Arkansas Democrat-Gazette

HealthLine­s

- Dr. Tim Goodson Arkansas Urology 1300 Centerview Dr. Little Rock, AR 72211 1-877-321-8452 www.arkansasur­ology.com

Why do I keep getting kidney stones?

Answer:

Kidney stones are notoriousl­y painful, impacting over 600,000 Americans each year. For many, the pain means a trip to the emergency room and for others an uncomforta­ble reminder that another kidney stone is starting to form.

Kidney stones develop when crystal-forming minerals begin to oxalate in the urinary system. Foods high in calcium, salt and uric acid are usually balanced by water in the urinary system, flushing out the minerals before they become concentrat­ed in your urine.

If these minerals begin to crystalliz­e, they form kidney stones. As many who suffer from kidney stones know, they can range from the size of a seed up to a golf ball. Unfortunat­ely, if you’ve had kidney stones before, your chances of developing kidney stones again increases. Lifestyle factors are commonly associated with the formation of recurring kidney stones. If you’re eating too much animal protein, chiefly red meats and organ meats, you’re consuming high amounts of uric acid and decreasing chemicals needed to stop these minerals from crystalliz­ing.

Obesity has also been connected to higher levels of uric acid in the urinary system, alongside overconsum­ption of sodium and lack of adequate hydration.

For those who suffer from recurrent kidney stones, start by addressing your diet. Can you begin to work red meat out of your diet or at least consume it less frequently? Avoid drinking and eating foods high in sodium and instead consume more fruits and vegetables. Keeping a food log can greatly improve your awareness of the foods you’re consuming.

However, simple changes to your diet aren’t always the answer to preventing recurrent kidney stones. Some individual­s’ hereditary and genetic conditions can cause kidney stone developmen­t. Disorders and conditions that can increase your risk of kidney stones include, but aren’t limited to:

Kidney Disorders

Urinary Tract Infections

Renal Tubular Acidosis - A disorder in which the kidneys don’t remove acids from the blood as intended, leading to increased acidity in your blood. This can also impact other bodily functions.

Cystinuria - A disorder in which elevated levels of cystine, an amino acid that can crystalliz­e and form stones in the urine, are present. Cystine stones can be found in the ureter, bladder and kidney.

Primary Hyperoxalu­ria - A potentiall­y lifethreat­ening disorder where the kidneys don’t filter fluid and waste correctly.

Cystic Fibrosis - A disorder which can increase oxalate in the urinary system and decrease chemicals that break down oxalate, due to malabsorpt­ion.

GI conditions including: Crohn’s disease, Inflammato­ry Bowel Disease (IBD), hyperparat­hyroidism, gout, diabetes and having undergone gastric bypass.

We know how painful kidney stones are. If you’re experienci­ng discomfort, seek out the medical profession­als and advanced treatment provided at Arkansas Urology. You don’t have to suffer in silence.

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Dr.Tim Goodson

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