When a kidney stone comes out what to do and how to help the patient

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Kidney stones are a common disease in both men and women. If earlier the disease was typical for adults, now they become patients in adolescence or even adolescence.

How do stones come out? They can leave the kidneys on their own with unpleasant sensation or even severe pain, but sometimes they get stuck and clog the ducts. This interferes with the flow of urine, from which the entire body suffers.

In order to protect yourself from the occurrence of calculi or to provide assistance in time for the manifestation of the disease, it is worth knowing the causes and signs of stones, what to do when a stone comes out of the kidneys, and what methods of prevention exist.

The essence and causes of the disease

Nephrolithiasis – the formation of stones – is a disease that affects not only the kidneys, but also the whole body. The pathological process triggers a violation of protein processing and formation. This becomes the reason for the violation of urate metabolism.

The chain reaction leads to an increase in the concentration of uric acid in the blood. Such a failure is the basis for the formation of calculi, but other additional conditions are needed.

In order for kidney stones to appear, you need:

  • high levels of salts that precipitate in the urine,
  • a high level of colloids and protein substances that tend to stick together into calculi,
  • acidic urine.

Inflammatory diseases of the genitourinary system can become a trigger for the development of this pathology. The infection provokes the formation of a colloidal crystalline nucleus, to which other particles are attached.

This is how a conglomerate is formed, which can be transferred by the urinary tract to the bladder and to other organs, or the stone completely leaves the body.

Another reason why calculi appear in the kidneys may be a violation in the endocrine system. Special attention is paid to diseases of the parathyroid and thyroid glands.

Overfunction of these organs leads to increased amounts of calcium and phosphorus in the blood and urine. As a result, calcium salts are deposited in the renal parenchyma and diseases of the musculoskeletal system. In this case, calcium is washed out of the bones and enters the bloodstream.

Disorders of blood circulation in the kidneys or strictures of the renal tubules also lead to the appearance of protein compounds. Then their mineralization occurs, after which calculus is formed. Therefore, people with pyelonephritis and kidney failure often have nephrolithiasis.

Symptoms of moving stones

The fact that a kidney stone comes out is evidenced by characteristic signs that are worth knowing for self-diagnosis. Here are the symptoms that can describe the exit of formations:

  • sharp pain sensations,
  • temperature increase,
  • chills,
  • burning sensation
  • dizziness,
  • increased pressure,
  • nausea,
  • vomiting,
  • thick urine
  • sediment in the urine.

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The calculi can be in the form of fine sand and come out almost imperceptibly. But sometimes the stones are large enough (from 0,5 cm) with sharp edges.

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If they don’t move anywhere, then there will be no pain. When conglomerates leave the kidneys, they touch with their uneven edges and sharp angles the mucous walls of the ureters, bladder, urethra.

It is worth remembering that the exit process is provoked not only by special medications and other means. The reasons may be:

  • physical exercise,
  • lifting heavy objects,
  • a sharp change in body position.

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Among the first symptoms is pain in the kidney area. She can give to the thigh or groin. Difficulty occurs when urinating, since the stone makes it difficult for urine to pass through the canal, it can be accompanied by severe pain, and the number of urges increases.

When sand is removed from the kidneys, women and men will not show additional symptoms, as with stones. Then a high temperature rises, nausea and vomiting begins, and there may be loose stools.

How long do stones go out and do these symptoms last? They systematically appear and disappear. Sometimes calculi may not bother you for a long period, do not cause discomfort, if you do not expose the body to heavy loads.

When there is a feeling that the calculus is moving along the organs of the genitourinary system, as a result, you can notice that the outflow of urine decreases.

This situation can lead to acute renal failure. The color of the urine that came out may be reddish due to the release of blood from the organs damaged by the stone.

First aid

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If you are at home and feel a kidney stone start to come out, there are a number of procedures that can make this process easier. But before proceeding with them, you need to be sure that the cause of the pain was precisely the exit of the calculus.

The following actions can help the stone get out of the kidney:

  • The use of drugs that have an antispasmodic effect. It is worth taking the maximum allowable dose, which is indicated in the instructions. To achieve a quick result, you need to make an injection – so the medicines will quickly enter the bloodstream and relieve the spasm.
  • Sit in a hot tub for 20 minutes.
  • If you do not want or do not have the opportunity to take a bath, then there is another way that can warm up the kidneys – a hot heating pad. It must be placed or secured on the lower back.
  • After warming up, you should put on warm clothes. Especially you need to insulate the lower back.
  • Carefully perform bends, lie on your back and make a “bike”. This exercise will help your kidney stones get out.

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Diagnostic examination

Coming to the doctor, the patient talks about the symptoms that bother him when a kidney stone comes out, about how long the disease lasts. After that, the nephrologist gives a referral for the following laboratory and instrumental examinations:

  • General blood analysis.
  • Ultrasound of the kidneys and ureters – to identify and determine the size of soft stones.
  • X-ray diagnostics – to identify solid formations.
  • Computed tomography.
  • Excretory urography.
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After a complete examination of the patient, individual treatment is selected. The size of the stones, their number, shape, cause of occurrence, concomitant diseases are taken into account. Treatment can be both conservative (medication, diet) and surgical intervention.

Healing measures when leaving a stone

The main task in treatment is to relieve pain. Since the pain is unbearable, the patient’s condition must be improved. Another goal is to prevent inflammation. When a kidney stone came out, it could damage the membranes of other organs on its way.

When a kidney stone comes out, antispasmodic and analgesic drugs are used.

Such treatment is prescribed only with complete confidence in the cause of the pain. If it appeared due to colitis or appendicitis, then the drugs will distort the clinical picture. It will then be difficult for the doctor to determine the real disease for treatment.

Another additional method is the administration of diuretics. After this, the patient is asked to drink up to 2 liters of plain water and do simple physical exercises (squats, torso bends). Thus, formations are helped to come out if they are small. You need to urinate in a container, so that you can then take the calculus for analysis.

If conservative treatment has helped, and the stone has successfully left the kidney, then the patient is simply monitored further. Otherwise, surgical intervention is necessary. Indications for surgery:

  • large kidney stone,
  • sharp corners and uneven edges,
  • anuria,
  • renal insufficiency.

belki i ih funktsii - 25A diet is prescribed after the release of calculi. It depends on the structure of the stone that came out and was examined in the laboratory. The general diet is compiled by excluding the following foods:

  • meat in large quantities,
  • milk products,
  • sorrel.

Prevention

nastoika iz berezovih pochek - 27It is important to know about the predisposition of your body in order to carry out prevention and avoid recurrence of the disease.

To stop calculus from forming, you need to follow the instructions of the doctor, which he gave at the end of treatment. This also includes strict adherence to the diet.

An additional method is to cleanse the body with diuretic herbs:

  • bearberry leaves,
  • birch buds,
  • orthosiphon leaves.

You can also visit the mineral springs that are recommended for the treatment of nephrolithiasis. Thus, with the help of these simple procedures and actions, you can save yourself from unbearable pain when stones come out.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

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