What Are the Best Ways to Break Up Kidney Stones?

Kidney stones fall into the ureter, causing urinary tract obstruction and colic. Most of the stones smaller than 4mm will be discharged automatically one month after the symptoms appear. And stones larger than 8mm can hardly be discharged automatically. More than half of the stones larger than 6mm will not be discharged automatically.

Discharge stones

If the urinary tract stones can be naturally discharged, they will naturally dry after filtering. The color of the stones is gray, and the mixed color is mainly about 1mm. Due to its small size, it is painless when it is removed, but it will not become soft. Settles under liquid.

Kidney stones may be excreted in the urine during the onset of pain and hematuria. When the stones pass through the urethra, there is a blockage of urine flow and tingling in the urethra. After the stones are discharged, the urine flow immediately returns to unblocked, and the patient feels relaxed and comfortable.

The symptoms of urinary stones and kidney stones are basically the same. The ureteral colic caused by stones in the upper and middle ureters is characterized by low back pain on one side and microscopic hematuria. The pain is mostly colic, which can radiate to the ipsilateral lower abdomen, testes or labia. Hematuria is mild, and most of them have microscopic hematuria.

If the urinary tract stones can be naturally discharged, they will naturally dry after filtering. The color of the stones is gray, and the mixed color is mainly about 1mm. Due to its small size, it is painless when it is removed, but it will not become soft. Settles under liquid.

(A) develop the habit of drinking more water

Drinking more water can dilute the urine, reduce the concentration of crystals in the urine, and flush the urinary tract, which is beneficial to prevent the formation of stones and promote the discharge of urinary stones. Generally, adults with more than 2000 ml of drinking water per day have certain significance in preventing stones.

(B) factors to relieve urinary tract obstruction

Actively deal with urethral strictures and benign prostatic hyperplasia to relieve urinary tract obstruction.

(Three) actively treat urinary tract infections

(4) Long-term bedridden patients should be encouraged and assisted to be more active, so as to reduce bone decalcification and improve urine flow.

(5) Adjusting the pH of urine According to the composition of urinary stones, adjusting the pH of urine can prevent the recurrence of urinary stones, such as the formation of urate and oxalate stones in acid urine and phosphate and carbonate stones in alkaline urine form.

(6) Prevention and treatment of metabolic diseases, such as hyperthyroidism should be treated with surgery.

(7) Diet regulation and drug prevention

Adjust the diet appropriately according to the composition of the stones. For patients with oxalate stones, it is better to eat foods rich in oxalic acid, such as potatoes and spinach. Oral vitamin B6 can reduce the excretion of oxalate in the urine. Increase the solubility of oxalate in urine. Patients with phosphate stones should have a low-phosphate and low-calcium diet. Oral ammonium chloride acidifies the urine, which is beneficial to the dissolution of phosphate. Patients with urate stones should eat foods rich in purines, such as liver, kidneys and beans, orally take citric acid mixture or sodium bicarbonate to alkalinize the urine to keep the pH of the urine above 6.5.

Experts from Shanghai Xinke Calculus Hospital pointed out that due to the complicated etiology of urinary calculi, the high incidence of calculi and the easy recurrence after treatment are still one of the challenging clinical problems. Therefore, when taking preventive measures, we should try to consider the possible specific reasons for individual patients, and develop preventive measures that vary from person to person. Urinary stones include kidney stones, ureteral stones, bladder stones, and urethral stones. Symptoms include severe back pain, vomiting, and nausea. He pointed out that in order to prevent urinary stones and reduce the occurrence of stone pain, drink more water, eat less salty, sugary, high calcium foods, and exercise more.

If you drink too little water, you will over-concentrate urine, precipitate urine salts, and increase the chance of stone formation. Drinking more water will increase the amount of urine, which can wash and clean the urinary tract. In the case of urinary tract infections, drinking more water can also enhance drainage, which is conducive to the control of infection and reduces the generation of infected stones. Therefore, you should pay attention to drinking more water in summer, and at least ensure that you can drink 1-2 kg per day.

In addition, it is best not to drink beer and other hard drinks when you are thirsty. At the same time, do not stay in the air-conditioned room for a long time, because the air will dry out and cause the body to lose a lot of water. People who often work in high-temperature environments should pay more attention to increasing water consumption to compensate for the large amount of water lost by sweating. To develop drinking habits, take the initiative to drink more water, do not wait for thirst before drinking water.

Diet, eat less animal offal, spinach, tofu, pepper, nuts, salted fish, bacon, salt products. In addition, eat a low-calcium diet and eat less dairy products, because dairy products contain more calcium. Eat less sugar, because the concentration of calcium in the urine, oxalic acid, and the acidity of urine will increase after eating sugar, which will increase the chance of stone formation.

Finally, to prevent urinary stones, pay attention to exercise and long-term inactivity, which can increase the chance of urinary sedimentation and form stones.

(8) Prevention of four less and one more:

More than one: Drink plenty of water, do not urinate daily drinking volume should be 3000 ~ 3500ml, drinking water should be divided into multiple times, and evenly distributed throughout the day.

One less: drink less beer. Beer wort contains acidic substances such as calcium, oxalic acid, and purine nucleotides. Their interactions can increase uric acid in the body and become an important incentive for the formation of kidney stones.

Two less: Eat less meat and animal offal. Because meat metabolism produces uric acid, animal viscera is a high purine food, and catabolism also produces high blood uric acid, which is the main component of stone formation.

Three less: A diet that is too salty and salty will increase the burden on the kidneys, while salt and calcium have a synergistic effect in the body, and will interfere with the metabolic process of drugs for the prevention and treatment of kidney stones.

Four less: After eating less sugar, the calcium ion concentration, oxalic acid, and urine acidity in the urine will increase. Increased uric acidity can make calcium urate and calcium oxalate easily precipitate and promote the formation of stones.