A member asked:

How do we treat kidney stones after realizing they are calcium oxalate stones & what food regimen should one follow to prevent appearance of new ones?

7 doctors weighed in across 3 answers

Calcium stones: Form when blood or urine concentration of calcium becomes elevated. If your serum ionized calcium level is normal, you should avoid excessive calcium intake and dehydration. Consult with a urologist for further recommendations.

Answered 4/8/2020

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85% of US stones: The majority of kidney stones in United States or of calcium oxalate composition. Contrary to popular belief, intake of dietary calcium has little to do with the rate of formation. In fact, restricting calcium in one's diet may increase the rate of formation. One should strive to drink enough fluid to make 2 l of urine per day. Restricting hi oxalate containing foods is also helpful.

Answered 4/8/2020

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Kidney stones: Calcium oxalate stones are best managed with low dose hydrochlorothiazide, which reduces calcium excretion plus high intake of citrate daily. Citrate can be prescribed as Bicitra (citric acid and sodium citrate) or can be supplemented with Lemonade and or ReaLemon Extract daily. Diet must be low salt, low protein, high fruit and vegetable, low oxalate, and high citrate. Four liters of fluid per day is also essential.

Answered 9/6/2016

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