12 Facts About Kidney Stones

Illustration by Mental Floss. Images: iStock
Illustration by Mental Floss. Images: iStock

Kidney stones are more common than ever. According to Harvard Medical School, every year more than 3 million people see a doctor for relief from these hard mineral and salt deposits, which form in your kidney when urine becomes too concentrated. Here's what we know about the condition formally called nephrolithiasis.

1. KIDNEY STONES TYPICALLY CAUSE REALLY PAINFUL SYMPTOMS.

At first you may notice your urine is cloudy, bloody, and foul smelling. Your back may begin to ache, and nausea may come over you. Then, as the stone moves from your kidney into your urinary tract or bladder, sometimes becoming trapped, there’s often an intense, stabbing pain that many people say they wouldn’t wish on their worst enemy.

2. MOST PEOPLE DEVELOP ONE TYPE OF STONE …

What kind of kidney stone you get depends on your diet, fluid intake, genetics, hereditary disorders, and even whether you take certain medications, but the vast majority of people get calcium oxalate stones. They're formed from a mix of calcium in urine and the compound oxalate, which is found naturally in food like nuts, chocolate, and some vegetables, including beets and spinach; oxalate is also produced by your liver. There's some evidence that people who take the seizure medicine topiramate can develop these stones in the form of calcium phosphate.

3. … BUT THERE ARE THREE OTHER KINDS TOO.

Struvite stones are fast-growing mineral deposits that typically develop in response to a urinary tract infection, and can grow large enough to block the kidney, ureter, or bladder before you notice any symptoms; they affect women more than men. Uric acid stones turn up in people who eat a lot of red meat, shellfish, and organ meats, which contain hefty doses of an organic compound called purine that can lead to more uric acid than the kidneys can excrete. Cystine stones are caused by a rare hereditary disorder called cistinuria in which your kidneys excrete excessive amounts of the amino acid cystine.

4. THEY'RE EXTREMELY COMMON—ESPECIALLY IN MEN.

There's a solid chance you could end up with a kidney stone. The National Kidney Foundation notes that one in 10 people will develop one during the course of their life. And if you’re male, take note: Your gender alone is considered a kidney stone risk factor. Men are twice as likely as women to develop them. Another factor is age: Although stones are most common from ages 20 through 50, they tend to peak around age 30.

5. IF YOU’VE HAD A KIDNEY STONE, YOU’LL PROBABLY DEVELOP ANOTHER ONE …

Sorry to say, but simply having a kidney stone puts you at risk for a recurrence. If you’ve had one, the U.S. National Library of Medicine notes that there’s a 30 to 50 percent chance more stones will form within five years.

6. … BUT YOU CAN TAKE STEPS TO PREVENT THEM.

Cutting back on sodium (i.e. deli meats, packaged soups, and processed foods) can help, because a stone can form from excessive salt consumption. You should also avoid too much animal protein—it produces urine containing more acid, which is known to increase your risk for kidney stones—and increase your intake of fruits, vegetables, whole grains, and low-fat dairy. And be sure to drink plenty of fluids, especially water—at least 12 glasses a day. (That's good advice for everyone, not just those prone to kidney stones.)

Don't drink much apple or cranberry juice as both contain oxalates and are linked to an increased risk of developing calcium oxalate stones. High doses of Vitamin C may boost the concentration of oxalate in urine; the Cleveland Clinic recommends a daily maximum of 500 milligrams.

7. IT'S A MYTH THAT CALCIUM CREATES SOME KIDNEY STONES.

Despite the fact that the word calcium is part of the most common kind of kidney stone, you don’t need to treat calcium as the enemy. In fact, having too little calcium can actually increase the odds you’ll get these types of stones. According to the Cleveland Clinic, eating about two or three servings of calcium-rich foods daily reduces oxalate absorption, helping to keep calcium oxalate stones away. So get out the cheese.

8. IF YOU PASS A STONE, CONGRATULATIONS! NOW TAKE IT TO A DOCTOR.

Ninety percent of kidney stones are passed through urination. Getting one out this way may hurt a lot, but once the stone has finished causing you agony, it could provide clues that could help you avoid developing another one. If you’re able to retrieve the stone, bring it to your doctor, who can order an analysis. Identifying its components can reveal the kind of stone it is and potentially point to a treatment or prevention plan.

