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February 3, 2012
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Kidney Stones

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Kidney Stone Prevention

  • While kidney stones and renal colic probably cannot be prevented, the risk of forming a stone can be minimized by avoiding dehydration. Keeping the urine dilute will not allow the chemical crystals to come out of solution and form the beginning nidus of a stone. Making certain that the urine remains clear and not concentrated (dark yellow) will help minimize stone formation.


  • Medication may be prescribed for certain types of stones, and compliance with taking the medication is a must to reduce the risk of future episodes.

Kidney Stones Overview

The kidney acts as a filter for blood, removing waste products from the body and making urine. It also helps regulate electrolyte levels that are important for body function. Urine drains from the kidney through a narrow tube called the ureter into the bladder. When the bladder fills and there is an urge to urinate, the bladder empties to the outside through the urethra, a much wider tube than the ureter.

In some people, chemicals crystallize in the urine and form the beginning, or nidus, of a kidney stone. These stones are very tiny when they form, smaller than a grain of sand, but gradually can grow over time to 1/10 of an inch or larger. Urolithiasis is the term that refers to the presence of stones in the urinary tract, while nephrolithiasis refers to kidney stones and ureterolithiasis refers to stones lodged in the ureter. The size of the stone doesn't matter as much as where it is located and whether it obstructs or prevents urine from draining.

When the stone sits in the kidney, it rarely causes problems, but when it falls into the ureter, it acts like a dam. As the kidney continues to function and make urine, pressure builds up behind the stone and causes the kidney to swell. This pressure is what causes the pain of a kidney stone, but it also helps push the stone along the course of the ureter. When the stone enters the bladder, the obstruction in the ureter is relieved and the symptoms of a kidney stone are resolved.

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Kidney Stones

Blood in the Urine Overview

Blood in the urine is a common problem. The medical term for red blood cells in the urine is hematuria. If there are only a small number of red blood cells in the urine, the urine color might not change and the blood cells are only apparent under a microscope. This is usually referred to a microscopic hematuria. Sometimes blood in the urine is a sign of a serious problem in the urinary tract, while other times it is not serious and requires no treatment. Only after a thorough evaluation by a health-care provider should blood in the urine be attributed to a nonserious cause.

  • Kidneys: You have two kidneys, located closer to your back than your front at about waist level. The kidneys filter the blood in your body and produce urine.
  • Ureters: These narrow, hollow tubes carry urine from the kidneys to the bladder.
  • Bladder: The bladder is a balloon-like organ that holds urine until it ...

Read the Blood in the Urine article »


Read What Your Physician is Reading on Medscape

Nephrolithiasis »

Nephrolithiasis is a common disease that is estimated to produce medical costs of $2.1 billion per year in the United States.

Read More on Medscape Reference »

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