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Clinical approach to urinary calculi and lifestyle modifications to prevent it

Author: 
Dr. Deshmukh Poonam Prakashrao, Dr. Nikumbh Milind, B. and Dr. Dawre Manisha
Subject Area: 
Health Sciences
Abstract: 

Urinary calculi are common problems in primary care practice and usually affect people between 30-60 yrs of age. They affect men more than women. In India, 12% of the population is expected to have urinary stones out of which 50% may end up loss of kidneys or renal damage. Location & quality of pain are related to position of the stone within the tract. Patient may present with the classic symptoms of renal colic & hematuria along with nausea, vomiting, difficulty in urinating, penile pain, testicular pain etc. Helical CT scan of abdomen is the Gold standard method for diagnosis of urinary calculi. Management of urinary calculi is based on stone composition, stone location & size & upper tract anatomy. Lifestyle modifications play very important role to prevent the occurrence and recurrence of urinary calculi. Dietary changes like increase in consumption of water, low salt diet, increase intake of fruits containing citrates along with limit intake of foods containing oxalates in large extent are the things which can combinely help to prevent recurrency of urinary calculi. These all factors will be discussed in detail in present study.

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