Urolithiasis (urinary stones, mainly refers to kidney stones and ureteral stones) patients, there are often such a scenario: Patient A is in pain, restlessness, sweating like rain, but after the consultation is to take medication, hanging on the end of the injection. Patient B looks as usual, only physical examination found that there is a stone in the kidney to consult, but the doctor recommended hospitalization for surgery to remove the stone. The patient’s family members are often puzzled, but urinary stones are so, the pain does not necessarily mean that the condition is serious, and the pain does not necessarily mean that the condition is light. Not the more pain the heavier the degree of back pain caused by urolithiasis is mainly related to the size of the stone and the location of the stone. If the stone rubs against the peristaltic ureteral mucosa, irritatingly causing ureteral spasm, the patient will feel back pain. When the stone is located in the peristaltic ureteropelvic junction, or in the whole ureter, it can be small enough to cause severe back pain, which is described by the doctor as “colicky”. Since it is highly unlikely that both kidney stones will fall into the ureter at the same time, clinical low back pain due to stones is usually unilateral and may be accompanied by radiating pain to the lower abdomen on the same side, frequent urination, and nausea when in pain. Patients who have experienced this kind of pain will say “unforgettable”, because the pain of the sharp is incomparable to other back pain. The renal pelvis and calyces do not peristalsis, if these parts of the stone, even if the stone is relatively large, but will not cause colic (often found in the physical examination). Even in the case of severe hydronephrosis, the pain is only mild in the lower back on the same side of the body. Urinary stone treatment priority Urinary stones, the most painful may not be the most serious, but the most urgent; and the most serious, although not urgent is the need for the most careful. Ureteral small stones take medication to remove stones Small stones caused by colic, is an emergency, naturally, should be dealt with immediately, but the method is relatively simple. For small stones (less than 4mm in diameter), most of them can be discharged with Chinese medicine. The main steps of the treatment are taking medicine, drinking water, activity, increasing urine output, promoting ureteral peristalsis, and pushing the stone downward until it is discharged. In the process of lithotripsy treatment, the stone downstream friction ureter, also often appear the phenomenon of colic, is the performance of lithotripsy treatment is effective. If the pain is severe and intolerable, infusion of antispasmodic pain relief. Emergency extracorporeal shock wave lithotripsy can also provide immediate pain relief and is more conducive to stone removal. Larger ureteral stones are best treated with extracorporeal shock wave and Chinese herbal medicine. Long stayed stone can not stay The stone stays too long, it is generally believed that stays in one place for more than 3 months, the stone and the ureter often produce inflammation adhesion, and even by the granulation tissue package. At this point, extracorporeal lithotripsy is often ineffective. It is better to take more aggressive treatment measures, such as minimally invasive laparoscopic or even open surgery to remove the stone. Painless kidney stones should also be crushed to remove stones Larger kidney stones, even if they are not painful, should be actively dealt with, otherwise the formation of obstruction, hydronephrosis, it will damage kidney function. It is extremely unlikely that kidney stones can be treated with traditional Chinese medicine (TCM) to achieve lithotripsy. Kidney stones with a diameter of less than 2cm can be prioritized for sub-extracorporeal shock wave lithotripsy with Chinese medicine. Larger stones should be treated with minimally invasive laparoscopic or open surgery. Painless small stones in the kidney medication is better than observation Physical examination found in the small calendars of the kidney single or multiple small stones, generally not painful, and will not lead to hydronephrosis and functional damage. Because of the small stones are generally hidden in the calendars of the calendars of the calendars are very small, the significance of medication is not significant, many patients long-term medication are not seen stones discharged. And stone removing drugs have diuretic function, long-term diuretic lead to the loss of potassium ions in the body, but caused by the patient’s fatigue. Therefore, patients with small kidney calyx stones can be observed by ultrasound once a year, and do not have to take lithotripsy treatment. The old tune again: drinking water is the best prevention Urinary stones have a tendency to recur, so the usual diet to focus on the prevention of stones is almost a lifetime of things (see the journal? Issue of “watching the stone to eat”). There are a lot of books in the community that introduce many dietary taboos to prevent stones, but if people with stones have to follow the strict implementation of those books, they will lose the right to enjoy a lot of delicious and nutritious substances. In fact, increasing the amount of water consumed is a simple and sustainable method. Especially in the summer and autumn hot and dry season, sweating, drinking less water can make the urine concentration, the formation of stones, the opportunity to drink more water to increase the volume of urine, dilute the impurities in the urine, reduce the formation of crystals, or in the crystals do not agglomerate the formation of stones when they are discharged from the body with the urine. It is generally believed that the amount of water consumption for stone prevention can be maintained at about 2000ml/day. In the actual application of the process, according to the climate, sweat, adjust the amount of water, in order to maintain urination comfort, urine is clear to the degree.