Tuesday, March 21, 2006

It has been my observation that more men seem to suffer from renal calculus or stones than ladies. A very young man developed severe pain from right loin to right groin. An ultra sonogram done for this patient revealed a stone of about 25mm x 30mm. this was his first episode. Most stones are detected when we do a routine abdominal scan.

Why do stones form in the kidney and bladder?

Most stones that grow in our kidneys, ureter and bladder are so small that they move harmlessly from our bodies. Othere, 25 mm or more can bring intense pain. Even tiny stones sometimes cause agonizing discomfort because they may be very sharp.
Some people because of their life style and diet are troubled particularly by stones. Those who become regularly dehydrated by doing hard physical work, or who live in a tropical climate are likely victims. Everywhere the chances of men getting stones are estimated to be three times those of women. Large stones which develop in the bladder may weigh as 1.5 kg and often they take years to develop; others from within a few weeks.
In most cases the doctors cannot identify a specific cause but they can point to common factors. Stone occurs more frequently during summer months, probably more fluid is lost as sweat and the urine becomes more concentrated. People who take large quantities of water have a lesser chance of developing these stones.
Kidney stones are made up of calcium oxalate and or phosphate. Calcium is a part of healthy diet is and is abundant in dairy products and citrus fruits. Oxalate occurs naturally in urine, but rhubarb, spinach, leafy vegetables, chocolate and coffee all of which are high in oxalic acid may increase in level in the body.
Fortunately, modern techniques ranging from laser to shock waves can dissolve or remove the stones without the need for open surgery. The most common mode of removing the stones is by ureteroscopy and basketting out the stones.

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