What’s covered?
Stages of passing a kidney stone
To remove fluid and waste from the body,
Your Kidneys function and is to remove fluid and waste from your body and this requires a lot of work from them. Kidney stones may occasionally develop as a result of this process. Mineral deposits that have crystallised into kidney stones can develop in the urinary tract. They frequently go undiscovered or may be excruciatingly painful and need medical attention.
Your kidneys may form crystals if you have an excessive amount of salt, certain minerals, or substances in your body combined with a deficiency in urine. The crystals may attract more particles, which may combine to form a stone that your body may attempt to pass.
Kidney Stone Symptoms
They might pass through your urine undetected if they are small stones. You might never even have been aware of it. However, larger kidney stones can manifest as the following signs:
- Severe discomfort below your ribs in your side or back your doctor might refer to it as renal colic.
- Groin and lower abdominal pain
- Sharp pain that fluctuates in intensity and comes and goes
- Urinary discomfort
- Using the toilet more frequently than normal
- Cloudy, pink, crimson, or brown urine, or urine that smells unpleasant
- Feeling like you need to pee all the time
- Fever and chills if you have an infection
- Nausea and vomiting
- Burning sensation when you pee or blood in your urine
- Less urine when you tend to pee
When to seek medical aid?
Kidney stones can cause excruciating agony that feels almost like a dagger being jabbed into you when they move throughout your body. You should get medical care right away if it is extremely painful, or if you have a fever, feel sick, or are vomiting. The illness that may be linked to kidney stones needs to be treated right away.
Causes of Kidney Stones
Kidney stones can occur in anyone, but men are more likely than women to get them. Although the causes of various types of stones vary, the following are some of the biggest risk factors for kidney stone development:
- Dehydration from not drinking enough water
- A heavy protein, salt, and processed sugar diet
- Kidney disease
- High levels of certain minerals, including cystine, calcium oxalate, and uric acid. As a result, crystals can form and draw in other certain substances. Although the formation of a kidney stone is not uncomfortable, the body's removal of the stone can be quite painful. Gout is also caused by the build up of urate crystals, find our 10 minute gout treatment here.
- Taking certain diuretics which increase calcium excretion in the urine and antacids, which may have minerals that can precipitate and form stones
- Diarrhoea which can dehydrate you
- Obesity
- Pregnancy
- A family history of kidney stones
Types of Kidney Stones
Commonly, the primary component of kidney stones is used to identify them. The most typical types of stones are cystine, uric acid, and calcium. Struvite stones, which are composed of magnesium ammonium phosphate, can become rather large very fast and are frequently linked to urinary tract infections.
The type of treatment you receive may change depending on what kind you have. They consist of:
1. Calcium stonesThese are the most typical. Your likelihood of developing this type can be increased by just consuming certain foods that are extremely high in oxalates, such as rhubarb, or by consuming unusually high quantities of vitamin D. If you typically don't drink enough water or if you sweat a lot and don't replenish the fluids you lose, you may develop this type of dehydration.
2. Cystine stonesThe least frequent type is this one. Due to a genetic mutation, this variety is the least prevalent. When this occurs, your kidneys struggle to reabsorb a substance called cystine, which accumulates in the urine at increasing levels and leads to the formation of stones.
3. Struvite stonesThis type of stone may be brought on by infections, particularly those of the urinary system.
4. Uric acid stonesUrine uric acid accumulation might result from eating a lot of animal proteins. That eventually has the potential to develop into a stone, calcium or not. Gout, diabetes, and ongoing diarrhoea are risk factors.
Stages
Kidney stone development and natural passage can be divided into four stages. As kidney stones move through the body, they go through four primary main stages. The kidney's formation of the rock is the initial stage. Then the stone moves and enters the ureter, the tube that connects the kidney to the bladder, in the second stage.
The stone reaches the bladder during the third stage. The stone is finally expelled from the body as urine exits in the fourth stage. The duration of each stage might vary, but passing a kidney stone typically takes four to six weeks. Here are the four steps that must be taken to pass a kidney stone.
