The occurrence of renal calculi, also known as kidney stones, is caused by an imbalance between the precipitation and solubility of the salts in the urinary bladder and the kidneys. There are numerous potential causes for the formation of renal calculi. Calculi form whenever there is an excessive number of salts that are not soluble within the filtrate. Taking in inadequate fluids might also cause calculi to form (Winoker et al., 2022). In this scenario, the clerk’s development of kidney stones may be attributed to his immobility and a lack of hydration. The clerk couldn’t urinate if he laboured for 8 hours nonstop without a break. His urine had chemical alterations as a result of stasis and his inability to move.
The presence of an illness would be indicated by a high count of white blood cells in the sales clerk’s body. “Over 300 mg per day, blood calcium levels would likewise seem to be high” (Coe et al., 2019). The CT scan results are likely to show precise images of even extremely microscopic stones. If there are no stones present, the scan will also detect alternative causes of the pain the clerk was experiencing. Since most of the stones are visible during the x-rays, a routine x-ray of the ureters, the bladder, and the kidneys may be a suitable first step towards finding stones.
The seriousness of the infection determines the treatment regimen. If the stones are tiny enough, they will occasionally pass by themselves. However, the sales clerk should drink 2-3 quarts of fluids every day and use pain relievers for the discomfort to help the kidney stones pass. In cases where the kidney stones do not pass on their own, surgery might be necessary. The stone is broken down into smaller fragments during a lithotripsy surgery so that it can move more readily towards the bladder. The individual should make sure that they are drinking enough fluids—at least 6 to 8 glasses a day—to help prevent kidney stone recurrence. However, certain people might need to eat low-sodium, high-calcium diets. In order to verify that no stones are reoccurring, patients might also get routine check-ups.
References
Coe, F., Worcester, E. M., Lingeman, J. E., & Evan, A. P. (2019). Kidney stones: Medical and surgical management. Jaypee Brothers Medical Publishers.
Winoker, J. S., Wu, W. J., & Matlaga, B. R. (2022). Diseases and comorbid conditions predisposing children to kidney stones. In Diagnosis and Management of Paediatric Nephrolithiasis (pp. 35-64). Springer.