Treatment will depend on the size and location of your kidney stones. Treatment may include one or more of the following:
Drinking at least 2-3 quarts of water per day can help to flush a small stone. You may need to pee into a special cup to catch the stone. Your doctor may want to test the stone to find out what type it is.
Pain medicine may help with discomfort until the stone passes. Other medicine can help pass the stone.
Surgery may be needed if the stones are:
Very large or growing larger
Causing bleeding or damage to the kidney
Blocking the flow of urine
Unable to pass
stent may be placed
for a short time. The stent will help to keep the passage open to allow the stone to pass. It will help if there is too much swelling in the path that the stone has to pass through.
A small tube is passed up into the tract to the stone. The doctor will pass tools through this tube to remove the stone.
This option may treat large stones that are in the kidney. The doctor will pass a
through a small cut in the lower back. The stones are then broken into smaller pieces and removed.
Lithotomy is an open surgery used to remove stones. The doctor will need a large incision. It is rarely used. Less invasive options have shorter recovery times.
Extracorporeal Shock Wave Lithotripsy (ESWL)
sends shock waves into the body. The impact of the shock waves breaks up the larger stones. The smaller pieces should be able to pass with urine.
Once you have had a kidney stone, you are more likely to have another. To help reduce the chances of another kidney stone:
Drink plenty of fluids, especially water.
Talk to your doctor about what diet is right for you. Depending on the type of stone you have, you may have to avoid certain food or drinks.
Depending on what type of stone you have, certain medications may be prescribed to keep stones from forming again.
Kidney stones. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/urologic-diseases/kidney-stones. Accessed March 8, 2018.
Kidney stones. Urology Care Foundation website. Available at: http://www.urologyhealth.org/urologic-conditions/kidney-stones?article=148. Updated March 8, 2018.
Urinary calculi. Merck Manual Professional Version website. Available at: https://www.merckmanuals.com/professional/genitourinary-disorders/urinary-calculi/urinary-calculi. Updated July 2016. Accessed March 8, 2018.
1/4/2011 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T114904/Nephrolithiasis: Mora B, Giorni E, Dobrovits M, et al. Transcutaneous electrical nerve stimulation: an effective treatment for pain caused by renal colic in emergency care. J Urol. 2006;175(5):1737-1741.
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