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Can elevated levels of calcium result in kidney stones?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mother has been diagnosed with a 17 mm kidney stone, which has shown an increase from 15 mm last month. Concerned about the progression, the doctor advised undergoing further tests, which have now been completed. However, the doctor we were consulting is currently out of town, leaving us seeking another opinion on the results.

Any advice would be greatly appreciated!

Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern regarding renal stones.

Recurrence of renal stones may occur due to various reasons, and it is reassuring to see that your doctor has conducted a thorough workup to identify the underlying cause. Renal stones can result from elevated levels of oxalates, calcium, uric acid, or low citrate in urine. All your blood reports indicate values within normal limits. However, your urine citrate level is low, which can be attributed to factors such as starvation, excessive exercise, infections, or low potassium and magnesium levels in the blood.

The treatment for this condition involves increasing the intake of citrus fruits in your diet, and your doctor may also prescribe a citrate syrup preparation. I hope your kidneys are functioning well; the ultrasound results show no signs of back pressure. It is noteworthy to inquire whether you typically produce 135 fluid ounces of urine daily, as this exceeds the normal range.

I hope this information helps you, and please reach out if you have any doubts.

Thank you.

Patient's Query

Thank you for the reply doctor,

Yes, it is more or less the same, as my mother drinks a lot of water. I have attached the report of the kidney stone. Additionally, there were certain issues in the blood report, such as urea, chlorides, sodium, etc., and in the urine report, such as lower phosphorus, magnesium, citrate, etc. What is your opinion on all of this? I know you covered citrate, but what should be the next steps?

Hello,

Welcome back to icliniq.com.

The borderline values of sodium and chloride that you see can be explained by low salt intake and increased water consumption, as you mentioned she drinks a lot of water. Low phosphorus in urine may occur due to a low parathyroid hormone (PTH) level in the blood, kidney, or liver disease, but these parameters are all within the normal range in her case, so there is nothing to worry about regarding that. Magnesium levels in urine are borderline low, but blood magnesium levels are alright, so again it is not of any clinical relevance as far as I can tell. I could not see vitamin D levels in her report; if they are high, that may explain low phosphate in urine. I would advise you to get her vitamin D levels checked.

So most of the borderline reports that you see seem to have a common cause, which is dietary effects.

I hope this helps you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At June 3, 2024
Reviewed AtJune 3, 2024

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