2012年3月8日星期四

Kidney Stones

A common problem in primary care, kidney stones can be a painful and even dangerous medical condition. They are most common in men, with over 80 percent of sufferers being of that gender. Typically the condition occurs in patients between 30 and 40 years of age, however it can develop at any age.

Kidney stones are hard conglomerations of crystals that precipitate out of the urine. They are comprised of minerals in patients’ diet and their construct can vary quite a bit from person to person. The most common type of stone is a calcium oxalate stone. These stones are slightly more common in those who take supplemental calcium,Here's a complete list of oil painting supplies for the beginning oil painter. however avoiding supplemental calcium can have health ramifications and should be discussed with your PCP. Conversely,I have just spent two weeks shopping for tile and have discovered Chinese porcelain tile.China Porcelain tile adequate amounts of dietary calcium actually prevent the formation of stones.

There are other types of stones that can occur. Cystine stones are formed by the precipitation of the amino acid cystine in the urine. This occurs when there is too much of this protein in the urine,Your source for re-usable Plastic moulds of strong latex rubber. a condition that is genetically inherited. Stones made from uric acid can occur in gout patients, as they tend to have higher levels of this product in their blood and urine. Sometimes large stones develop,Silicone Mold Maker Rubber, known as struvite stones; these can block the outlet of the kidney and cause significant problems.

There are many reasons kidney stones develop, however they usually are due to both dietary factors and low fluid intake.Dimensional Mailing magic cube for Promotional Advertising, Not drinking enough water has been shown to increase the risk of stones. High intake of animal protein, sugar and high fructose corn syrup have all been linked to stone formation.

The symptoms of kidney stones do vary, but classically these present with severe pain that comes in waves. The pain is typically in the flank area and often radiates to the groin or inner thigh. Nausea and vomiting are not uncommon. The pain is often “colicky,” meaning it comes in waves. Frequently blood is detected in the urine as well.

The management of kidney stones depends on their size and location. Up to 98 percent of small stones (less than 5 mm) will pass on their own and not require any further treatment. Pain medication is helpful and is often used to alleviate symptoms. Aggressive hydration has been shown to increase the passage of stones, as have a few other medications like Flomax.

In the cases of stones that are not passing, or stones that are causing blockage of the urinary outflow tract leading to dilation of the ureters and kidney, more aggressive measures are often taken. Extracorporeal shock wave lithotripsy is a technique where shock waves are applied to the outside of the body, aimed at the stone. These waves shatter the stone and allow for passage of the byproducts. In some cases surgical removal of stones, with or without a stent placement, is needed.

Kidney stones are common, but in many cases are preventable with proper dietary adjustments. Likewise, in patients who have had stones, some of these modifications can help prevent a recurrence. If this topic applies to you, discuss it with you PCP so you can prevent the next painful attack.

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