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Ultrasound showed some tiny renal calculi. Prescribed with uritop and neeri. Need suggestion

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My wife (35 years) has recently did ultrasound, blood test (reports in the attachment) etc. Ultrasound showed few tiny renal calculi (Kidney stone). Doctor prescribed her following medicines,

1. Tablet - Uritop (salt:nitrosurantoin 100 mg) -- 3 times a day for a week)
2. Ayurvedic syrup: Neeri (2 table spoon) -- 3 times a day for a week

Doctor also told her to take lots of water (minimum 2.5 L -- which she normally consumes a day). She was told these medicines will break the kidney stone and extra water will wash those out. After one week she is scheduled to undergo urine test to verify if things are alright.

I am writing this post to basically have a second opinion on the treatment.
- Also what kinds of food she should avoid (e.g. we were told by neighbors that vegetables like tomato apparently causes kidney stone!!) if any?
- Though the blood report seems pretty normal, is there any particular thing she needs to be careful?
- What are the general causes of kidney stone formation and how to avoid it?

Posted Fri, 25 Oct 2013 in Kidney Conditions
Answered by Dr. Shruti Rijhwani 53 minutes later
Brief Answer:

Detailed Answer:
Dear Sir,

Thank you for posting your query on XXXXXXX

Well looking into your problem I would like to tell you that the drugs nitrofurantoin is an antibiotic , it is not going to break the stones . Second one is ayurvedic that i will not comment upon.

Drinking a lot of water does help in passage of small stones due to its flushing action and you should follow your doctors advise regarding this .

There can be many causes but taking high calcium XXXXXXX diet or supplements of calcium and vitamin D commonly lead to it . People who drink less water are also prone to it .

Dietary advise will depend upon the type of kidney stones you have . In calcium stones calcium XXXXXXX foods need to be avoided . In Uric acid stones oxalate XXXXXXX foods are avoided . Its better that you talk to your treating doctor for this . But DASH diet is good in all kidney stones.

Take care.

Dr. Shruti

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