Each year, more than a million people in the United States will seek treatment for mild to severe pain caused by a kidney stone. Overall, one in 11 people in the United States will suffer kidney stones at some time in his life. One of the most common times to form kidney stones is in summer and autumn.
Kidney stones are hard, pebble-like pieces of material that form in one or both kidneys when your urine contains more crystal-forming substances — such as calcium, oxalate and uric acid — than the fluid in your urine can dilute. In addition, your urine might lack substances that prevent particles from sticking together, creating an ideal environment for kidney stones to form.
Kidney stones can vary in size from tiny crystals that can be seen only with a microscope to stones more than an inch wide. Tiny stones might pass without you even noticing but can be extremely painful. Stones of any size can become stuck in the urinary tract, causing swelling of the kidney and intractable flank pain.
The most effective way to prevent kidney stones from forming is to drink plenty of water. Dehydration is one of the most common reasons why people form stones. When we are dehydrated, urine becomes concentrated, and minerals can build up and form stones.
During the warmer times of the year, you’re at greatest risk of becoming dehydrated, and it’s even more important to drink more than you do in cooler weather.
Kidney stones can form at any age, but they usually appear in people between 40 and 60 years old. Half of all people who develop one stone will develop at least one more later.
Symptoms might not appear until the stone moves around in the kidney or passes into the ureter — the tube connecting the kidney and bladder. The most common signs and symptoms are:
▪ Severe pain in the side and back, below the ribs.
▪ Pain that radiates to the lower abdomen and groin.
▪ Pain that comes in waves and fluctuates in intensity.
▪ Pain on urination.
▪ Pink, red or brown urine.
▪ Cloudy or foul-smelling urine.
▪ Nausea and vomiting.
▪ Persistent need to urinate.
▪ Urinating more often than usual.
▪ Fever and chills if an infection is present.
▪ Urinating small amounts.
If you have these signs or symptoms, seek medical attention. Treatment depends on the stone’s size and location, and a CT scan or X-ray can help pinpoint a kidney stone and estimate its size. Depending on what your doctor finds, you might be prescribed medicine and advised to drink a lot of fluids. Or you might need a procedure to break up or remove the stone.
So, as you head outdoors this summer, don’t forget to hydrate.
Dr. Amul A. Bhalodi is a University of Kentucky HealthCare urologist.