Stones in the ureter: symptoms in women and ways of treatment

A complex disease, in which stones fall into the ureter, are always accompanied by severe pain. This pathology is dangerous for its complications, if adequate treatment is not done in a timely manner. Physicians, calling such an ailment ureterolithiasis, give him second place in urological practice in prevalence. Pathology can be detected in children. Most often it is diagnosed in men. But sometimes found in the fair sex stones in the ureter. Symptoms in women usually indicate a severe course of the disease.

Characteristics of pathology

Urolithiasis is a fairly common disease. His appearance provokes many different factors. Most often, pathology occurs against a background of poor nutrition and unsatisfactory quality of drinking water. Initially, the stones are formed in the kidneys.

Most patients for a long period of time do not even suspect of the presence of concrements. After all, signs of an illness do not appear immediately. Meanwhile, the stones "grow" in the kidneys. And as a result of certain factors, stones in the ureter may appear.

What are the symptoms of women? This, in the first place, is the greatest pain. It indicates renal colic (indicates the lowering of the calculus in the ureter). In such situations, you should immediately contact a doctor.

Penetration of the stone into the ureter

Concrements, as a rule, are formed in the renal pelvis. However, there are cases when stones in the ureter were formed. Symptoms in women, treatment - these are the moments that must necessarily be discussed with the doctor. Self-control of pathology is completely unacceptable.

So, if the calculus is formed in the kidneys, why does it get into the ureter? There are many different factors that can provoke such a move. Most often this is due to the following reasons:

• Wearing weights;
• A long, jolting ride;
• Copious fluid and food intake;
• horseback riding.

It is very important to remember what signs appear if the stones in the ureter are localized. Symptoms in women, indicating the progress of the calculus, manifested in the form of severe pain syndrome. Acute discomfort appears in the abdomen and back. This condition is called renal colic.

Causes of the appearance of the disease

The concrements of the ureter are formed from various substances:

• Uric acid;
• Cystine;
• Calcium phosphate ;
• Struvite.

Most often, the process of formation of stones is affected by the following factors:

1. Genetic predisposition. Doctors say that the disease is more often diagnosed in patients who have cases of urolithiasis in the family.
2. Disrupted outflow, stagnation of urine. At the heart of the development of the disease may lie congenital pathology. Most often, the ailment provokes narrowed ureters in women, their underdevelopment, excesses or anomalies of the bladder.
3. Diseases of urinary sphere in chronic form. Infectious diseases can lead to the development of pathology. For example, pyelonephritis.
4. Disrupted exchange. Acquired or congenital ailments can be accompanied by penetration into the urine of lithogenic substances - calcium (if hyperparathyroidism is diagnosed), urates (in case of gout).
5. Diseases of the digestive system. If the suction function is violated, concrements can form.
6. Drug use. Some medications can lead to the development of the disease. For example, such consequences are provoked by uroseptics from the category of nitrofurans.

Doctors say that uroliths are often formed in women living in hot and dry climates. To start the mechanism of development of the disease is capable of high-calorie food, rich in animal proteins.

Symptoms of the disease

There are cases when the strongest pain is not caused by stones in the ureter. Symptoms in women, which characterize the movement of the stone, completely depend on its size and shape. Stones that do not exceed 2 mm in diameter are able to move painlessly along the ureter. In this case, there may not be any symptoms. A woman will not even know about the unpleasant pathology in the body.

But most often there are large stones in the ureter in women. Symptoms of pathology provoke stuck concrement.

In this case, the symptoms are pronounced and called renal colic:

1. Sharp, severe pain localized in the lower back. She gives the women in the crotch and labia.
2. The urination may be impaired. But such a sign is extremely rare and characterizes the simultaneous release of stones from both ureters. Most often, women have frequent urge to urinate.
3. In the urine there is blood and the inner epithelium of the kidney. Such symptoms appear as a result of damage to the ureter by the sharp edges of the calculus. If the stone completely blocked the path, then there is no such sign, since urine enters only in the normal, unaffected ureter.
4. Hanging sweating, chills. There is an increase in temperature to 37-37.5 degrees. Pathology can be accompanied by nausea, flatulence, often vomiting.

The concrement, as a rule, is periodically promoted. This leads to the fact that the painful symptomatology of the woman then appears, then disappears. Such cramps can annoy for hours or days.

Symptomatology of pathology, depending on the location of the calculus

Most often the concrement is found in the narrowing of the ureter. This is an area in which the renal pelvis connects to the canal. Such a site is called the pyeloureteral segment. The next area in which a stuck stone is often diagnosed is the area of passage of the ureter from the large pelvis into the small one. Another "dangerous" area - the connection of the canal with the bladder.

