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How To Remove Big Kidney Stones

Is There Any Way To Make Them Pass Faster

Removal of kidney stones: URS

The best home remedy to encourage the stone to pass is to drink lots of fluids, especially plain water and citrus juices such as orange or grapefruit. The extra fluid causes you to urinate more, which helps the stone move and keeps it from growing. You should aim for at least 2 to 3 quarts of water per day.

Smaller stones are more likely to pass on their own, so you should take steps to keep the stone from growing. This includes eating a diet thats low in salt, calcium, and protein.

However, you need all of these for your body to function properly, so talk with your doctor about an appropriate diet to help you pass the stone.

Passing a kidney stone can be very painful. Taking pain medication such as ibuprofen wont speed up the process, but it can make you a lot more comfortable while passing the stone. A heating pad can also help.

If you have a fever, significant nausea, or are unable to keep down liquids without vomiting, you should seek medical care.

Likewise, if you have only one kidney or known kidney problems or damage, see a doctor immediately.

An infected kidney stone is a surgical emergency. If you notice any signs of infection, go to the hospital.

How Are Kidney Stones Diagnosed

Kidney stones are diagnosed by excluding other possible causes of abdominal pain and associated symptoms. Imaging tests including an X-ray called a KUB view , or a helical CT scan are often used to confirm the diagnosis of kidney stones. Although the amount of radiation exposure associated with these tests are minimal, pregnant women and others may need to avoid even these low levels of radiation. In these cases, an ultrasound may be used to diagnose the kidney stone.

What If Shock Wave Lithotripsy Doesnt Work

In some cases, shock wave lithotripsy doesnt break up a stone enough for all pieces to pass on their own. If that happens, you may need another procedure.

Depending on your situation, your provider may recommend a second shock wave lithotripsy. Or your provider may suggest clearing any remaining stones through a minimally invasive procedure called ureteroscopy. Talk to your healthcare provider about the different types of kidney stone treatments.

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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.

How Does Laser Stone Surgery Work

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The surgery is minimally invasive and requires no incisions on your body. Once you are asleep, a small lighted instrument is placed into your urethra and bladder to access your ureter and kidney.

Once the stone is seen, a laser fiber is used to transmit Holmium energy to break up your kidney stones. The surgeon removes some pieces through the urethra with a small basket, and smaller pieces can be passed later with urination. The surgeon may also use a high-powered holmium laser with high-frequency emissions that “dust” the stones into a fine powder. You can then pass the fine particles in your urine after surgery. An even more efficient way of transmitting the holmium laser is by modulating the pulse using the Moses effect, which may result in more efficient stone dusting or fragmentation.

The surgeon will likely insert a tube called a stent between the kidney and urethra. This promotes healing and lets small stone fragments pass more easily. Most importantly, this stent allows your kidney to drain during the healing process. The stent is removed about 1 week after surgery. The length of surgery is generally under 1 hour, depending on the size and number of your kidney stones. Use of the dusting technique combined with the Moses effect may decrease the need to remove stones with a basket, thereby minimizing the need to use a stent.

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How To Remove Kidney Stones Naturally 8 Ways To Cleanse Your Kidneys

  • Sarika Rana
  • Kidneys make one of the most essential organs of the human body
  • Kidney stones may be small or big depending on how grave is the situation
  • Remember, kidney stones are a recurring problem

Causes of Kidney Stones

The general causes of kidney stones may include lack of water in the body, production of excessive acidic environment in urine, urinary tract infections, etc. It is curable easily if diagnosed at an early stage.

Symptoms of Kidney Stones

There can be more than one symptom for kidney stones, which include,

  • Excessive pain in the abdomen, lower back or urinary tract. The pain can vary from excruciating, sharp or mild depending on the severity.
  • Persistent urge to urinate, or even blood in urine.
  • Feeling nauseated or severe vomiting
  • Constant sweating or chills

The symptoms may vary on the basis of severity. There can be a constant discomfort and pain on the sides, which could further spread down to other parts of the body.

Note: These symptoms may vary from person to person. It is not necessary to witness all these symptoms altogether.

