Best Ayurvedic Hospital for Kidney stone in Udaipur

Calculi or stone is a solid/ crystal sedimentation formed in the urinary system. It is also called as Urolithiasis. It is mainly formed from the dietary minerals and waste materials found in the urine. It is usually comprised as a compound called Calcium oxalate or Phosphate. These are result of an accumulation of dissolved minerals on the inner surface of urinary system like Kidneys etc. It may have different sizes. Some of them have the size of a pin head and may be pass unnoticed through urine without causing any symptoms. Some of them have enough size to obstruct urinary passage and can cause symptoms like pain,etc. These can be grouped and classified according to the location and chemical composition.

Decades of years ago, it is clearly explained about Mutra asmari (Urinary Calculi), causes, Symptoms, diagnosis, diet and life style, how to prevent, etc in Ayurveda byDhanwantari etc. It is beautifully explained in Ayurveda texts like Ashtanga Hridaya, Susrutha Samhita, etc. In Ayurveda also the treatment for asmari are explained as :
1.First stage – good prognosis can manage with medicines and diet managements, and
2. Surgical Removal.

Causes

• Poor fluid intake: Poor fluid intake and hot climate will lead to dehydration and further concentration of the urine and allowing forming calculi. Dehydration and less fluid intake also reduce urine volume.
• Alcohols: Chronic alcoholism will lead to dehydration and further increase the cause for stone formation. Beverages like brandy, beer, etc will lead to increasing the level of purine, etc.
• Use of medicines:Use of excess diuretics, calcium containing antacids, excess vitD and A.
• Due to some diseases:Like reflux, medullary spongy kidney, UTI, renal tubular acidosis, etc.
• Animal protein:High intake of dietary animal proteins, sodium, refined sugars, fructose, and high fructose corn syrup, grape fruit juice, etc.
• Oxalate:High intake of oxalate's and low fluid intakes.
• Fluoridationof drinking water.
• High calcium intake:The majority of the kidney stones are made up of calcium. So high level of calcium in the urine also a risk factor. Persons who takes supplementary calcium have high risk of developing kidney stones.

(Ref: Wikipedia -Unlike supplemental calcium high intake of dietary calcium do not appear to cause kidney stones and may actually protect against their development. This is because of the role of calcium in binding ingested oxalate in the gastrointestinal tract. As the amount of calcium intake decreases the amount of oxalate available for absorption into the blood stream increases, this oxalate is then excreted in greater amount in the urine by the kidneys. In the urine oxalate is very stronger promoter of calcium oxalate precipitation, about 15 times stronger than calcium. In fact current evidence suggests that the conception of diets low in calcium is associated with higher overall risk for the development of kidney stones.).

• Improper diet and sedentary life style.
• Working for long periods in direct sunlight.
• Excess physical work.
• drinking little water.
• Suppressing the urge to pass stools,and urine,etc.
• A diet high in meat, fish, and poultry, etc

 Causes according to Ayurveda:

• Apathya ahara (unwhisome food).
• Low fluid intake.
• Urinary Tract Infection.
• Non elimination of vitiated Dosha through proper shodhana (elimination therapy).
• Idiopathic, etc.

 

Symptoms:

A kidney stone may not cause symptoms until it moves around within your kidney or passes into your ureter — the tube connecting the kidney and bladder. At that point, you may experience these signs and symptoms:

• 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

Pain caused by a kidney stone may change — for instance, shifting to a different location or increasing in intensity — as the stone moves through your urinary tract.

Knowing the type of kidney stone helps determine the cause and may give clues on how to reduce your risk of getting more kidney stones. If possible, try to save your kidney stone if you pass one so that you can bring it to your doctor for analysis.

According to location:

1. Nephorlithiasis : Calculi in the kidney.
2. Urolithiasis : Calculi originating anywhere in the urinary system including kidneys and bladder.
3. Calyceal calculi : Calculi in minor or major calyxes.
4. Ureterolithiasis : Stones in ureter.
5. Cystolithiasis : stones in bladder.

According to chemical composition

There are five different types of kidney stones and it is important to know which of the five you might have.

• Calcium oxalate stones are the most common. They tend to form when the urine is acidic, meaning it has a low pH. Some of the oxalate in urine is produced by the body. Calcium and oxalate in the diet play a part but are not the only factors that affect the formation of calcium oxalate stones. Dietary oxalate is an organic molecule found in many vegetables, fruits, and nuts. Calcium from bone may also play a role in kidney stone formation.
• Calcium phosphate stones are less common. Calcium phosphate stones tend to form when the urine is alkaline, meaning it has a high pH.
• Uric acid stones are more likely to form when the urine is persistently acidic, which may result from a diet rich in animal proteins and purines-substances found naturally in all food but especially in organ meats, fish, and shellfish.
• Struvite stones result from infections in the kidney. Preventing struvite stones depends on staying infection free. Diet has not been shown to affect struvite stone formation.
• Cystine stones result from a rare genetic disorder that causes cystine-an amino acid, one of the building blocks of protein—to leak through the kidneys and into the urine to form crystals

Types according to ayurveda:

• Vataja Ashmari.
• Pittaja Ashmari.
• Kaphaja Ashmari.
• Sukraja Ashmari.

Risk factors

Factors that increase your risk of developing kidney stones include:

• Family or personal history.If someone in your family has kidney stones, you're more likely to develop stones, too. And if you've already had one or more kidney stones, you're at increased risk of developing another.
• Not drinking enough water each day can increase your risk of kidney stones. People who live in warm climates and those who sweat a lot may be at higher risk than others.
• Certain diets.Eating a diet that's high in protein, sodium (salt) and sugar may increase your risk of some types of kidney stones. This is especially true with a high-sodium diet. Too much salt in your diet increases the amount of calcium your kidneys must filter and significantly increases your risk of kidney stones.
• Being obese.High body mass index (BMI), large waist size and weight gain have been linked to an increased risk of kidney stones.
• Digestive diseases and surgery.Gastric bypass surgery, inflammatory bowel disease or chronic diarrhea can cause changes in the digestive process that affect your absorption of calcium and water, increasing the levels of stone-forming substances in your urine.
• Other medical conditions.Diseases and conditions that may increase your risk of kidney stones include renal tubular acidosis, cystinuria, hyperparathyroidism, certain medications and some urinary tract infect

Diagnosis:

Diagnosis of kidney stones requires a complete health history assessment and a physical exam. Other tests include:

• blood tests for calcium, phosphorus, uric acid, and electrolytes
• blood urea nitrogen (BUN)and creatinine to assess kidney functioning
• urinalysisto check for crystals, bacteria, blood, and white cells
• examination of passed stones to determine their type

The following tests can rule out obstruction:

• abdominal X-rays
• intravenous pyelogram (IVP)
• retrograde pyelogram
• ultrasound of the kidney (the preferred study)
• MRI scanof the abdomen and kidneys
• abdominal CT scan

The contrast dye used in the CT scan and the IVP can affect kidney function. However, in people with normal kidney function, this isn’t a conce