Suspected kidney stones?
Hello Doctor: I had a problem with calcium oxalate kidney stones about a year ago, which stayed in my body for almost six months before gradually passing.
During that time, I received one session of extracorporeal shock wave lithotripsy (ESWT).
Recently, I've been feeling some swelling in the same side of my lower back.
About a month ago, my urine was occasionally cloudy, but this only happened once or twice.
I would like to ask you, since kidney stones are prone to recurrence, could the cloudy urine be due to small sediment being expelled? Is the swelling in my lower back caused by sediment preparing to pass? Should I take Buscopan to help with the expulsion, or is it sufficient to just drink more water and exercise?
QQQ, 20~29 year old female. Ask Date: 2020/09/03
Dr. Du Shixi reply Urology
Hello: 1) Some small stones have been passed without symptoms or with mild symptoms.
There are many reasons for concentrated or cloudy urine.
It is recommended to drink plenty of water, but the key is to perform a urinalysis for proper assessment.
If stones are confirmed, Buscopan can be helpful.
Wishing you good health.
Reply Date: 2020/09/03
More Info
Kidney stones, also known as renal calculi, are hard deposits made of minerals and salts that form inside your kidneys. They can cause significant pain and discomfort, and understanding their symptoms, causes, and management is crucial for anyone who has experienced them or is at risk of developing them.
Symptoms of Kidney Stones
The symptoms of kidney stones can vary depending on the size of the stone and its location in the urinary tract. Common symptoms include:
- Severe Pain: Often described as sharp and intense, the pain typically originates in the back or side and may radiate to the lower abdomen and groin. This pain is often referred to as renal colic.
- Hematuria: Blood in the urine is a common symptom, which can make the urine appear pink, red, or brown.
- Nausea and Vomiting: Many individuals experience nausea and vomiting due to the pain.
- Frequent Urination: A feeling of needing to urinate more often than usual, sometimes accompanied by a burning sensation.
- Cloudy or Foul-Smelling Urine: This can indicate an infection or the presence of crystals.
Causes of Kidney Stones
Kidney stones can form for various reasons, including:
- Dehydration: Not drinking enough water can lead to concentrated urine, which increases the likelihood of stone formation.
- Diet: High intake of certain foods, particularly those rich in oxalates (like spinach and nuts), can contribute to stone formation. Additionally, excessive salt and sugar can also play a role.
- Medical Conditions: Certain conditions, such as hyperparathyroidism, urinary tract infections, and metabolic disorders, can increase the risk of developing stones.
- Family History: A family history of kidney stones can increase your risk.
Management and Treatment
If you suspect you have kidney stones or are experiencing symptoms, it is essential to consult a healthcare provider. Here are some management tips:
1. Hydration: Drinking plenty of water is crucial. It helps dilute the substances in urine that lead to stones. Aim for at least 2-3 liters of water daily.
2. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. In some cases, prescription medications may be necessary.
3. Medications: Depending on the type of stone, your doctor may prescribe medications to help prevent future stones or to facilitate the passage of stones.
4. Dietary Changes: Reducing salt intake, limiting foods high in oxalates, and ensuring adequate calcium intake can help prevent stones. Some studies suggest that consuming lemon juice or citric acid may help prevent stone formation.
5. Follow-Up Care: Regular follow-ups with your healthcare provider are essential, especially if you have a history of kidney stones. They may recommend imaging tests to monitor for new stones.
Understanding Your Symptoms
Regarding your recent symptoms of a "bloated" feeling in your side and occasional cloudy urine, it is possible that these could be related to small deposits or crystals preparing to pass. Cloudy urine can indicate the presence of crystals or sediment, which may be a sign of kidney stones or an infection.
Taking medications like Buscopan can help relieve discomfort associated with urinary spasms, but it is essential to prioritize hydration and physical activity. Drinking more water and engaging in regular exercise can facilitate the passage of small stones or sediment.
If your symptoms persist or worsen, or if you experience significant pain, it is crucial to seek medical attention. Your healthcare provider may recommend imaging studies to assess for any new stones or complications.
In summary, kidney stones can be a recurrent issue, and understanding their symptoms, causes, and management strategies is vital. Staying hydrated, making dietary adjustments, and maintaining regular follow-ups with your healthcare provider can significantly reduce the risk of recurrence and help manage any ongoing symptoms.
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