| |
The Kidney Stone Page |
| |
GLOSSARY
|
Allopurinol (äl oh
pyur
uh nall)
A prescription drug used for reducing high uric acid in the
blood, Allopurinol has proven highly effective. It has been in use for
more than twenty years and has few side effects. Dosage is usually 100-250
mg per day.
gout
(gowt)
A painful
condition and inflammation of the joints, often appearing in the big toe. Gout is
caused by the growth of hard crystals of uric acid in the joint, which causes
scraping between smooth joint surfaces. It usually occurs as swollen,
painful joints, often hot to the touch. High uric acid levels are the usual
cause. Abnormal uric acid levels may also lead to kidney stones, so persons with
gout are often advised to take measures to normalize levels, including
taking the prescription drug Allopurinol and avoiding purine-rich foods and "organ"
meats such as brain, kidney and liver. . . no great sacrifice there, eh?
hyperparathyroidism (hi pur per uh thi royd izm)
Hyperparathyroidism is excessive production of parathyroid hormone by the parathyroid glands.
The parathyroid glands are located at the front and base of the neck around the thyroid gland.
They produce parathyroid hormone, which regulates calcium, phosphorus, and magnesium levels
within the blood and bone. When calcium levels are too low, the body responds by increasing
production of parathyroid hormone. This increase in parathyroid hormone causes more calcium
to be taken from the bone and more calcium to be reabsorbed by the intestines and kidney.
When the cacium level returns to normal, parathyroid hormone production slows down.
lithotripsy (lith o
trip see)
The removal of stone (litho)
by any of several means, including
percutaneous (through the skin) surgery, or ESWL (extracorporeal shock-wave
lithotripsy) which is the now common practice using focused sonic waves to break
up stones inside the kidney to allow the stone material to pass as small pieces
or grains. This process, usually under general anesthesia, is often
referred to by the uninformed as "having your stones blasted."
See medical treatment.
renal (ree nul)
An adjective referring to the kidney. Example: Renal Ultrasound = Kidney
Ultrasound.
stent (stent or stint)
A small plastic tube from 10 to 12 inches in length, inserted surgically into the
length of the ureter, connecting the kidney directly to the bladder, used to
assist in the painless passage of stone material after sonic lithotripsy.
Small pieces of stone then pass through the plastic tubing rather than through
the sensitive inner surface of the ureter. These uretral stents are often
inserted during lithotripsy and may remain for two to six weeks, after which
they are removed, under local or general anesthesia. Perhaps fifty percent
of patients complain of discomfort from the presence of the stent, ranging from
annoyance to misery, but many urologists believe it greatly diminishes both the
pain and the potential for blockage as stone material gradually exits the kidney
in the weeks following sonic lithotripsy. Once removed, the stent leaves the
ureter slightly enlarged (dilated) for a time, which may continue to assist in
trouble-free passage of stone fragments. However, there is some disagreement
among medical practitioners about the benefits of stents, so your urologist may
use them frequently or not at all. In rare
cases, perhaps in one out of 1000 patients, a stent will retract upwards, its
lower end leaving the bladder as the tube gradually moves upward toward and into
the kidney, which surprisingly enough, may not produce any pain for the
patient. In almost all such cases, an experienced urologist can recover
the tube with a special tool designed for this purpose during a uretroscopy
under general anesthesia. Although it is unknown exactly what causes this
unusual occurrence, patients with stents should probably avoid any unusual
jarring movements or repetitive twisting of the torso until it is removed. We
are aware of one patient who clearly felt a stint retract during a chiropractic
adjustment of the lower back, which involves the deep twisting of the torso.
Radiology confirmed that the stent had indeed moved upward. (Hint: see the
chiropractor later.)
ureter (yur
a ter)
The small
tube which leads from each kidney to the bladder. These 1/8" tubes
constantly deliver urine to the bladder. Stones passing through this tube often create
the worst pain of a stone incident. Though most stones can eventually pass
safely through the ureter, a blockage can become serious and may require surgery.
uric acid (yur
ik)
A by-product of protein metabolism, uric acid is a normal element of
the human body. Its level can be determined by a blood test. Normal
uric acid levels for an adult male usually fall between 4 and 8 mg/dl in the blood, but some stone-producing
kidneys are attached to people whose tests fall within this "normal"
range. The drug Allopurinol is often very effective
in reducing or controlling high uric acid levels. See gout.
|