Treatment FAQ

what is the treatment of kidney stone

by Prof. Cletus Hill Published 3 years ago Updated 2 years ago
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Once the stone is located, special tools can snare the stone or break it into pieces that will pass in your urine. Your doctor may then place a small tube (stent) in the ureter to relieve swelling and promote healing. You may need general or local anesthesia during this procedure.

Medication

You might have a procedure or surgery to take out kidney stones if:

  • The stone is very large and can't pass on its own.
  • You're in a lot of pain.
  • The stone is blocking the flow of urine out of your kidney.
  • You have had many urinary tract infections because of the stone.

Procedures

They are:

  • Shockwave Lithotripsy (SWL)
  • Uterescopic Stone Fragmentation
  • Percutaneous Nephrolithotomy

Nutrition

Kidney stones are not the same as bladder stones. Kidney stones don't always go away on their own. If they get stuck in the bladder, they can.

When do I need surgery for a kidney stone?

However, people with all types of stones can benefit from some general dietary recommendations:

  1. Hydrate. Adequate fluid intake helps when you are prone to kidney stones, says Debbie Petitpain, a registered dietitian in Charleston, South Carolina, and a media spokesperson for the Academy ...
  2. Cut your salt intake. Too much sodium can increase calcium in your urine, and that can contribute to stone formation. ...
  3. Eat less food in general. ...

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What are the best methods for kidney stone treatment?

Can kidney stones go away on their own?

What is the best thing to do for kidney stones?

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What is the best treatment for kidney stones?

Percutaneous Lithotripsy (PCNL) is the best treatment for large stones in the kidney. General anesthesia is needed to do a PCNL.

What are 3 treatment options for kidney stones?

If you've been diagnosed with kidney stones (urolithiasis), you may have several options for treatment. These include medical therapy, extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotripsy (PCNL), and ureteroscopy.

Can kidney stone cured by medicine?

Uric acid stones are the only type of kidney stones that can sometimes be dissolved with the help of medication. Alkaline citrate salts or sodium bicarbonate are considered for this purpose, and sometimes allopurinol.

What is the fastest way to dissolve a kidney stone?

Apple cider vinegar as kidney stones remedy If you're looking to dissolve kidney stones fast, you can rely on apple cider vinegar. Made from fermenting apples and endowed with phosphoric, citric and acetic acids, apple cider vinegar makes urine acidic and helps to dissolve most types of kidney stones quickly.

Can I pass a 7mm kidney stone?

Kidney stone treatment depends on the size and type of stone as well as whether infection is present. Stones 4 mm and smaller in about 90 percent of cases; those 5–7 mm do so in 50 percent of cases; and those larger than 7 mm rarely pass without a surgical procedure.

Can kidney stones be removed without surgery?

Extracorporeal shock wave lithotripsy is a technique for treating stones in the kidney and ureter that does not require surgery. Instead, high energy shock waves are passed through the body and used to break stones into pieces as small as grains of sand.

Can a 13 mm kidney stone pass?

The smaller the kidney stone, the more likely it will pass on its own. If it is smaller than 5 mm (1/5 inch), there is a 90% chance it will pass without further intervention. If the stone is between 5 mm and 10 mm, the odds are 50%. If a stone is too large to pass on its own, several treatment options are available.

Which injection is best for stone pain?

If the stone is causing severe pain, the urologist may choose to prescribe a narcotic. Providers may also inject patients with Ketorolac (Toradol), a more powerful anti-inflammatory medication.

What foods cause kidney stones?

Avoid stone-forming foods: Beets, chocolate, spinach, rhubarb, tea, and most nuts are rich in oxalate, which can contribute to kidney stones. If you suffer from stones, your doctor may advise you to avoid these foods or to consume them in smaller amounts.

Can lemon juice dissolve kidney stones?

In a recent study conducted by Sur, lemonade therapy – drinking four ounces of reconstituted lemon juice in two liters of water per day – was shown to decrease the rate of stone formation from 1.00 to 0.13 stones per patient.

How long can a stone stay in the kidney?

A stone that's smaller than 4 mm (millimeters) may pass within one to two weeks. A stone that's larger than 4 mm could take about two to three weeks to completely pass. Once the stone reaches the bladder, it typically passes within a few days, but may take longer, especially in an older man with a large prostate.

