Mineral water for the kidneys and bladder: which one is useful for diseases, how to use it correctly in the treatment of diseases?

Laser lithotripsy is one of the most effective methods of treating urolithiasis, allowing the destruction of calculi (stones) in the urinary tract. Surgery is performed using endoscopic equipment and a holmium laser under general anesthesia.

As a result of changes in the composition of urine due to inappropriate or poor quality food and water, kidney stones form. While the stones are small in size, the pathology is amenable to conservative treatment. When stones reach large sizes, become coral-shaped, or begin to move, it is recommended to resort to minimally invasive surgery. The laser lithotripsy technique has a number of advantages that allow doctors to position it as the “gold standard” for removing kidney stones.

How does it affect?

A single use of mineral water will not eliminate the pathological process. With constant use on the recommendation of a doctor, the following effects occur in the body:

increased urine excretion, which eliminates sand particles, accumulation of calcium, urates, oxalates of bacteria, fungi, toxins;
dissolution of salts, preventing the formation of large conglomerates of stones;
normalization of mineral metabolism (useful substances are filtered back into the systemic bloodstream, excess trace elements are removed with urine);
stabilization of water-salt balance.

The use of medicinal mineral water affects not only the urine excretion system. Its components have a beneficial effect on bone, joint, and cartilage tissue. The lack of minerals and trace elements is compensated.

Which mineral water is of the medicinal type?

Not all mineral waters are of the medicinal type. The therapeutic effect is associated with grams of salts per 1 liter of water drunk:

Drinking (0.5 g) . It does not affect the urinary tract; it is used to replenish fluid volume in the body and improve water-salt balance.
Dining room (1 g) . It is used to prevent kidney disease, eliminate the risk of dehydration, and normalize water-salt balance.
Medical dining room (1-10 g) . It is used without a doctor’s recommendation in the presence of pathology of the urinary tract of mild severity.
Medicinal (more than 10 g) . Use as prescribed by a nephrologist, urologist, or therapist. There are contraindications.

The first 2 types are used for preventive purposes. If the patient has diseases of the urinary system, a medicinal or medicinal type is used.

Before starting treatment, laboratory tests of blood and urine are taken, and an ultrasound of internal organs is performed. Therapy is carried out in courses; liquid cannot be used for a long time.

Beneficial features

The mineral water contains natural biologically active substances, which, when taken, saturate the kidney fibers and stimulate urination.
In ancient medical treatises, water is designated prima materia - the root cause and symbol of life. A natural liquid containing chlorine molecules, which promotes the outflow of liquid, is very useful.

Mineral water is extracted from natural sources and is characterized by a high content of salts, gases or increased radioactivity.

A solution with a total salt content exceeding one milligram per liter of liquid volume is considered mineral.

In modern medicine, mineral water is also considered to be natural moisture with weaker mineralization (0.7 milligrams per liter of liquid volume). Prima materia, which have a therapeutic effect on the body for various pathologies of the urinary system, can be classified as follows:

canteens;
medicinal;
medical dining rooms.

Let's take a closer look at the main types.

Table waters

Seltzer drinks are characterized by low natural mineralization and have no special medical contraindications.

Table mineral water contains from two to five milligrams of mineral impurities.

It is recommended to purchase well-known popular brands of seltzer in pharmacy chains. Table water can be used daily to prevent crystallization of salt deposits in the renal ducts.

With regular intake of healing table drink, urodynamics increase and the chemical composition of urine and, accordingly, blood is normalized (secondary effect).

Healing liquid

Prescription drinks have a persistent therapeutic effect when taken orally, as they are distinguished by a large number of organic impurities.

Healing liquids have a fairly concentrated mineral composition and require careful therapeutic dosage.

The proportional ratio of mineral inclusions and wet base is thirty-five milligrams per liter volume of natural liquid. Beneficial effects of mineral water:

dissolves mucus;
suppresses the activity of pathogens;
stimulates the dissolution of calculi (kidney stones);
relieves inflammation.

Medicinal prima materia refers to valuable natural remedies, the use of which requires accurate preliminary diagnosis and scrupulous attention to the prescribed drinking regimen.

Medical canteens

Table mineral water contains from five to fifteen milligrams of salt components and ultra microelements in one liter of liquid base.

The use of such a rather rich drink is available after consultation with a urologist.

