A Simple Guide To Urinary Stones, Diagnosis, Treatment And Related Conditions
A Simple Guide To Urinary Stones, Diagnosis, Treatment And Related Conditions
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Overview
This book describes Urinary Stones, Diagnosis and Treatment and Related Diseases
The pain of a urinary stone stuck in the ureter (the tube from the kidney to the bladder) is so severe that it has been described as second in severity to pregnancy labor pains.
The pains are usually down the flanks of the abdomen and accompanied by blood in the urine.
Drinking lots of water usually clears the stuck urinary stone.
An X-ray of the abdomen (preferably after passing the feces) will usually show the presence of the stone in 80% of the cases.
Recently I had a patient with a severe right back pain that traveled all the way down to the groin.
There was no blood in the urine but she had frequently passing of urine.
An X-ray of the abdomen showed enlarged right kidney but no evidence of a urinary stone.
The left kidney was normal.
There was definitely a blockage of the urinary tract causing backflow of urine up to the right kidney.
I gave her a painkiller and antibiotic to relieve her pain and sent her for an MRI of the abdomen to exclude the cause of the urinary obstruction on the right side,
The MRI confirms my suspicion of a urinary stone stuck at lower part of the ureter (the tube connecting the kidney to the bladder).
I have at least 1 patient every year with this condition.
All that is needed to prevent this pain and stone is by drinking lots of water (2-3 liters) a day.
Urinary Stones are small, solid masses made of crystals which happen when salts or minerals in the urine become solid crystals inside the kidney.
Urinary stones normally begin in the kidneys, pass down the ureter, bladder and out through the urethra.
Urinary stones are one of the most painful medical disorders.
Urinary Stones are formed normally due to the accumulation of salts and minerals particularly calcium in the urine.
At the same time, the urine may have inadequate substances that prevent crystals from sticking together, producing an ideal environment for urinary stones to develop.
Normally the stones may be so small that they pass out through the urine without the patient knowing.
Some become bigger due to accumulation of the salts and minerals and the concentration of the urine.
The bigger stones may stay in the tubes of the kidney and are termed renal stones.
Some smaller stones may move out of the kidney and passes through the ureters which are the tubes bringing urine from the kidney to the bladder.
These are termed ureteric stones.
If a ureteric stone gets stuck in the ureter, this can induce blockage of the urine and severe pain (urinary colic).
1. Calcium stones forms the most frequent (about 80%) of the urinary stones.
a. Calcium oxalate: envelope or dumbbell-shaped
b. Calcium phosphate: amorphous, wedge-shaped prisms in rosettes
2. Uric acid: rhomboid shaped
3. Struvite stones (infection stones) are produced when there is too much ammonia in the urine mostly in urinary tract infection; normally large and have a horn-like shape
4. Cystine: hexagon-shaped; yellow and crystalline
Symptoms:
1. Severe, sharp pain in the flank and the back, just below the ribs
2. Pain that radiates to the lower abdomen and groin
3. Pain that happens in waves and varies in intensity
4. Pain or burning sensation while urinating
Other signs and symptoms may be:
1. Pink, red or brown urine
2. Cloudy or foul-smelling urine
3. A persistent need to urinate, urinating often or in small amount
4. Nausea and vomiting
5. Fever and chills if an infection
6. Pain caused by a urinary stone may alter, shifting to a different site or rising in intensity as the stone travels through the urinary tract.
Analysis of passed stones is essential for diagnosis and treatment
TABLE OF CONTENT
Introduction
Chapter 1 Urinary Stones
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Hematuria
Chapter 8 Cystitis
Epilogue
Product Details
| BN ID: | 2940164788858 |
|---|---|
| Publisher: | Kenneth Kee |
| Publication date: | 01/13/2021 |
| Sold by: | Smashwords |
| Format: | eBook |
| File size: | 373 KB |
About the Author
Medical doctor since 1972.
Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.
Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.
Dr Kenneth Kee is still working as a family doctor at the age of 70.
However he has reduced his consultation hours to 3 hours in the morning and 2 hours in
the afternoon.
He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.
His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com
This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.
From which many free articles from the blog was taken and put together into 1000 eBooks.
He apologized for typos and spelling mistakes in his earlier books.
He will endeavor to improve the writing in futures.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.
The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.
He does not do any night duty since 2000 ever since Dr Tan had his second stroke.
His clinic is now relocated to the Buona Vista Community Centre.
The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.
He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting
with the Apple computer and going to PC.
The entire PC is upgraded by himself from XT to the present Pentium duo core.
The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.
He is also into DIY changing his own toilet cistern and other electric appliance.
His hunger for knowledge has not abated and he is a lifelong learner.
The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.
This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.
Dr Kee is the author of:
"A Family Doctor's Tale"
"Life Lessons Learned From The Study And Practice Of Medicine"
"Case Notes From A Family Doctor"