Kidney Stones

Kidney Stone Symptoms and Treatments with St George Urology

If you think that you may have a kidney stone whether because of intense pain or other symptoms we invite you to pick up the phone and call St George Urology.

Kidney Stone Symptoms

Kidney stone symptoms may include the following:

  • Fluctuating pain in side and back, below the ribs
  • Radiating pain into the groin and low abdomen
  • Nausea or vomiting
  • Painful urination
  • Urine that can be pink, red, or brown
  • Cloudy, odorous urine
  • Persistent and frequent  urge to urinate that produces small amounts

The pain of kidney stones is extreme and sharp, and usually out of proportion with the problems the stones create, though they may cause infections or other complications if they get stuck in your urinary tract.

What are Kidney Stones?

Kidney stones are compounds that form in the urinary tract. The most common type of kidney stones, yes there are different kinds, are formed as a combination of calcium and either oxalate or phosphate. Other kinds of kidney stones include uric acid stones, struvite stones and cystine stones.

As these compounds pass through the urinary tract they can gather together and crystalize if sufficient quantities are allowed to accumulate. As they crystalize, these compounds form into sharp-edged lumps. Sometimes, these stones may sit in your kidney, causing few issues. Occasionally, however, a stone enters the ureter, a small tube between kidneys and bladder through which urine passes. As the stone moves along the tract it can cause sharp pain that’s typically rated with the worst pain most people experience.

Are you experiencing intense side pain or other kidney stone symptoms? Schedule an appointment today with St George Urology.

How Kidney Stones Form

Our bodies pull nutrients (vitamins, minerals, proteins, etc.) from the food and beverages that we consume. As our bodies break down the different substances, the needed nutrients are absorbed for sustenance, and all unneeded or unwanted substances are pushed down the line to be discarded either through the urinary tract or the intestines. We say “needed” nutrients because our bodies have a certain capacity for different nutrients and can only absorb so much in a given amount of time. Anything that either isn’t used or isn’t  usable becomes waste. 

All kidney stones are a result of a buildup of unwanted substances in the urinary tract, whether that is a mineral, an amino acid, or the result of a bacterial infection. Some develop faster than others. Some develop larger than others. They are as unique and individual as the bodies they grow in. However, no matter what type of kidney stone you have, if you are in pain or have other kidney stone symptoms it is important to take measures to remove the stone. While the damage they cause is generally minimal, they can cause other, dangerous problems if they remain lodged in the urinary tract.

Different Types of Kidney Stones:

There are four types of kidney stones: Calcium Stones (which have two different categories), Uric Acid Stones, Struvite Stones, and Cystine Stones.

Similar kidney stone symptoms of pain, dark urine, and so on are associated with all four kinds of stones, but the reason why they develop is slightly different. Identifying the type of kidney stone you have is a key factor in helping to prevent future stones from developing.

Certain hereditary conditions may form cystine stones due to high levels of amino acids excreted by the kidneys. These are by far the rarest type of kidney stones and often require specialized treatments since cystine does not dissolve or break easily, and is more resistant to standard stone treatments.

One of the nutrients that our bodies need, but has a harder time absorbing, is calcium. As unused calcium passes through the urinary tract it can combine with a couple of different elements to form into kidney stones. In most calcium related cases, the stone is grown from  a form of calcium called calcium oxalate—a combination of calcium and oxalate. Oxalate comes from certain fruits and vegetables like spinach, nuts and beans, but it is also manufactured in the liver. Factors that contribute to the development of calcium oxalate stones include low fluid intake, high oxalate intake, and certain medical conditions that naturally increase the risk of stones forming.

While less common, calcium can also combine with phosphate to form calcium phosphate crystal which can also grow and become a kidney stone. This is more likely if the patient suffers from a metabolic condition such as hyperparathyroidism of renal tubular acidosis.

If you are fond of red meat or poultry, and don’t drink a sufficient amount of water then you may have a uric acid stone in your future. Uric acid is a natural by-product that is created as the body breaks down purines, which are a chemical compound found in certain foods, like red meat. Alcoholic beverages also contain purines and have the added disadvantage that they make getting rid of the uric acid more difficult.
While having some uric acid in the body is natural, having copious amounts of it from dietary choices can prove harmful, particularly if you have gout or low levels of water in your body. The resulting effects on the body can include gout, a painful swelling of appendages and joints, and uric acid kidney stones.

Struvite stones are caused by infection in the kidneys or urinary tract. While rarer than calcium stones, they are considered more dangerous due to their tendency to grow faster and larger than other stones, which can cause additional pain and damage in the urinary tract. The increased growth of the stone is made possible by bacteria that produce the urease enzyme that breaks down urea in the urine. Urea is a naturally occuring and anti-bacterial waste product produced by the kidneys; however, when broken down by the urease enzyme it separates into ammonia and carbon dioxide which creates an alkaline environment. As the PH level of the urine lowers, an environment is created that promotes the formation of kidney stones.

