Kidney Stones: Symptoms, Causes and Treatment

The biggest problem we have in our population is not drinking enough water. You know, patients

who are kidney stone formers tend to be a bit dehydrated. There are many, many factors.

There are dietary factors, again not drinking enough water. Sometimes patients can have

metabolic abnormalities where they put out too much substances in their urine, such as

calcium. That's part of the the beauty of kidney stone diseases. Not only do you treat

patients surgically, but then you can evaluate them medically to try and figure out why they

form stones. There are some patients who, you know, drink gallons of milk a day and

they put out a large amount of calcium just because of the amount that they consume. But

most people who put out too much calcium do it because of a leak from their kidneys where

the calcium the body's ability to retain or to hold onto calcium is compromised and they

they leak calcium into their urine and can be stone formers. The main symptom of a kidney

stone is pain and that's what usually brings patients to us, and to me, is pain and and

blockage when kidney stones block the urinary tract, it hurts. And that's one of the the

challenges of dealing with patients with kidney stones is the fact that a lot of what you

do is sort of urgent or emergent care because someone who's passing a stone doesn't want

to wait two months to come in to see you. There's no real emergency other than the fact

that that it hurts and people are are sick, they're in pain, they're vomiting, they can't

keep liquids down. And a there are other patients that kidney stones really run a wide spectrum

of presentations. There's some people who have huge stones and don't even know that

they have stones. So it it really varies, but the most common presentation probably

is someone who's been seen in the emergency room for an acute episode who then gets sent

to see me for further treatment and and management.