"Last week I had severe abdominal
pain, nausea and vomiting; and then I was admitted
to the nearby hospital and had been treated with intravenous
fluids and injections. After studying my X-ray and
scan reports the doctor said that, both of my kidneys
have stones and he advised me to undergo a surgery
of the latest laser treatment. Can I avoid surgery,
are the commonest universal complaint. Kidney stones
modify the victim’s behaviour with great fear
of intense pain and threaten with failure of the kidneys.
The medical term for kidney stones is Nephrolithiasis
or Renal Calculi.
| What are kidneys?
The kidneys are the master chemists of your body. Normally,
you have two kidneys, one on either side of the spine
under the lower ribs. They are pink in colour and shaped
like beans. Each kidney is about the size of your fist.
The urinary system is made up of the kidneys, the ureters,
the bladder and the urethra. Each plays an important
role in helping your body to eliminate waste products
in the form of urine.
The main function of the kidneys is to remove the waste
products from the blood and return the cleaned blood
back to the body. The ureters carry the waste products,
as urine, from the kidneys to the bladder where it is
stored until you urinate. Urine passes out of the body
through a tube called Urethra.
| How does the stone form?
Kidney stones usually are formed inside
the kidney. The body creates kidney stones from a
wide variety of substances. It is very difficult to
know exactly what kind of stone a patient's body produces.
The stones are formed from a supersaturated solution
of urine. “Promoters” are the components
of the various stones: calcium, oxalate, urate, cystine
etc. “Inhibitors” of stone formation include
pyrophosphate and magnesium. The formation of a renal
calculus depends on the balance between stone promoters
and inhibitors. “Citrate” tends to prevent
stones. The stones are formed as small crystal which
gradually increase in size. They travel through ureter
to reach the bladder. Sometimes the patient may void
small stone with mild irritation while urination.
Larger ones block the urinary tract causing pain,
hydronephrosis and failure. A kidney stone can also
develop when certain chemicals in your urine form
crystals that stick together.
|What causes kidney stones to
There are many potential causes of
kidney stone formation. In general they are the result
of a superconcentration of chemicals in the urine
that results in crystals being formed. A disorder
in your metabolism, dietary habits, dehydration, recurrent
urinary tract infections, blockage of the urinary
tract could alter your urine concentration.
I have stones in my kidneys! What
is the reason Doctor?" is an universal question
of a patient to every practitioner after being confirmed
with investigations. The most commonest answer to
the patient could be ,“ You have metabolic disorder".
Your body could not assimilate the minerals and salts
such as calcium, uric acid or other salts in the blood,
which is not assimilated by your body. Metabolism
impairs commonly with the endocrine disorders as hyperparathyroidism,
certain diseases like Ulcerative colitis and Regional
enteritis. In Gouty arthritis the high level of uric
acid in the urine can act as breeding ground for calcium
oxalate stones. On the whole it is a complex process.
" I have food habits like
others! Why does my kidneys develop stones?"
the next common doubt of the patient. Diet contributes
a part in the formation of stones and considered as
maintaining causes. Clinically it is observed that
being habitual for a particular food had promoted
stones. A pregnant woman was advised to take plenty
of “greens” to raise iron in the blood,
and she had developed stones following an acute renal
colic. Similarly a patient who had abnormal craving
for “Tomato” is now on the treatment for
Renal calculus. Habits like "betel chewing"
with lime should also be considered.
Certain long-term medications in the
form of chemicals could form stones. Sometimes due
to geographic water or soil conditions predispose
to form stones. In a reverse manner, the lack of certain
stone formation inhibitors such as citrate and magnesium
may not be present in sufficient quantities and thereby
allow the formation of stones. Some people do not
take sufficient water and fluids. In some living in
high temperature areas cause sweating and loss of
fluid. These may lead to long-term dehydration resulting
in concentration of urine; the over concentration
of metabolic by-products in the urine can cause these
minerals to move out of suspended crystallize.
" Have you ever had burning
micturation?"– to rule out infection a
physician may put a leading question to you. Chronic
infection may predispose stone formation. The slough
and the crusts results following an infection, would
combine with high level minerals and salts to form
stones. This is considerably noted in the formation
of vesical calculus after chronic cystitis.
“ How is your urine stream?”
" How is the frequency?" – to evaluate
obstruction doctor may proceed with another common
question. Urinary blockage as in prostate enlargement,
stricture urethra and limited activity for several
weeks will predispose stone formation by making sedimentation.
Prostatic enlargement invariably causes stones in
|What are the symptoms?
stone may quietly grow for years together and remains
silent even for many years. Very often it is an incidental
finding in routine for the other illness. A kidney
stone can cause problems in two-ways:
When it moves or
When it grows so large that it begins to disrupt kidney
function and cause damage.
