The legend of kidney calculi ~ 10 big problem about kidney calculi!

Kidney calculi is a common disease in human urinary system, and its prevalence rate is as high as 9.4% in kidney calculi, Taiwan Province Province. The most common age group is patients aged 30-60, and the ratio of male to female with kidney calculi is 3: 1, so men over 30 are at high risk. And many people can't tell the difference between low back pain and kidney calculi, or should kidney calculi see urology or nephrology? The following is a list of 10' s main questions about kidney calculi for public reference ~

1. How to distinguish low back pain from kidney calculi?

Some people have backache, and other relatives at home also have kidney calculi's problems, so they worry about their "backache" from time to time. How to distinguish low back pain from kidney calculi?

"Location" and "time" are the key! General neuromuscular pain in the back is usually caused by excessive use of muscles. The pain will be located in the lower back, and the pain point is shallow. It may be particularly painful in a fixed posture, and the pain will increase with time; Kidney calculi's sore spot is his waist and ribs. If the stone gets stuck in the ureter, the pain may extend to the groin, male testicles or female, usually with sudden and severe pain, followed by hematuria, fever or urinary tract infection. In addition, symptoms such as gastrointestinal discomfort, nausea, vomiting, diarrhea and constipation may occur.

2. Does kidney calculi want to be a nephrologist or a urologist? The sudden onset of kidney calculi will make people unable to hang up the emergency department because of severe pain, and the general public may have doubts about whether kidney calculi should hang up nephrology or urology.

There is not much difference between nephrology and urology in the diagnosis of stones. Generally, patients will be given a preliminary urine examination: analysis of urethral inflammation or hematuria; Abdominal X-ray examination: to see if there are stones and the location of stones; When the first two items cannot be diagnosed for the first time, renal ultrasound and intravenous pyelography are further supplementary diagnoses. The treatment and treatment of stones are carried out by urologists.

3. Will kidney calculi be inherited?

Kidney calculi can't inherit. However, if the family members who live together have kidney calculi, it may be a common eating habit, causing stones; People with a specific family history are more likely to suffer from stones. For example: gout, homocysteine, xanthuria, renal tubular acidosis, primary oxalate deposition, etc. In addition, repeated urinary tract infections will make urine alkaline and easy to precipitate, increasing the risk of stones. You'd better drink more water and don't hold your urine.

4. the problem of "waist" will only appear when you are old?

The high-risk groups in kidney calculi are men aged 30-50. Scholars speculate that androgen will increase liver metabolism and lead to the production of oxalic acid, thus making men more susceptible to kidney calculi's disease, but the exact pathological mechanism needs to be ascertained. In addition, according to statistics, people with high income, high position and long office hours are more likely to suffer from stones, probably because of poor eating habits, more entertainment and less exercise.

5. Can eating calcium lead to stones?

During the interview, kidney calculi said that he couldn't eat tofu and drink milk, and he was worried about supplementing calcium to avoid osteoporosis, but he got stones?

The cause of stones is not just calcium. However, if there is insufficient calcium in the body, in order to achieve electrolyte balance, calcium will be released from the bones into the blood. Once the blood calcium concentration increases, the calcium in urine will also increase, thus increasing the chance of stones. If people take calcium supplements, they may increase urine calcium in the first 3 months because blood calcium increases. They only need to drink more water or take diuretics according to the doctor's instructions during this period to prevent hypercalcemia.

6. Spinach+Tofu = kidney calculi?

Another legend that has been circulating for many years is that eating spinach and tofu together will cause calcium oxalate stones; Spinach is misunderstood because it contains a lot of oxalic acid and tofu contains calcium.

Digestion will make spinach tofu soup release calcium oxalate in the small intestine, but the calcium oxalate in the gastrointestinal tract will form feces with other food residues, which will be discharged from the human body and will no longer be absorbed. If the intake of oxalic acid in food is excessively restricted, the absorption of calcium will be increased. In addition, a few patients with calcium oxalate stones will need strict restrictions, because eating foods with high oxalic acid content will affect the oxalic acid concentration in urine, such as spinach, strawberries, chocolate, wheat bran, tea and other foods that will increase the oxalic acid content in urine.

7. Eating too much vitamin C may lead to kidney calculi? Because vitamin C will produce oxalic acid after metabolism in the body, some people worry that eating vitamin C will increase the occurrence of stones. However, research journals point out that a large amount of vitamin C will not increase the chance of calcium oxalate stones, because less than 65,438+00% of the vitamin C ingested by the human body will be absorbed by the body. Even when treating patients with infectious stones, doctors will use vitamin C to neutralize alkaline urine. But it doesn't mean that eating vitamin C without restraint and taking food and nutrition in a balanced way are king.

8. Can drinking beer prevent stones? It is reported that drinking beer can reduce the risk of kidney calculi. But in fact, only alcohol and water in beer have diuretic effect, which helps to urinate. The diuretic effect of alcohol is only short-term, but if you drink it often, it will cause continuous urination, but it will make water loss faster. In addition, in patients with gout, alcohol will promote the formation of uric acid, while people with liver and kidney dysfunction and gastrointestinal ulcers should avoid it.

9. Can fossil grass "transform kidney calculi" by eating fossil drugs? Fossil medicine and fossil grass did not appear in Jin Yong's novels, but they are really sold in the market or abroad, and some people really feel that the stone is gone after eating fossil medicine, so they eat well and tease each other! However, the effect of fossil medicine is actually similar to that of Bazheng Powder and Shiwei Powder used in Chinese medicine. Help the human body to diuretic or relieve inflammation and pain, and do not melt calcium-containing stones. Otherwise, the calcium-containing bones on the body will melt together like cotton palms that turn into bones.

The medicine prescribed by the doctor has no effect of dissolving stones, and is usually a smooth muscle relaxant to relieve pain. The commonly used treatment is still to expel small stones with diuretics, ultrasound or surgery, and to crush or remove stones.

10. How much water should I drink to prevent stones? Drinking plenty of water is not only the best way to prevent stones, but also can promote metabolism and help eliminate waste in the body. However, because everyone's daily urine volume is different, it is recommended to consume at least 2000㏄ of water every day. In addition, in terms of diet, it is suggested that kidney calculi patients should take all major foods and nutrients in a balanced way and adopt a low-oil, low-sugar and low-salt diet. Exercise is also a good way to prevent stones, and can even promote the excretion of stones.

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