Natural Remedies to Remove Kidney Stones

1. Kidney Beans

Kidney beans that have a close resemblance to that of a kidney, is known to remove kidney stones effectively and cleanse the kidneys. Kidney beans are high on fiber and are a great source of minerals and B vitamins that help in cleaning your kidneys and help the urinary tract function better.

2. Apple Cider Vinegar

3. Pomegranate Juice

4. Dandelion Roots

Large Kidney Stones Require More Extensive Treatment

Large kidney stones are stones that measure approximately 5 mm or larger. Based on their size, they may have trouble moving through the urinary tract out of the body. In fact, they are prone to become lodged causing severe pain and other symptoms.

Large kidney stones require intervention for removal, typically, a surgical procedure. Reasons that initiate surgical treatment include:

  • A stone that becomes lodged and wont pass on its own.
  • Severe pain that makes it difficult to wait for the stone to pass on its own.
  • Having an infection.
  • Having a stone that is blocking the flow of urine from the kidney.

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Diagnosis Of Kidney Stones

Many kidney stones are discovered by chance during examinations for other conditions. Urine and blood tests can help with finding out the cause of the stone. Further tests may include:

  • ultrasound
  • CT scans
  • x-rays, including an intravenous pyelogram , where dye is injected into the bloodstream before the x-rays are taken.

Types Of Kidney Stones

What is the procedure used to treat large kidney stones?

There are four major types of kidney stones, including:

  • stones formed from calcium not used by the bones and muscles, combined with oxalate or phosphate these are the most common kidney stones
  • stones containing magnesium and the waste product ammonia these are called struvite stones and form after urine infections
  • uric acid stones these are often caused by eating very large amounts of protein foods
  • cystine stones these are rare and hereditary.

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What Does Recovery After Shock Wave Lithotripsy Look Like

As you recover from shock wave lithotripsy, you can expect to:

  • Feel sore for a day or two: Right after shock wave lithotripsy, you may feel sore or stiff near the treatment area. Some people notice slight bruising along their side.
  • See blood in your urine: Its common to see small amounts of blood in your urine. It may hurt to urinate. These symptoms usually go away after a few days.
  • Collect stone pieces that you pass: Testing the stone may tell your provider what caused your kidney stones . Your provider may give you a urine strainer. It looks like a funnel with mesh at the bottom. It collects stone fragments when you pee.
  • Drop off the stone sample for testing: You can store the stone fragments you collect in a specimen cup your provider gives you or a plastic bag. Follow your providers instructions. You may need to take it to your next follow-up visit or drop the sample off at a lab.
  • Drink plenty of water: Staying hydrated helps stone fragments move through your body. Drinking water may also help you avoid constipation .

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.

Diet Changes

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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What Are The Advantages And Disadvantages Of This Treatment

The main advantage of this treatment is that many patients may be treated for kidney stones without surgery. As a result, complications, hospital stays, costs and recovery time are reduced. Unfortunately, not all types of kidney stones can be treated this way. In addition, stone fragments are occasionally left in the body and additional treatments are needed.

Complications Of Kidney Stones

Human Kidney Sections Plastinated Photograph by Science Stock Photography

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.

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Who Is Likely To Develop A Kidney Stone

The rate of people who develop kidney stones is increasing in the U.S. The reasons for the trend are unknown. The prevalence of kidney stones was 3.8% in the late 1970s. In the late 1980s and early 1990s, the number rose to 5.2%. Caucasian ethnicity and male gender are associated with higher rates of kidney stones. Men tend to develop kidney stones in their 40s through 70s rates increase with age. Women are most likely to experience kidney stones in their 50s. A person who has suffered from one kidney stone is more likely to develop others.

Take Steps To Bypass Kidney Stones

Even though kidney stones can be common and recur once youve had them, there are simple ways to help prevent them. Here are some strategies that can help:

1. Drink enough water. A 2015 meta-analysis from the National Kidney Foundation found that people who produced 2 to 2.5 liters of urine daily were 50% less likely to develop kidney stones than those who produced less. It takes about 8 to 10 8-ounce glasses of water daily to produce that amount.

