Update: December 2018 There are a lot of different
pathologies of the urinary organs, but even if you carefully review
The latest issue of the International Registry of Diseases (ICD-10), diagnosis
�“Sand in the kidney” is not found there. Despite this, the phrase
can often be found in the conclusions of specialists ultrasound diagnostics,
conversations urological patients and articles about health.
What does it mean? Where in the internal organ can come from
sand and how does it affect the patient? About all this by
What is “sand in the kidney”
Almost everyone is familiar with the concept of urolithiasis
(abbreviated as ICD) is a state in which
concretions (synonym stones) in organs involved in the excretion
urine. They interfere with the normal functioning of the kidneys, bladder and
ureter, making it difficult for outflow of fluid. In some cases,
formations can completely block the lumen of their lumen and
lead to life-threatening complications – rupture of internal
organs, urosepsis, peritonitis.
What should be considered a calculus? This is a dense structure of
various salts (phosphates, urates, oxalates, etc.) or proteins,
more than 1 mm in diameter. They can reach a significant size
�”Record holder” is considered 17 centimeter education weighing
almost 1 kg
Stones and sand in the kidneys are not the same thing. The main difference
it is their volume and structure. Sand is a suspension of salts.
and proteins that have not yet taken shape in the calculus. Its volume is not
may exceed 0,8-0,9 mm, therefore, to detect “grains of sand” using
Modern diagnostic methods are almost impossible. Him
appearance can be called the initial stage of urolithiasis.
Contrary to popular belief, the main cause of sand in
kidney does not lie in the urinary organs. Main role in his
formation, plays a metabolic disorder. Because of this,
the level of various salts in the blood and urine rises. If their
concentration becomes high enough
the formation of small particles, and then full stones.
To factors that may contribute to the development of this
- Genetic predisposition. It is currently proven
that metabolic peculiarities often coincide with relatives
relatives. That is why, the probability of formation of stones
people whose family has had cases of ICD, increases significantly;
- The specific composition of the fluid consumed. The concept of “tough
water “was allocated hygienists not by chance. By chemical nature
it is a solution in which excess salt is dissolved
calcium, phosphorus and magnesium. It affects not only
washing machines, but also on the human urinary system;
- Hot and humid climate. In such conditions, the body evaporates
minimum amount of sweat. This leads to a delay in trace elements.
in the blood and their enhanced filtration through the renal tissue;
- Unbalanced food. In your diet is extremely important
combine meat and vegetable dishes. With значительном
the predominance of the first component is acidification of urine, and
the second is its alkalization. This factor is more important when
sand formation in urine in men, as they often consume
excessive amount of animal proteins;
- Imbalance of vitamins (increasing the amount of D and reducing
content A, C);
- Increased size of the parathyroid glands (hyperparathyroidism).
This disease leads to an increase in urine calcium levels;
- Pathology of the urinary system (congenital malformations, chronic
glomerulonephritis and ureteritis). With этих нарушениях часто возникает
stagnation of urine, which contributes to its concentration and formation
stones / sand.
Withступая к диагностике болезни, следует в первую очередь
pay attention to the above points. Having even one
of which, together with the characteristic clinical picture, allows
suspect the true cause of the sickness of the patient.
Will the pathology show any signs? how
As a rule, the symptoms of sand in the kidneys are completely absent, as these
formations do not impede the outflow of fluid. Only when they increase
up to 3 mm or more, renal colic may occur – acute condition
patient showing severe pain and impairment
With определенных условиях, мелкие солевые частицы могут
damage the mucous membranes of the ureter or urethra. This happens more often
during sand exits from the kidneys. During this process the patient
- Burning sensation in the crotch area;
- Болезненные urination;
- The appearance of a reddish tint of urine;
- Minor pain in the projection of the ureters – on the vertical
lines that are 4-7 cm to the right and left of the navel.
After most of the crystals and protein structures
leave the urinary tract, there is an improvement. All listed
the symptoms of the disease disappear, the patient’s quality of life returns to
habitual course. Does this mean recovery? TO
Without adequate treatment, sand in the kidneys is formed. re,
some time later. The term recurrence is very individual and may
range from a few months to 1-3 years.
The first thing to note is sand in the kidneys in women or
men cannot be detected by any instrumental method (ultrasound
урография, сцинтиграфия и etc.). The size of these particles is so small
(less than 1 mm) that modern diagnostic devices cannot
to visualize. They will be informative only if
cavities of already formed stones capable of hindering
fluid secretion by the body.
To determine the presence in the urine of salts or protein formations can be
using routine laboratory analysis. Doctors recommend
evaluate the following indicators:
|Laboratory sign||Norm||Change in the presence of sand in the kidneys|
|Red blood cells||No more than 2 in sight||Increasing the level indicates damage to the internal
parts of the walls of the ureter, pelvis or urethra.
|Hyaline Cylinders||Absent||TOаждое из этих веществ может быть компонентом «песка».
Their appearance in the urine indirectly indicates the formation of
|Triplex phosphates / amorphous phosphates|
TOрайне редко доктора целенаправленно ищут признаки этой
pathology. Since patients are not feeling well,
they seek help already at the stage of urolithiasis, with
onset of symptoms of renal colic. To prevent it
serious condition, you need to control your
The appearance of signs of the disease along with a risk factor – the reason
consult a doctor. Such actions
являются лучшей профилактикой МTOБ в любом возрасте.
Therapy of such a patient has two goals. The first is to bring out
urinary tract crystal formations and rid the patient
from unpleasant symptoms (if any). Equally important is
профилактика рецидива pathology. For this, the doctor recommends
special events that aim to restore
normal metabolism of salts and proteins.