Medicinal table waters help dissolve mucus-salt crystals and cleanse the urinary ducts, which manifests itself in a reduction in pain and reactive irritation.

The low-mineralized drink is prescribed for regular preventive use before meals, with a course of no more than one to one and a half months.

Indications for use

Nephrologists and urologists recommend mineral water if you have the following diseases:

urolithiasis disease;
excessive accumulation of uric acid in the body;
cystitis - inflammation of the bladder;
nephritis;
glomerulonephritis – inflammation of the filtration apparatus of the kidneys;
pyelonephritis is an infectious and inflammatory process in the kidney tissues.

There are indications for use in diseases of other organs and systems:

pathologies of the digestive tract (gastritis, ulcers, erosion of the mucous membrane, pancreatitis, dysfunction of the biliary system);
high weight, obesity;
hepatitis.

With these diseases, it is possible to independently consume drinking and table mineral water. In other cases, a doctor's consultation is required.

FAQ

For what symptoms is laser lithotripsy prescribed?

The operation is prescribed after a series of examinations confirming the presence of stones in the kidneys or ureters. Pathology can develop due to the consumption of poor-quality water, spicy/acidic foods, as well as certain diseases of the gastrointestinal tract. The following manifestations may indicate the presence of urolithiasis:

pain in the groin and back;
nausea and vomiting;
blood in the urine;
discomfort during urination.

Before removing stones, a comprehensive examination is required, on the basis of which the doctor will select the method of operation.

What is the effectiveness of laser lithotripsy?

This is a minimally invasive procedure with many advantages:

absence of incisions and, as a consequence, postoperative scars and complications;
minimal discomfort associated with insertion of a probe into the urinary tract;
constant monitoring of surgical procedures using ultrasound or x-rays;
targeted precision of impact on stones using a laser;
minimum rehabilitation period.

If you are looking for a clinic where you can crush kidney stones, pay attention to our offer. The clinic employs qualified doctors with extensive experience working with modern endoscopic equipment.

To make an appointment or find out how much it costs to crush kidney stones, use the online form on the website or call the phone number indicated in the contact line.

Contraindications

Contraindications are detected during laboratory and instrumental examinations. They are usually temporary. After therapy, consult with your doctor again about the use of the medicinal fluid.

Contraindications for use:

Renal failure in the stage of decompensation.
Inflammatory process of the urinary organs in the acute stage.
The presence of large stones that scratch the mucous membrane with sharp edges, causing bleeding and pain.
Severe urinary tract infections, such as tuberculosis.
Hydronephrosis.
Damage to the mucous membranes for unknown reasons, due to which microhematuria (red blood cells in urine) or excessive bleeding is formed.
Decreased urine output or anuria (lack of urine).

How to choose for various diseases?

Before choosing a high-quality mineral water, a laboratory urine test is performed. Based on the identified substances, the correct water is selected:

Slightly acidic composition . It is used for phosphorus stones or a predisposition to their appearance. To break them down, the composition must contain iron and silicon.
Slightly alkaline composition . Used to detect oxalates and urates. There should be no calcium in the liquid.
Alkaline water. Used to remove uric acid from biological fluids.
Hydrocarbonate water. Used to suppress the inflammatory process and reduce gastrointestinal acidity.
Bicarbonate-alkaline mineral water . Eliminates inflammatory processes in the intestines, relieves irritation.

If a patient has a tendency to develop urolithiasis, it is recommended to use water with a reduced amount of mineral components.

Advantages of laser (contact) lithotripsy at the Miracle Doctor clinic

Experienced surgeons

Operations are performed only by highly qualified surgeons who are fluent in laser lithotripsy techniques

Stones to dust

The impact of laser pulses allows you to accurately destroy stones of any size and composition into dust

No cuts or seams

Endoscopic instruments are inserted through the urethra. The recovery period is minimal.

Modern equipment

At the Miracle Doctor clinic, stone lithotripsy is performed using the latest Auriga XL holmium laser generator (made in the USA) and a Wolf endoscopic urethroscope (made in Germany).

24-hour hospital

Recovery after surgery under the supervision of doctors and medical staff

Proximity to metro

Surgery "Miracle Doctor" is located near the stations "Ploshchad Ilyicha" and "Rimskaya" in Moscow

Types of operations according to methods of influencing stones

External lithotripsy (ESLT).

