What Causes Kidney Stones?

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This is one of those cases where prevention is a lot more fun than cure:

This too shall pass

Passing a kidney stone is usually not on most people’s lists of favorite things to do.

But how and why do they form in the first place?

Urine naturally contains (amongst many other things) calcium, sodium, potassium, oxalate, uric acid, and phosphate, and when these compounds become too concentrated or your urine becomes too acidic or alkaline, they can crystallize and gradually grow into stones over weeks, months, or years.

Of these, most (around 80%) are calcium oxalate stones, while less common types include calcium phosphate, uric acid, infection-related struvite (magnesium ammonium phosphate), and stones caused by certain genetic disorders or medications.

These don’t create symptoms at first, until they move into the ureters and, later, the urethra, where they can scratch the sensitive tissue, and cause a lot of pain and inflammation. It can get worse if the stone blocks the flow of urine, because then you have the regular kidney stone problems plus you’re now doing damage to your kidneys with backed up urine, plus this throws a large part of your body’s homeostatic system out of balance, which is very serious.

Fortunately, stones smaller than 5mm usually pass on their own, with doctors typically recommending drinking plenty of water and taking pain meds.

If that doesn’t work, there are more heavy-duty methods:

  • First line options: alpha blockers can relax your ureter to help larger stones pass, while potassium citrate can make your urine less acidic and help dissolve certain stones.
  • Second line options: extracorporeal shock wave lithotripsy uses focused ultrasonic pulses to vibrate and fracture medium-sized stones up to about10 mm into smaller fragments that are easier to pass.
  • Third line options: doctors may insert a ureteral stent, use laser pulses delivered through optical fibers to break up the stone, or surgically remove it through an incision in your back or groin.

As for how to prevent them, the video touches on this, but for much more information, see our “learn more” section below, as the same advice applies as for preventing kidney disease in general.

Meanwhile, for more on all of this, enjoy:

Click Here If The Embedded Video Doesnโ€™t Load Automatically!

Want to learn more?

You might also like:

Keeping Your Kidneys Healthy (Especially After 60) โ† thereโ€™s a lot more to it than just hydration!

Take care!

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  • Superfood Kale & Dill Pรขtรฉ

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Most of us could do with eating more greens a lot of the time, but it’s not always easy to include them. This kale and dill pรขtรฉ brings a healthy dose of green in luxurious style, along with abundant phytochemicals and more!

    You will need

    • 2 handfuls kale, stalks removed
    • 1 cup soft cheese (you can use our Healthy Plant-Based Cream Cheese recipe if you like)
    • 2 tbsp fresh dill, chopped
    • 1 tsp capers
    • 1 tsp black pepper, coarse ground
    • ยฝ tsp MSG, or 1 tsp low-sodium salt

    Method

    (we suggest you read everything at least once before doing anything)

    1) Steam the kale for about 5 minutes or until wilted and soft. Run under cold water to halt the cooking process.

    2) Combine all the ingredients, including the kale you just blanched, in a food processor and blitz to make a smooth pรขtรฉ.

    3) Serve with oatcakes or vegetable sticks, or keep in the fridge to enjoy it later:

    Enjoy!

    Want to learn more?

    For those interested in some of the science of what we have going on today:

    Brain Food? The Eyes Have It!

    Take care!

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  • How To Leverage Placebo Effect For Yourself

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Placebo Effect: Making Things Work Sinceโ€ฆ Well, A Very Long Time Ago

    The placebo effect is a well-known, well-evidenced factor that is very relevant when it comes to the testing and implementation of medical treatments:

    NIH | National Center for Biotechnology Information | Placebo Effect

    Some things that make placebo effect stronger include:

