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Calcium Oxalate Calculi with HyperuricosuriaCalcium Oxalate Calculi with Hyperuricosuria General InformationKidney stones appear in a quite common medical disorder that is also widely known under the name of renal lithiasis. This medical condition is known to develop when the interior part of the individual’s kidneys start to present small and hard deposits of minerals and/or acid salts. The acid salts and/or minerals (the substances that may form the unpleasant kidney stones) are normally diluted in the urine. However, in some cases, their urine concentration becomes too high; therefore, the substances crystallize, solidify and bond. In most cases, the deposits contain calcium. Calcium Oxalate Calculi with Hyperuricosuria may also be developed by patients who present chronic bowel inflammation or by individuals who have recently undergone an ostomy or an intestinal bypass surgery. Among the most common causes of renal stones is Hyperuricosuria, which is a medical condition that affects the metabolism of the uric acid (also known as urate is an organic product, a mixture of hydrogen, oxygen, nitrogen and carbon; the formula of this compound is known to be C5H4N4O3). As it is a well known fact that uric acid is the most important end-product of the metabolic processes of purine, most individuals develop Calcium Oxalate Calculi with Hyperuricosuria due to a prolonged diet that contained high amounts of purine rich products. This acid is known to be relatively insoluble in water, this enabling it to form calculi. A patient is said to suffer from Hyperuricosuria if he or she presents an urinary excretion of this acid that exceeds 750 mg/d in the case of women and 800 mg/d in the case of men. Calcium Oxalate Calculi with Hyperuricosuria is sometimes associated with another medical condition - hyperuricemia.Calcium Oxalate Calculi with Hyperuricosuria SymptomsRenal stones are quite difficult to diagnose because their presence does not lead to the appearance of any major symptoms and / or signs until the stones have reached the patient’s ureter. Almost all patients who have been diagnosed with Calcium Oxalate Calculi with Hyperuricosuria complain of severe pain. This symptom generally has a sudden onset; most individuals describe an intermittent (colicky) pain that does not improve due to changes in the body position; the pain generally radiates from the back, comes down the flank and reaches the individual’s groin. Other common symptoms are vomiting and / or nausea, urine that smells like foul, cloudy urine, bloody urine, chills, pain during urination, persistent need to urinate, fever, and so on. As you have already seen, the average signs and / or symptoms that the presence of this disorder (Calcium Oxalate Calculi with Hyperuricosuria) is known to generally trigger are quite common, as they can appear due to many other medical conditions. For this reason, the only way in which you can establish the true cause of your symptoms is to contact your personal health care provider and set up an appointment as soon as possible. You may have to undergo a set of clinical exams in order for your physician to determine without any further doubt whether you are suffering from this particular medical condition or from another disorder. Calcium Oxalate Calculi with Hyperuricosuria TreatmentEstablishing a correct diagnosis (in due time) is vital in order for the patient to be prescribed an effective therapy for his or her medical condition. Several tests might be needed in order for you physician to be able to state that you are indeed suffering from Calcium Oxalate Calculi with Hyperuricosuria. The most common clinical exams that are performed include: a computerized tomography (this clinical tests offers reliable information regarding the potential presence of renal stones); an ultrasound clinical exam (is able to provide clear and detailed images of the patient’s internal organs; however, the small stones that are located in the ureter and or bladder might not be noticed); an excretory urogram (is able to determine the exact dimension and location of the stones, and whether or not they are causing a blockage), and so on. However, the most common medical procedure that is performed in order to see whether the patient presents Calcium Oxalate Calculi with Hyperuricosuria remains a simple abdominal x-ray (this procedure offers the possibility of observing possible changes of the individual’s stones in time). The most common therapy that is prescribed to most patients who are diagnosed with Calcium Oxalate Calculi with Hyperuricosuria aims to ease the patient’s symptoms (especially the severe pain). For this reason, the patient will be prescribed a treatment with pain relievers, antibiotics (in case the individual also presents a concurrent urinary infection). Each individual who is suffering from this kidney disorder ought to make sure that he or she receives plenty of fluids on a daily basis (as in such cases, hydration is extremely important). Among the most common medicines that may be used in the therapy of Calcium Oxalate Calculi with Hyperuricosuria are Zyloprim and Lopurin. Although most kidney (renal) stones are known to spontaneously pass within 2 days, some stones might not be able to pass by themselves. A stone’s ability to pass on its own is known to be influenced by a set of factors that include: the size of the individual, pregnancy, the presence of an enlarged prostate, any prior renal stone passages, and of course, the stone’s size. For example, a stone with a 4 mm diameter has an 80% chance of passing away on its own, while a renal stone that has a diameter of 5 mm presents merely 20% chances of making it through on its own. For this reason, urologic intervention (surgery) is required in some clinical cases, in order to surgically remove the renal stones that are unable to pass on their own. For further information regarding the procedure, for more details regarding the risks and benefits that such a procedure involves, we strongly advise you to contact your personal health care provider and ask him or her for the necessary information / details. Together, you will be able to settle whether such a surgical procedure is recommended for your Calcium Oxalate Calculi with Hyperuricosuria. |
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