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Ureteral Stones Treatment
If you have kidney or ureteral stones, your treatment will depend on how large the stones are, how extreme your symptoms are , the type of stones and the cause of the stones . Most kidney stones can be managed with fluid intake and pain relievers. Some will require medication to help pass the stones quickly and with much less pain. Most people who have stones will no longer require surgical operation or clinical procedures to remove or destroy the stones.
Treating small stones with mild symptoms
To treat small stones that aren't inflicting you too much difficulty, your doctor may recommend the following:
- Drinking water - It is important to drink plenty of fluids when you have kidney or ureteral stones. Most doctors advise about 2 to 3 liters of water per day (one half to two-thirds of a gallon). This is meant to flush your urinary tract system. Talk with your doctor about how a great deal fluid you should be drinking and whether or not any of that fluid can be in a form other than simple water.
- Taking pain relievers - Because passing even small stones can cause pain, your doctor may advise over-the-counter pain relievers, such as acetaminophen (Tylenol), ibuprofen (Motrin, Advil) or naproxen sodium (Aleve) to assist you control the pain and discomfort.
- Taking medications to assist you omit the stones - Your doctor may advise a medication known as an alpha blocker to help you pass your kidney stones. It helps relax the muscles in your ureter, which should decrease pain and help you bypass the stone more quickly.
Treating larger stones or stones with more severe symptoms or dangers of complications
If you have large stones or severe symptoms, or the type of stone places you at higher risk for complications, you may also want to have a medical or surgical procedure. Those processes include:
SHOCK WAVE LITHOTRIPSY (SWL)
This procedure, also known as extracorporeal shock wave lithotripsy or ESWL, uses a machine called a lithotripter to break up stones. The machine delivers ultrasonic waves through the skin to the stones in order to destroy them up. The sound waves create vibrations strong enough to shatter stones into pieces that are small sufficient to be passed through the urinary tract. The process can be quite uncomfortable. Some people describe it as feeling like they are being kicked or punched. However, your doctor can provide sedation or anesthesia to help you manage the pain. SWL isn't gorgeous for all kidney stones. If you are fascinated in this kind of cure to manipulate your kidney stones, discuss with your health practitioner to discover out whether or not it is proper for you.
PERCUTANEOUS NEPHROLITHOTOMY (PNL)
This is a surgery to remove large kidney stones. It is done under general anesthesia in the hospital. Nephrolithotomy, also known as endoscopic removal of kidney stones, is finished the use of a tiny, lighted telescope and instruments that are inserted through an incision on your back. If you have this surgery, you will be given common anesthesia during the procedure, and you will remain in the hospital for one or two days. Nephrolithotomy is normally reserved for very large stones or for people who had unsuccessful shock wave lithotripsy (SWL).
This procedure makes use of a ureteroscope (a thin tube with a light on it) to discover a stone in the kidney or ureter. During the procedure, the surgeon will insert the ureteroscope into your urethra and through the urinary tract until the stone is located. Once the surgeon can see your stone, he or she can use a device to both grab the stone and remove it or to break it into tiny portions you will be able to pass when you urinate. Sometimes surgeons will place a stent into the ureter, which is meant to motivate recovery and assist relieve swelling. Ureteroscopy can be done under general anesthesia or using neighborhood anesthesia. If you are going to have this procedure, your doctor will speak with you about the great anesthesia choice for you.
SURGERY TO REMOVE PARATHYROID TUMORS
Some kidney stones are caused by a situation referred to as hyperparathyroidism, which is overactive parathyroid glands. The parathyroid glands produce parathyroid hormone, but when they produce too much, calcium levels in the body can increase. When you have too much calcium in your body, kidney stones can also form. Sometimes, hyperparathyroidism is caused by small, non-cancerous tumors that form on the parathyroid glands. These tumors frequently lead to an overproduction of parathyroid hormone. In this case, removing the tumor from the gland need to stop overproduction of the hormones and in turn reduce calcium levels in the body.
If you have any signs or symptoms of kidney or ureteral stones , contact your doctor to set up an appointment to discuss your treatment options.