Non-surgical or lithotripsy interventions

  First of all, the lithotripsy treatment mentioned in this article refers to the treatment process of natural stone removal through medication or dietary modification alone without interventions such as surgery or extracorporeal lithotripsy.  The majority of urinary stones can be crushed and removed from the body through minimally invasive treatment.  Indications for stone removal: 1. Small stones, generally within 0.5-1.0 cm in diameter, are likely to be able to be expelled on their own.  2.Stone morphology: stones with smooth surface and round or round-like shape are easier to be expelled.  3.No urinary tract obstruction below the stone, such as ureteral stricture.  4, The stone does not cause complete obstruction of the urinary tract, that is to say, it is partially open, and the urinary tract is in a state of openness, because if it is completely obstructed, it may cause severe pain without relief, and it will soon accumulate water seriously, and even affect the kidney function.  5.Stone stays in local less than 2 weeks; as described in 4, the urinary tract is open but not smooth, but the process of time, still can lead to a continuous increase in fluid accumulation in the kidney, which in turn affects the kidney function, therefore, if after 2 weeks it is still unable to discharge the stone by itself, further medical intervention is recommended.  6. This method is recommended for stones of special composition, such as uric acid stones and cystine stones, because these stones can be made smaller by dissolving the stones through medication and are more easily discharged on their own.  Methods and recommendations for stone removal: 1. Drink more water, keep drinking 2000-3000ml of water daily, evenly around the day and night.  2, analgesic drug application; recommend the use of non-steroidal antipyretic and anti-inflammatory drugs; such drugs can relieve pain, reduce pain episodes, and reduce ureteral edema, and promote stone discharge.  3, antispasmodic drugs; when the stone is in the ureter, the ureter is in spasm, the application of antispasmodic drugs can release or partially release the spasm of the ureter and speed up the stone discharge.  4.Litholytic drugs: see above 6. For special types of stones such as uric acid stones and cystine stones, the urine can be alkalized by applying drugs such as allopurinol, sodium potassium bicarbonate and sodium bicarbonate to achieve litholysis.  5.Chinese herbal medicine treatment: No detailed description.  6, moderate exercise: appropriate exercise can speed up the discharge of stones, according to different parts of the stone, choose different positions and exercise methods, can effectively speed up the process of stone discharge; it should be noted that when in pain, please do not do this behavior, because when in pain, ureteral spasm, exercise to force the stone to move, may lead to ureteral damage, resulting in hematuria and other conditions.