If the concrement clogs in the upper zone of the ureter in women, the symptoms are as follows:

• Severe pain appears in the lower back;
• Acute discomfort is wavy in nature, then abating, then intensifying;
• Changing the position of the body does not reduce the intensity of pain;
• Discomfort covers the lateral areas of the abdomen.

The localization of the stone in the middle zone of the canal is evidenced by such signs:

• Pain is acutely felt in the lateral abdomen (below, along the edge of the ribs);
• Discomfort extends to the inguinal zone and iliac.

If the concrement descended into the lower part of the ureter, then the symptomatology of the woman appears as follows:

• Pain localized in the lower abdomen and groin area;
• The strongest discomfort covers the external labia;
• Urination becomes more frequent;
• There is a feeling of fullness of the bubble;
• The process of urination does not bring relief (feelings of emptying does not appear).

Possible complications

It is very dangerous if stones are kept in the ureter for a long time. Symptoms in women, treatment of pathology require a serious and responsible attitude.

Otherwise, severe consequences may occur, such as:

• Hydronephrosis;
• Acute renal insufficiency;
• Fistulas on the ureter;
• Obstructive pyelonephritis.

Methods of diagnosis

To make sure that the severe discomfort is provoked by the motion of the stone in the ureter, the doctor will perform a primary examination. He means palpation.

Then the patient will be assigned more accurate studies:

• Urine analysis, determining protein, salt, pus, blood cells;
• Bakpos;
• Urine analysis, to study its acidity;
• X-ray examination;
• blood test;
• Urography;
• Ultrasound of the urinary tract;
• CT of kidneys;
• Radioisotope diagnostics.

The complex of such surveys allows to determine the location of the localization of the calculus, to identify the sources of the disease and to select appropriate therapy.

Methods of treatment

If during the diagnosis, stones in the ureter in women are identified, how to remove them can only be solved by a competent specialist.

Methods of treatment depend on the complexity of the situation, the size of the calculus. Depending on these factors, they can develop in 2 directions:

1. Conservative-expectant therapy. It is used in those cases, the code of a stone in diameter does not exceed 2-3 mm and does not clog the duct. In this case, the possibility of an independent exit of a calculus is high.
2. Active treatment. Used if conservative therapy is not possible or has not yielded positive results.

Medication

How to remove a stone from the ureter?

Conservative-expectant therapy includes:

1. Appointment of urolithic drugs. Medicines "Nifedipine" or "Tamsulosin" provide an acceleration of the escape of stones.
2. Use of anesthetics, antispasmodics. Often the patient is recommended NSAIDs, such as Ibuprofen, Naproxen.
3. A woman is prescribed physiotherapy and special physical therapy.

In addition, the doctor recommends the patient to review her diet.

Compliance with diet

Special benefit will bring diet therapy. It is based on the exclusion of foods that promote the formation of stones in the body, and recommends increasing the intake of food that speeds up the withdrawal and dissolution of stones.

To provide such recommendations it is necessary:

1. Discard food containing oxalic acid (cabbage, spinach, nuts, currants, beans).
2. Do not combine the abovementioned food with dairy products, rich in calcium.
3. Include in the diet food containing vitamin A (broccoli, carrots, pumpkin).
4. Every week, arrange a day off (watermelon or cucumber).
5. Set up a drinking regimen. Every day you should drink about 2 liters of water.

Why do you need specialist help?

Sometimes the above-described conservative therapy is ineffective, and the stones in the ureter are still diagnosed. Symptoms in women, removal of the calculus is important to discuss with a professional urologist. It is strictly forbidden to fight the disease on its own.

Self-treatment can lead to quite sad consequences. Among such complications, urinary tract infection often occurs. And this is a direct way to the development of sepsis. Unfortunately, in neglected situations, the patient can be assigned even the removal of the ureter, and sometimes the kidneys.

Operative intervention

Most often, the following methods are used to eliminate the concrement stuck in the ureter:

1. Lithotripsy. The most effective way of crushing stones. At the same time, he is slightly traumatic. Lithotripsy involves the distant crushing of stones with the help of waves. The average duration of the event is about 1 hour. It is carried out in most cases without anesthesia.
2. Urethroscopy. Such removal of the calculus is carried out by means of a special device inserted into the canal through the genito-urinary system. Sometimes before the introduction of the urethroscope, the stones are preliminarily crushed by a laser. Intervention is performed under general or partial anesthesia.
3. Ureterolithotomy. This is a surgical intervention, which is justified for large enough stones. During this operation, the calculus is removed through dissection of the ureteral wall. Of course, the procedure involves general anesthesia.

Stones in the ureter are a serious pathology, in which it is extremely dangerous to delay a visit to the hospital. The disease refers to severe ailments, which can lead to disastrous results. So do not practice getting rid of stones yourself. Consult the competent service personnel for assistance.