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 only distinction being the form and size of the air-chamber, either the bladder or the wind-cap, in which the reed was set in vibration. The player blows air into the bladder through the insufflation tube, or through the raised, slit-shaped opening of the wind cap, placed against the player's lips. This earlier Italian form of bladder pipe is found illustrated at the end of the 15th century in the Book of Hours, known as the "Sforza Book". An allusion to the bladder pipe occurs in an old English ballad: This excerpt suggests the early English bladder pipe retained a distinct