%0 Journal Article
%T Chronic dehydration and symptomatic upper urinary tract stones in young adults in Ibadan, Nigeria
%A EO Olapade-Olaopa
%A A Agunloye
%A DI Ogunlana
%A ET Owoaje
%A T Marinho
%J West African Journal of Medicine
%D 2004
%I 
%X Introduction: Upper urinary tract stones are relatively uncommon in Nigeria and they are most often seen in men in their 4th and 5th decades. There is however no recent report on this disease from our locality. This retrospective study was done to evaluate the pattern of presentation of upper tract urolithiasis in our institution. Patients and Methods: We reviewed all cases of renal stones referred to a single Consultant in a Teaching Hospital in Southwestern Nigeria over a two year period. Results: Twenty cases of renal calculi presented within the study period. All patients presented with sudden onset of loin or back pain, and the diagnosis was confirmed radiologically. The mean age of our patients was 27 years (age range 13-38 years), and the male to female ratio was 1.5: 1. Nineteen patients (95%) reported poor fluid intake (<1.5L/day), and 17/20 (85%) frequently total fasted totally (no water or food intake) for religious reasons. Serum calcium was normal in 15 of 16 patients (94%) and only marginally raised in the remaining patient. All patients were treated with a high fluid intake (3L/day) and analgesics, and 16 of the patients (80%) passed their stones spontaneously. The other four are currently pain free, one of whom is awaiting surgery. Conclusion: This (uncommon) occurrence of upper tract urolithiasis in young adults in Ibadan may be related to chronic dehydration exacerbated by religious fasting. Further studies are required to explore this relationship, Key Words: Urolithiasis, Upper Urinary Tract, Young Adults, Nigeria, Dehydration, Religious fasting R¨¦sum¨¦ Introduction: Pierre voie urinaire sup¨¦rieur (upper urinary tract stones) sont assez peu courants au Nigeria et le plus souvent vus chez des hommes de quarantes et cinquantes ans. Toutefois, il n'y a aucun rapport r¨¦cent sur cette maladie dans notre r¨¦gion. Cette ¨¦tude r¨¦trospective a ¨¦t¨¦ effectu¨¦e afin d'¨¦valuer la tendance de pr¨¦sentation de la voie urolithiase dans notre institution. Patients et M¨¦thodes: Nous avons fait le bilan de tous les ca de pierres r¨¦naux envoy¨¦s chez un seul specialise dans un centre hospitalier universitaire au sudouest du Nigeria au cours d'une p¨¦riode de deux ans. R¨¦sultats: Vingt cas de calculi r¨¦naux qui se sont pr¨¦sent¨¦s au cours de p¨¦riode d'¨¦tude. Tous les patients atteints de la premi¨¦re attaque subite des reins ou mal de dos et le diagnostic a ¨¦t¨¦ confirm¨¦ par la radiologie. L'age moyen de no patients ¨¦tait 27 ans (groupe d'age de 13 - 38 ans) et la proportion masculine f¨¦minine ¨¦tait 1:5:1. Dix neuf patients - soit 95% ont rapport¨¦ mauvaise consomation de liquids (<1,5L/jour) et 17/20 soit (85%) fr¨¦quent total ont tatalement , jeune (sans consomation ni l'eau ni nourriture). Pour des raisons religieuses s¨¦rum de calcium ¨¦tait normal chez 15 parmi 16 patients (94%) et seulement peu augment¨¦ chez l'autre patient. Tous les patients ont ¨¦t¨¦ trait¨¦ avec la consomation enorme de fluids (3L/jour) et analgesiques, et 16 parmi les patients (80%) ont
%U http://www.ajol.info/index.php/wajm/article/view/28108