A friend has urinary stones, and he is very worried about what to do

I just want to say one word, if you are sick, you will be treated.

Urinary stones** include:

1. Conservative**: including observation and drugs**, if the stone is not obviously harmful to the kidney, the patient can not rule out the stone, and the observation can be carried out; If the diameter of the stone is 6mm, it may be discharged at any time and cause obstruction, it is recommended to take medicine, Chinese medicine is an option, and the auxiliary stone tea can help to expel the stone.

2. Intervention**: including interventional surgery** and extracorporeal shock wave lithotripsy**, if the diameter of the stone is 6mm, such as 1-2cm stone, if it is suitable for surgical indications, extracorporeal shock wave lithotripsy can be used; If the stone is larger or if there are serious comorbidities, minimally invasive surgery** can be considered, because it involves specialized and complex medical techniques, and it is recommended that patients seek to find an experienced doctor in a regular hospital**.

Urinary stones are an extremely common condition in which "stones" grow in the kidneys, ureters or bladder, causing pain, blood in the urine and urinary tract infections. If the stone is not large, you can also choose to be conservative**, take stone expulsion drugs**, and it is recommended to take oral urolithiasis pills to facilitate the expulsion of stones. For larger stones, it is necessary to first extracorporeal shock wave lithotripsy, and then take oral stones such as urolithiasis pills to promote the passage of stones.

Drinking plenty of water and jumping more is good for the passage of stones.

If you have urethral stones, you have to go to the hospital to see the size of the stones, and if they are bigger, you must take measures**.

Remember to drink plenty of water every day, and you'll be fine! Pharmacies also have stone removal medicines, which are not very expensive!

Urinary tract stones are considered from two aspects, one is the primary disease such as metabolic disorders, infections or pre-existing anatomic factors; On the other hand, there is the treatment of the complications of stones, i.e. obstruction, infection. The simplest and most effective is to drink plenty of water, diluting urine can delay the growth of uroliths and prevent the recurrence of uroliths, and drinking plenty of water to promote drainage when there is infection. If you have urinary stones, you should first be conservative**, and first use the traditional Chinese medicine Defu Yu Yi Tom Tea Chinese medicine to expel the stones.

Changing the pH of the urine can also prevent stones**, cystine is more soluble in the urine above the pH, and soda and sodium citrate can alkalize the urine. Allopurinol can be taken orally to reduce the production of uric acid and 2,8-dihydroxyadenine, so it is effective in controlling these stones**.

The indications for previous surgery are: those who have stones that are too large and are estimated to be unable to be excreted from the urinary tract; Patients with hydronephrosis and infection, resulting in renal dysfunction; Severe pain and large amounts of hematuria often occur, affecting health; acute obstructive anuria or oliguria; Those who do not respond to long-term non-surgical **.

For ureteral stones, acupuncture and traditional Chinese medicine** are more effective. Ureterotomy should still be considered in cases of severe obstruction or infection, and when the stones are large and cannot be passed using the above method.

For smaller bladder stones, you can try fossil Chinese medicine and anti-infection**. If the stone is large, a suprapubic bladder incision and stone removal and fistula should be done.

Urolithiasis is a general term for stones in the kidneys, ureters, bladder and urethra, and is one of the common diseases of the urinary system. Most urinary stones originate in the kidneys and bladder, ureteral stones are often secondary to kidney stones, and urethral stones are often caused by obstruction when stones in the bladder rush out with the urine stream. The ratio of kidney and ureteral stones to bladder and urethral stones is about.

The incidence of urolithiasis is higher in men than in women, and kidney and ureteral stones are more common in young adults aged 20 to 40, accounting for about 70%; Bladder and urethral stones are more common in children under 10 years of age and in elderly patients over 50 years of age. After urolithiasis causes urinary tract obstruction and infection, it will cause greater damage to kidney function, especially when the lower urinary tract is obstructed for a long time and isolated renal obstruction, the impact on the whole body is more serious, and the treatment is more complicated, and the severe case can be life-threatening.

**Methods are as follows:

1. Non-surgical**. It is suitable for patients with stones less than one centimeter in diameter, no urinary tract infection, and normal renal function. Physiotherapy or medication** can be used, and the Chinese medicine Depu more than Shiqi tea can promote the discharge of stones.

2. Surgery**. For patients with large stones and rough surfaces, incision and stone removal are usually used.

3. Extracorporeal lithotripsy. Extracorporeal lithotripsy is performed completely outside the body, without surgery, which is safe, accurate and has a fast postoperative recovery, and is suitable for patients of all ages with various stones.

With the improvement of people's living standards, the incidence of kidney and ureteral stones is getting higher and higher. The patient presents with severe pain or swelling pain in the lower back, sometimes accompanied by nausea and vomiting; Some patients do not have any symptoms and are only found to have stone disease incidentally during physical examination. When the stone moves down to the end of the ureter, you can feel like you want to pull and urinate, and you always want to go to the toilet.

During the examination, the patient may feel pain or no sensation in the lower back. Ultrasonography and urinalysis are the first choice at the time of consultation, because the signal attenuation is obvious when the ultrasound encounters the gas in the intestinal tube, and the stones in the middle and lower ureters are easy to be seen, so try to hold enough urine during ultrasound, and use the swollen bladder to push the intestinal tube to the side to increase the detection rate of stones in the lower ureter. Urinalysis often reveals red blood cells, which are caused by the movement of the stone and the tearing of the ureteral mucosa.

When ultrasonography reveals only fluid accumulation but no stones, plain radiographs of the urinary tract or imaging of the nephroureters are often found when necessary. Stones with a diameter smaller than can be used to jump** and drug stone expulsion, commonly used drugs are: stone expulsion granules, kidney stones, belladonna tablets.

Younger people can use the skipping rope method; Older people can use heel blowing or choose tractors with poor shock absorption Agricultural vehicle bumps** (the amplitude of bumps should vary from person to person, so as to avoid complications such as lumbar spondylolisthesis). Ureteral stones with diameter and less than 3 months in the same area can be treated with an extracorporeal lithotripsy**. If the effect of lithotripsy is not evident after more than 3 lithotripsies, it is recommended to switch to minimally invasive ** to avoid strictures caused by ureteral injury after multiple lithotripsies.

For kidney and upper ureteral stones, percutaneous nephrolithotripsy (i.e., a small hole is made in the patient's waist and a nephroscopic lithotripsy device is inserted to break the stones out). For middle and lower ureteral stones, ureteroscopic lithotripsy is generally used, that is, ureteroscopes and lithotripsy devices are inserted into the ureters through the patient's urethra and bladder to break up the stones. Due to the pain and trauma of patients, the clinical application of open surgical stone removal is becoming less and less.