I am writing in reference to my son. He is 25 and last year began to have painful episodes with passing kidney stones. One stone had to be treated with shockwave lithroscopy. Scans indicate multiple, bilateral stones. Since that time, he has had gastric pain, nausea, flank pain, sleeplessness, etc. I had a parathyroid adenoma a couple of years ago myself, so I was familiar with the problems of high calcium and requested some tests. They have come back and shown a calcium level of 10.; 10.2 and 10.6. However, his PTH was 10. Further tests have shown hypocitraturia (199 mg in 24 hr. urine test); 24 hr. urine volume of .97; PCR .6; and normal calcium level in urine.
One stone was evaluated as 60% calcium oxalate monohydrate and 40% calsium oxalate dihydrate. He has been bounced around between a gastro doc and internist, looking for gastric causes of his stomach complaints. Our family doc did a simple urine test in the office and found he had considerable blood in his urine.
Since the stomach trouble started after the stones, I don't really think this is gastric, as it has very similar characteristics of my previous hyperparathyroidism and I think he probably should have his parathyroid checked out. Any input would be appreciated- he is tired of not knowing what is going on and of being in pain. Thanks-