A kidney stone is a special mass made up of tiny crystals.Single or multiple stones can be in kidney or in ureter at the same time. A kidney stone may be the size of the pinhead and may pass unnoticed through urine, or it can be large upto the size of grapefruit, and may obstruct the urinary passage causing acute pain, bleeding as well as blocking the flow of urine.In Ayurveda texts, kidney stone given the name ‘vrukka ashmari’.
What are the causative factors of kidney stones?
- Deficiency of vitamin-A
- Altered urinary solutes and colloids
- Decreased urinary citrate
- Kidney infections
- Urinary statis( obstruction in free passage of urine like-BPH, stricture urethra)
- Disturbed oxalate metabolism
- Less water intake
- Intake of more calcium containing foods or Vitamin-D drugs
- Parathyroid diseases
According to Ayurveda concepts, improper diet and lifestyle causes aggravation of all three doshas and impairment of digestive fire, which leads to ama formation, and this ama travels down the channels carrying urine, where aggravated doshas combine with it, causing its crystalization and leading to formation of stones.
Type of kidney stones?
- Oxalate stones- These are sharp and Pitta stones. They irritate, burn and create bleeding and they may create a great deal of pain from loin to groin. A diet high in oxalic acid (spinach, potato, tomato and rhubarb) promotes formation of pitta stones.
- Phosphate stones- Phosphate stones are rough, they irritate the bladder and cause pain because of their rough quality. They are primarily caused by increased phosphates in the system, due to excess eating of potatoes, eggplant, tomatoes.
- Calcium stones- They are Kapha stones and generally soft and painless, through they may become painful when they start leaving the pelvis of kidney and enter the ureter. An individual with an underactive thyroid or parathyroid gland can develop calcium stones.
- Urice acid and urate stones(10%)
- Xanthaline stones( smooth and brick red in colour)
General symptoms of kidney stones?
- Acute pain in the flanks radiating towards the lower abdomen and groin area.
- The pain may be associated with nausea, vomiting and profuse sweating.
- There may be burning sensation while urinating.
- There may be urinary urgency or frequency.
- If the stone is large and sharp, it may erose the tissues, causing the bleeding through the urinary tract. sometimes fever with chills might be associated due infection.
- Aggravation of pain during activities like running, swimming, jumping, riding, jerky movements etc.
What are the possible complications of the kidney stones??
- Recurrent infection
- Calcium anuria
- Chronic kidney failure
Which investigations should be done ?
- Urine examination( for RBCs, pus cells, albumin)
- Blood examination for serum calcium, serum phosphorus and serum electrolytes.
- Plain x-rays
- CT scan
Treatment of kidney stones?
Conservative management– (calculi which are the less than 5 mm are likely to pass spontaneously unless they are impected) follow- high intake of fluids , urinary alkalizers and diuresis.
Treatment in Ayurveda
- Pashan bheda( choice of drug for treating kidney stones)
- Trivikram rasa
- Shwet parpati
- Hazralyahood rasa
- Yava kshara
- Varunadi quath
- Cap- lithostone
- Gokshuru powder
- Punarnava powder
- Gokshururadi gugg.
Don’t start self medication, consult to your Ayurveda Doctor first, before taking these drugs.
Simple remedies which may help to remove your renal stones?
- Powder of Tribulus trrestris (bhindi) 4gm with honey.
- Take 10 gm paste of coconut flowers and yava kshara with honey pearl ash.
- Boil 10-12 basil leaves in 1 cup of water for 15 minutes, mix one teaspoon of honey in it and take it.
- Boil, one teaspoon of horse gram (Kulth) powder in one cup of water until one-fourth of water remains. Take this decoction 3-4 times a day.
What to do?
- Have old rice, watermelon, benincasa hispida(ashgourd or wintergourd or whitegourd), cucumber with seed.
- Take two lemon fruits, Tender coconut water daily.
- Minimum three litre of water intake daily.
- Avoid suppressing urges to urinate and defecate.
- Avoid curd, tomato, cabbage, cauliflower, broccoli, spinach, seafood, excess of non-veg food.
- Avoid tea, coffee, alcohol, cold drinks, pickle, fish and chocolate
- Intake of excess fluid, dietary items having Vataanulomana and Mutrala properties like Barley, Horse gram Green gram Puffed Rice, Rajama, Bitter guard etc.
- Sitz bath
Written by- Dr. Ranjeet Singh