    • Larger pills instead of small ones: because thereโ€™s got to be more going on in there, right?
    • Thematically-colored pills: e.g. red for stimulant effects, blue for relaxing effects
    • Things that seem expensive: e.g. a well-made large heavy machine, over a cheap-looking flimsy plastic device. Similarly, medication from a small glass jar with a childproof lock, rather than popped out from a cheap blister-pack.
    • Things that seem rational: if thereโ€™s an explanation for how it works that you understand and find rational, or at least you believe you understand and find rational โ† this works in advertising, too; if thereโ€™s a โ€œbecauseโ€, it lands better almost regardless of what follows the word โ€œbecauseโ€
    • Things delivered confidently by a professional: this is similar to the โ€œargument from authorityโ€ fallacy (whereby a proposed authority will be more likely trusted, even if this is not their area of expertise at all, e.g. celebrity endorsements), but in the case of placebo trials, this often looks like a well-dressed middle-aged or older man with an expensive haircut calling for a young confident-looking aide in a lab coat to administer the medicine, and is received better than a slightly frazzled academic saying โ€œand, uh, this oneโ€™s yoursโ€ while handing you a pill.
    • Things with ritual attached: this can be related to the above (the more pomp and circumstance is given to the administration of the treatment, the better), but it can also be as simple as an instruction on an at-home-trial medication saying โ€œtake 20 minutes before bedโ€. Because, if it werenโ€™t important, they wouldnโ€™t bother to specify that, right? So it must be important!

    And now for a quick personality test

    Did you see the above as a list of dastardly tricks to watch out for, or did you see the above as a list of things that can make your actual medication more effective?

    Itโ€™s arguably both, of course, but the latter more optimistic view is a lot more useful than the former more pessimistic one.

    Since placebo effect works at least somewhat even when you know about it, there is nothing to stop you from leveraging it for your own benefit when taking medication or doing health-related things.

    Next time you take your meds or supplements or similar, pause for a moment for each one to remember what it is and what it will be doing for you. This is a lot like the principles (which are physiological as well as psychological) of mindful eating, by the way:

    How To Get More Nutrition From The Same Food

    Placebo makes some surprising things evidence-based

    Weโ€™ve addressed placebo effect sometimes as part of an assessment of a given alternative therapy, often in our โ€œMythbusting Fridayโ€ edition of 10almonds.

    • In some cases, placebo is adjuvant to the therapy, i.e. it is one of multiple mechanisms of action (example: chiropractic or acupuncture)
    • In some cases, placebo is the only known mechanism of action (example: homeopathy)
    • In some cases, even placebo canโ€™t help (example: ear candling)

    One other fascinating and far-reaching (in a potentially good way) thing that placebo makes evidence-based is: prayer

    โ€ฆwhich is particularly interesting for something that is fundamentally faith-based, i.e. the opposite of evidence-based.

    Now, weโ€™re a health science publication, not a theological publication, so weโ€™ll consider actual divine intervention to be beyond the scope of mechanisms of action we can examine, but thereโ€™s been a lot of research done into the extent to which prayer is beneficial as a therapy, what things it may be beneficial for, and what factors affect whether it helps:

    Prayer and healing: A medical and scientific perspective on randomized controlled trials

    ๐Ÿ‘† full paper here, and it is very worthwhile reading if you have time, whether or not you are religious personally

    Placebo works best when thereโ€™s a clear possibility for psychosomatic effect

    Weโ€™ve mentioned before, and weโ€™ll mention again:

    • psychosomatic effect does not mean: โ€œimagining itโ€
    • psychosomatic effect means: โ€œyour brain regulates almost everything else in your body, directly or indirectly, including your autonomic functions, and especially notably when it comes to illness, your immune responsesโ€

    So, a placebo might well heal your rash or even shrink a tumor, but it probably wonโ€™t regrow a missing limb, for instance.

    And, this is important: itโ€™s not about how credible/miraculous the outcome will be!

    Rather, it is because we have existing pre-programmed internal bodily processes for healing rashes and shrinking tumors, that just need to be activatedโ€”whereas we donโ€™t have existing pre-programmed internal bodily processes for regrowing a missing limb, so thatโ€™s not something our brain can just tell our body to do.

    So for this reason, in terms of what placebo can and canโ€™t do:

    • Get rid of cancer? Yes, sometimesโ€”because the body has a process for doing that; enjoy your remission
    • Fix a broken nail? Noโ€”because the body has no process for doing that; youโ€™ll just have to cut it and wait for it to grow again

    With that in mind, what will you use the not-so-mystical powers of placebo for? What ever you go forโ€ฆ Enjoy, and take care!

