Ureteral stones, a small stone is very dangerous Urology clinic, a large proportion of patients are due to the problem of stones to the doctor. The first thing you need to do is to get a good look at the stone, and you’ll be able to see it in the ureter, and then you’ll be able to see it in the ureter. Once the diagnosis of ureteral stones is confirmed by imaging, it is a high priority! Originally a small stone, if the peacefully stay inside the kidneys, not too harmful, but when it enters the narrow lumen of the ureter, it can be said to be “a man when the door, ten thousand people can not open”, the damage to the kidneys is very serious, causing obstruction, inducing infections, resulting in renal failure or even loss of kidney function. In this regard, the earlier and more active treatment should be, the better the effect and the less harm. However, some patients, due to subjective or objective reasons, are not willing to accept too positive and active treatment, and hope that the stones can be discharged by themselves or choose the conservative method of “prescribing some medicine”. More than 40 days can not be discharged, have to be operated So, the stone can really be discharged out of the body? What are the factors related to the effect of stone removal? At present, the research data about the stone discharge itself is very limited, it is difficult to have a recognized result. One set of data from Europe shows that 68% of stones below 5 mm in the ureter can be expelled on their own, while only 47% of stones between 5 and 10 mm can be expelled on their own. As for the time of expulsion, those under 2 mm are expelled in 31 days on average, while those between 2 and 4 mm take 40 days and those between 4 and 6 mm about 39 days. Overall, 95% of ureteral stones under 4mm take an average of 40 days to be expelled. These figures are indicative for the majority of patients, and by comparing them, you will have an approximate idea of how long your stones will remain in your body. If this time is exceeded for too long, then you should stop expecting it to come out on its own and need real surgical intervention. 4 cases can be treated conservatively According to the actual situation of the country, the Chinese Medical Association Urology Branch has also developed relevant guidelines, so specifically, which ureteral stones can choose conservative treatment? There are the following criteria: 1, small: less than 6mm can save; 2, slippery: smooth form of the stone discharge chances; 3, smooth: in addition to this stone blockage, there can not be other factors that cause obstruction of the urinary tract, such as prostate hyperplasia and so on can not be; 4, short: to know, the longer the blockage of the ureter, the greater the damage to the kidney function, therefore, the time of the blockage of the stone can not be too long, the best not more than two weeks, the stone blockage. It is best not to exceed two weeks. In addition, for some special cases (for example, like the special composition of the stones suitable for drug treatment, or after surgery of small crushed stones), at the decision of the doctor and under the monitoring, conservative treatment can also be used. Conservative treatment 6 notes If you choose to wait, what are the usual methods of conservative treatment? 1, drink plenty of water: make sure to keep drinking enough water and urinating enough every day! The self-cleaning effect of urine is conducive to reducing the chances of infection, and the peristalsis of the ureter can also promote the downward movement of stones and even discharge. How much should I drink a day? This can not be determined, as opposed to light manual labor, high activity must drink more; as opposed to winter, summer must drink more, itself will sweat more, is not it? Maintain a daily urine output of 2500ml or more is appropriate. What to drink? Plain water is the best, don’t drink any mineral water or drinks or anything, unless you want to come back on one or two bright crystals. In addition, if the use of money grass, plantain boiled water to drink is also a very good choice. Local Guangdong patients are very familiar and friendly with these two herbs. In addition, we should remind you not to focus on drinking water only in the daytime, but please drink some at night before going to bed, and then drink a sip or two after getting up in the middle of the night to go to the toilet. Although it is not good to insist, but in order to cure the disease, is not it? You know, the night is the most concentrated urine. 2, analgesic anti-inflammatory: ureteral stones often means pain, and this pain is extremely severe, recurrent, the use of non-steroidal anti-inflammatory drugs is the best choice for analgesia and anti-inflammatory, doctors often prescribe a diclofenac sodium suppository. Usage – just stuff it into the anus. 3, expansion of the ureter: the ureter is relaxed, the speed of stone discharge is naturally much faster. Commonly used drugs have two major categories, one is the alpha-blocker, the most commonly used is tamsulosin, the domestic commercial name of HALE, may usually be familiar with this drug is used to treat urinary dysfunction, but a large number of studies have proved that tamsulosin for the relaxation of the ureter also has a very good effect; the second is the calcium channel antagonist, the cardiovascular department is very commonly used as a kind of medicine. 4, the motherland medicine: many traditional Chinese medicine for stone removal is a very good auxiliary effect, the market also has a lot of heat and dampness, through the lymphatic discharge of stone proprietary Chinese medicine. Passing is not painful! 5, exercise: the use of gravity to promote the discharge of stones, often recommended that patients do exercises such as jumping rope, jumping sports, and elevated heels repeatedly for tiptoe activities. A group of many times a day, several groups, according to their strength. Don’t be afraid of hard work, right as a strong body. 6, other: if you have had stones before, and made the stone composition analysis, or has been presumed to be the approximate composition of the stones, but also according to different types of stones to choose the appropriate special medication to adjust the pH of the urine is acidic or alkaline (cystine stone).