Causes of Kidney Stones

Written by Hu Lin
Nephrology
Updated on January 01, 2025
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The causes of kidney stone formation include the following: One reason is the increased amount of stone-forming components in the urine. Various factors that cause an increase in the concentration of salts, uric acid, oxalates, and cystine in the urine can exceed their solubility. This results in the precipitation and crystallization from the urine, which further grows into stones. For example, hyperuricemia can lead to an increased excretion of urinary uric acid, making it easy to form urate stones. Secondly, the reduction in urine substances that inhibit stone formation, including decreases in citrate and magnesium, can promote stone formation. Third, urinary tract obstruction and infection can lead to stone formation. In cases of urinary tract obstruction and poor urine flow, small crystals formed in the urine can easily adhere to the epithelial cells of the urinary tract, becoming the nucleus of the stone. Urinary tract obstruction may also lead to urinary tract infections where bacteria, pus, and damaged, necrotic epithelial cells can also form the core of stones and gradually develop into larger stones. Fourth, diet and hydration play significant roles. Long-term, high intake of high-protein, high-sodium, high-sugar foods can cause increased excretion of urinary calcium and uric acid, while reducing citrate levels, thus promoting stone formation. A decrease in water intake can also cause urine concentration, further promoting stone formation. Fifth, environmental factors and genetic factors are considered to be related to the formation of kidney stones. It is believed that the hardness of water and genetic factors also have certain relationships with kidney stone formation.

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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.

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Written by Zeng Zhong
Urology
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How to check for kidney stones?

For kidney stone examination, it is necessary to conduct an ultrasonography of the urinary system. Patients can go to the urology department of their local hospital for a formal examination. The ultrasound of the urinary system primarily looks at the size of the kidney stones and whether there is any water accumulation in the kidneys. Based on the results of the examination, an appropriate treatment plan can be formulated. For example, smaller kidney stones can be treated with extracorporeal shock wave lithotripsy, while larger kidney stones may require minimally invasive surgery.

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Written by Zeng Zhong
Urology
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Can people with kidney stones eat pineapple?

Patients with kidney stones can eat pineapple, as well as seasonal vegetables and fruits, as these have no impact on kidney stones. However, patients should avoid spicy and stimulating foods, and refrain from drinking alcohol. Treatment plans for kidney stones should be based on their size. It is advisable to first visit a hospital for urinary system ultrasonography and CT scans to assess the size of the stones. Smaller kidney stones may be treated with extracorporeal shock wave lithotripsy, while larger stones may require surgical intervention.

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home-news-image
Written by Hu Lin
Nephrology
2min 5sec home-news-image

Causes of Kidney Stones

The causes of kidney stone formation include the following: One reason is the increased amount of stone-forming components in the urine. Various factors that cause an increase in the concentration of salts, uric acid, oxalates, and cystine in the urine can exceed their solubility. This results in the precipitation and crystallization from the urine, which further grows into stones. For example, hyperuricemia can lead to an increased excretion of urinary uric acid, making it easy to form urate stones. Secondly, the reduction in urine substances that inhibit stone formation, including decreases in citrate and magnesium, can promote stone formation. Third, urinary tract obstruction and infection can lead to stone formation. In cases of urinary tract obstruction and poor urine flow, small crystals formed in the urine can easily adhere to the epithelial cells of the urinary tract, becoming the nucleus of the stone. Urinary tract obstruction may also lead to urinary tract infections where bacteria, pus, and damaged, necrotic epithelial cells can also form the core of stones and gradually develop into larger stones. Fourth, diet and hydration play significant roles. Long-term, high intake of high-protein, high-sodium, high-sugar foods can cause increased excretion of urinary calcium and uric acid, while reducing citrate levels, thus promoting stone formation. A decrease in water intake can also cause urine concentration, further promoting stone formation. Fifth, environmental factors and genetic factors are considered to be related to the formation of kidney stones. It is believed that the hardness of water and genetic factors also have certain relationships with kidney stone formation.

doctor image
home-news-image
Written by Zeng Zhong
Urology
34sec home-news-image

Do kidney stones hurt?

Whether kidney stones cause pain depends on whether the stones are moving within the kidney. If the stones are relatively large, they generally do not move within the kidney, and the patient will not feel pain. However, when the stones cause hydronephrosis (accumulation of water in the kidney), the patient may occasionally feel a slight swelling and discomfort in the lower back. If the kidney stones are small, they are likely to move within the kidney, which can lead to severe lower back pain, clinically known as renal colic. This pain is quite severe, and it is necessary to go to the hospital for timely treatment.