Patient's question:
I went to the hospital and found that it's a right kidney stone, perhaps the size of a peanut, located in the lower calyx. It has been treated with a lithotripter, but it hasn't passed out yet after six months.Doctor's answer:
Some dissolved substances in normal urine, due to various factors or causes, precipitate and accumulate in the kidneys, continuously growing and forming stones. Kidney stones may exist for a long time without symptoms, especially larger ones. Smaller stones have a wider range of movement, and when they enter the renal pelvis-ureter junction or ureter, they cause colicky pain and hematuria.Treatment Principles:
1. Symptomatic Treatment: Spasmolytics, analgesics, fluid replacement, anti-inflammatory agents, and traditional Chinese medicine.
2. Stone Expulsion Therapy: Suitable for active patients.
3. Stone Dissolution Therapy: Medication intake, increased fluid intake, urine pH regulation, and dietary adjustments.
4. Extracorporeal Shock Wave Lithotripsy (ESWL).
5. Surgical Treatment.
For the treatment of kidney stones, only a combination of crushing, dissolving, expelling, and prevention can achieve satisfactory clinical therapeutic effects.
Lifestyle Prevention:
The formation of kidney stones is primarily influenced by diet. Individuals with kidney stones should drink more water, limit meat intake, especially organ meats. During treatment, reduce consumption of beef and lamb. Also, minimize foods rich in vitamin C, as its metabolism in the body produces oxalate, which promotes stone formation. Oxalates combine with calcium in the body to form calcium oxalate, which deposits as stones. Excessive oxalate accumulation is one of the factors leading to kidney stones. Foods high in oxalates include spinach, beans, grapes, cocoa, tea, oranges, tomatoes, potatoes, plums, and bamboo shoots.