Renal Calculi

Acute

What is Renal Calculi?

Renal calculi, also known as kidney stones, are small, hard mineral deposits that form in the kidneys

Symptoms

Common symptoms of renal calculi include:
  • Severe pain in the side or back, below the ribs
  • Painful urination
  • Frequent urination
  • Urgent need to urinate
  • Blood in urine
  • Nausea and vomiting

Complaints

Patients with renal calculi may complain of:
  • Intermittent pain or discomfort
  • Painful urination
  • Frequent urination
  • Urgent need to urinate
  • Abdominal pain or discomfort

Causes

Renal calculi can be caused by:
  • Dehydration
  • Diet (high intake of oxalate, calcium, or uric acid)
  • Family history of kidney stones
  • Certain medical conditions (e.g., kidney disease, gout)
  • Medications (e.g., diuretics)

Risk Factors

Certain individuals are more susceptible to renal calculi, including:
  • Men
  • Individuals with family history of kidney stones
  • People with certain medical conditions (e.g., kidney disease, gout)
  • Those who are dehydrated or have a diet high in oxalate or calcium

Prevention

While prevention is not always possible, maintaining a healthy lifestyle can reduce the risk:
  • Drinking plenty of water
  • Eating a balanced diet
  • Avoiding certain foods (e.g., high-oxalate foods)
  • Managing underlying medical conditions

Diagnosis

Diagnosis typically involves:
  • Imaging studies (e.g., CT scan, ultrasound)
  • Urinalysis (urine test)
  • Medical history and physical examination

Treatment

Treatment options depend on the size and location of the stone:
  • Pain management (e.g., medication)
  • Hydration and fluid intake
  • Medical expulsion therapy (e.g., alpha-blockers)
  • Surgery (e.g., shock wave lithotripsy, ureteroscopy)
  • Percutaneous nephrolithotomy (PCNL) for larger stones

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