Is it normal to have blood in urine with bladder stones?

Written by Zeng Zhong
Urology
Updated on September 01, 2024
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Patients with bladder stones may experience frequent urination, painful urination, and even hematuria. These all belong to the symptoms of bladder stones, therefore, it is normal for bladder stones to cause blood in urine. The main treatment for patients with bladder stones is based on the size of the stones. For smaller bladder stones, extracorporeal shock wave lithotripsy can be used for treatment. After treatment, patients should drink plenty of water and urinate frequently at home to facilitate the expulsion of the stones, and then return to the hospital for a follow-up. For larger bladder stones, surgery is required for treatment.

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Written by Zou De Bo
Urology
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Clinical manifestations of bladder stones

Generally speaking, a typical clinical manifestation of bladder stones is the sudden interruption of urination. That is, the patient may start to urinate normally, but then suddenly becomes unable to urinate midway through. Urination can resume once the patient changes position. Therefore, this sudden interruption of urination is a classic symptom of bladder stones. Of course, bladder stones can also cause other urinary tract irritation symptoms, such as frequent urination, urgency, pain during urination, and hematuria (blood in urine).

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Urology
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Diet for Patients with Bladder Stones

The components of bladder stones are mostly calcium oxalate stones. Dietary precautions include: First, drink more water to increase urine output, promote the expulsion of stones, and prevent further enlargement of the stones. Second, you can drink water with lemon slices to increase the citric acid content in the urine, inhibit the formation of stones, and prevent recurrence. Third, you can consume oranges and other citrus fruits to alkalinize the urine and prevent the stones from growing larger. Fourth, it is recommended to maintain a balanced diet to keep the concentration of various substances in the body stable and in proper proportion, avoiding an increase in the concentration of certain stone-forming substances in the urine.

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Is minimally invasive surgery for bladder stones painful?

Minimally invasive surgery for bladder stones is primarily performed through the urethra, using a laser lithotripsy technique. During the surgery, anesthesia is administered, so the patient does not feel any pain. After the surgery, once the anesthesia has metabolized, the patient generally does not experience intense pain. Since the minimally invasive surgery does not involve any abdominal incisions, the patient only needs a catheter to help with urination, which generally does not cause pain.

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Urology
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How to effectively treat bladder stones?

The treatment of bladder stones should be based on the specific size and volume of the stones in the patient. For bladder stones smaller than 1.5 centimeters, extracorporeal shock wave lithotripsy can be used. After the treatment, the patient should drink plenty of water and urinate frequently at home to facilitate the expulsion of the stones. One week later, the patient should return to the hospital for a follow-up ultrasound to observe the condition of the stone expulsion. For bladder stones larger than 1.5 centimeters, surgery is often required.

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Written by Zeng Zhong
Urology
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Can bladder stones be crushed?

Whether bladder stones can be treated with lithotripsy depends on their size. If the stone is relatively small, less than 1.5 cm, it can be treated with extracorporeal shock wave lithotripsy. For larger stones, the effectiveness of extracorporeal shock wave lithotripsy is often not very good, and surgical treatment is required, generally for stones larger than 1.5 cm. Currently, the surgical approach involves a minimally invasive procedure using ureteroscopy with holmium laser lithotripsy, and the typical hospital stay is usually less than a week.