The procedure is carried out using special high-tech equipment - lithotripters. The devices generate a shock wave that can be focused on the stones using ultrasound or x-rays. The minimally traumatic and virtually painless operation is usually performed under intravenous sedation and does not cause complications. Extracorporeal shock wave lithotripsy can be used to break up large stones.

Contact ureterolithotripsy (KULT, KLT).

Endoscopic surgery is performed using a ureteroscope - a special probe that is brought to the stone in the ureter or kidney through the physiological urinary tract. After this, the location of the stone is clarified using auxiliary methods. The crushing of stones in the kidneys or ureters is carried out using laser, ultrasound or pneumatic energy. The operation involves the use of spinal anesthesia.

Percutaneous (percutaneous) nephrolithotomy (PCNL).

In this case, the endoscope is inserted into the kidney through a puncture in the lumbar region. Next, the stones are broken down and removed piece by piece. This method is mainly used for coral-shaped stones or large neoplasms. Percutaneous nephrolithotomy is performed under general or spinal anesthesia.

The Miracle Doctor clinic uses both conservative and surgical methods for the treatment of urolithiasis. The procedures are performed by highly qualified doctors using modern medical equipment.

Species that can cause harm

There is no direct contraindication for a certain type of mineral water for kidney tissue. Prohibitions are associated with the individual characteristics of the body.

Preliminary laboratory urine tests are performed to find out what type of chemicals the patient should not use.

Stones in the kidneys and bladder come in different types. They may consist of:

phosphates,
urates,
xanthines,
oxalates,
cystines.

Depending on the isolated substance that forms the stones, there is a ban on mineral water. This prevents the growth of stones.

Other diseases are also taken into account in which the use of mineral water will lead to an intensification of the pathological process in the kidneys. For example, hydronephrosis, tuberculosis, renal failure.

Rules of application

The rules for using mineral water depend on the purpose of use . It can be used to prevent or eliminate pathological conditions.

Prevention

Unlimited consumption of drinking and table water is allowed; it contains a minimum amount of salts.

They do not accumulate in the body and are quickly released. Food is prepared using water and compotes are made.

The only exception is patients with chronic diseases of internal organs . For them, the amount of fluid is limited to the courses prescribed by the doctor.

Urolithiasis disease

The treatment period for pathology is 1.5 months. Then they take a break for up to 3 months. Use medicinal mineral water to quickly break down salts.

The choice of mineral water depends on the composition of the stones:

Oxalates – Essentuki, Silver Key.
Urats - Essentuki 4 or 17, Borjomi.
Phosphates - Naftusya, Narzan.

Mineral water regulates the acid-base state of urine. For example, when uric acid accumulates, acidic water with a pH of 7 units is recommended.

Chronic inflammatory process

It is recommended to use medicinal mineral water to eliminate inflammation . This is especially true for the digestive tract, kidneys, and bladder.

Drink for up to 2 months, then take a break. They use Borjomi, Essentuki 4 or 17, Dilijan, Smirnovskaya.

Anomalies in the development of renal tissue, urethra, and bladder

Anomalies in the development of the urinary system occur immediately after birth. This is a deviation in the normal structure of the kidney tissue, urethra, and bladder. The condition is detected by ultrasound.

Medicinal table waters are used to prevent the formation of disease:

Fiuggi;
Mirgorodskaya;
Argie.

Drink daily for 3 weeks. Then take a break of 1 month.

Essentuki No. 4

«Essentuki No. 4

» - medicinal table chloride-bicarbonate sodium, boric (salt-alkaline) natural drinking mineral water of medium mineralization (7.0–10.0 g/l). Source - Essentuki field, Essentuki city, Stavropol Territory, wells No. 33-bis, 34-bis, 39-bis, 41-bis, 49-E, 418′, 56, 57-RE-bis, 71. In the resort park In the city of Essentuki there is a drinking gallery in which water “Essentuki No. 4” coming directly from the source is bottled for everyone.

Composition of mineral water “Essentuki No. 4”

Mineral water "Essentuki No. 4" contains (mg/l):

Anions:
hydrocarbonate HCO3– — 3400–4800
sulfate SO42− - less than 25
chloride Cl− - 1300–1900.

