Myths & Facts: Renal stones

Myth

Renal stones are caused by excessive calcium intake.

Fact

Excessive calcium ingestion is very rarely the cause of formation for renal stones despite the fact that calcium is the leading constituent of urinary stones. The relationship of renal stones on patients with calcium supplements is debatable. The percentage of renal stone patients who have received calcium supplements in the past is very small.

Myths and facts

Myth

Stones can dissolve with home based, Ayurvedic, homeopathic or alternative medications.

Fact

Calcium stones can’t be dissolved with any medicine available in any speciality till date. They take credit of small stones which pass spontaneously, However Uric acid and cysteine stone can potentially dissolve with certain medication, but the occurrence of such stones is very infrequent.


Myth

Endoscopic Surgery increases the chance of stone recurrence.

Fact

Surgery in any form does not increase the chance of recurrence. Stones are formed by a continuous process of crystallisation and aggregation. Neither surgery increases nor decreases the chance of stone recurrence.

Myth

All stones will pass spontaneously eventually

Fact

95% of small stones, less than 5 mm, pass spontaneously in urine. , generally pass in four weeks. Spontaneous passage depends upon the size of ureter; if it is narrow it won’t allow passage of even the smallest stone.

If the stone does not pass within this period, then it is better to proceed with some form of intervention.


Myth

All stones require surgery.

Fact

No, most stones less than 5mm pass spontaneously within four weeks. However, during this period one should stay under regular medical supervision. During observation, one needs to seek immediate medical care if one develops fever, bleeding in urine or haematuria, worsening of pain, or a decrease in overall urine output.

Also read- Treatment of renal stones: An-overview

Myth

Beer is the best solution for kidney stones

Fact

Consumption of beer over long period of time lead to stone formation by causing dehydration in body. Beer is a diuretic, which means that is causes more urine formation than it’s own volume. This in turn leads to dehydration and volume loss, which are the prime reasons behind stone formation.

Also read-  Renal stones-Basic understanding and causes.

Myth

We can keep waiting for stone to pass spontaneously for indefinite period of time without any consequences

Fact

No, if a stone does not pass and obstructs the flow of urine, it can cause complications like infection. Although rare, but it may also lead to renal failure. Recurrent neglected stones is more often related to renal failures than a single stone.


Disclaimer: This is for the general awareness of the patients and cannot replace expert medical advice. Patient treatments need to be individualised and that can be decided based on clinical examination and evaluation by a trained physician.

About the authorDr. Darshan Kumar is a Urologist and Andrologist in Gurgaon, India. Dr. Darshan Kumar is a specialist in Endourological surgery for renal stone disease and laparoscopy surgery.

Dr. Darshan Kumar
Dr. Darshan Kumar           MCh, Urology

 

Share This:

One thought on “Myths & Facts: Renal stones

  1. Nicely formulated and very informative post. Most of the myths are very true and are followed by most of the people.
    Thanks for this article.

Leave a Reply

Your email address will not be published. Required fields are marked *