Concrete (or so-called stones) may exist on all floors in the excretory system. The condition is collectively called ureterolithiasis and has a chronic or crisis course. Chronic on its side could be quite asymptomatic or also associated with periodic exacerbations, mostly due to the moving of the stones or their “seizure” in narrower sections, for example the ureters. This is called a “kidney crisis” and is a relatively urgent condition.
Interestingly, however, there are cases in which there are no crises, and one or more congeners have been positioned in the bladder, ureters or kidneys themselves. At first glance, we can pretend that this is a harmless state. Even if we are lucky, the stone does not give any complaints. Even asymptomatic contraindications, however, increase the risk of late complications. That is why it is important to recognize them.
What symptoms that talk about ureterolithiasis can be detected outside the renal crisis.
The presence of kidney stones may also occur in an atypical scenario. This is so when the presence of a concrete does not give signals of its existence or they are from time to time. The presence of lithiasis may be the basis for a vaguely impaired renal function. It is rarely underlying for frequent, atypical or difficult to control infections of the urinary system.
It is possible to go with a dull soreness or just increased sensitivity in the waist area, where the kidneys are actually. This complaint is most often caused by physical activity, long standing or long walks. Typical for the so-called. casting blocks in the kidney that are so large that they can not leave the renal pelvis. In the event of a worsening in possible urination, even a temporary change in the color of the urine. Blood in the urine (haematuria) is common in ureterolithiasis. It is typical of the crisis, but it is also found in a calm state. It is usually microscopic. It does not stain the secreted urine but is detected by microscopic examination, namely in the form of multiple red blood cells and hemoglobin. Another finding that is possible in kidney lithiasis is the detection of crystals in the urine.
Leukocytes in the urine could also be found in kidney lithiasis, not only in infections. They are found in severe colic with urethral wall edema and haemorrhage. And we should not underestimate the fact that the presence of kidney stones, as well as those in the bladder, the greatly increased risk of developing urothelial infections. Stones lead to urinary retention, and they themselves can literally get drunk with bacteria and be a constant source of their bacteria.
What complications can occur, even if there are no kidney crises?
The consequences of urolithiasis are sometimes more serious in those who have not even suspected the existence of concrete for a long time. Moreover, if a partial or complete umbilication of the urinary tract has occurred . As a consequence, an inflammatory process with an infection may occur. It can again be asymptomatic but is usually found in urine testing.
In more severe cases, if infection is not recognized in time, severe infections resistant to treatment may develop. Very often, despite the antibiotic treatment, the infection is persistently retained in the limbs. Developed including kidney abscesses, inflammation of the kidney tissue and even urosepsies.
In the final stages, the atrophy of the renal parenchyma or the real, functioning part of the kidneys is reached. Nephrosclerosis develops. It is most pronounced in continuous hydropneumonia. Gradually renal function deteriorates to a degree of kidney atrophy. If renal insufficiency can not be compensated, renal failure develops