▲If the patient finds kidney stones, they can carry it in a zipper bag for medical treatment, so as to facilitate the doctor's judgment.
(Photo provided by Zhang Junjie)
Text / Zhang Junjie
"Oh, it hurts to death, doctor! Can you help me to see if I have kidney stones?" A female patient who came to the outpatient clinic said that 3 days ago, she started to have sudden back pain in the left back and hematuria. Although she went to the pharmacy I took medicine, but the symptoms did not improve at all.
Thanks to the popularization of medical knowledge now, the public can make a preliminary diagnosis by themselves at the first time.
According to the National Health Insurance Administration, more than 200,000 people in Taiwan seek medical treatment for kidney stones every year.
Therefore, the number of people suffering from diseases far exceeds this number.
Please read on...
Kidney stones are caused by supersaturated urine crystallizing in the kidneys, which may be caused by problems such as physical fitness, living habits, and medication.
Generally, there are no special manifestations, but if the stone leaves the kidney and enters the ureter, typical symptoms such as mobile abdominal pain, lower back pain, hematuria, nausea, and vomiting may occur along with the falling position.
Later, it will even be accompanied by urinary tract infections such as fever, pyuria, and pyelonephritis.
The public can go to the nearby urology or nephrology outpatient clinic when they find it at the first time. The medical history and the blood test, urine test and imaging examination after the physical examination can help to confirm the diagnosis and rule out other possible differential diagnoses (such as appendicitis, diverticulitis, etc.).
If a fallen kidney stone is found (as shown in the picture), it can also be taken to the hospital for crystallographic analysis, which is more helpful to develop the direction of follow-up treatment and avoid stone recurrence.
Increase water intake and reduce salt intake
To prevent the formation of stones, studies have shown that if you drink more water and urinate more than 2000c.c. per day, the risk of stones will be greatly reduced (but patients with heart or kidney disease must discuss with their doctor).
Others include reducing salt intake, eating more fruits and vegetables, avoiding foods with high oxalate (such as spinach), losing weight, and controlling the three methods, which can also reduce the chance of stone formation.
The patient with unbearable low back pain was found to have kidney stones during a kidney ultrasound examination, which had been stuck in the ureter, resulting in mild renal edema. He was transferred to the urology department for lithotripsy treatment, and now there is no serious problem.
Finally, the excreted stones were sent for testing, and it was found that the source of the kidney stones turned out to be uric acid stones.
With continuous tracking and education, I believe that she will not suffer from this problem again in the future.
(The author is a nephrologist at Zhongli Changrong Hospital)
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