Renal stones, also known as kidney stones or nephrolithiasis, are hard deposits made of minerals and salts that form inside the kidneys. While more common in adults, children can also develop kidney stones, which can cause significant discomfort and health issues.
Causes
Dietary Factors : High intake of salt, certain foods, and beverages can increase the risk of stone formation
Dehydration : Insufficient fluid intake can lead to concentrated urine, promoting stone formation
Genetic Factors : Family history of kidney stones can increase a child's risk
Medical Conditions : Conditions such as urinary tract infections (UTIs), hypercalciuria (high calcium levels in urine), and certain metabolic disorders
Symptoms
Severe Pain : Sharp pain in the back, side, lower abdomen, or groin
Hematuria : Blood in the urine, which may appear pink, red, or brown
Frequent Urination : A constant need to urinate, often with pain
Nausea and Vomiting : Accompanying the pain
Cloudy or Foul-Smelling Urine : Indicating possible infection
Diagnosis
Medical History and Physical Examination : To identify symptoms and potential causes
Urine Tests : To detect crystals, blood, or signs of infection
Imaging Tests : Ultrasound, CT scan, or X-rays to locate and identify the size and type of stones
Treatment
Increased Fluid Intake : Helps flush out the stones¹.
Pain Management : Medications to relieve pain
Medical Therapy : Medications to help dissolve certain types of stones
Surgical Intervention : Procedures such as shock wave lithotripsy, ureteroscopy, or percutaneous nephrolithotomy for larger stones that cannot pass on their own
Prevention
Hydration : Encourage children to drink plenty of fluids, especially water
Dietary Modifications : Reduce salt intake and avoid foods high in oxalates (e.g., spinach, nuts) if prone to certain types of stones
Regular Monitoring : For children with a history of kidney stones, regular follow-ups with a healthcare provider are essential