Kidney stones

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Kidney stones

Kidney stones are made of salts and minerals in the urine that stick together to form small "pebbles." They are usually painless while they remain in the kidney, but they can cause severe pain as they break loose and travel through narrow tubes (ureters) to exit the body during urination.

Symptoms of a kidney stone include severe pain on one side of the back, just below the rib cage (flank pain). The pain may spread to the lower abdomen, groin, and genital area. Other symptoms include blood in the urine (hematuria), painful or frequent urination (dysuria), and nausea and vomiting.

A kidney stone is usually treated by increasing fluid intake and taking medications to relieve pain until the stone has passed. This typically occurs within a few days. If the stone seems unlikely to pass on its own or is causing severe pain, treatment options include a shock wave treatment (lithotripsy), which can break up a large stone into smaller pieces that are easier to pass, or very rarely, surgery.

If a stone is stuck in a ureter, a long, thin microscope (ureteroscope) can be passed through the urethra and bladder to the ureter. The stone may be taken out using a tiny basket on a wire passed through the ureteroscope. The stone can also be broken up using laser and then flushed out of the ureter with fluids inserted through the ureteroscope.

There are four different types of kidney stones, and they can be as small as grains of sand or as large as a golf ball. Kidney stones occur most often in adults and are rare in children.

Credits

Last updated:	May 25, 2007
Author:	Caroline Rea, RN, BS, MS
Reviewed By:	Kathleen Romito, MD - Family Medicine
Editors:	Susan Van Houten, RN, BSN, MBA, Pat Truman, MATC