In most people the underlying cause isn't known. Some people with kidney stones have lower levels of citrate in their urine, which usually stops the stones forming.
Different kinds of kidney stones form from different salts in the urine.
Calcium stones are the most common type of kidney stone. They are either spiky or large and smooth, and are made up of calcium oxalate or calcium phosphate.
Calcium stones are more common in people who have excess levels of vitamin D or who have an overactive parathyroid gland. People who have medical conditions such as cancer, some kidney diseases, or a disease called sarcoidosis are also more likely to develop calcium stones.
Uric acid stones are smooth, brown and soft. Excess amounts of uric acid can be caused by eating a lot of meat. Conditions such as gout and treatments such as chemotherapy can also increase the risk of getting uric acid stones.
Struvite stones (infection stones) are usually large and have a horn-like shape. They develop when there is too much ammonia in the urine. This can happen if you have a urinary tract infection (UTI), because the bacteria that cause these infections can generate ammonia. This kind of kidney stone is most often found in women.
Cystine stones are yellow and crystalline. They develop if you have high levels of cystine in your urine, which happens if you have a hereditary disorder called cystinuria. Only one in a hundred kidney stones are caused by this condition. Cystine stones tend to develop earlier in life than other kidney stones, usually between the ages of 10 and 30 years.
Prevention
To help prevent any type of kidney stone you should drink more fluid. You should aim to drink at least three litres every 24 hours, or enough to make your urine clear rather than a yellow colour. Talk to your doctor for more advice on this.
It used to be thought that reducing the amount of calcium in your diet would lower the risk of developing calcium stones. However, research has shown that a diet containing normal or even increased amounts of calcium containing food (such as dairy products or green leafed vegetables) may be more helpful.
If you get calcium oxalate stones, cut down on foods that have high levels of oxalate - chocolate, tea, rhubarb, cooked spinach and asparagus.
If you get uric acid stones you should eat less meat, fish and poultry, and your doctor may prescribe medicine to help reduce the level of uric acid in your urine.
You should discuss dietary changes with your doctor as they are not appropriate for everyone.
If you get cystine stones, your doctor may prescribe medicines to reduce the chance of the stones forming.
If you develop struvite or "infection" stones your urine must be kept free of the bacteria that are causing the infection. This may mean taking long-term antibiotics.
Answered by
Alok
, an ibibo Master,
at
3:38 PM on October 08, 2008