Kidney stone is a discreet disease – you will only experience pain in one case

– One of the common claims is that kidney stones are heavily influenced by genetics and no matter what you consume and what you drink, if it is destined, it is destined.

– There is truth. It has been observed that if we operate on a person with lithiasis and give him treatment, and his family member already has lithiasis cases, the stone still recurs for him. Much research has been done and it is known that there are certain genes that are responsible for stone formation.

– How do kidney stones occur? Patients often associate low back pain with lithiasis. Is this the only characteristic symptom of lithiasis?

– Certainly, very often patients with back pain come to me and tell me that they have kidney pain. When I ask them if my kidneys really hurt, not my back, they all wonder. The kidneys do not have nerves, so they hurt especially rarely, only when the parenchyma is irritated. It is irritated only in 2 cases: when there is an acute inflammation of the kidneys and when small stones in the stone fall from the kidneys, fall into the urethra, block the flow of urine, urine accumulates in the kidneys, the kidneys swell , resulting in pain. But that pain is sudden and severe. Back discomfort, persistent pain, usually nerve pain. Many nerves pass between the ribs, which are quite sensitive. They can respond to a variety of stimuli. Kidney stones are painless. The puntukas can remain with us in the kidney: until the urine flows freely from the kidneys, we will not feel pain, more stones we will not feel.

– Basically, as long as it is in place and does not irritate anything, everything is fine. But as soon as you try to take another place, it can cause pain. And in fact, 9 out of 10 patients who have something that hurts something in the waist or kidneys hurts from back problems, not from internal organs. But how to prevent this disease? One of the claims is to drink a lot of water. It is also about drinking beer, because you often “wash” the toilet and all the stones.

– When a patient with a small kidney stone comes to see me and I see that we can remove the stone with medication, the fluids help to expel it. Fluid intake speeds up and strengthens kidney function. As a result, urine circulates in the kidneys and there are fewer conditions for stones to form. Very often I am asked how much liquid to drink. There are certain formulas on how the required water rate can be calculated. However, if human kidneys are healthy, they will remove all excess water. If the kidneys are not healthy, there is kidney failure, water intake should be restricted. I am 38 years old, I weigh about 70 kg, so I should drink about 2.5 liters of still water. In the case of beer, it is alcohol. Yes, we will force the kidneys to produce urine faster, but we will damage other organs. As a result, I would definitely not recommend treating stone disease with beer.

– Regarding prevention, you mentioned that you need to drink still water. Are acidity and alkalinity important? Because again, one of the claims is that you need to drink lemon water because the more acids, the more potential stones you will dissolve.

– Liquids are simply still water or unsweetened tea. All other liquids are already food. Coffee irritates the bladder very strongly, causing a very common urge to urinate. Carbonated beverages also irritate the urinary tract, so drinking carbonated beverages is definitely not recommended for patients who have kidney problems. A decrease in kidney function has been observed after use. To the extent that other fluids inhibit stone formation, several questions remain.

About 8 different types of stones can form in the body. What liquid or food to consume, we could really know only if we examine the stone, observe its chemical composition. Only then can I tell if milk, spinach and some liquid can be consumed. It is dangerous to consume a lot of water with lemon, since stones with a completely different composition can form. There are many examples of a person consuming an infinite amount of water with a lemon and forming stones.

– We used to have stones formed by aspirin, although it is a very acidic substance. For the same reason, milk should not be avoided as something is supposed to be formed from the calcium. But my question is: is it necessary to have a lithiasis attack, is it possible to do a urinalysis, identify salts and prescribe prevention?

– There is definitely no preventive treatment. The only prevention is fluid intake. If we have stones, they need to be surgically removed. Herbal preparations can help prevent only one type of stone.

– There is another popular way: you need to drink a lot of fluids and stand on the seat so that the seat is higher, then everything miraculously flows.

– I cannot argue, science says otherwise, but there are people with different experiences. We try to break the stones by turning the patient so that the head is down and the stone is more likely to fall. I always recommend that my patients drink as much fluids as possible, take pain relievers to avoid kidney cramps, lie down in a hot tub, and then urinate. Often even small pebbles fall off. That would be first aid. But if the pebble is larger, it simply cannot pass through a narrow urethra and it will not fall out.

– I can add a third way of the fast times: it is to sit in a very old car with almost no shock absorber and to drive on uneven roads. It’s a pretty drastic way, but a great way to throw rocks.

– Yes, there is truth. When we see that there is a small pebble in the patient’s ureter and it is right at the exit, we perform pulse therapy. We place the patient on a special base and there the vibration occurs. Of this mechanical vibration there are cases in which pebbles fall.

– So, in part, kidney stones are caused by genetics and we will not escape from nowhere, to know the recipe of what to eat and what to drink until the first attack, in principle, it is impossible, but in any case it helps rule. as before many illnesses: as much water as possible and as much physical activity as possible. Staying healthy.