What medicine should I take for kidney stones? Hot topics and scientific medication guides on the Internet in the past 10 days
Recently, the issue of kidney stone treatment and medication has once again become a hot topic in the health field. This article combines the hot discussions on the Internet in the past 10 days to sort out scientific medication plans and precautions to help patients deal with the problem of kidney stones reasonably.
1. Common types of kidney stones and corresponding drugs
Different types of kidney stones have significantly different medication regimens. The following are the mainstream stone types and corresponding drug recommendations:
| Stone type | Commonly used drugs | Mechanism of action |
|---|---|---|
| Calcium oxalate stones (most common) | Potassium citrate, hydrochlorothiazide | Alkalinize urine and reduce calcium excretion |
| uric acid stones | Allopurinol, potassium citrate | Inhibit uric acid production and dissolve stones |
| Infectious stones (magnesium ammonium phosphate) | Antibiotics (such as cephalosporins), acetohydroxamic acid | Control infection and inhibit stone formation |
| cystine stones | Penicillamine, potassium citrate | Reduce cystine concentration |
2. Hot discussion on the whole network: 3 major issues in kidney stone medication
1.Painkiller choice controversy: Which are better, non-steroidal anti-inflammatory drugs (such as ibuprofen) or opioids (such as tramadol)? The latest clinical guidelines recommend the priority use of NSAIDs to reduce the risk of addiction.
2.Discussion on the efficacy of traditional Chinese medicine: Traditional Chinese medicine ingredients such as Desmodium chinensis and Gallus gallus gallus gallinae have been widely mentioned, but experts remind that it is necessary to combine diagnosis with Western medicine to avoid delaying the condition.
3.Limitations of Litholysis Therapy: Potassium citrate is effective against uric acid stones, but its effect on calcium oxalate stones, which account for 70%, is limited and requires lifestyle adjustments.
3. Medication precautions (structured data)
| drug class | Representative medicine | Things to note |
|---|---|---|
| painkillers | Ibuprofen, diclofenac sodium | Take after meals and avoid long-term use |
| Stone-clearing medicine | Alpha blockers (tamsulosin) | Suitable for stones >5mm, which may cause dizziness |
| Lithodissolving medicine | Potassium citrate | Serum potassium concentration needs to be monitored regularly |
| antibiotics | Levofloxacin | The entire course of treatment needs to be completed to avoid drug resistance |
4. Expert advice: Drug treatment must be combined with lifestyle adjustments
1.daily water intake: At least 2000-3000ml to keep urine light.
2.dietary taboos: Patients with calcium oxalate stones should limit spinach and nuts; patients with uric acid stones should reduce red meat and seafood.
3.Movement assistance: Jumping exercise can promote the passage of stones smaller than 6mm.
5. Emergency Identification
If the following symptoms occur, seek medical attention immediately:
- Persistent severe low back pain with vomiting
- Fever exceeding 38.5°C (may indicate infection)
- Anuria or oliguria
Conclusion: Kidney stone medication needs to be customized, and the content of this article is for reference only. Please refer to the diagnosis of a urologist for actual medication use, and do not buy any medication on your own.
(Note: The data in this article are synthesized from the National Health Commission guidelines, the latest consensus of the Urology Branch of the Chinese Medical Association, and PubMed clinical research.)
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