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Ureteric Stone यूरटर की  पथरी 

- By Dr Vikas Singh,
M.B.B.S., M.S., M.Ch.
Urologist, Genito Uro Oncologist and Kidney Transplant Surgeon,
Kokilaben Dhirubhai Ambani Hospital, Indore.

Ureteric stones, also known as kidney stones or renal calculi, are hard deposits of minerals and salts that form in the urinary tract, primarily in the kidneys or the ureters. They can cause significant pain and discomfort, as well as other complications, such as infections and blockages, which can lead to kidney damage if left untreated. In this article, we will answer some of the most frequently asked questions about ureteric stones.


What are the causes of ureteric stones?

Ureteric stones can form due to various reasons, including:

  • Dehydration: Lack of fluids in the body can cause the urine to become concentrated, leading to the formation of crystals that can eventually form stones.

  • High levels of certain minerals in the urine: Calcium, oxalate, and uric acid are some of the minerals that can accumulate in the urine and form stones.

  • Medical conditions: Certain medical conditions such as hyperparathyroidism, gout, and urinary tract infections can increase the risk of developing ureteric stones


What are the symptoms of ureteric stones?

The symptoms of ureteric stones can vary depending on the size and location of the stone. Some of the most common symptoms include:

  • Pain in the lower abdomen, back, or sides, which can be severe and come in waves.

  • Painful urination.

  • Blood in the urine.

  • Nausea and vomiting.

  • Fever and chills, which may indicate an infection.


How are ureteric stones diagnosed?

Ureteric stones can be diagnosed through various tests, including:

  • Imaging tests such as X-rays, CT scans, and ultrasounds can help visualize the stones and determine their size and location.

  • Urine tests can help identify any underlying medical conditions that may have contributed to the formation of the stones.


How are ureteric stones treated?

The treatment for ureteric stones depends on the size, location, and composition of the stone, as well as the severity of the symptoms. Some of the treatment options include:

  • Drinking plenty of fluids to help flush out the stone.

  • Pain management with over-the-counter or prescription pain relievers.

  • Extracorporeal shock wave lithotripsy (ESWL) involves using shock waves to break the stone into smaller pieces that can be passed through the urine.

  • Ureteroscopy involves using a miniature scope to locate and remove the stone from the ureter with the help of the LASER..

  • Percutaneous nephrolithotomy involves making a small incision in the back to remove the stone.


Can ureteric stones be prevented?

There are several steps you can take to reduce your risk of developing ureteric stones, including:

  • Drinking plenty of fluids, especially water, to help dilute the urine.

  • Reducing your intake of foods high in oxalate, such as spinach, beets, and nuts.

  • Avoiding high doses of vitamin C, which can increase the risk of stone formation.

Taking medications as prescribed to manage medical conditions that may increase the risk of stone formation.


Are there any complications associated with ureteric stones?

Ureteric stones can cause complications if left untreated, including:

  • Kidney damage: Stones can block the flow of urine and cause pressure to build up in the kidneys, which can lead to kidney damage.

  • Urinary tract infections: Stones can create a favorable environment for bacterial growth, increasing the risk of urinary tract infections.

  • Sepsis: In severe cases, an untreated urinary tract infection can lead to sepsis, a potentially life-threatening condition.

Ureteric stones can be a painful and uncomfortable condition that can lead to various complications if left untreated. It is always advisable to get treatment from the certified M.Ch. Qualified Urologist.

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