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Doctor insights on: Cause Of Calcium Oxalate Dihydrate Kidney Stone

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Dr. David Sneid
Board Certified, Endocrinology
36 years in practice
38M people helped
1

1
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.

Dr. David Sneid
Board Certified, Endocrinology
36 years in practice
38M people helped
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. ...Read more

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Dr. Adam Levy
Board Certified
32 years in practice
694K people helped
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Dr. Adam Levy
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Dr. Alan Feldman
Board Certified, Endocrinology
36 years in practice
2M people helped
2

2
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.

Dr. Alan Feldman
Board Certified, Endocrinology
36 years in practice
2M people helped
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

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Dr. Adam Levy
Board Certified
32 years in practice
694K people helped
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Dr. Adam Levy
Board Certified
32 years in practice
694K people helped
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Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
3

3
Can daily passing of sand-like kidney stones be a cause of chronic lower abdominal pain? If so, how? They are calcium oxalate and phosphate stones.

Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
Can daily passing of sand-like kidney stones be a cause of chronic lower abdominal pain?  If so, how? They are calcium oxalate and phosphate stones.

Gravel in urine: Yes - irritates bladder; To DO: Avoid dehydration; Follow this 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 ...Read more

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Dr. Yash Khanna
Board Certified, Family Medicine
52 years in practice
132M people helped
4

4
Is there any food to help break calcium oxalate dihydrate kidney stones?

Dr. Yash Khanna
Board Certified, Family Medicine
52 years in practice
132M people helped

2.5 litres of fluids: Most important is to drink 2.5 litres of fluids daily, avoid high doses of vitc, restrict foods containig oxalate, increses calcium and less than 2 grms of sodium daily and in case of recurrent stones restrict amount of proteins. ...Read more

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Dr. Adam Levy
Board Certified
32 years in practice
694K people helped
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Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
5

5
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?

Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
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 more

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Dr. Phillip Porch
Board Certified, General Practice
35 years in practice
206K people helped
6

6
If I have calcium-oxalate kidney stones, what diet should I follow to prevent the formation of more stones?

Dr. Phillip Porch
Board Certified, General Practice
35 years in practice
206K people helped
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 more

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Dr. Reginald Gohh
Board Certified, Nephrology and Dialysis
26 years in practice
156K people helped
7

7
What's to be done to prevent recurrent kidney stones (calcium oxalate)?

Dr. Reginald Gohh
Board Certified, Nephrology and Dialysis
26 years in practice
156K people helped
What's to be done to prevent recurrent kidney stones (calcium oxalate)?

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 more

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Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
8

8
Can baking soda dissolve calcium oxalate and urid acid kidney stones?

Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
Can baking soda dissolve calcium oxalate and urid acid kidney stones?

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 more

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Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
9

9
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?

Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
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 more

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Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
10

10
What's proper diet for a person who has kidney stones of calcium oxalate?

Dr. Rex Mahnensmith
Board Certified, Internal Medicine
39 years in practice
9M people helped
What's proper diet for a person who has kidney stones of calcium oxalate?

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 more

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Dr. Adam Levy
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