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Medical Forum / General / General / September 2006

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repeated urine infections

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Richard - 29 Sep 2006 09:26 GMT
Two years ago I had a kidney stone removed through surgery, I am now
getting repeated urine infections, my doctor has sent me for xrays
urine and blood tests, I noticed on the blood test leaflet that a box
marked "bone" was ticked what is this test for?

What sort of kidney stone is associted with infections or can all cause
infection.
REP - 30 Sep 2006 06:32 GMT
> Two years ago I had a kidney stone removed through surgery, I am now
> getting repeated urine infections, my doctor has sent me for xrays
[quoted text clipped - 3 lines]
> What sort of kidney stone is associted with infections or can all cause
> infection.

A retained stone of any sort can be the nidus for recurrent/chronic
renal infection. The most common sort of stone would be CaOx
(wheddellite/whewellite). Anecdotally (not to be confused with a data),
I've passed wheddellite/whewellite/apatite stones associated with my
chronic renal infection, and that was the composition of the stone
removed from the lower pole of my left kidney (ouch). Apatite usually
forms in a pH of 7.3 or higher, but can form in the presence of a
prolonged infection in lower pHs. CaOx stones usually form in low pHs of
5.5 or under, though hypercalciuria and hyperoxaluria can promote stone
formation in higher pHs.

The stones themselves may not cause the infection, but the surface of
the stones are irregular enough for bacteria to 'hide' in and even
though antibiotics are used, the infection is never completely
erradicated. Additionally, there have been some studies linking
nanobacteria to the formation of CaOx and apatite stones.

Struvite stones, which often form 'staghorn' formations, are almost
always caused by infections. They have a different composition than CaOx
or apatite stones, tend to form quickly, and are quite dangerous.

If this is not qiuite more than you ever wanted to know about kidney
stones, just ask!

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"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather

email: aripee at inanna . com


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