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Kidney stones in the urinary tract (urinary calculus) is hard like a rock mass that formed along the urinary tract and can cause pain, bleeding, urinary flow obstruction or infection. This rock can be formed in the kidney (kidney stones) as well as in the bladder (bladder stones). The process of formation of this stone is called urolithiasis (litiasis left, nefrolitiasis).
Symptoms
Stone, especially small ones, could not cause symptoms. A stone in the bladder can cause pain in the lower abdomen. The stone that clog the left ureter, pelvis or tubules left could cause back pain or left colic (pain of colic is superb). The left colic is characterized by great pain gone-arise, usually in the area between the ribs and loin, which propagates into the abdomen, pubic area and the inner thighs. Other symptoms are nausea and vomiting, stomach distended, fever, chills and blood in the water is. Sufferers may be frequent urination, particularly when the stone passes through the ureter. The stone can cause urinary tract infections. If the urinary flow, clog the stones bacteria gets caught in the water accumulated on the urinary blockage, so there was an infection. If this blockage lasts a long time, the water will flow back to the urinary tract in the kidneys, causing emphasis that will inflate the kidneys (hydronephrosis) and ultimately renal damage may occur.
Although kidney stones are not necessarily there are any symptoms, though the stone is great. Kidney stones are not causing urinary disturbances or without infection, usually do not cause any symptoms. While the presence of urinary disturbances would not necessarily have his kidney stones, because it could have been caused by an enlarged prostate at age above 50 years of age or the presence of a narrowing of the urinary tract, chronic infection is not caused by a kidney stone at any age. A large Kidney stone (can be up to 10 centimeters), if it has small channels or pores that are enough to drain the urine will not cause urinary disturbances. Preferably, if you have 40 year old done lower abdominal ULTRASOUND examination every 5 years, while the 50 year old if it is supposed to do this examination to detect the presence of an enlarged prostate at the same time, so do not wait until there is a urinary disturbances first.
Treatment
A small stone that does not cause symptoms, blockage or infection does not usually need to be treated. Drink plenty of fluids will increase urinary water formation and help throw some stones; If the stone has been wasted, it is no longer necessary to do the treatment immediately. The left colic can be reduced with the narcotic pain reliever medication. Stone in the left pelvis or ureter top part measuring 1 centimeter or less can often be solved by ultrasonic waves (extracorporeal shock wave lithotripsy, ESWL). The next stone fractions will be discarded in the urinary water. Sometimes a stone is lifted through a small incision in the skin (percutaneous nephrolithotomy, nefrolitotomi perkutaneus), which is followed by ultrasonic treatment. Small stones in the lower part of the ureter can be removed by endoscope that is inserted through the urethra and into the bladder. Uric acid stones are sometimes dissolves gradually in an atmosphere of a urinary alkaline water (e.g. by giving potassium citrate), but not other stones can be overcome in this way. Uric acid stones are larger, causing blockage, need to be removed through surgery. The presence of rock struvit indicate the occurrence of urinary tract infections. And drink Obat Batu Ginjal for alternate treatment kidney sotnes.
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