How can kidney stones be prevented?

Written in association with: Mr Arun Jain
Published: | Updated: 28/10/2024
Edited by: Conor Lynch

Kidney stones are hard mineral and salt deposits that form in the kidneys. They can range in size from tiny grains to larger, pebble-like stones and often develop when urine becomes concentrated, allowing the minerals to crystallise and stick together. Although anyone can develop kidney stones, certain factors such as genetics, diet, and dehydration can increase the risk.

 

The most common types of kidney stones are calcium stones, formed from calcium oxalate or calcium phosphate. Uric acid stones can develop in people who have a high protein intake or conditions like gout. Less common stones include struvite, often linked to urinary tract infections, and cystine stones, which result from a hereditary disorder.

Symptoms

Symptoms of kidney stones vary depending on the size and location of the stone. A small stone may pass through the urinary tract without causing noticeable discomfort. However, larger stones can cause severe pain, typically in the back or side, radiating to the lower abdomen and groin.

 

This intense pain is often referred to as "renal colic" and may come in waves. Other symptoms include blood in the urine, cloudy or foul-smelling urine, frequent urges to urinate, nausea, vomiting, and fever or chills if an infection is present.

 

Diagnosis

Diagnosing kidney stones typically involves imaging tests such as ultrasound or CT scans, which help locate the stone and assess its size. Blood and urine tests may also be used to determine the underlying cause, such as high levels of calcium or uric acid in the body.

 

Treatment

Treatment for kidney stones depends on the size, type, and severity of symptoms. Small stones may pass naturally with the help of increased fluid intake and pain management.

 

In more severe cases, medical intervention may be necessary. Extracorporeal shock wave lithotripsy (ESWL) uses sound waves to break up stones, while ureteroscopy involves using a thin scope to remove or break up stones in the ureter. For larger or more complex stones, surgery may be required.

 

Prevention

Preventing kidney stones involves drinking plenty of fluids, maintaining a balanced diet low in sodium and oxalate-rich foods, and sometimes taking medications prescribed by a healthcare provider to manage underlying conditions that increase stone formation risk.

By Mr Arun Jain
Urology

Mr Arun Jain is a highly experienced consultant urological surgeon based in Rochdale, Greater Manchester. He specialises in management of benign prostate disorders (BPH), urinary tract infections (UTIs), urinary stones, scrotal swellings, and prostate, kidney and bladder cancer. Mr Jain has surgical expertise in Rezum procedure for prostate enlargement, cystoscopic procedures, laser treatment of stones, robotic kidney surgery and bladder cancer resection. Mr Jain brings a wealth of expertise to his practice, ensuring comprehensive care for his patients.
 
Mr Jain graduated with an MBBS from the University of Delhi in 1990, followed by an MS in general surgery in 1994 and FRCS in 1999. He further advanced his academic credentials with an MPhil from the University of Bradford in 2007. He is on the GMC Specialist Register for urology surgery. His general surgery training in India, followed by urology and laparoscopic surgery training in the United Kingdom, gives him a robust foundation and equips him superbly to practice in general and specialist urological surgery.
 
Mr Jain's career includes a significant tenure as clinical director of urology at Pennine Acute Hospitals NHS Trust (now part of Northern Care Alliance Foundation NHS Trust) from 2011 to 2018. He also served as an associate director of medical education at Pennine Acute Trust. His leadership in this role highlights his dedication to advancing urological services, education and patient centred care.
 
Mr Jain is an active member of several prestigious medical organisations, including the British Association of Urological Surgeons, the Royal College of Physicians & Surgeons of Glasgow, and the British Medical Association. He is also a recipient of EUSP Fellowship awarded by European Board of Urology. He has number of publications in International Journals Including ‘European Urology’, ‘Clinical Oncology’ , ‘Journal of Endourology’ and ‘Urology’. He served on a panel of reviewers for urology periodical ‘Urology News’. He has presented at annual meetings of various prestigious professional International organisations including National Cancer Research Institute, European Association of Urology and British Association of Urological Surgeons.

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