Kidney stone disease to a combination of genetics and environmental factors. Risk factors include high urine calcium levels, obesity, certain foods, some medications, calcium supplements, hyperparathyroidism, gout and not drinking enough fluids. Stones form in the kidney when minerals in urine are at high concentration. The diagnosis is usually based on symptoms, urine testing, and medical imaging. Blood tests may also be useful. Stones are typically classified by their location: nephrolithiasis (in the kidney), ureterolithiasis (in the ureter), cystolithiasis (in the bladder), or by what they are made of (calcium oxalate, uric acid, struvite, cystine). In those who have had stones, prevention is
Bladder pipe form, and did not become merged with the bagpipe. Bladder pipe The Bladder pipe ("German": Platerspiel or Blaterpfeife) is a medieval simplified bagpipe, consisting of an insufflation tube (blow pipe), a bladder (bag) and a chanter; sounded by a double reed, which is fitted into a reed seat at the top of the chanter. The reed, inside the inflated bladder, is sounded continuously, and cannot be tongued. Some bladder pipes were made with a single drone pipe, and reproductions are similar to a loud, continuous crumhorn. The chanter has an outside tenon, at the top, near the reed, which fits