Category Archives: Kidney Stones

I recently had 2 PCNL’s. First one in April, 2nd one in August. I had a staghorn that was a 3CM stone with horns filling th pelvis of the kidney, and another horn 2.1 CM in the anterior of the kidney. They could only get the stone and horns in the pelvis in the first surgery. Second surgery they went in and got the rest of the staghorn out. Unlike the 1st surgery, I did not get out of the hospital the next day. I spent 3 days in SICU and 2 more in the hospital and missed a month of work. I had a temp of 103, and an infection. I had allergic reactions to 3 of the antibiotics, and was given antibiotics non stop the entire 5 days and an oral on to take at home, that I also had an allergic reaction to. My GFR had been close to 60 most of the time before the 2nd surgery. Since then it had dropped to 45, then 41 then 38. Being a diabetic, I had to have my metformin reduced. They said I was “low” and to drink 2 to 3 liters of water a day. My staghorn was 100% uric acid. I am drinking as much as I can, and GFR is back up to 45 as of my last test. But…my Vitamin D was 4. It had never been tested before so no idea how long it had been a 4. Taking 50,000 iu of vitamin D each week for months now, Vitamin D is only up to 21. I read where low vitamin D can indicate early kidney disease. Should I ask my doctor to pursue a kidney consult or just wait to see how high the Vitamin D can get. I think I read that it should be 70.

The Vitamin D replacement appears to be appropriate.  Normal levels are between 30 and 100 nanograms per milliliter.  Your level seems to be coming up nicely.  You should continue to monitor this with your physician.  If you are having uric … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions

I had my left kidney removed 5 months ago because of a huge kidney stone and since my surgery I have been passing sand size stones and one bigger one. This wasn’t happening before my surgery. Is this normal to pass stones after my surgery?

I cannot make a specific diagnosis based on the information that you provide.  If you are continuing to pass stones, you should ask your physician to analyze some of these stones and determine what type of stones are being passed. … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions

After an oxalate kidney stone, I was advised to follow a lower oxalate diet. Although I have multiple lists, there are serious discrepancies between them. Can you point me to a reliable list of the amounts of oxalate in various fruits and vegetables?

I am not an advocate for a low oxalate diet.  It is a very difficult diet to follow and most people will not follow the diet.  I am an advocate for the DASH diet in patients with kidney stones including … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions

I just had my 3rd lithotripsy in 7 years and after a month, xrays still show some fragments in both kidneys. Now this was the same on both other surgery which were 3yrs ago. No other procedure was done to remove them. What are my options and what do you suggest, to remove the rest of the stones n fragments? Lithotripsy causes me a lot of pain and I’ve been on prednisone for 13years for an autoimmune disorder. So not sure I wanna keep beating up my kidneys.

The question that you ask is a urological question and should be addressed to a urologist.  A urologist is a surgeon who does lithotripsy.  I am a nephrologist and I have no experience with lithotripsy.  I am unable to answer … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions

I recently had a kidney stone with swelling in my kidney and urethra. Ultrasound shows that my kidney thickness is different….why?

I am unable to provide a specific diagnosis based on the information that you have provided.  I would have to review the ultrasound that you mention.  I suggest that you discuss this with your physician and ask for an explanation. … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Symptoms and Side Effects

I am 51 year old, and since 2005 to the present, I am suffering kidney stones. The stones are oxalate of calcium. Every year I have two or more events. I had like 4 endoscopic lithotripsy surgeries. I’ve made changes in my diet, but keep getting stones. I don’t know what I can do for no more stones.

Calcium oxalate stones are the most common kinds of stones.  I would recommend that you see a nephrologist and have a 24 hour urine collection for supersaturation index.  This may provide an answer as to why you have so many … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions

I am a 41 year old woman who does have diabetes. I started getting kidney stones about 4 years ago. It progressed to having them every 6 months. The last three months I have felt the passing of a stone everyday. I do have a twin sister who also has kidney stones. She has them frequently but not as frequently. I drink about 2 liters of water everyday. I do have a couple cups of coffee and iced tea in addition. I do not drink juice as I am aware of the sugar content. My last AIC was 6.2. Are there any suggestions besides don’t get dehydrated that you can give me to help slow down the production of these constant stones. I do see a urologist but, was told don’t get dehydrated. I also take 10,000 iu of vitamin d a day as my Vitamin D levels were below 10. I also have brain tumors and chronic migraines.

I recommend that you drink water until your urine is clear or has very little color.  I also recommend that you drink enough water that you get up once at night and pass urine.  When you get up, you should … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney Stones, Kidney-Related Health Questions

I had ESWL for three 14mm stones, and had them all flush out. Two months later, I had pain in my left kidney so I went to the hospital and they said I had 3 more stones at 8mm and needed a ureteroscopy for hydronephrosis. Now, 2.5 weeks after that, I have the same discomfort in the same kidney. Same as before the ureteroscopy. They said they are referring me to a nephrologist but it’s been weeks and I’ve heard nothing. I feel like I have a stitch in my flank by my bottom rib and nothing helps. Nephrocalcinosis runs in the family and I’m curious what this could be? Any help would be greatly appreciated.

I agree that you need to be seen by a nephrologist.  If nephrocalcinosis runs in your family, then you may have a kidney tubular defect such as renal tubular acidosis or a reduced excretion of citrate.  You need to have … Continue reading

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions, Nephrologist, Urological Issues

I have had chronic left flank pain – intermittent for the last 24 hours. This has been a reoccurring problem. Ultrasound in October showed hydronephrosis & recommended CT scan (results just communicated in December) done in December(1 week ago) no stone found. Can I have developed a stone in 1 week that would cause pain on a scale of 8, nausea & sweating?

Kidney stones usually cannot form within one week.  If your computerized tomogram (CT) scan was normal without stones, one week ago, it seems unlikely that a new stone has formed within that time.  I can only recommend that you again … Continue reading

Posted in Ask the Doctor, Hydronephrosis and Hydroureter, Kidney Stones, Kidney-Related Health Questions

Is it right or wrong to take lime or lemon naturally when suffering from a kidney stone.

Lemon juice and lime juice may be helpful in preventing kidney stones.  I am not aware that either of these juices can treat a kidney stone that is present.

Posted in Ask the Doctor, Kidney Stones, Kidney-Related Health Questions