Is This Kidney Stone Disease?
Hello, good morning Mella.
Stone discharge during urination (BAK) which is preceded by lower abdominal pain can indeed be caused by urinary tract stone disease (urolithiasis). Urolithiasis is divided into four types based on their location, namely:
Kidney stones (nephrolithiasis). If the size of the kidney stones is small, the patient usually does not feel any complaints. However, if the stone is larger, the patient who experiences it may experience complaints of low back pain, BAK out of sand or stones, or the color of the urine which tends to be red. Ureteric stones (Ureterolithiasis). The ureters are small tubes that connect the kidneys to the bladder. If a stone from the kidney moves into this channel, and the stone is large enough, then the patient experiencing it will experience excruciating pain that comes and goes (colic pain). Bladder stones (vesicolithiasis). Patients who have stones in the bladder may experience pain in the lower abdomen, sandy swelling, reddish urine, especially if the stone is large enough. In addition, usually patients who have stones in this channel experience BAK that is not swollen and stagnant. Patients who experience this disease have BAK and then after moving or doing activities for a while, they will feel the desire to return to BAK. Urethral stones (urethrolithiasis). The urethra is the end tube of the urinary system that runs from the bladder to the end of the urinary opening. As in the ureter, if there are stones in this channel, the patient experiencing it will feel great pain.
Often urinary tract stones are accompanied by urinary tract infections (UTIs), this occurs due to the accumulation of bacteria as a result of stuck stones in the urinary tract. Symptoms of a UTI include back pain, lower abdominal pain, pain during BAK, BAK does not fill, BAK is cloudy or accompanied by a reddish color, fever, nausea, and so on.
If you have undergone an examination and an ultrasound, it is stated that the kidneys are sandy, then you may indeed have kidney stones, but the size of the stones is very small like sand. Usually, if the stone size is relatively small, the doctor will only suggest increasing the consumption of water or certain drinking drugs so that the sand is pushed and comes out by itself. However, if the stone size is relatively large, special measures such as laser crushing (ESWL) or surgery can be recommended.
If you are currently experiencing similar symptoms, then we recommend that you check with your doctor again to confirm what disease you are experiencing, whether recurring urinary tract stones, UTIs, or other diseases. The doctor will do questions and answers about complaints, perform a physical examination, and may suggest additional re-examinations such as urine lab tests, ultrasound examinations, X-rays with contrast, etc. Meanwhile, consume more water and avoid holding BAK huh ..
I hope this helps.
Greetings, dr. Denisa