Doctor insights on:
Calcium Oscillate Kidney Stones
Why r my calcium levels normal, while my ionized calcium levels are high? I have bone pain, fatigue, kidney stones. I don't know pth level, or vit. D.
Half if calcium: In the blood is bound to proteins and inactive. The other, active, half is the ionized or free calcium, which is what really does the heavy lifting and is more accurate cllinically. You really need the other lab and a good endocrinologist.
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
Ionized Calcium 4.65, PTH 133, Calcium 10.3, Vitamin D 7, Phosphorus 4.9, recurrent Kidney stones. Thyroid lobe, two parathyroids removed in 2004.
Uncertain: These test results don't add up to a straight forward answer. However, I would be concerned about the possibility of recurrent primary hyperparathyroidism. You should take Vit D to eliminate Vit D deficiency as a cause for high PTH levels. Once this is done, if you still have high PTH with high calcium levels, you have recurrent primary HPTH and will need surgery again.
Cautiously: Agree w dr rodriguez. No direct relation. But, much calcium intake leads to much calcium in urine. Calcium with meals is safer than bet meals since it binds to phosphorus in gut leading to loss in stools lowering calcium/phosphorus levels in urine i.e. Cutting phosphorus stones. If use calcium for bone health, use calcium citrate & get 24 hr urine calcium levels, if hi it adds to stone risk still.See 1 more doctor answer
Don't worry dairy OK: Calcium containing stones means that ca. Salts have precipitated in your urine for various reasons, dehydration, urinary stasis or high urinary ca. Excretion. Not affected by intake unless intake abnormally high (gallon of milk or 1-2 lbs cheese/day)u need to drink lots of water, avoid salt & get 24 hr urinary calcium excretion, if high may well need to take hydrochlorthiazide to reduce ca. In urine.See 2 more doctor answers
Calcium stones Rx: Calcium oxalate is likely stone; reasons: dehydration; excess calcium in urine; excess oxalate in urine; low citrate in urine. Diet: avoid spinach, rhubarb, strawberries, nuts, chocolate, tea, wheat bran, and all dry beans; drink OJ 8 oz 2x daily; add ReaLemon extract: 5 tblspns / day; increase fluid 4 liters/day; only 4 oz meat/day; low salt; 4-5 fruits/day; HCTZ (hydrochlorothiazide) 25 mg / day from MD. Avoid milk.See 1 more doctor answer
Kidney stones: Do you know the composition of your stone? If it's a cacium stone, avoid dairy products which are high in calcium. Uric acid stones are a different matter. Blood tests are recommended if you continue to form kidney stones. Your physician is best to advise you as he/she knows your findings.See 1 more doctor answer
Yes because it cause your urine volume to be reduced and consequently will raise the concentration of calcium oxalate facilitating crystalization if you have a predisposition of excessive calcium absorption of familial nature or a bowel problem with tendency for diarrhea.
Reducing the dose will allow for more dilute urine.
Yes and no: Most kidney stones are due to calcium stones. For that reason, taking too much calcium increases your risk of a kidney stone. However, we cannot predict if someone will get a stone. Some people with higher calcium levels will not get stones while somebody with lower calcium levels can get stones, so it is hard to say if excess calcium will cause a kidney stone.See 1 more doctor answer
See below: A specialized laboratory can analyse the stone.
Not necessarely: The calcium content of the urine is more dependent on sodium and protein intake than calcium. People with calcium stones should be on a low salt diet and moderate protein restriction. On the other hand you can overdose yourself with calcium and vitamin d to the point of causing not just stones but acute kidney damage.
Yes it is: More important is to drink pleny of water ; consume as little salt as possible. Good luck.
You may not...: Kidney stone formers often have elevated levels of calcium in the urine and calcium lowering medications can help them. However, reducing calcium in the diet is not recommended and does not seem to prevent stones. Excessive intake may predispose to stones, but there is no evidence that it will cause them. If you have a prior history of stone, taking the regular usrda of calcium is recommended.
Could osteopenia contribute to my constant passing of kidney stones that have been tested to be 90% calcium stones, any relation with these two issues?
Osteopenia: You should be theater for primary hyperparathyroidism, and if you don't have it then you should increase your dietary calcium intake. It's sounds contra intuitive but it has been shown that increase dietary calcium intake decreases risk of kidney stones!
Relatively safe: The citrate in calcium citrate is helpful to prevent stone disease. Calcium however could increase calcium excretion in urine. It has the potential of binding oxalate in the gut which is a beneficial effect. If using calcium citrate, need your doc to evaluate your 24 hour calcium excretion in urine to ascertain that the total calcium excretion in urine is not elevated.
Diet for Ca oxalate: Avoid dehydration; Follow Diet: avoid spinach, rhubarb, strawberries, nuts, chocolate, tea, wheat bran, and all dry beans; increase Citrate: orange juice 8 oz twice daily; ReaLemon extract: 5 tblspns per day; increase fluid 4 liters/day; only 4 oz meat/day; 4-5 fruits/day; maintain low salt; egg white 2 per day as protein; 25 mg HCTZ (hydrochlorothiazide) daily to reduce Ca in urine - you can do it.See 1 more doctor answer
Need full evaluation: This includes 24 hr urine test for calcium, creatinine & citrate. Drink lots of water including glass or 2 before bed so you get up at night to urinate and drink another glass at that time. Reduce salt intake & avoid stay foods as much as poss. Reduce red meat intake. Daily, low caorie citrus drink worthwhile. May require daily hydrochlorthiazide if calcium excretion is > 4mg/kg/24 hours.See 1 more doctor answer
I had blood in my urine could it be that I'm taking calcium? I also had pain on my right upper back I was told it was kidney stone. Is this true?
Is that so?: If an imaging study was performed that showed you have a kidney stone, then that's probably why you have the blood in your urine. If there's no imaging study, you don't know if it's a kidney stone or not, and getting imaged would probably be worthwhile. Why are you taking calcium? I can't recommend it as a general 'women's health' measure especially if there's a question of nephrolithiasis.
Not, but...: For average young healthy persons, calcium supplement is virtually unnecessary, but people buy and use it indiscriminately out of ignorance, anxiety, & fear, and a 600 mg of calcium would not incite stone formation except someone already being prone to develop urinary stone, i.e., genetic factor, for which we do not have scientific means to detect its strength. More? Ask experts timely.
Solutes precipitate and combine to form stones formed of calcium oxalate usually around a nidus of uric acid. Other solutes that form stones are ca and mg phosphates, cystine, and uric acid staghorn calculi form in the presence of chronic urinary tract infections. Stones can be painful, may require ...Read more
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