What are the warning signs of kidney stones?

Follow These Top Warning Signs Indicating You May Have Kidney StonesBack or belly pain. ... Pain when urinating. ... Cloudy, pinkish or foul-smelling urine. ... Sudden urge to urinate. ... Decreased urine flow. ... Nausea. ... Fever and chills. ... Kidney stones require prompt medical care.

How do you remove a kidney stone?

The doctor inserts the tool directly into your kidney through a small cut made in your back. For larger kidney stones, the doctor also may use a laser to break the kidney stones into smaller pieces.

What to do if you pass a kidney stone?

If you’re 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.

How does a doctor remove a urinary stone?

The doctor inserts the cystoscope or ureteroscope through the urethra to see the rest of the urinary tract. Once the stone is found, the doctor can remove it or break it into smaller pieces. The doctor performs these procedures in the hospital with anesthesia. You can typically go home the same day.

How long after kidney stone removal can you collect urine?

The health care professional also may ask you to collect your urine for 24 hours after the kidney stone has passed or been removed. The health care professional can then measure how much urine you produce in a day, along with mineral levels in your urine.

What is the tube called that a urologist puts in the urine?

After these procedures, sometimes the urologist may leave a thin flexible tube, called a ureteral stent, in your urinary tract to help urine flow or a stone to pass. Once the kidney stone is removed, your doctor sends the kidney stone or its pieces to a lab to find out what type it is.

How long do you have to take a kidney stone medicine?

Depending on the type of kidney stone you had and what type of medicine the health care professional prescribes, you may have to take the medicine for a few weeks, several months, or longer. For example, if you had struvite stones, you may have to take an oral antibiotic for 1 to 6 weeks, or possibly longer.

What is the best way to reduce uric acid in urine?

Uric Acid Stones. allopurinol, which is used to treat high levels of uric acid in the body. potassium citrate.

What is the best treatment for kidney stones?

You may be offered medical expulsive therapy (MET) using an alpha blocker medication, such as tamsulosin.

How do you get kidney stones out of your kidney?

Using ultrasound or fluoroscopic guidance, a surgeon gains access to kidney stones through a small incision in the lower back during percutaneous nephrolithotripsy. A power source, such as ultrasound or laser, breaks the stones into fragments, which are flushed out of the kidney through an external tube or internal stent.

How long does it take for a ureteral stent to be removed?

A ureteral stent often minimizes any problems associated with steinstrasse. The stent is removed in a few days or weeks. A small percentage of patients undergoing ESWL develop hypertension, although the mechanism is not well understood.

How does shock wave lithotripsy work?

Extracorporeal shock wave lithotripsy. All shock wave lithotripsy machines deliver shock waves through the skin to the stone in the kidney. Most but not all of the energy from the shock wave is delivered to the stone. Stone size is the greatest predictor of ESWL success. Generally:

What is the first step in a kidney stone evaluation?

If your symptoms suggest kidney stones, imaging is often the first step in an evaluation. For many years the standard of care was a type of abdominal x-ray called an intravenous pyelogram (IVP). In most medical centers, this has been replaced by a type of computed tomography (CT) called unenhanced helical CT scanning.

What size stone is best for ESWL?

Stone size is the greatest predictor of ESWL success. Generally: for stones 10 to 20 mm in size, additional factors such as stone composition and stone location should be considered. stones larger than 20 mm are usually not successfully treated with ESWL.

What is the anatomy of the urinary tract?

A brief anatomy of the urinary tract. The urinary tract includes. kidneys (two organs that filter waste and extra water from the blood) ureters (two tubes bringing urine from each kidney to the bladder) bladder (organ that collects urine) urethra (a single tube through which urine in the bladder passes out of the body).

What is the best treatment for kidney stones?

Shock wave lithotripsy (SWL). This is the most common treatment in the U.S. It works best for small or medium stones. Your doctor aims high-energy sound waves to break up the kidney stone into little pieces. The shock waves come from outside the body, which is why the procedure sometimes is called extracorporeal SWL.

How long do you have to stay in the hospital for a kidney stone?

You'll likely have to stay in the hospital for 1-2 days. Open surgery: This might be an option if your stone is very oversized or your doctor can't take it out with other treatments. You’ll be sedated and not awake. Your surgeon cuts through your side to reach the kidney, then takes the stone out through the opening.

