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EXCRETORY SYSTEM

  RENAL CALCULI (  KIDNEY STONES ) Also known as  Nephrolithiasis.

 Calculi are formed when urine becomes saturated with calcium or uric acid crystals.

 Age and sex: Calculi are most common between ages of 30 and 60 years.

 Kidney stones are more common in males but infection stones are more common in women of child bearing age.

 CAUSE:

  • Infection   in   the urinary tract.

  • Urinary   tract   obstruction due to hydronephrosis.

  • Excess of calcium  ,oxalate or  cystine  in urine due to less fluid intake and other medical conditions.

  • Dehydration due to less fluid intake which ultimately leads to concentrated urine with presence of stone forming crystals.

 TYPES OF STONES:

  • Calcium oxalate is the most common type of stone usually found in men, occurs due to reduced urine volume and increase in urinary calcium.

  •  Calcium phosphate stones are formed with hypercalciuria in an alkaline urine in case of renal tubular acidosis.

  •  Struvite stones are found in urine with ph >7.5 in patients having chronic urinary tract infection.

  •  Uric acid stones are formed when there is increased production of relatively insoluble uric acid in case of patients suffering from gout,  severe psoriasis or malignancy.

  •  Cystine calculi are formed due to inborn error of metabolism where urine becomes saturated with cystine and results in stone formation.

 SYMPTOMS:

  • Cramping, sharp, excruciating pain , fluctuating in intensity associated with vomiting and sweating.

  • Pain extends from loin to groin radiating to testes in males and labia majora in women.

  • Haematuria : Presence of blood in urine with or without colic.

  • Painful urination.

  • Difficulty in starting to urinate. Urine flows, then stops and again flows.

  • Persistent urge to urinate, increase in the frequency of urination.

INVESTIGATIONS:

  • Urine analysis shows presence of red blood cells in the urine.

  •  Ultrasound scan.

  •  Abdominal X ray (Plain X ray- K U B region, i.e. Kidney, ureter and bladder)

  • I.V. P. – Intravenous pyelogram.

  • C.T Scan   of abdomen.

  • M.R. I. ( Magnetic resonance imaging) 

MANAGEMENT:

  • Drink atleast 6 to 8 glasses of water in a day which will help to pass the stone through urine.

  • Medications should be given if the patient develops renal colic.

  • Prevent   recurrence by altering the diet and treating the underlying cause.

  • Avoid non vegetarian food in case of uric acid stones.

  • Avoid chocolates, nuts in case of calcium and phosphate stones.

  • Avoid tomatoes, guava, beetroot and spinach.

 HOMEOPATHIC MANAGEMENT OF RENAL CALCULI

Homeopathy offers great relief to patients with renal calculi as homeopathic medicines help in passing the stone through urine and also prevent its recurrence. Homeopathic remedies also relieve the colicky  pain which the patient experiences off and on until the stone is passed out. 

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