Kidney stones often return in patients who have previously been affected. The best way to prevent kidney stones is by increasing the fluid intake. Try to drink enough so that you make at least 2 to 3 liters of urine a day. An increased sodium intake and high protein diet can also increase the risk so in general back off on added salt and consider decreasing your protein intake by 1/3. For most patients with calcium oxalate stones, oral calcium intake should not be reduced. In fac, if you are at risk for developing osteoporosis, then calcium supplements are indicated.
Many urologist do not do a further work-up for the first stone. However, for recurrent stone formers, those with a family history for stones, or pediatric stone formers further work-up is indicated. This typically includes both blood tests and an analysis of a 24 hour urine collection. The parathyroid hormone level is routinely checked as this hormone is involved in calcium metabolism. If metabolic abnormalities are identified, diet change, medicines, or surgery may be indicated.
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available through our department at the Henry Ford Hospital and its suburban locations (I-800-653-6568).
* Keyword:stones, metabolic evaluation