Byline: Dr Rafique Abbas Shar - Sukkur
PAKISTAN sits in the middle of the kidney stones belt, with the people of Sindh and the Seraiki belt of Punjab among the worst sufferers. Stones in the kidneys cause pain, sepsis, loss of function, and sometimes death.
Stones constitute 60 per cent of the workload of urology. In many cases, it is a silent disease and is diagnosed after kidney function is lost. Therefore, its early diagnosis and early treatment should be made mandatory to avoid complications.
The preferred treatment nowadays is non-invasive extracorporeal shock waves lithotripsy. Thus it is important that this treatment should be available at every district hospital of country and that it be provided free to every citizen. A significant number of patients are unable to get timely treatment because of poverty and subsequently develop complications.
Studies on the geographic variations in the prevalence of kidney stone disease have shown a 50pc higher prevalence in the southeast (the kidney stone belt) than the northwest possibly associated with the changing state of dehydration related to higher summer time temperatures and resulting in low urine volumes.
More people approach medical specialists with kidney stones in...