Basic knowledge of kidney stone disease

  Calculusofkidney refers to stones that occur in the renal calyces, renal pelvis, and the connection between the renal pelvis and ureter. Most of them are located in the renal pelvis and calyces, while parenchymal stones are rare. Plain films show single or multiple round, oval or blunt triangular dense shadows in the kidney area with high and uniform density and smooth edges, but some are not smooth and mulberry-shaped. The kidney is the main site of urinary tract stone formation, any other parts of the stone can originate from the kidney, ureteral stones almost all come from the kidney, and kidney stones are more likely to directly damage the kidney than any other parts of the stone, so early diagnosis and treatment is very important.  Main symptoms 1. Pain: This is also one of the symptoms of kidney stones. This pain is often located in the spinal rib angle, lumbar region, upper abdomen, mostly paroxysmal, but also continuous. Dull pain is mainly manifested as soreness and swelling of the lower back, vague pain, etc. Activity or labor can prompt the onset or intensification of pain. In addition, in severe cases, the patient’s face is pale, cold sweat, thin and rapid pulse, and even blood pressure drops in a state of shock. At the same time, most of them have nausea and vomiting, abdominal distension and constipation. During the attack of colic, the urine volume decreases, and after relief, there may be polyuria.  2, hematuria: hematuria is another common condition of upper urinary tract stones, which can be microscopic hematuria or meat-eye hematuria. When kidney stone patients have painful episodes, they often have hematuria, mostly microscopic hematuria, and large amounts of hematuria are not seen. Hematuria can be aggravated by brawn activity. Patients with kidney stones may occasionally seek medical attention for painless hematuria, but there are also patients with mainly pain and no hematuria.  3, the history of stone removal: kidney stones in the urine of patients are sweepable sand and stones, especially in the pain and hematuria episodes, mixed with sand or small stones in the urine. For those who have pain and hematuria suspected of kidney stones, if the X-ray film does not see the influence of calcification, the patient should be asked to intimately observe whether there are sand and stones discharged with the urine.  4, other symptoms: kidney stones common complications are obstruction and infection. There are also many cases of urinary tract infection and seek medical attention. Obstruction is also all will cause hydronephrosis, presenting epigastric pain or lump in the lower back. Antler’s disease stone pain symptoms are not prominent, easy to provoke patients ignore, patients often physical examination found hydronephrosis and seek medical attention, not uncommon in the clinic.