How to relieve the pain of kidney stones

Written by Zeng Zhong
Urology
Updated on September 05, 2024
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Kidney stones, if mobile within the kidney, can cause intense pain in the patient's lumbar and abdominal area, clinically referred to as renal colic. Patients often experience unbearable pain, heavy sweating, along with symptoms such as nausea and vomiting. In such cases, it is crucial to seek timely treatment at the hospital's urology department. Doctors will use medications to alleviate pain and spasm. If there is nausea and vomiting, antiemetic drugs will also be used to relieve symptoms. Once diagnosed with kidney stones, patients are advised to seek treatment at a hospital as soon as possible.

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Written by Wang Jian
Urology
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Is urethral calculus the same as kidney stones?

Urethral calculi and kidney stones are not the same concept. Urethral calculi refer to stones located in the urethra, while kidney stones are stones located within the kidney. The cause of urethral calculi is usually due to stones from the kidney or ureter becoming lodged in the urethra, which clinically often results in symptoms such as frequent urination, urgent urination, and difficulty urinating. Severe cases may lead to urinary retention. If kidney stones are small and smooth, they may not cause any symptoms. However, larger kidney stones can cause localized back pain, and if infected, may also lead to high fever. The treatment methods for kidney stones and urethral calculi are also different. Urethral calculi can generally be removed through surgery or endoscopic methods, while the treatment for kidney stones depends on the size and location of the stones.

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Written by Zeng Zhong
Urology
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What department should I go to for kidney stones?

Patients with kidney stones need to visit the urology department of their local hospital for standard examinations and treatments. Doctors will conduct an ultrasound and CT scan of the urinary system to determine the exact size of the stones. If the stones are relatively small, measuring less than 1.52 centimeters, they can be treated with extracorporeal shock wave lithotripsy. If the stones are larger, surgical treatment is necessary. Currently, the main method is a minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy. Patients generally need about 7-10 days post-operation before they can be discharged from the hospital.

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Written by Wu Ji
Nephrology
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How to treat polycystic kidney kidney stones

Patients with polycystic kidney disease who develop kidney stones should be treated the same as patients without polycystic kidney disease. It is encouraged for patients to drink more water. If the stones are symptomatic, treatments such as extracorporeal shock wave lithotripsy or percutaneous nephrolithotomy may be considered. The main principles of treatment include managing renal colic, promoting stone expulsion, dissolving stones, or surgical interventions, as well as preventing recurrence. During a renal colic episode, it is primarily recommended to administer antispasmodic analgesics. Commonly used medications include scopolamine butylbromide and atropine, or combinations of atropine with pethidine or morphine. Expulsion therapy mainly involves drinking plenty of water, proper physical activity, and the use of some antispasmodic drugs to help expel the stones. Surgical treatment is aimed at patients with anuria and post-renal acute renal failure, or in cases where the stone diameter is larger than one centimeter, or if the expulsion therapy is ineffective, especially if there are still episodes of renal colic. Systemic metabolic disorders are an important cause of kidney stone formation, thus even after stones are cleared, recurrence is possible. Therefore, to prevent recurrence, it is advisable to ensure a daily urine output of 2000 to 2500 milliliters, avoid drinking tea and coffee as much as possible, adjust dietary habits, and treat systemic metabolic abnormalities, such as hypercalcemia, hyperuricemia, and cystinuria, among others.

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Written by Wang Shuai
Urology
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What department should I go to for kidney stones?

Kidney stones are a urological condition requiring treatment at a hospital's urology department. Diagnosis involves imaging, such as ultrasound or CT scans, to determine the stone's exact size and location for appropriate treatment. If the stone is relatively small, with a diameter of six millimeters or less, referred to as a small stone, it generally does not require special treatment. Increased fluid intake, frequent urination, and exercise can help facilitate the expulsion of the stone. If the stone's diameter is between 0.7 and 1.5 centimeters, extracorporeal shock wave lithotripsy or ureteroscopy may be considered. For larger stones exceeding 1.5 centimeters, possibly accompanied by hydronephrosis, the recommended treatments are percutaneous nephrolithotomy or open surgery for stone removal.

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Written by Wang Shuai
Urology
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What department should I go to for kidney stones?

Kidney stones fall under the category of urological diseases. If one suffers from kidney stones, it is necessary to visit a hospital and register at the urology department. Examinations such as color ultrasound and CT scans are required to precisely determine the stone's location and size, and to check if it is accompanied by spinal infection or other conditions for appropriate treatment. If the stone within the kidney is comparatively small, such as about 5 millimeters, conservative treatment to facilitate stone expulsion is generally adopted. This can be achieved through increased water intake and frequent urination, physical exercise, in conjunction with medications like stone-expelling granules and solutions to promote the expulsion of the stone from the body. If the stone is larger and causes renal accumulation of fluid or even infection, it is necessary to first control the infection before proceeding with surgical intervention.