Zuletzt aktualisiert: 18. Mai 2026
Nierensteine sind ein sehr häufiges Problem in meiner urologischen Praxis. Nach der Überprüfung der Literatur über die Häufigkeit von Nierensteinen, gab es einen Anteil für mindestens 10% der US-amerikanischen und europäischen Bevölkerung, dass dieses Problem einmal in ihrem ganzen Leben konfrontiert. Aber wenn ich versuche, mehr Forschung hier zu bekommen, war ich überraschend mit den Zahlen, die zufällig flog bis zu einem 17% von Nierenstein Rate berühren gezeigt. In diesem Thema werden wir herausfinden, warum Nierenstein passiert.
Why this happen? – This question is extremely hard to give a certain answer, because it happens from multifactorial factors. When we all know that kidneys are the organ which functioning on infiltration waste-products from our body and then excrete out by urination, so the kidney is the place where some ions for example Calcium, Phosphate, Uric acids and Oxalate – always be in a high concentration. When ions reached their maximum concentration, then they start stone formation.
Nierensteine werden durch 2 Hauptfaktoren verursacht.
- Wirtsfaktor
- Race – African American and Caucasian were reporting more incidence than Asian, also some specific race especially Cambodian and Northern east part of Thai population usually suffered a genetic-related disease.
- Sex – Men are suffering more than women with a ratio around 2:1 worldwide.
- Age – Aging is reported around between 40 – 60 years old.
- Underlying medical history – Obesity and Diabetes can increase the rate 55% and 59%, obviously. Basically, for all those diseases will make our body excrete more ions in the urine.
- Umweltfaktoren
- Geographic location – The countries area which located in tropical climate has more reported on the incidence. The reason is, people who live in hot weather condition tend to lose body fluid easily from sweating and consequently will experienced in less urine output that will make urine ions more concentrated.
- Wasseraufnahme – Plenty of water intake is the easiest way to reduce the risk. In every 500 mL of increasing daily water intake will significantly reduce the incidence. (Recommendation daily water intake – 2,500 mL)
- Nutrition – High sodium intake, high oxalate intake, high Vitamin C intake, imbalance calcium intake are all involved problems and it tend to increase more risk of stone formation.
- Less citrate intake – Citrate ion possessing an effective on anti-stone, it is riches in Citrus fruit for example lemons. A cup of lemonade juice daily is recommended in patients who aware on stone formation.
Sometimes kidney stone has another name called a metabolic disease because lots of involvement caused that. It might make the patients suffering from this kind of problem. Well educated patient with a strong Doctor-Patient binding would require for the possibly chronic problem like this – Kidney stone problem.
Wenn Sie Fragen haben, können Sie sich gerne an folgende Adresse wenden ich.
If you have recurrent kidney stones or would like a tailored prevention plan, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. Beratungstermin buchen.
Frequently Asked Questions about Kidney Stone Formation
Kidney stones form when certain minerals and ions in the urine, such as calcium, oxalate, phosphate, and uric acid, reach a concentration high enough to crystallize. The kidneys normally filter these substances from the blood, but when fluid intake is low or dietary intake is excessive, these ions accumulate and begin to aggregate into stones.
Kidney stones are more common in men than women at a ratio of approximately 2:1, and most commonly occur between the ages of 40 and 60. People with obesity, diabetes, or a family history of kidney stones face significantly higher risk. Those living in tropical climates are also more susceptible due to increased fluid loss through sweating.
Yes. Increasing fluid intake is one of the most effective and practical ways to reduce kidney stone risk. Every additional 500 mL of water per day significantly lowers the risk by diluting urinary ion concentrations. A daily water intake of at least 2,500 mL is recommended for stone prevention.
A high intake of sodium, oxalate-rich foods (such as spinach and nuts), excess vitamin C supplements, and imbalanced calcium intake can all increase the risk of stone formation. High-protein diets and excessive animal meat consumption raise urinary uric acid levels, contributing to uric acid stones.
Yes. Lemon and other citrus fruits are rich in citrate, a natural inhibitor of kidney stone formation. Citrate works by binding to calcium in the urine, preventing crystal aggregation. Drinking a glass of lemon juice daily is a simple and evidence-supported dietary measure for patients at risk of calcium oxalate stones.
**Haftungsausschluss:** Dieser Inhalt wurde von Dr. Soarawee Weerasopone, einem Facharzt für Urologie am Bangkok Hospital Headquarters, verfasst und überprüft. Er dient ausschließlich Bildungszwecken und stellt keine medizinische Beratung dar. Konsultieren Sie immer einen qualifizierten Mediziner, bevor Sie eine medizinische Behandlung beginnen.
Medizinisch verfasst & überprüft von: Dr. Soarawee Weerasopone (Dr. Pom) – Fachärztin für Urologie, Bangkok Hospital Hauptverwaltung. International Stipendiatin: Baylor College of Medicine (USA) · Juntendo University (Japan) · Chang Gung Memorial Hospital (Taiwan).
Dr. Soarawee Weerasopone (Dr. Pom) ist ein Facharzt für Urologie am Bangkok Hospital Headquarters, spezialisiert auf Männergesundheit, Roboterchirurgie (Da Vinci System) und Nierensteinbehandlung. Er hat internationale Fortbildungen am Baylor College of Medicine (USA), am Juntendo University Hospital (Japan) und am Chang Gung Memorial Hospital (Taiwan) absolviert. Alle medizinischen Inhalte auf dieser Website werden von Dr. Soarawee auf der Grundlage seiner klinischen Erfahrung und seiner internationalen Ausbildung verfasst und überprüft.
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