Kidney Stone: Diagnosis,Treatment and Prevention
Diagnosis
A doctor will perform a series of blood tests and urine tests that will help establish the presence of kidney stones. Different imaging techniques are used to diagnose kidney stones, including tomography computer or an IVP, a type of radiological examination of the urinary tract.
If the presence of a kidney stone is discovered, a doctor may request a metabolic balance that would allow him to assess all the body’s reactions and to identify a metabolic disorder. This process may involve blood tests and urine samples excreted over 24 hours (as urinalysis, the urine pH and urine culture). If a stone is passed, will release an analysis of its components.
Treatment and Prevention
The pain caused by kidney stones can be treated with prescription painkillers, for the bed rest and by drinking lots of fluids to prevent dehydration.
Most stones pass by themselves within 6 weeks. Others can be broken into small pieces or surgically removed. Calculations can be broken up using treatment techniques as a néphrolithotripsie extracorporeal shock wave lithotripsy or a percutaneous cystoscopy.
In a néphrolithotripsie extracorporeal shock waves, shock waves which pass through water bags are placed on the skin and are directed towards the calculation. They break up the stone into small pieces to allow it to be removed through the urethra. This procedure can be performed on an outpatient basis.
If the stone is in the bladder or the higher part of the urethra, it can be crushed using cystoscopy. In this procedure, the doctor will pass a viewing tube and a crushing device into the bladder or lower part of the urethra. The crushing device may allow to extract the calculation degrade or using a laser or electrical energy.
The calculations that are too large to be removed can be disaggregated by percutaneous lithotripsy. This procedure is done on an outpatient basis under sedation. A viewing tube is inserted through an incision in the side. The calculation is then sprayed with ultrasound or using electrical energy.
Surgical removal is performed only when other methods have failed. It is usually necessary when stones are large or difficult to reach. The surgery is performed under general anesthesia. The doctor makes an incision in the side of the abdomen and another in the ureter or kidney to remove the calculation. The incisions are then sutured.
If the stone has formed due to a metabolic disorder, the doctor may prescribe a special diet and medications to regulate metabolism. For example, taking allopurinol , medication that reduces acid production uric, can prevent kidney stones composed of uric acid. The same medication is prescribed against gout. Thiazide diuretics can prevent the formation of stones composed of calcium. The organization of some people lack a chemical called citrate. Citrate supplements can then help prevent kidney stones.
It is possible to prevent kidney stones by ingesting daily from 8 to 12 glasses of water and drink during meals. You will know you when you drink enough evacuerez an almost colorless urine. Your doctor may also recommend adopting a diet where the protein and salt content is lower.