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Kidney Stones, a Warm Weather Risk


By: Robert Salant, MD
By: Jon Marks, MD

Dehydration is one of the leading causes of kidney stones, a condition that causes excruciating pain. This year, half a million Americans will develop kidney stones, and for these people, summer becomes a danger zone. Over one-third of these patients will be hospitalized, and according to the American Foundation for Urologic Disease, seven to ten of every 1,000 hospital admissions are due to kidney stones.

Dr. Robert Salant of the New York University School of Medicine, and Dr. Jon Marks of Beth Israel Medical Center, answer some of the most common questions about this all-too-common condition:

Q: Dr. Marks, what are kidney stones exactly?

JON MARKS, MD: Kidney stones are combinations of protein and various minerals such as calcium, magnesium, and phosphate that occur within the kidney or anywhere along the urinary tract.

Q: Dr. Salant, why are they so common during the summer?

ROBERT SALANT, MD: During the summer, people are more active. They sweat more and are relatively dehydrated. Dehydration is the leading cause of kidney stones.

Q: Who is most at risk?

JON MARKS, MD: In general, men outnumber women. Those most at risk are men between the ages of 30 and 50, although sometimes even children can get stones as can men in the much older population.

Q: How do you know if you have a stone? Is there a certain kind of pain or a certain type of symptom that is singularly tied to kidney stones?

JON MARKS, MD: Renal cholic, which is the pain from kidney stones, is among the worst pains anyone will experience. Some people say it's just as bad as childbirth without anesthesia. So pain is a leading sign of kidney stones. There may also be blood in the urine, fever, chills, nausea, and vomiting.

Q: So bottom line, if you have a stone and it's a stone that's causing problems, you'll know it.

JON MARKS, MD: You will know it, and you should be evaluated.

Q: What about the evaluation? What can be done about these stones?

JON MARKS, MD: Well, we need to find out where the stone is, so the first thing that is done is some form of an x-ray or an ultrasound or a CAT scan. Some radiographic imaging procedure that shows us inside the body where the stone is and how large it is.

Q: And if people have stones or they are susceptible to them, how should they change their diet?

ROBERT SALANT, MD: Depending upon the composition of the stone, that will determine what types of foods you should either avoid or use as a supplement. However, the key modality in preventing new stones from forming is to be very well hydrated. Drink approximately three liters of fluid per day.

Conclusion

So for those who are susceptible, or who have a family history of kidney stones, stay hydrated in the warm weather, especially during physical activity. It's the easiest natural protection against this painful condition.


Source :
http://www.healthology.com/focus_article.asp?b=healthology&f=kidney_health&c=kidney_stones&spg=FIA


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