Kidney Stones: Symptoms, Pain Relief, and Hydration Tips

Q: Kidney Stones: Symptoms, Pain Relief, and Hydration Tips

Hello： First, it is important to confirm whether the pain is caused by kidney stones. <br>"Gently tapping the lower back can elicit severe pain"—this symptom is very similar to pain caused by kidney stones; additionally, a kidney infection can also cause lower back pain. <br>Seco

Kidney problems

Hello doctor, during a recent health check, I discovered that I have two kidney stones in my right kidney.
After examination, it was determined that these stones were caused by my childhood habit of not drinking enough water.
The doctor advised that surgery is not necessary, as they may be closely related to my body.
Later, due to work requirements, I frequently rode my bike, and I began to experience pain in my right lower back.
The pain is persistent and localized in the same area.
Lightly tapping my lower back causes severe pain.
I thought applying some menthol balm would help, and after using it for two days, the pain has slightly decreased.
During these two days, I have been drinking quite a bit of water, but it seems that my urine output is too low.
Could this indicate another condition, or will the pain subside in a few days? Additionally, are there any methods to alleviate the pain? The two kidney stones are approximately 2 centimeters in size.
Thank you.

M, 20~29 year old female. Ask Date: 2007/05/01

Dr. Wu Jiyu reply Internal Medicine

Hello: First, it is important to confirm whether the pain is caused by kidney stones.
"Gently tapping the lower back can elicit severe pain"—this symptom is very similar to pain caused by kidney stones; additionally, a kidney infection can also cause lower back pain.
Second, regarding pain relief, "the two kidney stones are approximately 2 centimeters in size," and "the doctor recommends that surgery is not necessary for removal"—this is only applicable in the absence of symptoms or complications.
If there is pain, treatment for the stones is necessary; generally, options include "extracorporeal shock wave lithotripsy" or "ureteroscopy," and which method is more suitable should be assessed by a urologist.
Lastly, whether it has led to another condition: if a kidney stone obstructs the ureter, it may cause hydronephrosis; however, if only one kidney is affected, it usually does not impact kidney function.
In summary, it is recommended that you visit a urology clinic to evaluate whether the stones need to be removed and to address the pain.
Thank you!

Reply Date: 2007/05/01

More Info

Kidney stones, also known as renal calculi, are solid masses made of crystals that originate in the kidneys but can develop anywhere in the urinary tract. They can cause significant discomfort and pain, particularly when they move through the urinary system. Understanding the symptoms, pain relief options, and hydration tips is crucial for managing this condition effectively.

Symptoms of Kidney Stones
The symptoms of kidney stones can vary depending on the size and location of the stone. Common symptoms include:
1. Severe Pain: Often described as sharp or cramping, the pain typically starts in the back or side and may radiate to the lower abdomen and groin. This pain can come in waves and fluctuate in intensity.

2. Hematuria: Blood in the urine is a common symptom, which may appear pink, red, or brown.

3. Nausea and Vomiting: These symptoms can accompany the pain due to the body's response to the discomfort.

4. Frequent Urination: A feeling of needing to urinate more often than usual, sometimes accompanied by a burning sensation.

5. Cloudy or Foul-Smelling Urine: This may indicate an infection or the presence of stones.

Pain Relief Options
For managing pain associated with kidney stones, several options are available:
1. Hydration: Increasing fluid intake is one of the most effective ways to help pass kidney stones. Drinking plenty of water helps dilute the substances in urine that lead to stones and can facilitate their passage.

2. Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. In some cases, doctors may prescribe stronger pain medications or medications like tamsulosin, which can help relax the muscles in the urinary tract and facilitate stone passage.

3. Heat Therapy: Applying a heating pad to the affected area can provide relief from pain and discomfort.

4. Dietary Adjustments: Depending on the type of stones, dietary changes may help. For example, reducing sodium intake and avoiding foods high in oxalates (like spinach and nuts) can be beneficial for calcium oxalate stones.

Hydration Tips
Staying well-hydrated is crucial in preventing and managing kidney stones. Here are some tips:
1. Drink Plenty of Water: Aim for at least 2-3 liters of water daily, or enough to produce clear urine. This helps dilute urine and reduces the concentration of stone-forming substances.

2. Limit Sugary Drinks: Avoid sodas and other sugary beverages, as they can contribute to stone formation.

3. Monitor Urine Color: A light yellow color indicates proper hydration, while dark yellow or amber suggests dehydration.

4. Incorporate Citrusy Beverages: Lemonade or limeade can be beneficial due to the citric acid, which may help prevent stone formation.

Understanding Your Condition
Regarding your specific situation, if you are experiencing persistent pain in your right side and have been diagnosed with kidney stones, it is essential to monitor your symptoms closely. The pain you describe, especially if it is severe and localized, may indicate that the stones are causing irritation or blockage in the urinary tract.
If you notice a decrease in urine output despite increased fluid intake, this could be concerning. It may suggest that the stones are obstructing the flow of urine, which can lead to complications such as hydronephrosis (swelling of the kidney due to urine buildup) or infection.

When to Seek Medical Attention
If your pain worsens, you develop a fever, or you notice significant changes in your urine (such as increased blood or decreased output), it is crucial to seek medical attention promptly. In some cases, further imaging studies, such as a CT scan, may be necessary to evaluate the stones' size and location and determine the best course of action.

In conclusion, managing kidney stones involves a combination of hydration, pain relief, and monitoring symptoms. If you have any concerns about your condition or if your symptoms persist, it is advisable to consult with a healthcare professional for personalized advice and treatment options.

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