Kidney Stones Specialist in New York City
Are you having problems with pain near your back and side below the ribs? If so, it could be a kidney stone, and that requires the care of a urology specialist. Hillel Marans, MD, is a board-certified urologist with over 30 years of expertise in minimally invasive kidney stone treatment and urologic surgery. This highly skilled specialist has a busy practice in the Midtown Manhattan neighborhood of New York City where he provides expert, state-of-the-art treatment for kidney stones. He also takes a personalized approach to patient care, which means you’re much more than just a number to Dr. Marans. Schedule a visit today. Call the Midtown Manhattan office or request your appointment online.
What Are Kidney Stones?
When high levels of minerals and salt exist in the kidneys, they can form a clump of matter known as a kidney stone. These stones may stay inside of the kidney, where they will not cause any further harm.
The real problem begins when these kidney stones enter the ureter and block urine from traveling through the ureter to the bladder. This blockage caused by the kidney stone becomes very painful, and can require surgery if they do not pass on their own.
What are Symptoms of Kidney Stones?
Other than pain, patients in the New York City area with kidney stones often experience other symptoms such as:
- Cloudy or discolored urine, usually pink, red, or brown in color
- Foul-smelling urine
- Frequent urination
- Fever or chills, typically occurs when an infection is present
- Pain radiating from the lower abdomen and groin, or in the back below the ribs
- Nausea and vomiting
- Painful urination
- The persistent need to urinate, often producing very small amounts
What are the Types of Kidney Stones?
Not all kidney stones are the same. The exact type of kidney stone will determine the course of action used to treat the patient’s kidney stones. These types of kidney stones include:
- Calcium stones (most common)
- Uric acid stones
- Struvite stones
- Cystine stones
How are Kidney Stones Diagnosed?
If you’re experiencing the symptoms associated with kidney stones, contact Dr. Marans and his team for immediate diagnosis. During your appointment, Dr. Marans utilizes state-of-the-art technology to diagnose and treat your kidney stones. Tests to check for kidney stones include blood and urine testing, digital imaging, and lab analysis of passed kidney stones to determine their cause.
How are Kidney Stones Treated?
Dr. Marans designs a treatment strategy according to the symptoms you’re having, the perceived size of the stone, and its location.
Most often, kidney stones will come to pass. For smaller stones, Dr. Marans may prescribe drinking large quantities of water to flush the stone and taking over-the-counter pain medicine to help with pain management. This also helps relax the muscles surrounding your ureter. It can take roughly four to six weeks for a kidney stone to pass. While it may seem like a long amount of time, it is safe to continue trying to pass a kidney stone on your own so long as the pain is manageable and there are no present signs of an infection. If you suspect that there may be an infection spreading within your kidney or ureter, you should seek medical attention at our NYC office immediately.
Some medications have been shown to help increase the body’s ability to pass kidney stones. Such medications work by relaxing the ureter, which provides the kidney stone with ample room to make its way to the bladder, where it will finally exit the body through urination. Prescription strength painkillers may also be necessary depending on each individual case.
If the pain becomes too great, or if the ureter becomes completely blocked and begins to affect kidney function, surgery may be necessary. Modern technology allows for this surgery to be minimally invasive with minor recovery time. The most common types of surgery for the removal of kidney stones include:
- Ureteroscopy (URS)
- Shock Wave Lithotripsy (SWL) – Breaks up kidney stones through the use of sound waves, without the need to introduce any instrumentation into the body.
- Percutaneous nephrolithotomy (PCNL) – This procedure is for larger kidney stones and involves the introduction of an instrument directly from the back of the body into the kidney through a very small one-third inch opening. Using ultrasound technology, this procedure will break up the stone.
How can Future Kidney Stones be Prevented?
Once Dr. Marans finds out why you are forming stones, he will give you tips on how to prevent them in the future. There is no “one-size-fits-all” remedy for preventing kidney stones. Every patient different. You may have to change your diet or take medications. Below are some tips to help prevent stones. Patients near NYC can help assist with future stone prevention by utilizing the following:
- Adequate hydration every day to prevent dehydration
- Salt restricted diet
- Recommended dietary calcium
- Avoid excessive green leafy vegetables
- Red meat in moderation
- Plenty of fruits to be eaten
- Dr Marans may prescribe some medications
Get Kidney Stone Relief in Manhattan Today
If you are struggling with pain or an infection caused by kidney stones, please schedule an appointment with Dr. Hillel Marans to discuss your treatment options. To contact Dr. Marans, please call our urology office in Midtown Manhattan today at (212) 206-9130.