Stage 1: Creation
Usually, pain associated with stone development is minimal. Most people won't be aware of them until they come away from the inner wall of the kidney. You can feel sporadic discomfort when your kidneys contract as the stone passes. Back discomfort might sometimes feel like a pulled muscle.
At this point, you can anticipate having kidney spasms one to four times every hour. They won't stop until the stone has entered the ureter. This is worse, according to many women who have given birth spontaneously without medications. Rest assured, though, that after the kidney stones have moved on, the worst is over.
Stage 2: Stone Leaves the Kidney
The stone has now made its way into the ureter, which joins your kidneys and bladder. This period can still be incredibly painful even when the worst of it is over. The ureter's inner diameter can range from 2-3mm in width. You will feel any kidney stones larger than this. But the suffering now is different from before. In stage 2, the severe pain is throbbing as the kidney stones scrape their way through the urinary system, as opposed to stage 1's intense pain.
If kidney stones block your urinary path anyplace, you will also experience a build-up of pressure. Although not unpleasant in and of itself, you will be aware if it does.
Stage 3: Bladder PressureThe discomfort will finally be almost completely gone once the kidney stones pass into the bladder. However, you'll experience extreme pressure! The stone will want to leave your body, and you'll feel as though you need to urinate every five minutes.
It might not be as simple though. Urine flow may become obstructed by kidney stones that become lodged at the urethral opening. The next time you try, you'll need to wait 5–10 minutes for the stone to return to the bladder.
Stage 4: ExitYou'll need to put in a little work for this final step. Even though you might not feel like it, removing the kidney stone is vital. You must push hard after the kidney stone reaches your urethra's entrance. Push the stone until it breaks off and falls into the toilet bowl. The kidney stone can be forced out of the bladder during urination to complete the process. This final stage typically involves less pain.
How Long Does It Take to Pass?
Size may play a role. In a week or two, a stone that is under 4 millimetres in size can pass. It can take up to four to six weeks for larger stones to clear.
Kidney Stone Diagnosis
How can your physician tell whether you have a kidney stone? They will evaluate you and obtain a medical history first. Then, if necessary, they will request tests to take images of your urinary tract and kidneys. You might get:
1. Kidney blood tests
Kidney blood tests can reveal whether you have too much uric acid or calcium in your blood. They also give your doctor a lot of information about the condition of your kidneys. We suggest you take a look at our Kidney Blood Test kit which can help your doctor assess your kidney functions.
2. Urine test
You might be instructed by the doctor to obtain one or two 24-hour samples. It reveals whether your urine contains an excessive amount of minerals that cause stones to form or not enough compounds that prevent stones from forming.
3. Imaging tests
These are used by doctors to check for urinary tract stones. You might undergo a computed tomography CT scan, which assembles several X-rays to create an image of your body or an X-ray of your stomach. Larger stones can be seen on an X-ray, while smaller stones are easier to find using a CT scan. When a baby is most at risk for radiation damage during the first trimester, pregnant women should have an ultrasound rather than a CT scan. Having a low-dose CT scan throughout the second and third trimesters is less risky.
4. Analysis of passed stones
To catch any stones you might pass, the doctor will have you urinate through a strainer. To find out what they are made of, they will send them to a lab. They can use this information to determine the cause of your stones and how to treat them.
Treatment for Kidney Stones
The most popular kidney stone treatment is ESWL. If you are unable to pass the stone, a surgical technique called extracorporeal shock wave lithotripsy may be carried out. This breaks the stone into smaller bits using sound waves, making it simpler to pass. Your doctor would advise you to drink plenty of water to avoid stone formation if you are diagnosed with kidney stones. If necessary, they can give you pain medication.
To access the stone and remove it, surgeons can also use an endoscope, a small tube with a camera at one end. Throughout the procedure, you will be asleep. After the stone has been removed, it is crucial to determine what the stone is made of and what can be done to stop it from coming back.
Conclusion
Although kidney stone pain is excruciatingly painful, you may be able to lower your risk of getting them by changing your diet and drinking lots of water. Contact your healthcare provider or visit the emergency department if you get severe and sudden pain in your back, side, or abdomen.