Kidney Pain: What is Causing and How to Relieve it?

Kidney Pain

My name is Kevin Blumenthal I'm a urologist here at Howard County General Hospital at Central Maryland urology associates kidney stones are crystals that are formed in the collecting system of the kidney so the symptoms of kidney stones can vary there are

oftentimes without any symptoms at all oftentimes patients that have kidney stones that are

up in the kidney don't have any symptoms but if a kidney stone is passing then symptoms can

vary from extreme pain in the back to pain in the abdomen pain can radiate down into the

groin area for men you can have pain in the testicle or pain at the tip of the penis women can

 have pain in the labia you can also have nausea and vomiting some fevers chills you can have

 blood in the urine you can have worsening of a frequency of urination or urgency of your

urination a lot of patients will complain a bladder pressure or bladder discomfort so kidney

stones are caused by too many of the stone forming products which include calcium too much

 calcium in the urine too much oxalate in the urine too much uric acid in the urine among

other things they can also be caused by too few of the stone preventing factors which include

 mostly dilution or water in the kidney if you're not drinking enough fluid you can reduce the

risk of kidney stones by several ways the most common reason people get kidney stones is

dehydration lack of drinking enough water so the the recommendation is to drink at least 2

liters of water a day which is a lot but the at least 2 liters a day to help dilute the the stone

forming products in the kidney other things you can do to prevent kidney stones are

decreasing the protein in your diet decreasing the calcium and sodium or salt in your diet

things as well you can increase the citrate in your diet citrate naturally occurs and mostly in

lemons and limes so we often recommend drinking more lemonade to improve your diet as

well as magnesium as well can help prevent kidney stones so the treatment options for kidney

 stones vary depending on if you're passing a kidney stone or not if you have a kidney stone

that is not causing any problems sometimes we will just observe it and continue to follow to

make sure it's not getting bigger if a kidney stone is passing or it's causing problems sometimes we can dissolve the kidney stone depending on what type of stone it is other treatment

options are what we call watchful waiting where you try to pass the stone on your own the

way you can pass the stone on your own is by increasing your fluid intake as well as pain

control and taking what's called an alpha blocker which is a medication called flomax or Rapa

flow you may heard of those they help by relaxing the ureter and allowing stones that past

that may not otherwise be able to pass if someone cannot or chooses not to pass it on their

own treatment options include extra corporal shock wave lithotripsy or as wall for short

which is blasting the stone from the outside with shock waves and those stone fragments will pass on their own hopefully other treatment options include what's called a ureteroscopy

meaning we take a little telescope and place it into the bladder and then go up into the ureter

and kidney if needed and break up the stone under direct division with a laser and then remove the stone fragments and then lastly if we need to the there is a percutaneous Nefera lithotomy

or PC NL for short where we actually make a hole in the back into the kidney and we can

remove the kidney stone directly from the tube that goes into the back this obviously is more

invasive and those are reserved for very large stones that we feel can't be treated by other

ways surgery is necessary for several reasons one of which is if a patient starts having

intractable pain that is not being helped by pain medication or starts having fevers or chills

where there may that may indicate a urinary tract infection oftentimes that will necessitate us recommending surgery more urgently as opposed to otherwise so the recovery varies on by

person most patients don't have any problems from the surgery itself they don't have any

incisional pain because there is no incision but oftentimes we will patients can have pain from

passing the fragments after the Eze wall procedure or due to the stent a stent is a tube that we

 oftentimes have to place after performing the ureteroscopy to help keep the ureter open as

it heals the stent itself can be bothersome to the bladder and the kidney can be irritating so a

lot of patients can have pain with the stent or frequency of urination or urgency of urination bladder pressure kidney discomfort that sort of thing while the stent is in place other side

effects are minimal but can include any side effects from any surgery meaning the injury to

the kidney injury to the ureter injury to the bladder those risks are minimal these days with

the tiny instruments that we use but it's not impossible often times patients will have blood in

their urine either due to the procedure itself or if they have a stent in place it can cause blood in the urine other side effects include urinary symptoms such as burning or frequency of

urination urgency of York and urination so patients that have had kidney stones in the past

have a 50% chance of having another kidney stone in the next five years so they absolutely

have a higher risk as the over the general population anybody who has had more than one

kidney stone or has had a kidney stone done well on both sides of the kidneys or very young

 it's recommended having some sort of stone workup of some sort that usually includes some

blood work as well as collecting the urine for 24 hours to find out why they're making kidney

 stones or what predisposes them for making kit for potentially making kidney stones in the future. Next 6 Acupressure Points for Immediate Headache Relief

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