Doctor insights on:
Calcium Oxalate Monohydrate Kidney Stone
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.
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. ...Read more
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?
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 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. ...Read moreSee 2 more doctor answers
If I have calcium-oxalate kidney stones, what diet should I follow to prevent the formation of more stones?
It depends: There are several causes for calcium oxalate stones. If the problem is due to high calcium in your urine, about 50% of the time, limiting calcium intake will have an effect. If you have renal leak hypercalcuria, then diet changes won't help but thiazide medications will. Some people have hyper parathyroid disease and diet changes wont help. ...Read moreSee 2 more doctor answers
Urine analysis: Most people who have passed on stone will pass another stone in their lifetime. If the stones are of a certain type (calcium oxalate), certain changes in behavior or medicines can be helpful. In all cases, the focus should be producing large amounts of dilute urine by drinking water (at least two liters). This makes it less likely for small stones (gravel) to form into bigger stones. ...Read moreSee 1 more doctor answer
Baking soda: Baking soda will mute formation of uric acid stones but may enhance formation of calcium oxalate stones; To minimize 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; ...Read moreSee 2 more doctor answers
What do you advise if i had calcium oxalate kidney stones and i would like to have a diet guide sent on preventing them from reoccur?
Calcium oxalate: Calcium oxalate is most common among adults; reasons include: 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; increase orange juice 8 oz twice daily; add ReaLemon extract: 5 tblspns per day; increase fluid 4 liters/day; only 4 oz meat/day; low salt; 4-5 fruits/day. ...Read moreSee 1 more doctor answer
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 daily to reduce Ca in urine - you can do it. ...Read moreSee 1 more doctor answer
How do I manage calcium oxalate kidney stones. Had been diagnosed with oxaluria 0.93 mmol/1.73m2/24h?
Stones: Current Ca-oxylate renal stones cannot be dissolved but may be successfully treated with shockwave lithotripsy. Prevention of future stone formation should be guided by a urologist (or nephrologist possibly). The cornerstone of prevention is hydration to the point of producing 2 liters of urine daily. This, you can start on your own. ...Read more
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