Thursday, July 30, 2009

Formation of Stones in the Kidneys

Today I am about to post information on the issue which is causing havoc to most of the people these days “Formation of Stones in the Kidneys”. Are you eating Spinach and Tomato curry? Oh no…! It’s forming stones in the Kidneys. Is that true? Or is it a mere superstition? Many of us have lots and lots of doubts, opinions and fear about these and many more things about the formation of stones in Kidneys.

In this update we try to learn, what exactly are the stones that are formed in the Kidneys? How are they formed? How are they cured if formed? And what are the precautions necessary to avoid the formation of stones in our Kidneys by simple means? Apart from these we try to thoroughly understand all other issues related to formation of stones in Kidneys, types of stones formed in the Kidneys, facts and fears related to the formation of stones in the Kidneys. The facts revealed here are mentioned by renowned professionals Dr. K. Subrahmanyam, Urologist, Appollo Hospitals, Hyderabad and Dr. K. Uma Devi, Professor of Nutrition & Home Science College, Hyderabad in a Health column published in a Telugu Edition Enadu on 28th July 2009. Since I find the article very useful which should reach larger sections of the society, I took up the opportunity to add up the topic here in my blog. Hope you find this information very useful.

First Let us know in the words of K. Subramanyam a few facts about the formation of stones in the Kidney:

1. What exactly are the Stones in Kidneys and how are they formed?

What happens if we boil the salt water on the stove? A few minutes later, some tiny little salt stones or marble like stones are formed. Similar is the process of forming stones in Kidneys. In fact, they are not the stones. They are the result of various acids and enzymes which are part of the daily activities of our body. Various acids and enzymes combine together and take the form of these stones. We generally presume the stones formed in the kidneys are one and the same, which is not the case. There are several forms of stones formed in the Kidneys. Primarily Calcium Oxalate and Calcium Phosphate stones were found more. After that you find more of Uric Acid Stones. When the quantity of water in our urine is reduced, the chemical substances like Calcium Oxalate, Phosphate, Uric Acid and Cystine are increased and form into stone like objects. These are the main sources for forming stones in our Kidneys. Therefore, it is always recommended to drink more water. See that your urine always passes thin and clear.

2. Who are susceptible to these stone formations in Kidneys?

Well… it is quite difficult to say exactly who are more susceptible to these stone formations in Kidneys. Usually, at the places like Telangana in Andhra Pradesh and many regions of Rajasthan where we find hard drinking water, the chances of forming stones in the Kidneys of people residing here are more. Hereditary evidences were found in a few cases. It is observed that people in the age group of 25-40 are mostly affected by these stones in Kidneys. Many of us believe that the stone are not formed once removed, which is not the fact. They may still be formed if proper diet is not followed. Therefore, once affected persons should take utmost care in their diet and drink lots of water.

3. How can we identify that stones are formed in our Kidneys?

Usually tiny stones are formed in the Kidneys and move down through urinary vein. These stones literally get stuck in between the small layers of the vein and lead to sever pain. This pain starts from waist to urinary organs of the body. The small stones cause you more pain. When you urinate, the tiny stones get stuck in between the layers of vein causing more pain in an effort to broaden the vein. The pain would be so sever that it won’t stop whether you sit, stand or sleep. You must definitely get your diagnosis done immediately after feeling such pain. Some times, it might not pain after couple of days. Never ignore such pain. Visit a doctor immediately to diagnose yourselves at the earliest level. Doctors may suggest X-Ray, Ultra Sound, Urine test etc. and CT-Scan if essential to diagnose whether you have any stone? If yes! Where is it? Are the Kidneys functioning well? Is there any swelling on the Kidneys? Etc.

4. What is the Treatment for Stones formed in the Kidneys?

If the stone is 5 mm or less it will come out along with the urine on increased intake of water. If the stone is above 5 mm and around 8 mm and if the Kidneys are fine without any swelling and tolerable pain then there is no need to remove it immediately in panic. It can be cured by taking pain killers and drinking more amount of water. If you follow this routine it will come out by itself. If the stone is above 8 mm, the functioning of kidneys is affected, there is a severe pain or if there is a severe fever, the stone has to be removed immediately. In the past the stone used to be removed by operation. But, today Science has developed a lot. New Techniques have come into existence to treat this kind of diseases. With the help of Ureteroscopy, Pneumatic Lithotripsy and lasers are released in the veins through uterus and destroy the stones. If the stone is in the Kidneys shock waves are sent to the kidneys with the help of Lithotripsy and break that stone into small pieces. Later those pieces are excreted along with urine. When doing so there might be a possibility of getting stuck in the layers of urinary vein. Therefore small loops are arranged in the veins for easy pass-through of stones. If these broken pieces are above 2 mm size then they are removed through “Keyhole” process.

5. What are the precautions to be taken to see the stones not formed again?

If the stone is formed once, it is very essential to see that they don’t form again. You need to drink plenty of water to keep safe from forming stones. You need to check your urine using a tea filter to see whether any fresh stones are formed. If the stones were formed again, they get stuck in the filter. On examination of those stones it can be said what to do next. As told before the main causes of forming stones is presence of Calcium, Uric Acid, Phosphate etc. in the blood in more than required quantity. If any of these acids were found more than required quantity in the blood on diagnosis, one has to immediately consult a doctor.

How much Water one should drink a day?

If you do not want to form stones in your kidneys there should be more water in your urine. The volume of chemical substances like Calcium, Oxalate etc should be less in your body. To see whether the amount of water you drink is sufficient to your body, examine the colour and odour of your urine. Always see that your urine comes white without any other colours and bad odours. When ever you see the change of your urine colour and odour, it’s an indication of shortage of water in your body. Immediately refill the water levels by drinking more water. One should drink 5 to 6 litres of water every day to refill their water levels in the body irrespective of weather conditions. There are plenty of people who do not drink water, only because they get more urine if they drink more water. No problem! You don’t loose any bucks for passing your urine. In fact you gain a good health. One has to excrete 2 to 2.5 litres of urine per day to keep away from all diseases. It is one of the major excretory systems of our body. The more you excrete the healthier you remain. I am about to post a detailed information on drinking water based on the book written by Dr. Mantena Satyanarayana Raju “Neeru-Meeru” (“Water-n-You”) in my coming posts. It has all the secrets and essence of water in our body. So keep watching for this in coming updates.

In this post I had provided you the information on formation of Stone in the Kidneys and other factors associated with it in the words of Dr. K. Subramanyam, Urologist Apollo Hospitals, Hyderabad. In my next update you are going to find more information on the formation of stone in Kidneys. There you can find what Dr. K. Uma Devi, Professor of Nutrition & Home Science College, Hyderabad says about it. So keep watching the space for next update….

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