Preventing Recurrent Kidney Stones

Preventing recurrent kidney stones (11/4/13)

Researchers examined 28 studies regarding prevention of recurrent nephrolithiasis … and found that water works fine for preventing the second episode after an initial event. But after the second episode, water by itself didn’t do as well. Participants with multiple stone episodes who added a thiazide diuretic, a citrate, or allopurinol to their 2 liters of water a day, though, had fewer recurrences.

A related POEM in the January 15, 2015 issue of AFP discussed a randomized controlled trial that concluded that ultrasonography is the best initial imaging test for kidney stones in the emergency department (ED), reducing overall radiation exposure compared to initial computed tomography (CT) without differences in rates of return to the ED, pain scores, or complications.

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