Little Stones
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Little Stones
People who have more tonsillar crypts tend to get more tonsil stones. These are also more commonly found in people who have had a lot of tonsil infections in their life. Tonsilliths tend to happen more often in teens.
Writing daily small stones can also get us into good habits, and it is always helpful to practise good habits. We can begin to rely on the appearance of small stones, when we open ourselves up to them. They are all around us.
Nature scattered diamonds liberally over the CAR, but since colonial times foreign entrepreneurs and grasping regimes have benefited from the precious stones more than the Central African people. Mining companies have repeatedly tried to extract diamonds on an industrial scale and largely failed because the deposits are alluvial, spread thinly across two large river systems. Instead, an estimated 80,000-100,000 mostly unlicensed miners dig with picks and shovels for daily rations and the chance of striking it lucky. Middlemen, mostly West Africans, buy at meagre prices and sell at a profit to exporting companies. The government lacks both the institutional capacity to govern this dispersed, transient production chain and the will to invest diamond revenues in the long-term growth of mining communities.
In this article, we will explain what tonsil stones are, how to remove them, what causes them, and how to prevent them. We will also look at any possible complications that may require medical intervention.
Tonsil stones are generally easy to extract, and some people remove them when they cough. Gargling with salty water may also dislodge them. A person may need to gargle vigorously if the stones are well established.
People with tonsil stones may be able to loosen them by gently pressing on the surrounding tissue with a cotton swab. It is better to push the stone forward by positioning the swab behind the stone. The tonsil stone then falls into the mouth instead of into the throat.
A water flosser can work well to flush out tonsil stones in a clean way without introducing bacteria to the mouth and tonsils. Some people will water floss after meals or daily to prevent debris from accumulating to prevent tonsil stones.
Tonsil stones can look like small white or yellow flecks at the back of the throat. A large stone may be visible. Some are large enough to jut out of the tonsils, resembling tiny rocks trapped in the mouth.
A paper published in the American Journal of Otolaryngology explains that this process, called coblation cryptolysis, smoothes the surface of the tonsils, reducing the number of crevices in which tonsil stones can grow.
Surgeons can perform the procedure using a local anesthetic, and patients can resume a regular diet and activity after one week. A 2021 study claims this treatment may be superior to other surgeries, though tonsillectomy remains the most common treatment for tonsil stones in the U.S.
An article published in the journal Oral and Maxillofacial Surgery Cases highlights a link between tonsil stones and tooth decay in one patient. However, there is insufficient data to tell whether poor dental hygiene is generally a risk factor for tonsil stones.
Breaking the stones into pieces. This is a procedure called cystolitholapaxy. Your doctor first does a cystoscopy to find the stones. Then, they use ultrasound, laser, or some other tool through the cystoscope to break up the stones and flush out the tiny pieces.
Kidney stones happen when minerals form crystals inside the kidneys. Then they get bigger and become kidney stones. Kidney stones can move into the urinary tract. There, they can cause problems like pain and blood in the urine (pee). Some stones also can block the flow of pee.
Usually, kidney stones don't cause symptoms until they move around in the kidney or pass into the ureter (the muscular tube that connects the kidney to the bladder). Small stones can pass out of the body with little or no pain.
Some types of kidney stones run in families, so having a relative with kidney stones can make a person more likely to get them. Kids who have had kidney stones before are more likely to get them again.
Treatment depends on the type of kidney stone and its size. Some kids only need to drink a lot of water and take pain medicines to pass a kidney stone. Those with larger stones may need surgery or other treatments to help remove the stones.
There are different types of stones. A stone that passes in pee and is caught in a strainer can be tested to see what type it is. Knowing that can help doctors find the cause and offer advice how to treat it and prevent other stones.
Kids whose kidney stones block the urinary tract or cause severe pain or dehydration may need care in a hospital. They might get intravenous (IV) fluids and pain medicine to help the stones pass and treat dehydration.
Large stones rarely pass on their own. To get rid of large stones and stones that are damaging the kidneys, doctors can do a procedure to break up the stone. This lets the smaller pieces pass on their own or be removed with a scope or surgery.
