title: Significant pain alleviation, cease of hematuria, and renal stone removal after extracorporeal shock wave lithotripsy with adjuvant boron therapy - case report.
abstract: OBJECTIVE
  Stone disease is an increasingly common form of renal disease. Therapy to prevent stones rests in lowering supersaturation uses both diet and medication. Environmental factors, especially diet, play an important role in the expression of the tendency to stone formation. Effective treatment decreases stone recurrence and need to use procedures to stone removal. Considering the nutrients, boron as an ultratrace element of the plant food is assumed to have an impact on the stone removal.
  
  
  METHODS
  Female patient with a 10.0 mm stone in the lower pole underwent an extracorporeal shock wave lithotripsy (ESWL) and received 10 mg of boron supplement/day for two weeks.
  
  
  RESULTS
  Ultrasonography assessment revealed complete stone removal or disposal without hydronephrosis with a significant pain alleviation and significant reduction in ureter bleeding or hematuria along with a little burning sensation in the genital region. The expulsion was confirmed by the collection of the lithiasic residues.
  
  
  CONCLUSIONS
  Successful and comfortable kidney stone repulsion with a minor pain and bleeding indicates that the impact of boron in this issue deserves further study and clarification.
authors: Department of Nutrition, University of Medical Sciences, Tehran, Islamic Republic of Iran. naghiimr@yahoo.com
authors: M R
authors: MR
authors: Naghii
mesh_terms: D059787:Acute Pain / Q000628:therapy*; D000368:Aged; D001895:Boron / Q000008:administration & dosage*; D003131:Combined Modality Therapy; D005260:Female; D006417:Hematuria / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy; D014131:Trace Elements / Q000008:administration & dosage; D016896:Treatment Outcome; D014545:Urinary Calculi / Q000628:therapy*
chemical_list: D014131:Trace Elements; D001895:Boron