9. IF YOU CAN’T PASS A STONE, TREATMENTS ARE AVAILABLE …

In an attempt to exit the body, a stone travels from the kidney to the bladder through a narrow tube called the ureter. If the stone is larger than a quarter-inch, it's simply too big to pass through the ureter, and will get trapped there. (If it can make it through to your bladder, it's small enough to pass out out of your body through the urethra.) This causes intense pain, blocked urine flow, and possible bleeding from urinary tract walls. That's when it's time for treatment.

There are several methods for getting rid of a kidney stone, all of which aim to break the stone into smaller pieces so they can leave the body. In an extracorporeal shock wave lithotripsy (from the Greek for "crushed stone"), high-frequency sound waves are applied externally to break stones up, allowing them to pass when you pee. Laser lithotripsy takes a similar approach: Stones in the ureter are broken up with a laser and also leave the body naturally. More invasive is percutaneous ultrasonic lithotripsy, which involves passing narrow instruments (including a fiberoptic camera) through your back to your kidney; ultrasound breaks the stones up, and then fragments are removed by an instrument. Finally, a ureteroscopy is a treatment option in which a small scope is inserted in the ureter towards the bladder to determine the stone's location. Then it's broken up for natural passage or removed altogether. Luckily, you're unconscious under general anesthesia during the last procedure.

10. … AND THEY'RE FAR SUPERIOR TO THOSE USED IN THE PAST.

Kidney stones are nothing new—mentions of the painful formations go back more than 5000 years, to Mesopotamian medical texts—and medical interventions have occurred for just as long. Stones made it into the Hippocratic Oath, in which physicians swore they would "not use the knife, not even on sufferers from stone," leaving the procedure to "such men as are engaged in this work" [PDF]. Surgeons in ancient Greece and India were attempting stone removal as far back as the 7th century BCE.

The 16th to 18th centuries were a heyday for stone surgeons, who were largely self-taught. The most notorious of them was Frere Jacques Beaulieu. He pioneered the lateral perineal lithotomy—which involved making an incision in the perineum, inserting a terrifying cutting instrument into the bladder, cutting up the stone, and then extracting the pieces with the instrument or his fingers—in the late 17th century. Unfortunately for his patients, he had no technical training, and his method was often deadly; in 1698, after 25 of his 60 patients died, he was banned from doing the procedure—but he didn't stop. He's thought to have performed more than 5000 lithotomies. (And no, the song doesn't seem to be about him.)

11. IF ALL ELSE FAILS, TRY RIDING A ROLLER COASTER.

If you’re a thrill seeker who happens to have kidney stones (and some vacation time), you may be in luck. After a "notable number" of patients reported that riding the Big Thunder Mountain roller coaster at Walt Disney World in Orlando helped them to pass their kidney stones, Michigan State University urologist David Wartinger decided to investigate. He created a kidney replica—complete with kidney stones—put it in a backpack, and let it ride the roller coaster 60 times. It worked—but passing the stones depended on where the backpack was placed in the coaster. Rides in the last car were the most effective, with the stones passing 64 percent of the time, while the front few cars yielded only a 16 percent success rate.

Big Thunder Mountain was the only ride in the theme park that was effective. Neither Space Mountain nor Aerosmith's Rock 'n' Roller Coaster did the trick, likely because they were too fast, with a G-force that pinned the stones in place. Of course, while this is an interesting finding, if you suspect you have kidney stones, speak to your doctor before you high-tail it to Walt Disney World.

12. A KIDNEY STONE THE SIZE OF A MOUSE WAS REMOVED FROM A MAN IN 2004.

The stone measured 5.11 inches at its widest point—a world record. Five years later, a whopping 2.5-pound stone was surgically removed from a man in Hungary in 2009. Perhaps seeing a bunch of kidney stones in one place other than originating from your own body will put you at ease. If that’s the case, check out the International Museum of Surgical Science in Chicago, where a collection of stones is on display in glass jars.

