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daniyasiddiquiEditor’s Choice
Asked: 07/12/2025In: Health

What causes kidney stones and how to prevent/treat them.

kidney stones and how to prevent/trea ...

kidney-stonesnephrolithiasisrenal-healthstone-preventionstone-treatmenturology
  1. daniyasiddiqui
    daniyasiddiqui Editor’s Choice
    Added an answer on 07/12/2025 at 3:20 pm

    1. What Are Kidney Stones, Really? Kidney stones are hard, crystal-like deposits that form inside your kidneys when your urine becomes too concentrated with certain minerals and salts. Over time, these minerals stick together and harden into small “stones.” They can be: Small as a grain of sand. OrRead more

    1. What Are Kidney Stones, Really?

    Kidney stones are hard, crystal-like deposits that form inside your kidneys when your urine becomes too concentrated with certain minerals and salts. Over time, these minerals stick together and harden into small “stones.”

    They can be:

    • Small as a grain of sand.
    • Or about the size of a golf ball.

    The real problem starts when a stone moves from the kidney into the ureter (the narrow tube connecting the kidney to the bladder). That movement is what causes the severe pain kidney stones are famous for.

    2. Why Kidney Stones Hurt So Bad

    The ureter is:

    • Extremely narrow
    • Lined with sensitive nerves

    When a stone moves itself:

    • It scratches the walls.
    • Causes muscle spasms

    Creates intense, wave-like pain that can start in the back and shoot into the lower abdomen or groin

    Many describe the pain of a kidney stone to be worse than labor pains.

    3. Major Types of Kidney Stones

    Understanding the type helps in implementing an appropriate prevention strategy.

    1. Calcium Oxalate Stones (Most Common ~80%)

    • Caused by
    • High oxalate foods
    • Too little water
    • High salt intake

    Common oxalate-rich foods:

    • Spinach, beets, peanuts, chocolate, tea.

    2. Uric Acid Stones

    Caused by:

    • High consumption of red meat
    • Dehydration
    • Gout

    3. Struvite Stones

    Caused by:

    • Chronic urinary tract infections (UTIs)
    • More common in women

    4. Cystine Stones (Rare)

    Caused by:

    • Cystinuria is a genetic disorder.

    4. What Causes Kidney Stones?

    Kidney stones form when the balance between water, minerals, and waste in the urine is disturbed.

    The Most Common Triggers

    Not Drinking Enough Water

    • Concentrated urine = ideal conditions for a stone

    High Salt Intake

    • Salt increases calcium in the urine.

    Too Much Animal Protein

    • Increases uric acid and calcium levels

    High Oxalate Diet (With Insufficient Calcium

    Oxalate binds to calcium to make stones.

    Obesity

    • Alters the chemistry of the urine.

    Family History

    • Strong genetic link

    Gastrointestinal Disorders

    • IBS, Crohn’s disease, gastric bypass

    Certain Medications

    • High dosage of Vitamin C
    • Some antacids
    • Diuretics

    5. Common Symptoms of Kidney Stones

    You might feel:

    • Severe back or flank pain, sudden in onset
    • Pain radiating to the low abdomen or groin
    • Pain that comes in waves
    • Blood in the urine-pink, red, or brown
    • Frequent urination
    • Painful urination
    • Nausea and vomiting
    • Fever and chills-if there is an infection

    Red Flag Fever with pain is a medical emergency.

    6. Diagnosis of Renal Calculi

    Doctors usually employ:

    • CT scan-most sensitive
    • Ultrasound-common in pregnancy
    • Urine test to check for minerals and infection
    • Blood test for calcium, uric acid
    • Stone analysis (if passed in the urine)

    7. How Kidney Stones Are Treated

    Treatment depends on stone size, type, and symptoms.

    A. Spontaneous Passage (Small Stones < 5 mm)

    • Most small stones can pass naturally with
    • Large intake of fluids (3–4 litres/day)
    • Pain medicines
    • Muscle relaxants for the ureters, including tamsulosin
    • Time to pass: Some days up to a few weeks

    B. Medical & Surgical Treatments – Large Stones

    • ESWL (Shock Wave Therapy)
    • It works by shattering the stones with the sound waves into minute pieces.
    • Ureteroscopy
    • Laser breaks stones through a thin scope
    • PCNL- Percutaneous Nephrolithotomy
    • Surgical intervention for extremely large stones

    8. How to Avoid Kidney Stones: The Most Important Part

    Where real control does take place.

    1. Hydrate Yourself Sufficiently (Non-Negotiable)

    Target:

    • 2.5 to 3.5 liters/day
    • The urine shall be pale in color.
    • Add lemon water: Natural citrate can prevent stones.

    2. Reduce Intake of Salt

    Avoid:

    • Packaged foods
    • Chips, sauces
    • Fast food

    Excessive intake of salt forces kidneys to excrete more calcium through urine.

    3. Don’t Cut Calcium: Many find this surprising, but

    Low calcium → high oxalate absorption → more stones

    Get calcium from:

    • Milk, curd
    • Paneer
    • Natural foods – not supplements unless prescribed

    4. Limit, not avoid, high-oxalate foods

    Moderation is the keyword:

    • Spinach
    • Beets
    • Chocolate
    • Tea
    • Nuts

    Take them with calcium-containing foods to chelate the oxalate.

    5. Limit Animal Protein

    Limit:

    • Red meat
    • Organ meats
    • Excess Eggs

    They increase the uric acid and calcium levels.

    6. Maintain Healthy Weight

    • Obesity alters urine chemistry and doubles the risk of stones.

    7. Uric acid and gout management

    • Medical control is necessary if the patient has high uric acid levels.

    9. Can the Stones Recur?

    Yes. Unfortunately,

    50% of people get another stone within 5–10 years if no prevention steps are taken. Proper prevention can reduce recurrence by as much as 80%.

    10. The Emotional Reality of Kidney Stones

    People often underestimate:

    • The fear of sudden pain attacks
    • Anxiety about recurrence
    • The helplessness felt during severe episodes

    Once someone experiences a kidney stone, they rarely forget it. That’s why prevention is life-changing.

    Final Summary in Simple Words

    • Kidney stones form when urine becomes too concentrated with minerals
    • The most common causes are dehydration, high salt, high protein, and genetic risk
    • Small stones can pass naturally, but large ones may need surgery
    • Drinking enough water can prevent most kidney stones
    • Lifestyle corrections are far more powerful than medication alone
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