After keeping silent for sometime,
the stone may start to move downward drawn by the
urine and gravity. When the stone makes its run for
freedom, it hurts the patient with severe abdominal
pain with or without nausea and vomiting. Presence
of blood in the urine which may look as pink or orange
confirm a ureteric calculus. The pain may be felt
over back or side, radiates to the groin, scrotum
in men and the labia in women. The severity of the
pain is often described as the worst pain a person
has ever suffered, even by women who have given birth.
It is reported to be more painful than gunshots, surgery,
fractured bones or even burns.
Normally the patients choose all natural
methods such as plenty of fluid intake, diuretics
and even intravenous fluid administration to expel
the stones. If they do not pass out through urine
they choose the latest "Laser treatment"
the Extra corporeal shock wave lithotripsy by which
the kidney stones are focused by sonic waves to blast
them into pieces. Stones in the ureter are crushed
and removed by sonic waves or hydraulic instruments
reaching them through ureteroscopy. Even open surgery
is performed in some cases to tackle the acute crises,
but the results are only temporary. The recurrent
tendency for stones makes the physicians and surgeons
puzzle as some kidneys just make stones.
|What are the types
There are many varieties. Calcium oxalate
is very common form found in many patients and calcium
phosphate is also found in few cases. Most patients
with this type have an inherited metabolic disorder
that causes increased presence of calcium in the urine.
Certain drugs like diuretics, antacids and steroids
may cause an overload of calcium in urine. Over active
parathyroid gland hyperthyroidism, too much of vitamin
A or D and diet high in calcium and oxalates may result
in hypercalcinuria. Uric acid stones forms an another
variety. Unlike the other stones, these stones contain
no calcium in pure form. For this reason, they are
not visible on X-rays. Patients with Gout often develop
these stones, but most patients who have these stones
do not have gout. Cysteine stones have a protein matrix
due to excess amounts of the amino acid cysteine in
the urine. Cystinuria is an inherited condition and
uncommon. Some rare stones are silicate struvite stones
|How to find?
An X-ray of the kidneys, ureters and
bladder can reveal the presence of most stones. Certain
less common stones can be seen in intravenous pyelograms
or ultrasound. A complete diagnosis of kidney stones
should include blood screens, 24-hour urine samples,
provocative calcium loading tests and stone analysis
to determine the type of stone, its underlying cause
and proper course of treatment.
|How to eliminate
Unless the kidney stone is larger than
3mm in diameter it is most likely to pass out without
medical intervention. Those between 5mm and 10mm in
diameter are less likely to pass on their own as they
are larger. If the kidney stone is larger than 10mm
in diameter the sufferer may be advised to undergo
a surgery or Lithrotripsy. Stones have been known
to become as large as the size of golf ball. It is
not necessary to remove a stone unless it causes other
|How to prevent
To win over the kidney stones problem
one has to wage a two-staged war.
first part involves becoming stone-free .
second is to eliminate the tendency for recurrence.
Kidney stones are well treated with
Homoeopathic Medicines. I have come across a lot of
cases those escaped from surgery. The stones of sizes
of 10mm to 12mm and multiple calculi can be treated
well. There are some stones of larger size occupying
the whole pelvis to be placed for surgery. Homoeopathic
medicine which is selected on the basis of constitution
of the victim will normalise the metabolism. The further
deposition can be prevented. The Mother tincture has
a very good action in erosion of the stones layer-by-layer.
When a victim has the tendency to produce
stones his basic metabolism have to be corrected.
This is the reason why the stones recur after a surgery.
A patient cannot adopt food habits for a long-time.
Homoeopathic Medicines have the job here!
I have treated many cases of renal
calculus. I can say that the cure rate is very high.
I have advised surgical measure for vesical calculus
and renal stones those very large in size occupying
the entire inner surface. The stones inside the pelvis
dissolve gradually and further deposition is minimized
with the dynamic remedies. The stones obstructing
the ureteric lumen pass out during micturation.
I remember a case of multiple bilateral
renal calculi, one being of 2.5 cm on right kidney.
He was hospitalized for acute pain in abdomen and
had been treated with IV fluids. The nephrologist
advised for immediate surgery as the patient had mild
hydronephrosis. Meanwhile the patient happened to
see my TV interview and consulted me with numerous
doubts. He started taking Homoeopathic Medicines after
little hesitation. After few days he voided some stones
during urination. I asked him to undergo scan studies
and those reported that the size of the large calculus
had been greatly reduced to 1.2 cms and a few small
calculi on both sides were present of 3-5 mm size.
He took treatment for about a year. Now he is free
from his complaints. I happened to meet him in train
after five years and asked with curiosity, “
How are you? Do you have any complaints?” He
replied, "No Doctor! Few months back I verified
with scan. No problem Doctor. Thank you… "
and so the talk continued.
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