Peer Reviewed
Feature Article Gastroenterology
Renal stones: causes, treatment and prevention
Recent articles on:
Kidney diseases
Kidney diseases
Abstract
Increased fluid intake remains the cornerstone of therapy in the prevention of renal stones. Pharmacological agents may be required in patients with multiple recurrences.
Key Points
- Increased oral fluids remains the cornerstone of stone prevention and is all that is required in most patients.
- The majority of stones are calcium containing, and up to 80% of patients with calcium stones have an underlying biochemical abnormality.
- Patients with a single stone should be investigated to detect significant associated medical problems or complications that require treatment, such as hyperparathyroidism, urinary tract infection and renal impairment.
- Patients with multiple recurrences usually warrant more extensive biochemical evaluation and consideration of specific prophylactic therapy.
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