What to do if a stone is too large?

If the stone is small, they can use a basket to remove it. If the stone is larger, a laser passed through the scope can break it up. Percutaneous nephrolithotomy or percutaneous nephrolithotripsy. These similar surgical procedures are options if your stone is large or if other procedures fail to break them down enough.

How long does it take to recover from a stone?

You may need to stay in the hospital for a few days. It can take 4-6 weeks for you to fully recover. Your surgeon usually will ask a lab to identify the type of stone, so you might be able to take meds to avoid them in the future.

How long does it take for a stone to pass?

First, You Wait. If your stone doesn’t bother you, your doctor may suggest you wait 2-4 weeks for it to pass on its own. They may tell you to drink extra water to help flush it out of your body. They may ask you to catch the stone in a strainer when you pee.

How long do you have to stay in the hospital after a nephrolithotomy?

You will be given drugs so you won’t be awake or feel pain. You'll likely have to stay in the hospital for 1-2 days.

Can kidney stones be removed on their own?

Prevention. Kidney stones usually pass on their own without causing any long-term problems. If they don't, or if you're in a lot of pain, your doctor can break up or remove the crystals. Your treatment depends on where and how big your stone is and what symptoms you have.

Can a doctor take a watch and wait approach to a small stone?

In most cases, if the stones are small, the doctor will take a watch-and-wait approach. This, however, does not mean do nothing. Passage of these smaller stones can be aided by:

Can kidney stones be stuck in the urinary tract?

Larger kidney stones are less likely to pass from the body on their own, and may become stuck in part of the urinary tract. Left untreated, these stones can cause severe damage to the kidney when pressure from unpassed urine builds up behind the stone.

How to treat kidney stones?

To ease your symptoms, your GP might recommend: drinking plenty of fluids throughout the day. painkillers, like ibuprofen.

What is the best way to remove kidney stones?

The main types of surgery for removing kidney stones are: shockwave lithotripsy (SWL) ureteroscopy. percutaneous nephrolithotomy (PCNL) Your type of surgery will depend on the size and location of your stones.

What is the name of the procedure that involves passing a long, thin telescope through the urine?

Ureteroscopy. Ureteroscopy involves passing a long, thin telescope called a ureteroscope through the tube urine passes through on its way out of the body (the urethra) and into your bladder. It's then passed up into your ureter, which connects your bladder to your kidney.

How to get rid of stones in your urine?

To help your stones pass: drink water, but drinks like tea and coffee also count. add fresh lemon juice to your water. avoid fizzy drinks. do not eat too much salt. Make sure you're drinking enough fluid. If your pee is dark, it means you're not drinking enough. Your pee should be pale in colour.

Can kidney stones cause complications?

Complications can occur after the treatment of large kidney stones. Your surgeon should explain these to you before you have the procedure. Possible complications will depend on the type of treatment you have and the size and position of your stones. Complications could include:

What is the best medicine for kidney stones?

digoxin (Digox) diuretics, such as spironolactone (Aldactone) 5. Celery juice. Celery juice is thought to clear away toxins that contribute to kidney stone formation and has long been used in traditional medications. It also helps flush out the body so you can pass the stone.

How to prevent kidney stones from forming?

Drinking plenty of fluids is a vital part of passing kidney stones and preventing new stones from forming. Not only does the liquid flush out toxins, but it also helps move stones and grit through your urinary tract. Although water alone may be enough to do the trick, adding certain ingredients can be beneficial.

What is the color of urine that causes kidney stones?

Dehydration is one of the main risk factors for kidney stones, and the last thing you want is for more to form. Pay attention to the color of your urine. It should be a very light, pale yellow. Dark yellow urine is a sign of dehydration. 2.

What is the best way to flush out kidney stones?

The broth from cooked kidney beans is a traditional dish, often used in India, that has been used to improve overall urinary and kidney health. It also helps dissolve and flush out the stones. Simply strain the liquid from cooked beans and drink a few glasses throughout the day.

How to save kidney stones?

Once you pass a kidney stone, you may want to save it to take to your doctor for testing. To save the stone, you need to strain your urine. You can do this using a urine screen, which you can get from the doctor’s office. Your doctor can determine what kind of stone it is and help develop a targeted prevention plan.

