Category Archives: Kidney Stones

Hi. I’ve been having a lot pain in both kidneys and I have stones in both. My left kidney is also significantly smaller than my right one which has hydronephrosis but the doctors won’t do anything to help unless they see it as life threatening or an emergency. What can I do? I’ve had referrals made to doctors but have yet to hear anything even after calling and I’m in so much pain. I’m at my wits end. Any advice would be extremely appreciated. I have every symptom except for the fever and blood in urine. Thank you

The problem that you describe is a urological problem having to do with recurrent kidney stones and back pain. I am a nephrologist and have no surgical expertise. A nephrologist tries to figure out why someone has recurrent kidney stones … Continue reading

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

Good Afternoon Doctor: Apparently I have a small kidney stone(s) hanging out in my right side ureter tube (between my kidney and bladder) The last ultrasound also showed a small stone in my right kidney. I am in NO pain and I am not bleeding. In fact, I never felt the stone pass from my kidney to the tube. I also have hydronephrosis (sp) in the right kidney (no pain), Urinalysis shows no cancer cells. The doctor I am seeing is recommending surgery to insert a camera through my bladder to the tube to remove the stone and place a stynt there. Since I am in no pain this option does not appeal to me. I have been drinking lots of water and cranberry juice. I urinate often but not at night (presumably because I am laying down) Do you have any advice or recommendations other than surgery?

The question that you ask is a urological question. I am a nephrologist and have no surgical expertise. A urologist is a surgeon and has expertise in kidney stone disease and blockage of the kidney.  I suggest that you seek … Continue reading

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

Dear Dr. Spry: I understand that the DASH diet is recommended for those with kidney disease. However, I’m perplexed by the recommendation in the DASH diet that people consume up to 6 servings of meats, poultry, and fish per day (see https://www.nhlbi.nih.gov/health-topics/dash-eating-plan), as my understanding from the scientific literature is that daily protein consumption (particularly from animal sources) should be limited to no more than 0.5 g/kg of body weight, for people with kidney disease. Under the DASH diet, 6 daily servings (even small servings) of animal-source protein would greatly exceed the quota, would it not? (See, for example, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5406621/). Thank you.

I do not recommend very low protein diets for patients with chronic kidney disease (CKD). In the largest prospective controlled trial of low protein diets in patients with moderate to severe CKD, the study did not show a benefit and … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, GFR, Hypertension/High Blood Pressure, Kidney Stones, Kidney-Related Health Questions

I have calcium oxalate kidney stones. I am reading that Tumeric Curcumin supplements cannot be taken because it is high in oxalates. I also have chronic back pain and had taken the supplement for awhile and it really did help. Not sure if I can continue to take it.

I have no experience with Tumeric Curcumin and kidney stones. I do recommend a low salt DASH diet for anyone with recurrent calcium oxalate kidney stones. I recommend that you review the DASH diet and see if this will help … Continue reading

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

Post operative ultrasound results read 9mm stone at mid pole cortex. I cannot find information on stones that large in the cortex. Can you direct me to information about developing such sized stones in the cortex? Does “at” the mid pole cortex mean the same as “within” the mid pole cortex?

The problem that you describe is a urological problem. Stones in the cortex are generally of no consequence, but I am a nephrologist and have no surgical or urological expertise. I suggest you consult with a urologist.

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

I don’t have kidney disease however I do have a history of calcium oxylate stones and was diagnosed with medulary sponge kidney about 10 years ago. I am a 45YO female, 5’2″, overweight by about 40-60 pounds (clinically obese barely) and would like to get rid of the extra weight. I am being treated for hypertension (controled with low-dose meds), have had my gall bladder removed, and do have some edma in by lower legs. I am looking for a plant-based protein powder that is kidney friendly (and tastes good, is not chalky or too terribly expensive). Do you have any recommendations?

I do not recommend a protein supplement. I recommend that you try a low salt DASH diet. You have kidney disease because you have been diagnosed with medullary sponge kidney and you have kidney stones. The DASH diet has been … Continue reading

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

I have a horseshoe kidney with chronic stones. What is a good medicine to take for pain?

I am unable to recommend medical treatment without performing a complete history and physical examination. Pain from chronic stones in the kidney are best treated by consulting with a urologist and see if there is some way to remove or … Continue reading

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

Hi Dr? Is lemon juice along with olive oil helpful to get rid off kidney stones? Is this remedy advised professionally? Daily use of purified water which contains calcium, potassium, magnesium, and related minerals. Would it calcify the kidney stone? or in reverse it’s helpful? What would you suggest the amount of this mineral should be in 2 ml of water? Final question, what kind of home remedies do you advice to prevent and remove kidney stones? Thank you.

In some patients who a calcium stone formers, studies have suggested that drinking lemon juice may reduce the tendency to form calcium stones. I know of no information about the use of olive oil in preventing kidney stones. The DASH … Continue reading

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

I have been dealing with autonomic failure (diagnosed as Multiple System Atrophy) for 10 years. When the symptoms kicked in, I suddenly developed Celiac symptoms along with numerous other symptoms. In 2015, I began to produce kidney stones by the dozens and hundreds on a daily basis. Large stones were removed with a laser procedure, and I am now facing the possibility that some stones are too large for even that and will require surgical removal. Over the last several years, my Creatinine level has been creeping up, currently to 1.55. My GFR has been dropping from in the sixties to a present reading of 44 to 46. I am worried about the continue high output of kidney stones and their impact on my kidney function. My doctors seem to be stumped by the output. I am on a strict diet to limit kidney stones, along with a strict gluten free diet, and reduced sugars diet – I am type II diabetic. Due to the autonomic issues, my blood pressure swings widely multiple times every day – without medication it goes between 280/140 and 50/40. I am on maximum doses of propranolol and imdur with some hydralazine thrown in for good measure. With those medications, my swings run between 180/105 and 60/45. I do have the genetic marker for Celiac disease, but it’s onset seems to be directly related to the autonomic issues. Are there any treatments for kidney stones or preventive measures that could help me preserve kidney function? Lately, days when I have a higher output of stones also involve the presence of blood in my urine. My most recent urinalysis showed a WBC of 0, an RBC of >100, Cloudy Urine, a Protein Albumin reading of 30 and a note next to Blood in Urine simply saying “Large”. I am constantly itchy in various places all over my body and I have chronic pitting edema that is worse in my left leg. I have a nephrologist, but she seems stumped by the kidney stone issue.

I am not able to make a specific diagnosis based on the information that you present. The information that you present suggests that you have multiple complex illnesses and I am unable to connect them to your kidney stone disease … Continue reading

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

I am a 61 year old male with an ileostomy since age 18. I am generally in good health except for chronic kidney stones (4 lithotripsies for ca oxalate stones). I am not diabetic and take Atenolol, Simvastatin and Ranitidine. Also potassium citrate/citric acid for stone prevention. My Scr has jumped from 1.0 to 1.4 in the last couple of years. BUN has been normal or slightly high (22), anion gap and all other electrolytes normal. I am alarmed by this but my PCP and Urologist don’t seem that concerned. Would a 24 hour urine give a more accurate GFR? Should I see a nephrologist?

It is hard to estimate kidney function on the basis of a single serum creatinine. It may be necessary to retest your kidney function with a second test.  In some cases, patients with prior bowel surgery can develop recurrent kidney … Continue reading

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