A 20-year-old man has "300 kidney stones" hidden in his body! Doctors reveal the reason behind: Drinking "1 drink" as water is extremely harmful
A 20-year-old man shakes his hand and drinks it like water every day and a checkup reveals “more than 300” kidney stones
I don’t like to drink water at ordinary times, and even drink from the hand shaker as water. Be careful about the development of “huge stones” in the kidneys at such a young age! Dr. Lin Caiyang, the attending physician of the Department of Urology at Chi Mei Hospital, said that a 20-year-old young patient was admitted recently. Not only does he not like to drink boiled water, but he even drinks it with his hand as a supplement of water. He recently went to the hospital emergency room for treatment due to fever and right waist pain for a day.
The emergency physician discovered through ultrasound examination that the patient’s right kidney was severely edematous and had kidney stones. The blood test report also found that the white blood cells were too high. A computerized tomography was immediately arranged. The results showed that the right renal pelvis was filled with 0.5cm to 2cm in size. Waiting for stones. Since the patient had a fever, antibiotic injections were given first, and a percutaneous nephrostomy tube was placed to relieve renal edema and urinary tract infection.
In order to deal with the large number of kidney stones, Dr. Lin Caiyang immediately adopted “minimally invasive percutaneous nephrolithotomy” to diagnose and treat the patient, and successfully removed more than 300 stones that looked like “little steamed buns”. The patient’s condition was stable after the operation. He was successfully discharged after a few days of observation and is currently undergoing outpatient follow-up treatment.
The risk of kidney stones in men is 3 times higher than in women! Doctor: The five-year recurrence rate is as high as one-third
Dr. Lin Caiyang pointed out that according to statistics from Taiwan’s health insurance database, 9.6% of Taiwanese people have a lifetime chance of developing stones, and boys are three times more likely to develop stones than girls. The rates for boys and girls are 14.5% and 4.3% respectively. Kidney stones accounted for 15.8%, second only to ureteral stones (76.4%). The average age of stone patients ranges from 50 to 60 years old. The recurrence rate of stones within five years is as high as 1/3.
The incidence rate is highest from spring to summer during the year, because the body fluid loss due to hot weather is greater than the replacement. Therefore, the urine is more concentrated, which can easily lead to the accumulation of crystals and the formation of stones.
Analyze the causes of kidney stones! “7 major factors” may increase the risk of disease
Lin Caiyang, chief physician of the Department of Urology at Chi Mei Hospital, Chi Mei Medical Foundation, explained that stones are not a single cause and include the following:
Insufficient fluid intake: Proper fluid intake is crucial to dilute minerals in urine. If the body lacks enough water, the minerals in the urine can easily become concentrated, increasing the risk of stone formation.
Dietary factors: Diets high in calcium, oxalic acid, protein and other substances may increase the risk of stones. In particular, excessive intake of calcium can sometimes form mineral crystals in the urine, leading to the formation of stones.
Genetic factors: Genetics may also influence a person’s susceptibility to kidney stones. If there is a history of kidney stones in the family, an individual may be more likely to develop this condition.
Abnormal metabolism: Some people may be prone to stone formation due to abnormal metabolism. For example, excessive amounts of metabolites such as uric acid and oxalic acid in the urine may lead to the formation of crystals.
Chronic disease: Having a chronic disease, especially chronic kidney disease, may increase your risk of kidney stones.
Abnormal urine pH: The pH of urine has an impact on stone formation. If your urine is too acidic or alkaline, it may encourage certain types of stones to form.
Kidney anatomy: Abnormal kidney anatomy, such as narrow ureters, may also increase the risk of stone formation.
Dr. Lin Caiyang said that after kidney stones are discovered, it does not mean that they do not need treatment because they are painless. Even if no treatment is done, they must be followed up regularly. If related complications are caused, they are actually more serious and may lead to loss of kidney function, cancer, and even cancer. Septic shock, etc.
Kidney stone surgery uses a multi-faceted and personalized approach to remove stubborn stones for patients
Clinically, it is generally recommended that kidney stones larger than 1.5cm should be treated. However, the final treatment plan needs to comprehensively consider the patient’s physical condition, stone size, location, kidney structure and other factors, and achieve surgical options through shared decision-making between doctors and patients. consensus. Currently, kidney surgery options can be roughly divided into three categories: non-invasive, minimally invasive, and two-in-one.
Dr. Lin Caiyang further explained that non-invasive surgery includes extracorporeal shock wave lithotripsy and flexible ureteroscope intrarenal laser lithotripsy. The advantage of extracorporeal shock wave lithotripsy is that it can be performed without general anesthesia and hospitalization. However, it is not suitable for larger and harder stones, or those with slightly abnormal kidney structure, lower calyceal stones, ureteral stenosis, etc. Flexible ureteroscopic intrarenal laser lithotripsy can overcome the conditions for which the former is less suitable, but the stone clearance rate for patients with larger or staghorn stones is still not ideal.
The minimally invasive method is “percutaneous nephrolithotomy”. The advantage is that the stone clearance rate is slightly better than non-invasive surgery, but it should be noted that it will cause minor trauma to the kidneys and the amount of bleeding will be relatively high. In addition, for more calyceal stones or staghorn stones, more stomas may be needed or even divided into several surgeries. Therefore, a “two-in-one” surgical approach has subsequently emerged, combining flexible ureteroscope intrarenal laser lithotripsy and percutaneous nephrolithotomy to overcome their respective advantages and disadvantages, allowing one operation to achieve the desired results. Better stone clearance rate.
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