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Kidney Stone Center

A Personalized Approach

Care New England provides a comprehensive approach to the management of kidney stones. Whether it’s surgery, medication, or recommendations on dietary changes, the Kidney Stone Center will be able to offer you the treatment you need. Our clinic is comprised of a urologist, a nephrologist, and a registered dietician who will work as a team to personalize your care.

When you visit our clinic, you can expect to have a detailed history taken with review of your laboratory tests and imaging studies. You will meet with each provider, and all treatment options for your current stones will be discussed. We will also work with you to diagnose your risk factors to help prevent future kidney stones.

Kidney stone disease can be complex, and Care New England’s Kidney Stone Center is here to make the process easier.

Contact Information

Care New England Kidney Stone Center
2191 Post Road
Warwick, RI 02886

P: (401) 736-4217

Multidisciplinary Kidney
Stone Team

Our multidisciplinary team consists of the following specialists:
  • Urologist
  • Nephrologist
  • Registered Dietician
  • Interventional Radiologist
  • Nurse Navigator
A Nurse Navigator is able to provide the following services:
  • Act as a resource for referring providers

  • Triage patients to expedite urgent referrals

  • Serve as a resource and advocate for the patient

  • Assess patient eligibility for the kidney stone clinic

  • Identify and mitigate barriers to care

  • Provide individualized support and guidance throughout the process

  • Coordinate care, streamline and accelerate appointments

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Importance of Proper Kidney Function

What does the kidney do?

Kidneys are abdominal organs that have some main maintenance functions of the human body. When kidneys are not functioning properly toxins begin to build inside the body because of the kidney’s filtering properties. 

Some of their functions include: 
  • Removes waste from the body and extra fluid
  • Helps control blood pressure
  • Produces red blood cells
  • Promotes bone health by producing Vitamin D
  • Helps maintain pH levels in the body by balancing acids

 

  • Symptoms of Kidney Problems or Failure
  • Common Kidney Diseases or Conditions
  • Risk Factors

Some symptoms that the kidneys are not functioning well are:  

  • Breathlessness
  • Breath smells
  • Confusion
  • Fatigue
  • Itchiness
  • Lack of appetite
  • Muscle cramping
  • Poor sleep
  • Swollen face and/or feet
  • Very dark, brown, or bloody urine
  • Acute and chronic kidney disease
  • Fluid and electrolyte abnormalities
  • Hematuria (blood in the urine)
  • High blood pressure
  • Kidney stones
  • Proteinuria (protein in the urine)
  • Urinary tract infections
  • Diabetes
  • Family history of kidney problems
  • Heart disease
  • High blood pressure

Diagnosis

There are a few tests that a physician can use to determine the state of kidney function within an individual:  

  • Blood test – determines how well blood is being filtered in the kidneys. It is called glomerular filtration rate or GFR. A GFR of 60 or more is healthy, while less than 60 could be a sign of kidney disease. Less than 15 is diagnosed with kidney failure.
  • Imaging
  • Removing a piece of a kidney to test
  • Urine test – tests levels of protein in the urine. The test specifically looks for a protein called albumin, which is released into the kidneys when the kidney is not functioning. A level of 30 mg/g or less is healthy, while anything more can be a sign of kidney disease.

Treatment

A starting point for treating kidney issues are trying to treat the cause of the problem. That may require lifestyle changes or medications to treat for:

  • Anemia
  • High blood pressure
  • Lower cholesterol
  • Strengthen bones
  • Swelling
For end-stage kidney disease, more advanced and immediate treatment may be needed, which includes:
  • Dialysis – dialysis involves either using a thin tube, or catheter, inserted into the abdomen to fill the body with a solution to absorb waste and excess fluid, which then later drains from the body, or using a machine to filter waste from the blood.
  • Kidney transplant – a healthy kidney is surgically placed inside the body after removing a damaged one. Medication will then need to be permanently taken in order for the body to not reject the donor kidney.

Meet The Team

Alex Lubin, MD

Urologist

Chris Cosgrove, MD

Nephrologist

Elaine Piasecki, MS, LDN, RD

Registered Dietician