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  • Statin and Antidepressant Side Effects

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Questions and Answers at 10almonds

    Have a question or a request? You can always hit โ€œreplyโ€ to any of our emails, or use the feedback widget at the bottom!

    This newsletter has been growing a lot lately, and so have the questions/requests, and we love that! In cases where weโ€™ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future tooโ€”thereโ€™s always more to say!

    As ever: if the question/request can be answered briefly, weโ€™ll do it here in our Q&A Thursday edition. If not, weโ€™ll make a main feature of it shortly afterwards!

    So, no question/request too big or small

    Side effects of statins, are they worth it? Depression, are antidepressants worth it?

    About statins, that depends a lot on you, your circumstances, andโ€”as it happensโ€”your gender. We covered this in a main feature recently, but a short answer is: for most people, they may not be the best first choice, and could even make things worse. For some people, however, they really are just whatโ€™s needed.

    • Factors that make them more likely better for you: being a man, or having atherosclerosis
    • Factors that make them more likely worse for you: being a woman in general

    Check out the main feature we did: Statins: His & Hers?

    As for antidepressants? That depends a lot on you, your physiology, your depression, your circumstances, and more. Weโ€™ll definitely do a main feature on that sometime soon, as thereโ€™s a lot that most people donโ€™t know!

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  • The Couple’s Guide to Thriving with ADHD โ€“ by Melissa Orlov and Nancie Kohlenberger

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    ADHD (what a misleadingly-named condition) is most often undiagnosed in adults, especially older adults, and has far-reaching effects. This book explores those!

    Oftentimes ADHD is not a deficit of attention, it’s just a lack of choice about where one’s attention goes. And the H? Itโ€™s mostly not what people think it is. The diagnostic criteria have moved far beyond the original name.

    But in a marriage, ADHD symptoms such as wandering attention, forgetfulness, impulsiveness, and a focus on the “now” to the point of losing sight of the big picture (the forgotten past and the unplanned future), can cause conflict.

    The authors write in a way that is intended for the ADHD and/or non-ADHD partner to read, and ideally, for both to read.

    They shine light on why people with or without ADHD tend towards (or away from) certain behaviours, what miscommunications can arise, and how to smooth them over.

    Best of all, an integrated plan for getting you both on the same page, so that you can tackle anything that arises, as the diverse team (with quite different individual strengths) that you are.

    Bottom line: if you or a loved one has ADHD symptoms, this book can help you navigate and untangle what can otherwise sometimes get a little messy.

    Click here to check out The Couple’s Guide to Thriving with ADHD, and learn how to do just that!

    Don’t Forget…

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    Learn to Age Gracefully

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  • Orange vs Passion Fruit โ€“ Which is Healthier?

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Our Verdict

    When comparing orange to passion fruit, we picked the passion fruit.

    Why?

    Once again demonstrating that this fruit is indeed passionate about delivering nutrients!

    In terms of macros, passion fruit has more than 4x the fiber for 2x the carbs and more than 2x the protein, winning easily in this category.

    In the category of vitamins, oranges have more of vitamins B9, C, and E, while passion fruit has more of vitamins A, B2, B3, B6, B7, and K, winning a second round.

    Looking at minerals, oranges have more calcium, while passion fruit has more copper, iron, magnesium, phosphorus, potassium, selenium, and zinc, winning a third round.

    Adding up the sections makes for a clear overall win for passion fruit, but by all means enjoy either or both, as diversity is good!

    Want to learn more?

    You might like:

    What Do The Different Kinds Of Fiber Do? 30 Foods That Rank Highest

    Enjoy!

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  • The first night effect: why itโ€™s hard to sleep when youโ€™re somewhere new

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Itโ€™s nighttime and youโ€™re exhausted. But the hotel bed feels wrong. The mini fridge wonโ€™t stop making that low, irritating hum. The power outlet lights feel brighter than the sun. Outside, random car honks and noises make sleep feel like a distant possibility.

    Many of us struggle to sleep in new environments, even when weโ€™re physically tired. But why? The short answer: a mix of biology and psychology.

    Vitaly Gariev/Unsplash

    Broken routines and missing sleep cues

    Your brain is wired for predictability, especially at night, during our most vulnerable behaviour: sleep.

    A combination of internal and external cues work together to create the right conditions for rest.