Does basil help with kidney stones?

Basil contains acetic acid, which helps break down the kidney stones and reduce pain. It’s also full of nutrients. This remedy has been used traditionally for digestive and inflammatory disorders.

Does apple cider vinegar help with kidney stones?

In addition to flushing out the kidneys, apple cider vinegar can help ease pain caused by the stones. There are numerous other health benefits of apple cider vinegar. One lab study found that apple cider vinegar was effective in helping reduce the formation of kidney stones, though more studies are needed.

What is kidney stone?

Kidney stones are hard deposits made from minerals such as calcium or waste products such as uric acid. They start small, but they can grow bigger as more minerals stick to them. Some kidney stones often pass on their own without treatment. Other stones that are painful or that get stuck in your urinary tract sometimes need to be removed ...

How long does it take to remove a kidney stone?

The surgery takes 20 to 45 minutes.

What is the procedure to break up a large lithotripsy stone?

Bleeding. Percutaneous Nephrolithotomy or Percutaneous Nephrolithotripsy. If your stone is large or lithotripsy doesn't break it up enough, this surgery is an option. PCNL uses a small tube to reach the stone and break it up with high-frequency sound waves.

How long does it take for a kidney stent to be removed?

You'll typically have to stay in the hospital for a day or two afterward. Usually, a stent will have to stay in your kidney for a few days to help urine drain. Your doctor might do an X-ray or ultrasound a few weeks later to see whether any parts of the stone are left.

What happens if you have a stone stuck in your ureter?

You're in a lot of pain. The stone is blocking your urine flow. You're bleeding or you have an infection. You will be given something to make you unconscious during the procedure. The surgeon will make a cut in your side and into your kidney.

Can you have a kidney stone removed with SWL?

SWL removes kidney stones in about half of people who have it. If it doesn't work , you might need to have the procedure repeated. The procedure can cause side effects such as cramps or blood in your urine.

Can you have open surgery for kidney stones?

Bleeding. Damage to the bladder, bowel, ureter, kidney, or liver. Open Surgery. Open surgery is rarely done for kidney stones anymore. But if your stone is very large or it can't be removed or crushed with other treatments, surgery might be an option. Surgery may also help if:

What is kidney stone?

Kidney stones (also called renal calculi, nephrolithiasis or urolithiasis) are hard deposits made of minerals and salts that form inside your kidneys. Diet, excess body weight, some medical conditions, and certain supplements and medications are among the many causes of kidney stones. Kidney stones can affect any part of your urinary tract — ...

What are the symptoms of kidney stones?

Kidney stones form in your kidneys. As stones move into your ureters — the thin tubes that allow urine to pass from your kidneys to your bladder — signs and symptoms can result. Signs and symptoms of kidney stones can include severe pain, nausea, vomiting, fever, chills and blood in your urine.

How do kidney stones form?

Kidney stones form when your urine contains more crystal-forming substances — such as calcium, oxalate and uric acid — than the fluid in your urine can dilute. At the same time, your urine may lack substances that prevent crystals from sticking together, creating an ideal environment for kidney stones to form.

How do you know if you have kidney stones?

Signs and symptoms of kidney stones can include severe pain, nausea, vomiting, fever, chills and blood in your urine. A kidney stone usually will not cause symptoms until it moves around within your kidney or passes into your ureters — the tubes connecting the kidneys and the bladder.

What happens if you have a ureter spasm?

If it becomes lodged in the ureters, it may block the flow of urine and cause the kidney to swell and the ureter to spasm, which can be very painful. At that point, you may experience these signs and symptoms: Severe, sharp pain in the side and back, below the ribs. Pain that radiates to the lower abdomen and groin.

What are the different types of kidney stones?

Types of kidney stones include: Calcium stones. Most kidney stones are calcium stones, usually in the form of calcium oxalate. Oxalate is a substance made daily by your liver or absorbed from your diet. Certain fruits and vegetables, as well as nuts and chocolate, have high oxalate content.

What are the factors that increase the risk of kidney stones?

Factors that increase your risk of developing kidney stones include: Family or personal history. If someone in your family has had kidney stones, you're more likely to develop stones, too. If you've already had one or more kidney stones, you're at increased risk of developing another. Dehydration.

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