Download We can help. - Cabell Huntington Hospital

KidneyStone Program
MULTIDISCIPLINARY TEAM
Arif Goreja, MD
Nephrologist
Zeid J Khitan, MD
Nephrologist
Tariq Rehman, MD
Nephrologist
James Jensen, MD
Urologist
Lawrence Wyner, MD
Urologist
Kathy Hughes, RN, CDN
Clinical Coordinator
OUR LOCATION
We can help.
Center for
Lung Health
CONTACT US
For more information about our services, or to refer a patient,
please call the Kidney Stone Program at 304.526.4565.
1690 Medical Center Drive
Huntington, WV
Pain
Management
Center
KidneyStone Program
The Kidney Stone Program is located in Cabell Huntington
Hospital’s J. Robert Pritchard Dialysis Center, which features
a spacious, comfortable waiting area for family members and
convenient, dedicated parking. It is a freestanding building behind
the hospital at 1690 Medical Center Drive in Huntington, WV.
KidneyStone Program
WHAT IS A KIDNEY STONE?
A kidney stone is a solid piece of material that forms in a
kidney out of substances in the urine. It may break loose
and travel down the urinary tract. Small
THE KIDNEY STONE CLINIC
WHO SHOULD GET A KIDNEY STONE EVALUATION?
stones may pass all the way out of the
The Kidney Stone Clinic at Cabell Huntington Hospital
It can be very difficult to diagnose how your body makes
body without causing too much pain,
was established to provide comprehensive diagnosis and
kidney stones, but for some people, especially those with
while larger stones may get stuck in
treatment of kidney stones. Our multidiciplinary and multi-
recurring kidney stones, it can be an important tool for
the ureter, the bladder, or the urethra.
specialty team consists of urologists and nephrologists,
planning treatment. You should be considered for a metabolic
A problem stone can block the flow of
working together with the Kidney Stone Program coordinator
evaluation if:
urine and cause great pain.
to provide individualized care of each patient.
• you have a history of multiple kidney stones
• you have a family history of kidney stones
HOW COMMON ARE THEY?
UROLOGICAL TREATMENT OPTIONS
• you have concurrent medical conditions associated with In the US, about 10% of men and 5% of women will form a
Stones that do not pass on their own can be removed by one
kidney stone. About half of them will get kidney stones more
of the program’s board certified urologist using one of the
- primary hyperparathyroidism
than once.
following methods:
- gout
- renal tubular acidosis
• Shock-wave lithotripsy — A machine uses sound waves to
kidney stones, such as:
WHAT ARE THE SYMPTOMS?
break stones into smaller pieces, it does not involve surgery
• you have kidney stones that are formed from uric acid, Please call a doctor if you have:
but can still be painful passing the stone fragments.
• extreme pain in your back or side that will not go away
• Percutaneous nephrolithotomy — a special kind of surgery
• you have large (staghorn) kidney stones or struvite stones
• blood in your urine
that makes very small holes in your skin. The doctor passes tiny
• fever and chills
tools through the holes into the kidney and removes the stone.
HOW CAN I GET A METABOLIC EVALUATION?
• vomiting
• Ureteroscopy — a thin tube goes into your body the same
Patients may be referred to the Kidney Stone Program at
• urine that smells bad or looks cloudy
way urine comes out. The doctor uses tools at the end of the
Cabell Huntington Hospital by their primary care physician. If
• a burning feeling when you urinate
tube to break-up or remove stones.
you fit the profile and want relief from kidney stones, ask your
These may be signs of a kidney stone
doctor if you might be a candidate.
that needs a doctor’s care.
A COMPREHENSIVE APPROACH TO PLAN YOUR CARE INCLUDES:
• Timely appointments
CAN KIDNEY STONES BE PREVENTED?
Drinking
lots
of
water
• A comprehensive metabolic evaluation
helps
flush
• Analysis of the evaluation data
away substances that form stones.
• An individual treatment plan based on the metabolic Limiting coffee, tea or cola may also
help. Your doctor will make specific
recommendations based on your diet
and fluid intake. Medicine may be
- fluid intake recommendations
recommended. With therapy, stones can
- diet modification as needed
- medicine as indicated
be completely eliminated in many patients and decreased in
most patients.
calcium phosphate, cystine, etc.
evaluation, including:
- a referral for appropriate pain management of kidney stones
• Follow-up care to determine the effectiveness of the prescribed treatment plan
For more information about our services, or to refer a patient,
please call the Kidney Stone Program at 304.526.4565.