Managing Occasional Symptoms
Even though we have a multitude of treatment options and equipment to successfully treat kidney stones, our goal is to help patients avoid recurrent stones. To achieve this, your Urologist might recommend a change in your diet or a special medication.
Calcium stone formers might be advised to drink more water, avoid salt, decrease oxalate intake and avoid calcium supplements. However, keep in mind that we do not recommend restricting dairy calcium. The dairy calcium has the ability to combine with oxalate in the gut and pass out in the feces. If dairy calcium is not available, the oxalate in the gut will be absorbed and sent to the kidneys, where it can combine with calcium in the urine to form stones. If calcium supplements are necessary for osteoporosis, or other reasons, we recommend calcium citrate instead of calcium carbonate in stone formers.
As mentioned above, we might also recommend decreasing intake of oxalate. This is found mainly in tea, strawberries, spinach, and rhubarb, chocolate/cocoa, wheat bran, nuts, and beets. There are many other foods which contain oxalate in lower amounts and we can provide that list if needed. Patients who have uric acid stones will be advised to drink adequate fluids, but also may be advised to cut back on protein in their diet and may be placed on a medication to help alkalinize their urine, or to prevent the formation of uric acid. For recurrent stone formers, who have failed dietary measures, we have developed a kidney stone prevention clinic. This allows us to more aggressively evaluate the patients with various blood levels of calcium, potassium, uric acid, and others, depending on the situation. We evaluate a detailed medical and dietary history. We may also obtain 24-hour urine collections for metabolic evaluation. Medications, such as potassium citrate, may be utilized, as well as others.