Pain When Defecating? Can Be A Soak Channel
JAKARTA - Urinary tract stone is a health problem that can attack anyone, regardless of age or social status. Not only experienced by the general public, several well-known figures, both from the world of government and celebrities, have also experienced this condition.
dr. Eggi Respati, Sp.U, an Urologist at Eka Hospital Depok said the urinary channel is an abnormality where crystal buildup develops into rock. This is commonly found in the kidneys,ureters (the flow connecting the kidneys to the bladder), the bladder, to the uretra (the channel that secretes urine).
"The size of the urinary tract stone can vary, ranging from a piece of sand to the size of a ginger or turmeric," explained dr. Eggi, when met on Jl. Melawai Raya, Kebayoran Baru, South Jakarta on Thursday, April 24.
"This condition can be very disturbing and cause tremendous pain, even lowering the quality of life of the sufferer. However, as medical technology advances, urinary tract stones can be overcome through minimal invasive procedures, even without the need for surgery," he continued.
Urinary tract stones form when there is an imbalance between the amount of water and the substances forming rocks in urine, such as calcium, oxalat, gout, and cystin, which are too thick and eventually crystallize. dr. Eggi said the following factors could increase the risk of rock formation.
- Lack of drinking water: Dehydration causes concentration of substances in urine to increase.
- Family History: The existence of family members who have experienced urinary tracts increases the chances of you experiencing it.
- Certain diets: High foods of salt, animal protein, or oxalat (which are found in spinach, chocolate, and nuts) can increase the risk.
- Medical Conditions: Diseases such as hyperparatiroidism, repeated urinary tract infections, and metabolic disorders can trigger rock formation.
- Certain drugs: Some types of drugs can increase the risk of rock formation.
Symptoms of urinary tract stones vary widely, depending on the size and location of the rock. Small rocks may not cause symptoms and can come out by themselves through urine. However, larger rocks or those that clog the urinary tract can cause very painful symptoms, including:
- Kolic Pain: intense pain that comes suddenly, bumpy, and radiates from the waist to the lower abdomen, groin, to the genitals. dr. Eggi called colic pain the most distinctive symptom.
- Pain when urination is small: pain or pain when urination.
- Bloody Urine: Urine which turns pink, red, or brown.
- Often urinates: The desire to urinate more often than usual.
- Urine Keruh or Berbau Tidak Sedap: Signs of urinary tract infection.
- Nausea and Vomit: Especially when the pain is very great.
- Fever and mengital: Could be a sign of a more serious infection.
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The development of medical technology allows the treatment of urinary tubes to be carried out with a minimal invasive procedure. dr. Eggi said general treatment selection includes:
- Extracorporeal Shock Wave Lithothypsy (ESWL): This non-invasive procedure uses shock waves from outside the body to break the rock into small fragments that then come out through urine.
"This procedure usually lasts about 45-60 minutes and can cause a little discomfort," said dr. Eggi.
- Ureterorenoscopy (URS): This minimal invasive procedure uses ureteroscopy to reach and destroy the rock with a laser or remove it using a special tool.
"This is effective for rocks in moderate sized uutters and kidneys with a high level of success," added dr. Eggi.
-C-Arm (Fluoroscopy): Used in URS procedures, this tool allows doctors to view rock locations in real-time, improve safety and effectiveness of procedures.
Apart from ESWL and URS, several other available treatments include:
- Medicines: Doctors can prescribe pain relievers or medications to help launch the release of stones.
- Percutaneous Nephrolithotomy (PCNL): Invasive procedures used for very large kidney stones.
- Open Operation: Performed only in the case of very large or complex stones.
Preventing is better than cure. dr. Eggi provides tips to reduce the risk of urinary tract stone formation, you can take the following steps:
- Drink enough water: Try to drink at least 2-3 liters of water per day.
- Pay attention to Diet: Limit consumption of high foods of gout or oxalat, as well as salt.
- Reduce Sweet Drinks: Avoid soda, alcohol, and sweet drinks that can increase risks.
- Increase Physical Activity: Maintain ideal weight and exercise regularly.
- Consult with the Doctor: If you have a history of family of urinary tract stones, consult for the right preventive measures.