What Are Your Treatment Options To Treat Your Kidney Stones?
Are you diagnosed with kidney stones (urolithiasis)?
Then do not worry; we have got you several options for Kidney stone treatment in Punjab.
Some of those treatments include medical therapy, percutaneous nephrolithotripsy (PCNL), extracorporeal shock wave, and ureteroscopy.
A Detailed Anatomy Of Urinary Tract
These are anatomy that the urinary tract includes:
- Kidney: They are two organs that basically filter extra water and waste from the blood.
- Ureters: They are the two tubes that bring urine from the kidney to the bladder.
- Bladder: They are the organ whose primary job is to collect urine.
- Urethra: It is a single tube through which urine passes from the bladder out of the body.
The Diagnosis For Kidney Stones
If the doctor notices symptoms that reflect kidney stones, they will perform imaging as the first step of evaluation. For many years the Urologist in Ludhiana conducted the standard care with abdominal X-ray, which is also known as intravenous pyelogram (IVP). Nowadays, we would notice computed tomography instead of this older method. CT scan is also known as unenhanced helical CT scanning. In many cases, such as when a person has a contrast dye allergy or impaired renal function, the doctor would use renal ultrasound as an alternative option.
Apart from that, you will also have blood tests, including one for renal function (creatinine, BUN). You would also have undergone some other blood tests. The doctor will obtain a urinalysis, and in case they suspect an infection, then they will send a urine culture.
Controlling The Pain Of Kidney Stones
In case you are experiencing extreme discomfort due to kidney stones (renal colic), then pain control is your top priority. According to an analysis of a random trial that the doctor gave to people with acute renal colic for the emergency department. It basically compared nonsteroidal anti-inflammatory drugs (NSAIDs, such as aspirin, ibuprofen, or naproxen), opioids, or paracetamol (similar to acetaminophen).
The study discovered that NSAIDs offered one of the best solutions for pain relief with very few side effects compared to paracetamol and opioids. The reason behind NSAIDs success was its direct inhibition of the synthesis of prostaglandins. This basically decreases pain receptors’ activation and reduces blood flow in renal and ureteral contraction.
Extracorporeal Shock Wave Lithotripsy
All shock wave lithotripsy machines help give the shock waves with the help of skin to stone in the kidney. The doctor delivers most of the energy but not all from the shock to the stone.
The most significant predictor of Extracorporeal Shock Wave Lithotripsy (ESWL) success is the size of the stone.
- Most of the time, stones are less than 10 mm in size, which they treat successfully.
- For stones that are 10 to 20 mm in size, you should consider additional factors, such as stone location and composition.
- And stones that are larger than 20 mm, the doctors can not successfully treat them with the help of ESWL.
Stones in the lower third of the kidney also tend to be troubling as the doctor does not clear the stone fragment after stone fragmentation.