Cations:

calcium Ca2+ - less than 150
magnesium Mg2+ - less than 100
sodium + potassium Na++K+ - 2000–3000.

Boric acid H3BO3 - 30–60.

Carbon dioxide dissolved in produced water – 500–1800

Indications for medical use of mineral water “Essentuki No. 4”

Mineral water "Essentuki No. 4" is indicated for the treatment of the following diseases (outside the acute phase):

gastroesophageal reflux disease, esophagitis
chronic gastritis with normal, low and high acidity
stomach and/or duodenal ulcer
irritable bowel syndrome
intestinal dyskinesia
diseases of the liver, gallbladder and biliary tract
chronic pancreatitis
rehabilitation after surgery for gastric ulcers
postcholecystectomy syndrome
diabetes
obesity
disturbance of salt and lipid metabolism
chronic pyelonephritis
urolithiasis disease
chronic cystitis
chronic urethritis.

Professional medical publications regarding the use of Essentuki No. 4 mineral water

Mineral water "Essentuki No. 4" when consumed orally stimulates the secretion of hydrochloric acid by the parietal cells of the stomach, therefore it is used as a remedy for diseases of the gastrointestinal tract with reduced secrecy (atrophic gastritis and others), although its effect is similar to that of other similar stimulants , is not very effective and does not last long.
To stimulate acid secretion, Essentuki No. 4 is drunk warm 15–20 minutes before meals (Kostyukevich O.I.). “Essentuki No. 4” is useful in the balneological treatment of chronic gastritis and gastroduodenitis in children. To reduce the increased secretory function of the stomach, “Essentuki” is prescribed at the rate of 3-5 ml of mineral water per kg of child’s weight per day, 1.5-2 hours before meals. If necessary, stimulate the secretory function of the stomach, mineral water is taken in the same amount 20-30 minutes before meals (Privorotsky V.F., Luppova N.E., 2005). Often, to restore the rhythm of bowel movements in children suffering from constipation, it is enough to drink from a quarter to one and a half glasses of Essentuka No. 4 with a small amount of gas in the morning (Privorotsky V.F., Luppova N.E., 2009).

“Essentuki No. 4” restores the excitability of brain neurons and the motor function of the stomach, relieves pyloric spasm and reduces the secretory function of the stomach. During the rehabilitation of patients with GERD, a single intake of water is carried out at the rate of 3 mg/kg body weight (start with 75-100 ml and gradually increase) taking into account food intake 3-4 times a day. In case of a hyperacid state, Essentuki No. 4 is taken 60-90 minutes before meals, heated to 30-45 °C, quickly in large sips; in a hypoacid state - take 15-20 minutes before meals, temperature 20-25 ° C, slowly in small sips (Lyadov K.V., Preobrazhensky V.N.).

The choice of a drinking treatment regimen for the rehabilitation of patients with chronic gastritis and peptic ulcer disease is determined by the peculiarities of the secretory and motor-evacuation functions of the stomach. Sodium Na+ and potassium K+ ions contained in Essentuki No. 4 mineral water increase the secretion of hydrochloric acid by activating the transport of sodium Na+ ions through the apical membranes of the parietal cells of the gastric mucosa. For hypokinetic type of motor function, a significant volume of fluid is prescribed (more than 5 ml/kg body weight). Taking “Essentuka No. 4” at low temperatures (20–25 °C) not only stimulates the secretion of hydrochloric acid and gastrointestinal peptides (especially gastrin), but also enhances gastric motility by increasing the tone of the pylorus, reducing duodenogastric reflux. It is advisable to take “Essentuka No. 4” in a dose of up to 3 ml/kg body weight (75–100 ml), temperature 20–25°C, 15–20 minutes before meals in small sips, slowly, number of doses 3–4 times a day , repeated courses after 4–6 months (Lyadov K.V., Preobrazhensky V.N.).