10 Things You Should Know About Asthma

iStock.com/Wojciech Kozielczyk
iStock.com/Wojciech Kozielczyk

To anyone with asthma, the feeling of an attack is unmistakable. Patients have compared an asthma attack's feeling of breathlessness, caused by inflammation in the lungs and airways, to being smothered by a pillow or having an elephant sit on their chest. Medical experts have already figured out some aspects of asthma, like how to diagnose and treat it, but other components, like what causes asthma and how to cure it, remain unclear. From the triggers people encounter at work to the connection to allergies, here are some facts about asthma symptoms and treatments you should know.

1. Asthma attacks are related to allergies.

The physical process that occurs when someone has a sneezing fit during pollen season is similar to what happens during an asthma attack. But while the former causes discomfort, the latter produces potentially life-threatening symptoms. When people with allergies are exposed to an allergen like pollen, they produce antibodies that bind to that allergen. This signals the body to release the chemicals that cause allergic symptoms. In most people, the symptoms are limited to the head, such as a runny nose or watery eyes, but in people with asthma, they're felt in the lungs. If the lungs are inflamed, the airways that carry air swell up and fill with mucus, constricting airflow and causing common asthma symptoms like coughing, wheezing, and shortness of breath. Such asthma attacks can be fatal when patients can’t get enough air to their lungs.

2. Asthma is the most prevalent chronic disease among children.

Asthma is common, affecting 25 million in the U.S. alone, and of those patients, about 7 million are children. Most people with the disease develop it during childhood. Asthma is the most prevalent chronic illness among kids, and each year, students miss 13.8 million school days because of it.

3. Asthma may be inherited.

Doctors aren’t entirely sure what causes asthma, but they know it sometimes runs in families. A 2010 study found that people with one parent with the condition were nearly twice as likely to have it themselves, and people with a parent and a grandparent with asthma were four times more likely to develop it. Because asthma is connected to allergies, a genetic disposition toward allergies, known as atopy, may explain some inherited asthma cases.

4. Asthma is surprisingly easy to diagnose.

One of the simplest ways to diagnose asthma is through a lung function test. If a patient is reporting asthma symptoms (coughing, chest tightness, a feeling of not getting enough air), their doctor may check the strength of their exhalations before and after having them use an inhaler. If their breathing improves with the medicine, they likely have asthma. An X-ray of the patient’s chest can also be used to reach an asthma diagnosis.

5. Kids who grow up around germs are less likely to have asthma.

A person’s environment early in life may also play a role in whether or not they develop asthma. People who grew up in rural areas, around animals, and in large families are less likely to have asthma than those who did not. One possible explanation is the hygiene hypothesis: According to this theory, kids who were exposed to germs and pathogens while their immune systems were developing are better equipped to deal with allergens, while kids who were sheltered from germs may be more likely to have an exaggerated (and in the case of asthma, potentially deadly) immune response to harmless substances. The hygiene hypothesis hasn’t been proven, however, and it’s definitely not an excuse to expose children to infections in an attempt to strengthen them against asthma attacks in the future.

6. Asthma triggers are everywhere.

To manage their symptoms, doctors tell asthma patients to limit exposure to their triggers when possible. Common asthma triggers include irritants and allergens like dust, tobacco smoke, car exhaust, mold, pet dander, and smoke from burning wood. Triggers that don’t come from the environment, like colds, sinus infections, acid reflux, and hyperventilation brought on by stress, can be even harder to avoid.

7. There's one asthma trigger patients shouldn't avoid.

Physical activity causes fast breathing, which can provoke asthma attacks in some people with the condition. There’s even a type of asthma called exercise-induced bronchoconstriction that specifically describes people who suffer from these kinds of attacks. But the risks of living a sedentary lifestyle outweigh those of exercising carefully, even with asthma. Instead of cutting out cardio altogether, doctors work with patients to come up with an exercise plan that’s safe for them. This might include warming up and using an inhaler before working out, practicing cool-down activities afterward, and wearing scarves or masks to limit exposure to irritants that may also trigger asthma symptoms.

