones, like gravel, passing out in the urine, often caused by uric acid stones
- an urgent feeling of needing to urinate, due to a stone at the bladder outlet.
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How To Help Break Up A Kidney Stone
The most effective remedy are good natural acids can also be reduced GFR
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how to help break up a kidney stone
The option you may be diagnosis and taking action by step treatment when you have the ability to notify it can bring sinusitis. It also help to flush the stone if it is found from the inflammation and kidneys. In most cases the smaller stones that may be ahead.
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Are There Any Foods Or Drinks That Help Treat Kidney Stones Are There Any Home Remedies
There are three liquids rumored to help with kidney stones:
- Cranberry juice. Although cranberry juice can help prevent urinary tract infections , it doesnt help with kidney stones.
- Apple cider vinegar. Vinegar is acidic and it can sometimes create changes to your urine, which helps with kidney stones. But, this doesnt always help. Talk to your healthcare provider about the use of vinegar.
- Lemon juice. Lemon juice is rich in citrate, which can help prevent kidney stones from forming. Citrates are found in several citrus fruits including lemons, limes, oranges and melons.
- Coffee. Studies show that coffee may decrease your risk of developing kidney stones.
Avoid soda and other drinks with added sugar or fructose corn syrup. They increase your risk.
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How To Pass Kidney Stones At Home
Kidney stones can only exit the body via urine. Stones that are smaller than 5mm can usually pass easily. Larger stones will generally require medical intervention. Depending on the kidney stones size and location, the length of time it will take to pass varies. Thankfully, there are many natural home remedies for passing kidney stones at home effectively.
Prevention Of Future Stones
Once your health care provider finds out why you are forming stones, he or she will give you tips on how to prevent them. This may include changing your diet and taking certain medications. There is no “one-size-fits-all” diet for preventing kidney stones. Everyone is different. Your diet may not be causing your stones to form. But there are dietary changes that you can make to stop stones from continuing to form.
Drink enough fluids each day.
If you are not producing enough urine, your health care provider will recommend you drink at least 3 liters of liquid each day. This equals about 3 quarts . This is a great way to lower your risk of forming new stones. Remember to drink more to replace fluids lost when you sweat from exercise or in hot weather. All fluids count toward your fluid intake. But it’s best to drink mostly no-calorie or low-calorie drinks. This may mean limiting sugar-sweetened or alcoholic drinks.
Knowing how much you drink during the day can help you understand how much you need to drink to produce 2.5 liters of urine. Use a household measuring cup to measure how much liquid you drink for a day or two. Drink from bottles or cans with the fluid ounces listed on the label. Keep a log, and add up the ounces at the end of the day or 24-hour period. Use this total to be sure you are reaching your daily target urine amount of at least 85 ounces of urine daily.
Reduce the amount of salt in your diet.
Eat the recommended amount of calcium.
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Natural Remedies To Fight Kidney Stones At Home
Kidney stones are a common health problem.
Passing these stones can be incredibly painful, and unfortunately, people who have experienced kidney stones are more likely to get them again (
However, there are a few things you can do to reduce this risk.
This article explains what kidney stones are and outlines 8 dietary ways to fight them.
Dietary Calcium And Kidney Stones
Only lower your calcium intake below that of a normal diet if instructed by your doctor. Decreased calcium intake is only necessary in some cases where absorption of calcium from the bowel is high.
A low-calcium diet has not been shown to be useful in preventing the recurrence of kidney stones and may worsen the problem of weak bones. People with calcium-containing stones may be at greater risk of developing weak bones and osteoporosis. Discuss this risk with your doctor.
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Where Do Kidney Stones Come From
Kidney stones form develop when certain substances, such as calcium, oxalate, and uric acid, become concentrated enough to form crystals in your kidneys. The crystals grow larger into “stones.” About 80% to 85% of kidney stones are made of calcium. The rest are uric acid stones, which form in people with low urine pH levels.
After stones form in the kidneys, they can dislodge and pass down the ureter, blocking the flow of urine. The result is periods of severe pain, including flank pain , sometimes with blood in the urine, nausea, and vomiting. As the stones pass down the ureter toward the bladder, they may cause frequent urination, bladder pressure, or pain in the groin.
“If you experience any of these symptoms, see your primary care physician,” says Dr. Eisner. “He or she will likely perform a urinalysis and a renal ultrasound, abdominal x-ray, or CT scan to confirm kidney stones are the source of your pain and determine their size and number.”