Stone suffering: diagnosis and therapy

How to recognize a stone suffering?

Unfortunately, stones usually become noticeable through pain, and that is when they mechanically obstruct the fluid drainage in their organ and behind the obstacle an increasing accumulation of fluid occurs. The pain is often colicky in nature, with bile and salivary stones, they usually occur in connection with food intake.

Stone suffering: diagnostic methods

Renal colic can be so painful that the person loses consciousness. Sometimes the stones trigger an inflammation with fever and other signs of infection and are then discovered in the context of diagnostics. If a stone is suspected to be the cause of the complaints, diagnostic imaging is used. Salivary, renal and gallstones can be easily visualized by ultrasound, especially if they contain silken lime.

In the X-ray, calcareous stones can be displayed well and after the administration of contrast medium, the ducts of the salivary glands, gall bladder and bladder are visible and even calcareous stones can be recognized as recesses in the fluid. In case of pancreatitis one will refrain from a contrast agent, since it can increase the inflammation. Feces as a cause of appendicitis or intestinal obstruction are often discovered only during the most emergency surgery, they are not detectable on ultrasound.

What can be done against stones?

In addition to the treatment of the pain and the diagnostic measures to determine the amount and the exact localization of the stones, the further therapy scheme will depend on the type of stones and extent of the complaints.

For certain gallstones, a drug dissolution is attempted, otherwise the stones are removed either via an endoscope or surgically together with the gallbladder.

Even stones in the pancreas are if possible removed via an endoscope - so that they flow better, one enlarges the mouth of the bile duct into the intestine.

Kidney stones can be broken down by medication, smashed from the outside with a special shockwave therapy, or removed with an endoscope and surgically removed. Fortunately, the latter is rarely needed, many stones leave the kidney tract by itself.

Saliva stones may sometimes be able to be massaged out, otherwise fragmentation or surgery will be used. If the salivary gland needs to be completely removed, special attention is paid to the surrounding facial nerves.

Feces in the rectum are resolved with multiple enemas or removed manually, with a higher intestinal obstruction remains only the operation to avert the perilous situation.

How can you prevent a stone suffering?

"Drink a lot" is the best protection - against kidney, salivary and gallstone: A fluid intake of at least two liters per day should be natural for you. At higher temperatures, exercise or feverish illness, you should urgently adjust your drinking volume. In case of already known stone disease, a new disease can often be avoided by adjusting the diet - low cholesterol in gallbladder disease, low meat in the tendency to uric acid stones, stimulation of salivation with chewing gum or citrus foods are typical measures to prevent a new stone disease.

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