Identify pain caused by urinary stones

This is an automatically translated article.

The article is expertly consulted by a doctor from the Department of General Surgery and Anesthesiology.
Urinary stone is a common pathology, accounting for nearly half of all urinary diseases. The disease has the potential to cause many serious complications such as fluid retention, pus, kidney failure, infection, even death, and is very recurrent. Pain due to urinary stones is the first symptom that the patient feels. This article will help you identify the pain caused by urinary stones.
Depending on the location and size of the stone, the pain nature is also different. There are mainly the following types of pain caused by urinary stones:

1. Low back pain for many days (Atypical renal colic)

Kidney stones, ureteral stones appear in the position between the 12th rib and the spine, causing persistent pain.
Characteristics: Dull pain, tension in the renal fossa or lumbar region. The pain tends to increase after episodes of strenuous exercise. May be accompanied by urinary disorders: painful urination, painful urination, hematuria, ... The cause of pain is due to stones obstructing the circulation of urine by the kidneys and ureters.

2. Sudden, severe pain in the low back, flank (Typical renal colic)

Characteristics: Renal colic pain begins in the lumbar region of the ribs, tends to spread to the front and down to the groin area, the genitals on the same side. The pain usually lasts a few minutes and gets better with pain relievers, muscle relaxants, or rest. The starting point of low back pain is in the area between the 12th rib and the spine. Pain from kidney disease has a higher position than pain from ureteral disease. Pain radiates anteriorly and downward, and pain from ureteral stones may radiate more inferiorly than renal colic. The pain often comes on suddenly, which can be the premise to diagnose the cause of urinary tract stones. Most often, renal colic pain is accompanied by urinary system disorders such as hematuria, cloudy or frequent urination, painful urination, and accompanied by digestive disorders such as nausea, vomiting, and abdominal distension. The cause is due to the stimulation of the autonomic nervous system, namely the renal calyces and the upper third of the ureters, the digestive organs such as the stomach, colon, small intestine, liver, pancreas, spleen and The thoracic sympathetic system (D5 - D12) is in command. These digestive symptoms will sometimes interfere with the correct diagnosis. Renal colic occurs due to a sudden increase in pressure in the renal calyx system, sudden compression of the renal parenchyma, and sudden tension of the renal capsule. From there, acute stimulation of the sympathetic nerve has many areas of the renal cortex causing pain.

3. Pain in the lower abdomen (lower abdomen, bladder)

Acute pain: Uncommon, if it occurs, it is mainly in the case of acute urinary retention, bladder enlargement caused by urethral stones. Chronic pain: Chronic pain in the bladder area is often associated with urinary disorders such as dysuria, dysuria. In the absence of early diagnosis and treatment, it will cause complications of cystitis because large stones will damage the bladder lining. When contracting, the stone rubs repeatedly against the mucosa, causing inflammation, ulceration and infection, even bleeding. Depending on the specific condition, appropriate treatment methods can be given. Therefore, when suffering from stones, patients should go to specialized and reputable medical facilities with adequate equipment for early diagnosis and treatment, avoiding the case that the disease is too severe to endanger life. network.
Currently, Vinmec Hai Phong International General Hospital is applying the endoscopic method of ureteral lithotripsy using either a flexible bronchoscope or a semi-rigid bronchoscope. This is a high-tech method in thoroughly removing urinary stones. Modern equipment, high efficiency in treatment such as:
C - Am system, intraoperative ultrasound machine helps to clearly locate the position and size of the stone to help the surgeon monitor the condition. condition of the stone during and after surgery so that it can bring the best lithotripsy results to limit intra- and postoperative complications. Germany's most modern flexible bronchoscope system for clear, accurate, easy-to-use urinary stone images. This system allows the endoscope to be inserted into the pyelonephritis to directly access the stones and use high-power laser energy (German hothilium 100W lithotripsy) to crush the stone and remove the debris. Stone out brings the highest treatment effect.

Intraoperative consumables are passed through strict sterilization testing procedures, Vinmec only uses high quality products and especially is used only once to ensure sterility and deliver results. best for the patient. With modern facilities, accurate diagnosis, selection of appropriate surgical methods, customers only take a single dose of prophylactic antibiotics, do not have to use high-dose antibiotics for a long time, no pain, no hospital stay. short, only 1-2 days. Thus, saving on treatment costs. Professional services: Modern civilized disease prevention system, one room for each patient, comprehensive service from monitoring disease parameters, meals, rest, exercise, health education, Each patient room is equipped with amenities like a 5-star hotel apartment, patient information is confidential.

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