It is rumored on the Internet that drinking Coke and eating black fungus can help expel stones, is this really reliable? Which stones are suitable for extracorporeal shock wave lithotripsy, ureteroscopy, percutaneous nephrolithotomy, and urinary stone surgery?
In this issue, Yu Weiwen, deputy director and chief physician of the Department of Urology of Zhejiang Provincial People's Hospital, is invited to pay attention to the precise treatment of urinary stones with you.
01
Drink cola, eat fungus and drain stones
Is it really reliable?
Director Yu said that from a scientific point of view, cola is only a sugary carbonated drink, which cannot dissolve urinary stones.
Not only that, long-term consumption of carbonated drinks in large quantities will also affect the precipitation and dissolution of bone calcium, increase urinary calcium excretion, and increase the risk of urinary stones.
Coke is a sugary drink, and excessive sugar intake is also one of the risks of kidney stones, which will promote the excretion of oxalic acid by the kidneys, which in turn increases the risk of calcium oxalate stones.
As for nutritional health foods such as fungus, their role is relatively simple, and they cannot play a role in all types of urinary stones.
Citric acid, which is currently recognized as an active ingredient that can assist in the excretion of urinary stones, can increase the solubility of calcium-containing urinary stones in the urine.
Citric acid is generally found in citrus fruits, but excessive consumption of such fruits can also lead to excessive sugar intake, and it is recommended to prevent urinary stones by taking citrate tablets.
02
How to tell the difference between urinary stones
It needs to be processed
Urinary stones that do not need to be treated for the time being
In general, when the urinary stone is less than 6 mm, conservative treatment can be performed.
Resting urinary stones, i.e., stones that are larger than 6 mm in volume but not more than 1 cm or slightly larger than 1 cm, and do not cause hydronephrosis or any other symptoms, are considered by medical guidelines to be actively observed and do not need to be treated for the time being.
Urinary stones that require prompt treatment
When urinary stones grow at a rate of more than 5 mm per year, active intervention is required.
Urinary stones with physical symptoms, regardless of size, need to be treated.
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