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2	PATIENT EDUCATION SERVICE This series is for public education to know the disease and its treatment better.
3	IT IS UNFORTUNATE TO HAVE KIDNEY STONE Before we treat we want you to know- more about your problem and what treatments are available.
4	HOW COMMON ARE STONES? Punjab is in the global stone belt and stone disease is very common here. Stones are three times more common in males than females Stones due to infection are more common in males Stone are maximum between the age of 30 and 60 years
5	STONES ARE MORE IF ……. There is infection Urinary stasis like in urinary obstruction Prolonged bed rest Excess minerals in urine - like oxalate, calcium, cystine etc Concentrated urine like in water deficiency
6	MAIN TYPES OF STONES ARE Calcium phosphate stones - when hyper-calcinuria in alkaline urine Uric acid stones - when increased uric acid excretion Triple phosphate stones - large stag-horn due to infection Cystine stones - due to metabolic error
7	URINARY STONE CAN BE IN:
8	WHAT KIDNEY LOOKS LIKE
9	HOW DO YOU FEEL? Pain - sudden, - vomiting, - sweating - Fever - due to infection - Complete urinary obstruction - Kidney failure - Blood in urine - visible or minute
10	WHAT TESTS ARE NEEDED? Urine test - routine and culture + sensitivity X-ray - plain and IVP Blood tests - Hb, TLC, DLC, BT, CT, Sugar, Urea, Creatinine, Calcium, Calcium, Phosphates Sometimes ultra sound scan Rarely CT scan, Radio isotope scan, RGP
11	WHAT TREATMENTS ARE POSSIBLE Medical treatment Surgery Percutaneous Nephro Lithotripsy Endoscopy Lithotripsy
12	WE OFFER LITHOTRIPSY TO REMOVE STONES WITH RAYS WITHOUT SURGERY
13	IS LITHOTRIPSY EXPENSIVE? NO
14	HOW LITHOTRIPSY SAVES TIME? Expense in one time No cost of hospital stay, anaesthesia, blood, prolonged medicines No expense of looking after relations and well wishers MINIMUM WORK LOSS
15	A COMPARISON
16	WHAT IS THE BEST STONE TEATMENT? For most patients LITHOTRIPSY - The safe, non operative, non invasive and economical treatment
17	"Thousands of" Thousands of patients have been treated with ESWL all over the world - you too can now get this treatment
18	SAFE
19	ECONOMICAL
20	NO SURGERY
21	NO ANAESTHESIA
22	COMFORTABLE
23	NO WORK LOSS
24	NO HOSPITAL STAY
25	NO BLOOD TRANSFUSION
26	MINIMUM COMPLICATIONS
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