Come on, kidney calculi doesn't want surgery? Drink more water if you want to get rid of stones? Tell you five scientific methods of removing stones.

Come on, kidney calculi doesn't want surgery? Want to expel stones but only know how to drink more water? Too many patients go to the hospital? The attending urologist tells you five scientific ways to expel urinary calculi # Health Science Challenge #

At the time of outpatient service, a patient came and said painfully, "Oh, doctor, I have been taking medicine and drinking water for half a year and I haven't discharged it yet." I was there just now. " I asked him how to drink water, what medicine he took and how big his stones were. He said, "I drink three glasses of water every day, whenever I am thirsty. My family told me to rest more, so I basically did nothing every day. Medicine is to go to the drugstore to buy some anti-inflammatory drugs. I thought you wanted to take anti-inflammatory drugs. This stone is not that big. Is it 2 cm? " Hearing this, I was speechless. When I took a CT scan, I found something like a small sun standing tenaciously in the ureter (stones are the bright spot on CT), and the kidney has been obviously deformed. This kind of situation is absolutely unwilling for anyone to encounter. So how to arrange stones scientifically? Please read on.

In the last article, I have explained in detail which stones can be discharged by themselves (in my last article, not far, really not far). Then this paper will talk in detail about how to implement it in the end and how to make a scientific plan to improve the success rate of stone extraction. Dear readers, if necessary, please help yourself and take it away!

Five methods commonly used in clinic, three drugs+drinking water+reasonable exercise. What three medicines, how much water to drink and how to exercise? Please read on.

1. Drink water: The purpose of drinking water is to excrete stones and produce a lot of urine. Be sure to drink more. The recommended dosage is 2000-3000 ml per day. Take the usual 550ml mineral water, which is 4-6 bottles. But this is not absolute. If the weather is very hot and you sweat a lot, then drinking this water may not be enough. I'll tell you another standard, that is, every time urine is clear, clear is transparent, and yellow is invisible to the naked eye. Basically enough.

2. Non-steroidal anti-inflammatory drugs: These drugs can relieve pain, and also have a very important role, that is, they can relieve ureteral edema and promote the discharge of stones. The drug recommended by our urology guide is diclofenac sodium, which is sold in major pharmacies.

3. Tamsulosin: Tamsulosin hydrochloride is commonly used, which can relax the smooth muscle of the lower ureter and promote the discharge of stones. It should be mentioned here that the main indication of tamsulosin hydrochloride is to treat benign prostatic hyperplasia. The instructions do not say that tamsulosin hydrochloride has the effect of removing stones, but more and more studies suggest that tamsulosin hydrochloride has a clear effect of helping to remove stones. They are also sold in major pharmacies.

4. Chinese patent medicine: it is a traditional Chinese medicine preparation, and the common ones are "Jieshitong" and "Shenshitong". The main function of these drugs is to expel stones through diuresis. Generally speaking, they produce more urine and have spasmolytic and analgesic effects, but they have no litholytic effect.

5. Exercise: This kind of stone-removing exercise needs the least effort to achieve the maximum stone-removing effect. You can choose to jump stairs, and pay attention to jumping from top to bottom. You can also stand on tiptoe, fall hard and land on your heel. Its principle is to generate falling inertia to help discharge stones.

After introducing the specific scheme, it needs to be explained here that even if stones meet the conditions of self-discharge, even if the above scheme is strictly implemented, sometimes stones will not be discharged. Because there are two factors that we can't completely control. The first is the shape of a stone. Sometimes CT can not accurately reflect the shape of stones. If you encounter that kind of irregular stone, you may not be able to discharge it. Second, ureteral malformation and stricture. Some people's ureters are long, curved, wide and narrow, just touching a narrow ring, and the stones are stuck and cannot be discharged. This is also very common in clinic. Having said that, it is necessary to mention the time of self-discharging stones. Our guide said 1-2 months. However, those that cannot be discharged for more than 1 month can rarely be discharged by themselves in the following time, so I suggest that the time for stones to be discharged by themselves should not exceed 1 month. On the other hand, it is easy for stones to form an inflammatory mass in a certain part for too long, which is also very unfavorable for subsequent surgical treatment.

I hope this scientific and operable article can bring you some help.