Why should I treat my kidney stones?

While the pain and other kidney stone symptoms should be enough of a deterrent to motivate us to try to avoid having a kidney stone, there are other complications and problems that they can cause that are worth knowing about.

Urinary Tract Infections (UTIs)

If the kidney stone becomes lodged within the urinary tract it can create a space where a stagnant (none-flowing) pool of urine can collect within the body. This pool can become a breeding ground for bacteria, which can create an infection. Symptoms of a UTI include fever, chills, a burning sensation during or foul smell during urination, and the frequent need to urinate.

Hydronephrosis

If a kidney stone gets lodged in the ureter (the path between the kidney and the bladder) and blocks urine from being able to leave the kidney, then the kidney may swell painfully from the pressure. This can result in kidney damage which can reduce the ability of the kidney to perform its necessary duties. Symptoms include pain in the back and sides.

Ureteral Stricture

Kidney stones are sharp, hence the pain, and they can leave scarring around within the ureter which can cause the diameter of the ureter to shrink. This is known as a stricture, and increases the risk of other stones becoming lodged.

Pyelonephritis (Kidney Infection)

If infection from a UTI is able to travel backwards into the kidney itself it can result in kidney infection. Pyelonephritis is a very serious condition and should be treated as soon as possible with appropriate antibiotics. Symptoms include fever, chills, pain near the kidneys, nausea and vomiting.

Sepsis

Sepsis is a life threatening condition, and it can happen if the infection becomes very bad causing widespread inflammation. Organ failure, extreme pain, and death can happen if the body is allowed to become septic. Symptoms include high fever, rapid heart rate, confusion, and difficulty breathing.

How to Treat Kidney Stones

Getting relief for your kidney stone symptoms

Hydrate

Treatment for kidney stones often depends on the size of the stones and severity of the symptoms. Most small stones won’t need surgical attention. Regularly drinking lots of water helps to flush your urinary tract and, ideally, the kidney stones causing issues.

More severe stones may still be passed normally through your urinary system, but more aggressive pain management may be necessary as you wait. Once a stone fails to progress or other complications appear, surgical treatment becomes necessary.

Options for Kidney Stone Surgery

Laser Lithotripsy

There are a number of procedures available to treat kidney stones but at St George Urology we recommend Laser Lithotripsy. Besides being fun to say, laser lithotripsy has also proven to be an accurate, effective, and minimally invasive treatment for kidney stones. During the procedure, the urologists at St. George Urology use lasers to break up kidney stones into smaller pieces that can more easily pass through your system.

Key Benefits of Laser Lithotripsy

  • Laser Lithotripsy has proven to be effective in treatments involving larger stones or stones that resist other treatments like ESWL
  • Laser Lithotripsy uses a precision laser allowing for maximum efficiency in breaking the stone, and minimum damage to surrounding tissues.
  • Laser Lithotripsy is relatively painless and recovery time for most patients is within a couple of days.

Laser Lithotripsy vs ESWL

The other main treatment for kidney stones is Extracorporeal Shock Wave Lithotripsy, or ESWL is a treatment where shock waves are sent into the body externally. X Rays are used to target the stone, and the concussive force of the shockwave blasts it into smaller pieces which then pass from the body through urination. While it doesn’t require surgery, there are a few reasons why St George Urology prefers laser lithotripsy. 

  1. Precision
    With Laser Lithotripsy it is possible to specifically target the stone. ESWL, on the other hand, is less precise and is likely to affect surrounding tissue.
  2. Ease of operation
    With Laser Lithotripsy we can see the stone itself and easily know if more needs to be cut away to allow for it to pass through the urinary tract. With ESWL X Rays must be done between treatments to verify the size of the stone, and calculate if another treatment is necessary.
  3. Recovery
    With Laser Lithotripsy it is likely that there will be some discomfort in the urinary tract, which may include swelling and irritation while the body recovers from the surgery. With ESWL it is expected that the patient will experience pain in their recovery. Having a hard little stone blasted to pieces inside your body, along with the need to pass all the pieces, big and small, is known to be pretty painful.

The doctors of St. George Urology in St. George, Utah frequently chooses laser treatment to break up kidney stones for easy, pain-free passage. If you are having kidney stone symptoms, call the office or book an appointment online today.

Possible risk factors for kidney stones

Risk factors for kidney stones include diets high in protein, sodium, and sugar, chronic dehydration, and high body mass index. Gastric bypass surgery, inflammatory bowel disease, or chronic diarrhea may also create conditions that create increased risk of forming kidney stones. If you are experiencing kidney stone symptoms, it is recommended that you speak with your doctor.