“Essentuki No. 4” stimulates insulin production and therefore is used in the rehabilitation of patients with pancreatic diseases. After Essentuka No. 4 enters the stomach, stretching of the walls of the gastrointestinal tract and irritation of the mechanoreceptors located here lead to stimulation of the secretion of gastric juice, increased secretion of gastrin, hydrochloric acid and histohormones. Due to the close functional relationship of gastric histohormones with insulin, the early phase of insulin secretion is activated predominantly in the gastroenteropancreatic system, stimulating the enzymatic utilization of glucose in hepatocytes, and carbohydrate metabolism is restored. These processes are enhanced by magnesium cations Mg2+. Chlorine anions Cl−, combining in the stomach with hydrogen H+, form hydrochloric acid, stimulate the choleretic function of the liver, increase the intensity of glycolysis and lipolysis in liver cells. Sulfate anions SO42− reduce gastric secretion; practically without being absorbed in the intestine, they stimulate its motor function, stimulate the tone of the gallbladder muscles and relax the Lutkens and Oddi sphincters, which leads to an acceleration of the directional movement of bile into the duodenum and an increase in bilirubin in its composition. In combination with calcium cations Ca2+, they activate the microsomal enzyme system of the liver, thicken the vascular wall, reduce the content of intracellular water and mucus during inflammation of the walls of the digestive tract. The order of taking Essentuka No. 4 depends on the acid-forming function of the stomach: with low acidity - 15-20 minutes before meals, with normal acidity - 30-45 minutes, and with high acidity - 60-90 minutes. The water temperature should be 36–45 °C. Drinking treatment with Essentuki No. 4 water starts with 100 ml and is gradually increased to 200–250 ml. Drink in small sips, slowly. Depending on the diet, Essentuki No. 4 is taken 3-4 times during the day. The course of treatment is 21–24 days at the resort and 28–40 days on an outpatient basis. Repeated course after 4–6 months (Lyadov K.V., Preobrazhensky V.N.).

Taking mineral water “Essentuki No. 4” is recommended for the prevention of disorders of bile rheology and bile outflow. Take 1 glass of water, without gas, 30 minutes before meals, 3 times a day, for a course of up to 1-3 months, up to 2-3 times a year (Mekhtiev S.N.).

Bottled mineral water “Essentuki No. 4”

A large number of different companies are involved in the extraction and bottling of Essentuki No. 4 mineral water, including:

OJSC Wimm-Bill-Dann Food Products, which bottles water from well No. 49-E of the Novobladarnensky section of the Essentuki field. The depth of the well is 865 m, the water temperature is 45°C.
Essentuki-Aqua LLC receives water from well No. 57-RE-bis, well depth 90 m.
Avant-Aqua-Mineral LLC bottles water from well No. 49 and sells it under the brand name “Essentuki No. 4. Old Pump Room”.

Under the trade name “Essentuki No. 4”, chloride-hydrocarbonate sodium mineral water from the Nagutskoye mineral water deposit, located approximately 30 km from Essentuki, is also sold.
After GOST R 54316-2011 came into force (from 07/01/2012), this water should be sold under the trade name “Nagutskaya No. 4”. An example of mineral water sold under the name Essentuki is water from well No. 49 of the Nagut deposit "Essentuki Doctor Wasser No. 4", as well as water "Essentuki No. 4" of JSC Vodnaya. These bottles of Vodnaya JSC also indicate GOST R ISO 9001-2008, which concerns only quality management issues and is not directly related to the mineral water itself (see photo). Despite the entry into force of GOST R 54316-2011, in stores and at the end of October 2012 you can find mineral water with the label “Essentuki No. 4” without indicating a specific deposit. Example: “Essentuki No. 4” is the trademark “Springs of the Caucasus”, and instead of a specific deposit it is indicated “The source is located in the territory of the specially protected region of the Caucasian Mineral Waters” and well No. 49. Despite the fact that there are wells with No. 49-E at the Essentuki deposit , with No. 49 is at the Nagutskoye field and, perhaps, in other places. The label says that the main ions are given (which differ from the requirements of GOST R 54316-2011 for the waters “Essentuki No. 4” and “Nagutskaya No. 4”):

Anions:
hydrocarbonate HCO3– — 3500–5000
sulfate SO42− — 100–300
chloride Cl− - 500–1000.

Cations:

calcium Ca2+ - less than 150
magnesium Mg2+ - less than 100
sodium + potassium Na++K+ - 2000–3000.

Bottled mineral water “Essentuki No. 4” is sold carbonated. When used for medicinal purposes, it is advisable to release the gas (partially) from such water. It is recommended to store bottles of Essentuki No. 4 at home in a dark, cool place, in a supine position. For most medicinal table waters, precipitation of a small amount of mineral salts is allowed. Back to section