Nephrolithiasis coli

Nephrolithiasis coli, also known as kidney stones or renal calculi, is a medical condition where small, hard mineral deposits form inside the kidneys.

Causes and Risk Factors

  • Dehydration: Not drinking enough water can lead to concentrated urine, which increases the risk of stone formation.
  • Diet: A diet high in animal protein, sodium, and sugar can increase the risk of developing kidney stones.
  • Family history: Having a family history of kidney stones can increase an individual's risk.
  • Medical conditions: Certain medical conditions, such as gout, inflammatory bowel disease, and renal tubular acidosis, can increase the risk of developing kidney stones.
  • Medications: Certain medications, such as diuretics and calcium supplements, can increase the risk of developing kidney stones.

Symptoms

  • Severe pain: Pain is often the most common symptom of kidney stones, typically felt in the side or back, below the ribs.
  • Nausea and vomiting: Some people may experience nausea and vomiting, especially if the stone is blocking the flow of urine.
  • Frequent urination: People with kidney stones may need to urinate more frequently, as the body tries to eliminate the stone.
  • Blood in the urine: In some cases, blood may be present in the urine, which can be a sign of a kidney stone.
  • Fevers and chills: If an infection is present, fevers and chills may occur.

Types of Kidney Stones

  • Calcium stones: The most common type of kidney stone, often caused by excess calcium in the urine.
  • Uric acid stones: These stones are often associated with gout or chemotherapy.
  • Cystine stones: These stones are rare and usually occur in people with a genetic disorder called cystinuria.
  • Struvite stones: These stones are often caused by urinary tract infections (UTIs) and can grow quickly.

Treatment and Prevention

  • Drinking plenty of water: Staying hydrated can help prevent kidney stones from forming.
  • Dietary changes: Eating a diet low in animal protein, sodium, and sugar can help reduce the risk of developing kidney stones.
  • Pain management: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain associated with kidney stones.
  • Medical procedures: In some cases, medical procedures, such as extracorporeal shock wave lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL), may be necessary to remove the stone.

Complications

  • Urinary tract infections: Kidney stones can increase the risk of developing UTIs.
  • Kidney damage: If left untreated, kidney stones can cause permanent damage to the kidneys.
  • Sepsis: In rare cases, kidney stones can lead to sepsis, a life-threatening condition that occurs when bacteria enter the bloodstream.

Article last updated on: 15th June 2025.
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