Urolithiasis or Urinary Stones

Urinary Stones (Urolithiasis): Medical History

Medical history (history of illness) represents an important component in the diagnosis of urolithiasis (urinary stones). Family history Are there frequent urinary tract diseases in your family? Are there any hereditary diseases in your family? Social anamnesis Current medical history/systemic medical history (somatic and psychological complaints). Do you have labor-like abdominal and/or back pain?* Do … Urinary Stones (Urolithiasis): Medical History

Urinary Stones (Urolithiasis): Or something else? Differential Diagnosis

Respiratory System (J00-J99). Pneumonia (pneumonia) Cardiovascular system (I00-I99) Aortic aneurysm (formation of a wall bulge in the aorta that can rupture (burst)) or. abdominal aortic aneurysm (AAA) – symptomatology: abdominal pain ranging from mild tightness to excruciating pain; it should be considered in patients >50 years of age who complain of abdominal pain or back … Urinary Stones (Urolithiasis): Or something else? Differential Diagnosis

Urinary Stones (Urolithiasis): Metaphylaxis in Uric Acid Stones (Urate Stones)

Therapeutic target To prevent stone recurrence (recurrence of urate stones). Therapy recommendations Reduction of risk factors Behavioral risk factors Dehydration (dehydration of the body due to fluid loss or lack of fluid intake). Protein and purine-rich diet (meat-containing diet including offal, herring, mackerel; fasting) Note: milk protein is purine-free! Overweight or obesity Disease-related risk factors … Urinary Stones (Urolithiasis): Metaphylaxis in Uric Acid Stones (Urate Stones)

Urinary Stones (Urolithiasis): Metaphylaxis in Struvite or Other Infectious Stones

Therapeutic Objective Prevention of stone recurrence (recurrence of urinary stones). Therapy recommendations Reduction of risk factors Behavioral risk factors Dehydration Disease-related risk factors Anorexia nervosa (anorexia nervosa) Urinary dysfunction Urinary tract infections with urease-forming bacteria* (urine pH > 7.0; favors crystallization of magnesium ammonium phosphate (10-15%) as well as carbonate apatite). Medication Chronic antibiotic therapy … Urinary Stones (Urolithiasis): Metaphylaxis in Struvite or Other Infectious Stones

Urinary Stones (Urolithiasis): Metaphylaxis in Xanthine Stones

Therapeutic target Prevention of stone recurrence (recurrence of urinary stones). Therapy recommendations Note: Xanthine stones are formed due to an autosomal recessive inherited defect of the enzyme xanthine oxidase. As a result of this condition, xanthinuria (excretion of xanthine in the urine) occurs. This leads to stone formation due to the poor solubility of xanthine … Urinary Stones (Urolithiasis): Metaphylaxis in Xanthine Stones

Urinary Stones (Urolithiasis): Micronutrient Therapy with Calcium Oxalate Stones

Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for prevention (prevention): Potassium citrate Magnesium The above vital substance recommendations (micronutrients) were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, only clinical studies with … Urinary Stones (Urolithiasis): Micronutrient Therapy with Calcium Oxalate Stones

Urinary Stones (Urolithiasis): Micronutrient Therapy with Cystine Stones

In the context of micronutrient medicine (vital substances) of cystine stones, the following vital substances (micronutrients) are used for prevention (prevention): Potassium citrate Magnesium Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy: Potassium citrate Magnesium The above vital substance recommendations (micronutrients) were created with the … Urinary Stones (Urolithiasis): Micronutrient Therapy with Cystine Stones

Urinary Stones (Urolithiasis): Micronutrient Therapy for Uric Acid Stones

Within the framework of micronutrient medicine (vital substances), the following vital substance (micronutrients) is used for prevention (prevention): Potassium citrate Within the framework of micronutrient medicine (vital substances), the following vital substance (micronutrients) are used for supportive therapy: Potassium citrate The above vital substance recommendations (micronutrients) were created with the help of medical experts. All … Urinary Stones (Urolithiasis): Micronutrient Therapy for Uric Acid Stones

Urinary Stones (Urolithiasis): Surgical Therapy

The most common treatment for acute renal colic is conservative therapy (adequate fluid intake, analgesics (pain relievers), and the alpha-blocker tamsulosin) with the goal of spontaneous stone clearance (expulsion; medical expulsive therapy, MET). See “Drug therapy” for more information. In asymptomatic kidney stones, conservative stone therapy also includes “watchful waiting”. According to the current S2k … Urinary Stones (Urolithiasis): Surgical Therapy

Urinary Stones (Urolithiasis): Prevention

To prevent urolithiasis (urinary stones), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Dehydration – dehydration of the body due to fluid loss or lack of fluid intake. Malnutrition High-protein (high-protein) diet (animal protein). High intake of oxalic acid-containing foods (chard, cocoa powder, spinach, rhubarb). High intake of calcium High … Urinary Stones (Urolithiasis): Prevention

Urinary Stones (Urolithiasis): Stone Analysis

After the stone has been expelled, it should definitely be examined for its composition, as this is the only way to ensure safe and effective therapy and prophylaxis. Stone analysis is performed using physical methods such as infrared spectroscopy and X-ray diffraction analysis. These detect the composition of the respective stone on the basis of … Urinary Stones (Urolithiasis): Stone Analysis

Urinary Stones (Urolithiasis): Types of Stones

Many of the types of stones form because of abnormalities in urine pH Cause of formation Stone type Urine pH Acquired metabolic disorder Calcium oxalate stone Acidic (rarely alkaline) Uric acid stone < 6,0 Uric acid dihydrate stone * Brushite stone * Carbonate apatite stone > 7,0 Urinary tract infection Struvite stone > 7,0 Carbonate … Urinary Stones (Urolithiasis): Types of Stones