8. There are two types of asthma treatments.

Long-term controllers and quick-relievers are the two types of medications used to treat asthma. Immediate medicines like short-acting beta agonists and anticholinergics relax muscles in the airways when flare-ups occur, and they’re typically administered directly to the lungs with an inhaler. Long-term medications help keep asthma symptoms under control over time are taken as often as once a day, regardless of whether symptoms are present. They include inhaled long-acting beta agonists and corticosteroids, biologic injections, and theophylline and leukotriene modifier pills and liquids. All of these medications suppress asthma symptoms by either relaxing muscles, reducing swelling, or preventing inflammation in the airways.

9. Asthma can be an occupational hazard.

Occupational asthma develops when a patient’s triggers come from their work environment. According to the National Institutes of Health, wood dust, grain dust, animal dander, fungi, and various chemicals are some of the most common asthma triggers that patients encounter in the workplace. Bakers, farmers, laboratory workers, millers, and woodworkers predisposed to asthma are all at higher risk.

10. There's no cure for asthma, but symptoms can lessen over time.

Though asthma is treatable, there’s no cure for the chronic illness. Some people, however, do appear to grow out of the condition after suffering from it as kids. It’s possible for asthma symptoms to become less severe and go into remission as patients get older, but once someone is diagnosed with asthma, the risk of an episode never goes away completely. Changes in hormone levels are a factor that could possibly bring asthma symptoms back in patients who haven’t experienced an attack in years.

When You Feel "Chemistry" With Someone, What's Actually Going On?

iStock
iStock

We know chemistry when we feel it with another person, but we don't always know why we're drawn to one person over another. Is it just a cascade of neurotransmitters and hormones conspiring to rush you toward reproduction? Is it attraction borne of a set of shared values? Or is it bonding over specific experiences that create intimacy?

It's probably a combination of all three, plus ineffable qualities that even matchmaking services can't perfectly nail down.

"Scientists now assume, with very few exceptions, that any behavior has features of both genetics and history. It's nature and nurture," Nicole Prause, a sexual psychophysiologist and neuroscientist, tells Mental Floss. She is the founder of Liberos, a Los Angeles-based independent research center that works in collaboration with the University of Georgia and the University of Pittsburgh to study human sexual behavior and develop sexuality-related biotechnology.

Scientists who study attraction take into consideration everything from genetics, psychology, and family history to traumas, which have been shown to impact a person's ability to bond or feel desire.

THE (BRAIN) CHEMISTRY OF LOVE

Helen Fisher, a biological anthropologist at Rutgers University, Match.com's science advisor, and the author of Anatomy of Love: A Natural History of Mating, Marriage, and Why We Stray, breaks down "love" into three distinct stages: lust, attraction, and attachment. In each stage, your body chemistry behaves differently. It turns out that "chemistry" is, at least in part, actual chemistry. Biochemistry, specifically.

In the lust and attraction phases, your body is directing the show, as people can feel desire without knowing anything personal about the object of that desire. Lust, Fisher asserts in a seminal 1997 paper [PDF], is nothing more than the existence of a sex drive, or "the craving for sexual gratification," she writes. It's a sensation driven by estrogens and androgens, the female and male sex hormones, based in the biological drive to reproduce.

Attraction may be influenced less than lust by physiological factors—the appeal of someone's features, or the way they make you laugh—but your body is still calling the shots at this stage, pumping you full of the hormones cortisol, adrenaline, and dopamine, effecting your brain in a way that's not unlike the way illicit substances do.

Fisher has collaborated multiple times on the science of attraction with social psychologist Arthur Aron, a research professor at Stony Brook University in New York. Aron and his wife Elaine, who is also a psychologist, are known for studying what makes relationships begin—and last.

In a 2016 study in Frontiers in Psychology, the researchers proposed that "romantic love is a natural (and often positive) addiction that evolved from mammalian antecedents by 4 million years ago as a survival mechanism to encourage hominin pair-bonding and reproduction, seen cross-culturally today."

In the attraction phase, your body produces increased amounts of dopamine, the feel-good chemical that is also responsible for pain relief. Using fMRI brain imaging, Aron's studies have shown that "if you're thinking about a person you're intensely in love with, your brain activates the dopamine reward system, which is the same system that responds to cocaine," he tells Mental Floss.