If dietary changes don't prevent kidney stones, medicines can help. Depending on the type of kidney stone your child had, the doctor can prescribe treatments or medicines to lower the levels of crystal-forming substances in the pee.
Doctors will keep an eye on kids who have had kidney stones and try to prevent new ones. The doctor might have your child use a 24-hour urine collection test. This measures the volume of pee within a 24-hour period and checks what's in it.
A kidney stone is a hard object that is made from chemicals in the urine. There are four types of kidney stones: calcium oxalate, uric acid, struvite, and cystine. A kidney stone may be treated with shockwave lithotripsy, uteroscopy, percutaneous nephrolithomy or nephrolithotripsy. Common symptoms include severe pain in lower back, blood in your urine, nausea, vomiting, fever and chills, or urine that smells bad or looks cloudy.
Urine has various wastes dissolved in it. When there is too much waste in too little liquid, crystals begin to form. The crystals attract other elements and join together to form a solid that will get larger unless it is passed out of the body with the urine. Usually, these chemicals are eliminated in the urine by the body's master chemist: the kidney. In most people, having enough liquid washes them out or other chemicals in urine stop a stone from forming. The stone-forming chemicals are calcium, oxalate, urate, cystine, xanthine, and phosphate.
After it is formed, the stone may stay in the kidney or travel down the urinary tract into the ureter. Sometimes, tiny stones move out of the body in the urine without causing too much pain. But stones that don't move may cause a back-up of urine in the kidney, ureter, the bladder, or the urethra. This is what causes the pain.
The kidney stone starts to hurt when it causes irritation or blockage. This builds rapidly to extreme pain. In most cases, kidney stones pass without causing damage-but usually not without causing a lot of pain. Pain relievers may be the only treatment needed for small stones. Other treatment may be needed, especially for those stones that cause lasting symptoms or other complications. In severe cases, however, surgery may be required.
Possible causes include drinking too little water, exercise (too much or too little), obesity, weight loss surgery, or eating food with too much salt or sugar. Infections and family history might be important in some people. Eating too much fructose correlates with increasing risk of developing a kidney stone. Fructose can be found in table sugar and high fructose corn syrup.
Diagnosis of a kidney stone starts with a medical history, physical examination, and imaging tests. Your doctors will want to know the exact size and shape of the kidney stones. This can be done with a high resolution CT scan from the kidneys down to the bladder or an x-ray called a "KUB x-ray'' (kidney-ureter-bladder x-ray) which will show the size of the stone and its position. The KUB x-ray is often obtained by the surgeons to determine if the stone is suitable for shock wave treatment. The KUB test may be used to monitor your stone before and after treatment, but the CT scan is usually preferred for diagnosis. In some people, doctors will also order an intravenous pyelogram or lVP, a special type of X- ray of the urinary system that is taken after injecting a dye.
The treatment for kidney stones is similar in children and adults. You may be asked to drink a lot of water. Doctors try to let the stone pass without surgery. You may also get medication to help make your urine less acid. But if it is too large, or if it blocks the flow of urine, or if there is a sign of infection, it is removed with surgery.
Shock-wave lithotripsy is a noninvasive procedure that uses high-energy sound waves to blast the stones into fragments that are then more easily passed out in the urine. In ureteroscopy, an endoscope is inserted through the ureter to retrieve or obliterate the stone. Rarely, for very large or complicated stones, doctors will use percutaneous nephrolithotomy/nephrolithotripsy.
There are four types of stones. Studying the stone can help understand why you have it and how to reduce the risk of further stones. The most common type of stone contains calcium. Calcium is a normal part of a healthy diet. The kidney usually removes extra calcium that the body doesn't need. Often people with stones keep too much calcium. This calcium combines with waste products like oxalate to form a stone. The most common combination is called calcium oxalate.
Less common types of stones are: Infection-related stones, containing magnesium and ammonia called struvite stones and stones formed from monosodium urate crystals, called uric acid stones, which might be related to obesity and dietary factors. The rarest type of stone is a cvstine stone that tends to run in families. 041b061a72