$Unique_ID{BRK00397} $Pretitle{} $Title{What Are Kidney Stones?} $Subject{kidney stone Genitourinary urinary tract silent stones minerals urine urination block blocked blockage calcium oxalate phosphate uric acid cystine struvite body fluids} $Volume{J-16} $Log{ Anatomy of the Kidney*0004801.scf Small Kidney Stones*0004802.scf Stag-Horn Kidney Stones*0004803.scf Passage of a Kidney Stone*0004804.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. What Are Kidney Stones? ------------------------------------------------------------------------------ QUESTION: Though I have had several attacks, and have listened to all my doctor's advice, I guess I have never really understood about my kidney stones. I know the symptoms, the pain is terrible, but what are they and where do they come from? Your answer would be much appreciated. ------------------------------------------------------------------------------ ANSWER: You describe the pain accurately; it may be excruciating, and follows the path of the stone as it descends along the urinary tract. Yet there are some patients who never go through this torture, but have "silent stones" that may produce no symptoms at all, yet when x-rays are taken, there they are. Stones are formed from the minerals that occur in our urine. Normally they may form minute crystals that are passed out of our bodies along with the urine flow, but sometimes they clump together, and cling to the tissue lining the inside of the kidney. There they continue to grow as new crystals are added, and they harden as time passes. They may develop to any size, from a grain of sand to almost the size of an orange. A number of substances can form stones--calcium oxalate, calcium phosphate, uric acid, cystine, or struvite--and some stones are composed of mixtures of these substances. If you have had stones once, you are at risk of having them again. They occur mostly in middle aged people, and in areas where hot weather causes excessive sweating. If body fluids are diminished, the risk for producing stones is increased. It is the same with reduced or blocked urinary flow; these occurrences increase the possibility of stones. Certain genetic disorders as well as foods rich in oxalate and calcium may cause stone formation in some individuals. Despite the knowledge of all these factors as possibly contributing to the manufacture of these nasty pebbles, no one is really sure why they occur or why some people develop them while others do not. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.