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[Medical treatment of urinary lithiasis].

Authors
  • Cachat, François
  • Barbey, Frédéric
  • Daudon, Michel
Type
Published Article
Journal
Revue médicale de la Suisse romande
Publication Date
Aug 01, 2004
Volume
124
Issue
8
Pages
461–464
Identifiers
PMID: 15495468
Source
Medline
License
Unknown

Abstract

Urinary stone disease is frequent, and characterized by a high recurrence rate. Prevention of recurrent urolithiasis is possible using an appropriate diet with or without medications. Patients should be encouraged to have a high fluid intake. For an adult, urine volume should exceed 2000 ml/day. Diet modification should be done according to the various metabolic factors contributing to the formation of the stone (ie, hypercalciuria, hyperoxaluria, hypocitraturia, hyperuricuria, and so forth). Calcium intake should be around 1000 mg/day, protein intake limited to 1.2 g/kg/day, and salt intake kept to less than 100-150 mEq/jour. For uric acid urolithiasis, patient should limit uric acid intake to less than 500 mg/day. If these dietary manoeuvers fail, one can use thiazide diuretics to treat hypercalciuria, potassium citrate to correct hypocitraturia or sodium bicarbonate to alkalanize urine and prevent uric acid stone formation.

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