    Internally, your body signals that itโ€™s time to sleep by decreasing core body temperature and increasing the sleep-promoting hormone melatonin. This makes you less alert.

    Externally, your environment needs to support these signals, not compete with it. At home, your typical pre-sleep wind-down habits and familiar surroundings tell your body it is safe to sleep.

    But sleeping somewhere new often disrupts these sights, sounds and sensations your body relies on.

    There may be different light levels (for example, from hotel room clocks or street lights), unfamiliar noises (such as elevators, traffic and neighbours) and different bedding (for instance, a firmer mattress or softer pillows).

    And you may be doing different activities, such as eating out late or working on a laptop on your bed.

    An alert brain in a new place

    From an evolutionary perspective, lighter sleep or more frequent awakenings when weโ€™re somewhere new may be protective, allowing us to detect potential threats more quickly and respond to danger.

    This is known as the โ€œfirst-night effectโ€. It means when we sleep somewhere new, our brains donโ€™t fully switch off.

    Brain activity recordings have shown that during the first night in a new environment, the left side of the brain remains more responsive to unfamiliar sounds, even during deep sleep, compared to the second night. Once we become familiar with the space, this vigilance usually fades.

    But even when we start to get used to a new environment, other factors can still interfere with our sleep.

    Stress, travel and emotions

    Sleeping in a new environment can also be stressful.

    Your brain may be running through logistics and to-do lists, thinking about your early flight, or scenarios where you forget important belongings. Maybe youโ€™re also experiencing jet lag.

    Emotions such as homesickness, excitement, anticipation or anxiety can disrupt sleep as well. Even positive stress โ€“ for example, feeling excited about a big trip โ€“ activates the same arousal systems in the brain as negative stress. The brain doesnโ€™t distinguish why those systems are switched on.

    Unfortunately, a heightened arousal system and sleep are competitors. When your stress response is active, it directly interferes with the brainโ€™s ability to disengage and transition into sleep, even when youโ€™re physically exhausted.

    But some people actually sleep better away from home

    For some of us, being away from home can actually remove everyday distractions: there are no household responsibilities, no unfinished tasks competing for attention, and clearer boundaries between โ€œwork timeโ€ and โ€œrest timeโ€.

    The change of environment may also reduce bedtime rumination, which is often triggered by familiar home environments tied to stress, deadlines or to-do lists.

    Better sleep when we are away may be to do with the amount of sleep we usually get at home. Research shows that individuals who are not getting enough sleep at home are likely to get better sleep when travelling.

    If your sleep improves when youโ€™re away, it might be an opportunity to consider how stimulating or busy your usual sleep environment has become โ€“ and what you can do to make it calmer.

    Tips for sweet dreams at home or away

    Reassure yourself. If you have a rough night of sleep in a new place it doesnโ€™t mean something is โ€œwrongโ€ with you. Itโ€™s a normal, protective response from a brain thatโ€™s tuned to safety and familiarity. You might need a night or two to settle in.

    Choose sleep-friendly accommodation when you can. Many hotels are deliberately designed to support good sleep and these features, such as pillow menus, melatonin-rich foods on the room-service menu, or even a personal sleep butler, can make a real difference.

    Plan for a slower first day. If you know youโ€™re sleeping somewhere new, expect that the first night might not be your best. Where possible, avoid scheduling demanding tasks the next morning and give yourself time to adjust.

    Pack your sleep routine in your suitcase. Just as parents might do for their small child, pack your sleep routine with you. If you have a particular pillow case or a sleep mask, or a certain scent that helps you sleep at home, try bringing these with you so your brain has some familiar cues in an unfamiliar environment.

    If you notice you sleep better away from home, take a look at your home sleep routine and environment. Keep your room cool and dark and make your bed comfortable with supportive pillows and fresh bedding. Establish a relaxing wind-down routine: dim lights and limit screens in the evening, and stick to consistent bed and wake times, even on weekends.

    Charlotte Gupta, Sleep Researcher, Appleton Institute, HealthWise Research Group, CQUniversity Australia and Dayna Easton, Postdoctoral Research Fellow, College of Medicine and Public Health, Flinders University

    This article is republished from The Conversation under a Creative Commons license. Read the original article.

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