2. Skip high-oxalate foods. Such foods, which include spinach, beets, and almonds, obviously raise oxalate levels in the body. However, moderate amounts of low-oxalate foods, such as chocolate and berries, are okay.

3. Enjoy some lemons. Citrate, a salt in citric acid, binds to calcium and helps block stone formation. “Studies have shown that drinking ½ cup of lemon juice concentrate diluted in water each day, or the juice of two lemons, can increase urine citrate and likely reduce kidney stone risk,” says Dr. Eisner.

4. Watch the sodium. A high-sodium diet can trigger kidney stones because it increases the amount of calcium in your urine. Federal guidelines suggest limiting total daily sodium intake to 2,300 milligrams . If sodium has contributed to kidney stones in the past, try to reduce your daily sodium to 1,500 mg.

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How Do Health Care Professionals Treat Kidney Stones

Health care professionals usually treat kidney stones based on their size, location, and what type they are.

Small kidney stones may pass through your urinary tract without treatment. If youre able to pass a kidney stone, a health care professional may ask you to catch the kidney stone in a special container. A health care professional will send the kidney stone to a lab to find out what type it is. A health care professional may advise you to drink plenty of liquids if you are able to help move a kidney stone along. The health care professional also may prescribe pain medicine.

Larger kidney stones or kidney stones that block your urinary tract or cause great pain may need urgent treatment. If you are vomiting and dehydrated, you may need to go to the hospital and get fluids through an IV.

What Questions Should I Ask My Healthcare Provider

Removal of Kidney Stones: Percutaneous Nephrolithotomy (PCNL) for Kidney Stones
  • Do I have a kidney stone or is there another reason for my symptoms?
  • What type of kidney stone do I have?
  • What size is my kidney stone?
  • Where is my kidney stone located?
  • How many kidney stones do I have?
  • Do I need treatment or will I be able to pass the kidney stone?
  • Should I be tested for kidney disease?
  • What changes should I make to my diet?
  • What type of procedure should I have to get rid of the stones?

A note from Cleveland Clinic

Kidney stones can be frustrating at best and agonizingly painful at the worst. To stop your situation from getting worse, you should be evaluated by a healthcare provider as soon as possible. The pain can get severe, and surgery might be necessary. Remember: dont skip your prescriptions, drink lots of water and follow any dietary guidelines. Also, remember that kidney stones are a temporary condition. They wont bother you forever.

Last reviewed by a Cleveland Clinic medical professional on 05/03/2021.

References

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When Is Shock Wave Lithotripsy Not Recommended To Treat Kidney Stones

Your provider needs to know a stones exact location. Typically a CT scan is performed to identify your stone location and size. Sometimes an X-ray and/or ultrasound can be used as well.

You may not be a candidate for shock wave lithotripsy if you have:

  • Hard stones: Kidney stones made up of certain substances may be more difficult to break up with shock wave lithotripsy.
  • Pregnancy: Women who are or could be pregnant should not have lithotripsy. The shockwaves may harm an unborn child.
  • Infected kidney stone: An infected kidney stone that is stuck in the ureter and causing fevers or chills is a medical emergency and should not be treated with shockwave lithotripsy.
  • Special medical needs: Shockwave lithotripsy should not be used in medical conditions that result in increased risk of bleeding, such as use of blood thinners, due to increased risk of severe bleeding from the kidney.
  • Very large kidney stones: Shock wave lithotripsy works best on small kidney stones. Your provider may recommend another treatment for kidney stones over 1-2 centimeters in diameter.

Definition: What Is A Kidney Stone

Before we explore what kidney stones are, it is important to understand the basic anatomy and function of the urinary system. The urinary system is made up of the kidneys, the ureters, bladder, and urethra.

The kidneys act as filters for the blood, removing any waste products. These waste products are passed out of the body through our urine. The urine passes from the kidneys, through the ureters to the bladder. The bladder is where urine is stored until you are ready to urinate.

Kidney stones form from the crystallization of different substances within the kidney. This happens for a variety of reasons. These stones formed within the kidney are then typically released into the ureter . Symptoms can occur if these stones are large enough to obstruct the kidney or ureter.

There are four different types of kidney stones. They are named based on the substance from which they are formed.

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