This component of therapy should be carried out in all patients
whom confirmed the excess amount of mineral
compounds / cylinders in the urine. It is especially relevant when
symptoms, since after the release of urine pathological formations,
all signs of illness disappear.
Treatment песка в почках провести значительно легче, чем изгнание
decorated stones. On average, it takes 7-9 days. Thanks
small size, particles can freely leave the pelvis cavity
or ureters, under the influence of dynamic therapy and
see Medicines for the treatment of kidneys.
The expulsion of pathological substances contribute to any physical
loads that imply constant movement. Optimal
The following forms of physical education are:
- Walking tour;
Along with a change in body position, the crystals also move in
pathways of urination, in the direction from the initial section to the urinary
the bubble. how изолированный метод лечения динамические нагрузки
not effective enough, but using them together with
diuretic therapy allows you to achieve excellent results.
According to the current recommendations of the doctors, almost all
sand from the kidney remedy
origin. They combine several medicinal herbs with
diuretic effect that allows you to enhance their positive
The effect of these herbs is almost identical.
A large number of similar drugs on the market due to their
individual action on each organism. Depending on the
features of metabolism, their action for different patients can
somewhat different. Therefore, in the absence of the effect of one of
drugs, you should replace it with the same.
Thanks отсутствию синтетического компонента, вероятность
the development of side effects is minimal. Even occurrence
allergic reactions – casuistry when using such
The modern method of sand ejection
Physiotherapy can be used to treat almost all
non-inflammatory diseases. This pathology is no exception.
how вывести песок из почек с помощью этого метода?
A few years ago, domestic doctors were offered
Electrostimulation of renal tissue modulated
sinusoidal currents. Him принцип достаточно сложен, но основное
influence is realized through the activation of the blood supply in the initial
sections of the urinary tract, its expansion and strengthening
peristalsis (directional muscle contraction). results
application of the method impressive.
In the course of the research it was proved that the devices
electrostimulation in complex therapy, reduce the time of expulsion
salt crystals and calculus 2-2.5 times. Thanks to this
method, the duration of treatment at the average
patient is reduced from 9 to 4 days.
Unfortunately, in ordinary clinics there is no possibility to provide
help of this level. However, in physiotherapy departments
general hospitals and specialized private clinics
modulated currents are widespread. Virtually any
a large city there is an institution that can offer
patient this way.
In addition to the traditional treatment of this pathology, it is possible
use of alternative methods. For removing sand from the kidneys
folk remedies are recommended to be used in combination with
classical therapy. Otherwise, their effectiveness.
There are two main ways that can stimulate
release of crystalline deposits from the pelvis / ureter:
- Warming the lumbar region. For this purpose you can use
heaters, hot bath, bath procedures and any other thermal
effects on the lumbar region and in the areas of projection
ureters. The procedure time is not more than 15-20 minutes. Is explained
its effectiveness due to increased temperature on smooth muscles,
so there is a slight expansion of the walls
- Preparation of diuretic solutions. You can make it from any
plants with diuretic effect. Most often, with this
The goal is to use Dushitsa, Horsetail, Nettle, or Centaury. 50-100 g
leaves of one or more herbs are soaked in 1-1.5 l of boiling water,
for 3-5 hours. During this time, most of the extractive
substances goes into the water, giving it a diuretic effect.
Treatment of folk remedies by other methods did not find
clinical evidence. Only the effectiveness of the listed
methods has been proven by doctors on empirical experience. With
sharing them with traditional therapy can be achieved
To prevent the re-formation of crystals,
to bring the patient’s metabolism back to normal. For this you need
find out the cause of his violation and, if possible, eliminate it
effect on the body. Since pathology may be associated with
parathyroid disease and urinary anomalies
a path, it is necessary to estimate their condition by available methods. It may
be an ultrasound (optimal for studying glandular tissue, kidney and
pelvis), excretory urography, pneumopyelography,
If the doctors failed to identify any structural
disturbances, most likely the cause of impaired metabolism associated with
genetics of the patient. In this case, for the prevention
Relapse should constantly observe the following recommendations:
- Diet with sand in the kidney does not imply the abandonment of any
type of product. You should stick to a balanced diet.
regularly adding to the diet of plant foods. No need to add some salt
dishes, the amount of liquids consumed is better to increase to 1-1.5
- Eliminate the use of alcoholic beverages;
- Twice a year to take a 3-month course by any
multivitamin preparations (Biomax, Complivit, Multivit and
etc.). Their components have a positive effect on performance.
tissues and metabolic processes occurring in them;
- Every six months to examine the urine for the presence of mineral
salts and hyaline cylinders, to be consulted by a therapist
These simple activities will be enough for most
patients to adjust the body’s metabolic processes. Important
note that they must be followed all their lives, and not
occasionally. Otherwise, small salt deposits can
to form a full calculus, which will be deleted
much more complicated.
Вопрос: Почему в заключении УЗИ у меня написано
�”Sand in the kidney,” if it can not be seen by ultrasound?
As a rule, this is just a discrepancy of terminology. Seeing small
echogenic formations in the cavity of the pelvis, some doctors may
called “sand.” Although by nature, they constitute
full calculus (as their size is more than 1 mm).
Вопрос: how я узнаю, что соли или белковые
complexes come out?
After that, all symptoms of the disease disappear, and a period begins
Вопрос: Изменяется ли цвет мочи, при наличии
Not usually. The number of crystals is not enough to
stain the liquid. But with this pathology may appear
slight red tint due to mucosal damage.
Вопрос: Можно ли жить с этой патологией и не
It is possible, but the result of such actions is easy to predict –
stone formation, development of renal colic and disorders
Вопрос: Могут ли инфицироваться почки, при наличии
в них sand?
As a rule, such small particles do not increase the risk of infection.
Danger represent only full-fledged concretions.