Earlier, Fisher's 1997 paper found that new couples often show "increased energy, less need for sleep or food, focused attention and exquisite delight in smallest details of this novel relationship."

The attachment phase is characterized by increases in oxytocin and vasopressin; these hormones are thought to promote bonding and positive social behaviors to sustain connections over time in order to fulfill parental duties.

There is no hard and fast timeline for how long each phase lasts, as it can vary widely due to gender, age, and other environmental factors, Fisher writes.

Additionally, while oxytocin has long gotten the credit for being the love hormone, Prause says that scientists are now "kind of over oxytocin," because it has broader functions than simply bonding. It also plays a role in the contraction of the uterus to stimulate birth, instigating lactation, and sexual arousal; low levels have been linked to autism spectrum disorders. 

Now they're focusing on a charmingly named hormone known as kisspeptin (no, really). Produced in the hypothalamus, kisspeptin plays a role in the onset of puberty, and may increase libido, regulate the gonadal steroids that fuel the sex drive, and help the body maintain pregnancy. But Prause says there is a lot more study about the role kisspeptin plays in attraction.

CHEMICAL AND PERSONAL BONDS

Biology may explain our initial attraction and the "honeymoon" phase of a relationship, but it doesn't necessarily explain why a person's love of obscure movies or joy of hiking tickles your fancy, or what makes you want to settle down.

The Arons' numerous studies on this subject have found connection boils down to something quite simple: "What makes people attracted to the point of falling in love—presuming the person is reasonably appropriate for them—is that they feel the other person likes them," he says. 

In the process of doing research for her book How To Fall in Love With Anyone, writer Mandy Len Catron of Vancouver became her own test subject when she came across the research the Arons are most well-known for: their 36 questions, which promote bonding.

The questions were originally designed to "generate intimacy, a sense of feeling similar, and the sense that the other person likes you," Aron explains. Romantic love wasn't the goal. "It was a way of creating closeness between strangers."

The Arons first tested their questions by pairing up students during a regular class section of a large psychology course, as they related in a paper in the journal Personality and Social Psychology Bulletin. Some students were paired with someone of the same sex, while others were matched with someone of the opposite sex. Each partner then answered a series of 36 increasingly personal questions, which took about 45 minutes each. (Question 2: "Would you like to be famous? In what way?" Question 35: "Of all the people in your family, whose death would you find most disturbing? Why?") Small talk during class hadn't made them bond, but the questions made the students feel closer.

In another version of the study, heterosexual, opposite-sex pairs follow the 36-question session with four minutes of staring deeply into each other's eyes.

Catron decided to test these methods out with a casual acquaintance, Mark, over beers at a local bar one night. They were both dating other people at the time, and no one exclusively. As she answered the questions and listened to Mark's answers, "I felt totally absorbed by the conversation in a way that was unlike any of the other first dates I was having at the time with people I met online," Catron tells Mental Floss.

She was ready to skip the four minutes of soulful eye gazing, but Mark thought they should try it. "It was deeply uncomfortable, but it was also an important part of the experience," she recalls. "It's so intimate, it requires you to let your guard down."

The process instilled in Catron a deep feeling of trust in Mark and a desire to know him better. Within three months, they began dating in earnest. Now, more than three years later, they live together in a condo they bought.

The Arons' questions offer "accelerated intimacy," she says, in a time of increasingly online-driven dating experiences.

A LITTLE MYSTERY, A LOT OF SHARED VALUES

Despite all that we’ve learned, scientists may only ever be able to brush up against the edge of a true understanding of "chemistry." “We understand a fair amount about what happens when [attraction has] already occurred, but we're really bad at predicting when it will happen," Prause says. "People who try to claim magical matchmaking, or that they're going to somehow chemically manipulate an aphrodisiac or something—well good luck! Because we can't figure it out.”

And anyway, what's romance without a little mystery?

If you must have a definitive answer to the puzzle of interpersonal chemistry, Prause says to keep this in mind: "The best predictor of long-term outcomes is shared values."

This piece originally ran in 2018.

SECTIONS

arrow
LIVE SMARTER