Role of non- dietary factors in the causation of Urolithiasis

Abstract

Background: Urolithiasis is a well known cause of morbidity in Indian population. Objective: To know the Non-dietary factors causing Urolithiasis among the patients in Karimnagar district and to compare the extent of awareness, attitude and practices by the patients about non- dietary and dietary factors. Methods: Two resident doctors interviewed 1400 patients (720 urban, 680 rural) attending urban and rural hospitals in Karimnagar district using predesigned questionnaire regarding the non-dietary factors causing urolithiasis. Results: Overall prevalence of Urolithiasis was 7.7% seen among 109 patients. Patients with kidney stones were 92 (84.4%), with ureteric stones 14 (12.8%) while patients having both were 3 (2.8%). Significant Non- dietary factors include Age predilection for the age group of 15-45 years 74 patients (68%), Male sex predilection (p value < 0.00790961) , Family history 47 (43%), illiteracy(p value = 0.0001) , the presence of Urinary tract infections 51(47%), Less daily water intake 18(16.5%), obesity 13(12%), and Catheterization 9(8%) and Excess use of antacids 10(9%). Awareness and preventive care practices were less with non- dietary factors when compared with those of dietary factors. Conclusion: Some non- dietary factors were significantly associated with urolithiasis. But the patients were not aware of the significance of their role as they do with dietary factors. Hence poor attention was paid by the patients to the non dietary factors.

Keywords

• non dietary factors
• urinary stones
• awareness and practices
• karimnagar district