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Urine Test Showed Calcium- 14 Mg/day And Uric Acid- 74 Mg/day. What Does This Indicate?

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Posted on Tue, 30 Jul 2013
Question: Hi Dr. XXXXXXX Goel,

I'm posting a new query as our ongoing discussion got closed. I have received the reports for 24 Hour urine test.
Calcium 24HR Urine - 114 mg/day
Uric Acid, 24 Hour Urine - 374 mg/day

Here is our earlier conversation for reference:

Hi Dr.
I have recently done ultrasound scanning and couldn't consult a doctor after that. I have attached the results here. Could you please check and shed some lights on what is the problem with the kidney.
Asked by Me , Mon, 24 Jun 2013
Doctor's reply to your question above...
Dear Sir,

You have an angiomyolipoma (AML) in the right kidney. AML does not cause any problem if it is less than 4 cm in size.
You should stop worrying about the AML. The size of 1.4 cm is unlikely going to trouble you in your lifetime. However, you should get yearly ultrasound to followup the size. AML is not cancerous and does not increase your chances of having cancer.

You should get yourself investigated with 24 hr urine ca/ uric acid and oxalate and serum calcium, uric acid to find out the possible etiology of the stone and modify your lifestyle accordingly.

Sincerely
XXXXXXX Goel
Replied by Dr. XXXXXXX goel , Mon, 24 Jun 2013
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
Dear Dr.,

Thank you very much for your answer. I'm a bit unclear about the tests you suggested. Could you please let me know the name of the tests which I should mention at the Diagnostic Lab. Also, do I not need to take any medication for the stone problem?
Asked by Me , Mon, 24 Jun 2013
Doctor's reply to your question above...
Dear Sir,

The tests are

Sr Ca/ Uric acid
24 hr urine ca/ uric acid/ oxalate


Once you get these test done then we can plan you for further management of the stone disease.

Sincerely
XXXXXXX Goel
Replied by Dr. XXXXXXX goel , Mon, 24 Jun 2013
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
Dear Dr.

I have attached my blood test results here. The hospital did not have the faciliity for urine test. I need to get it done from outside. Please check this result.
Asked by Me , Wed, 26 Jun 2013
Doctor's reply to your question above...
Dear Sir,

Kindly send the reports again as the attachment is not opening.

Sincerely
XXXXXXX Goel
Replied by Dr. XXXXXXX goel , Wed, 26 Jun 2013
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
I have uploaded it again. Please check.
Asked by Me , Wed, 26 Jun 2013
Dear Dr.,

In case if the attachment is still not visible, Serum Calcium is 9.0 mg/dl and Uric Acid is 7.0 mg/dl
Asked by Me , Wed, 26 Jun 2013
Doctor's reply to your question above...
Dear Sir,

You certainly require medication and dietary modifications.I shall start you on medications once the 24 hr urine tests are done.

Sincerely
XXXXXXX Goel
Replied by Dr. XXXXXXX goel , Wed, 26 Jun 2013
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
Ok, I will get back to you with the results.
Asked by Me , Thu, 27 Jun 2013
Doctor's reply to your question above...
Dear Sir,

Thanks. Hoping to hear from you soon.

Sincerely
Replied by Dr. XXXXXXX goel , Fri, 28 Jun 2013
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
Dear Dr.

I enquired near my home. They have the test and need to collect urine for 24 hours. I will be travelling tonight. Please keep this discussion open. I will get back to you as soon as I can do the tests.
Asked by Me , Fri, 28 Jun 2013
Doctor's reply to your question above...
Dear Sir,

Hoping to hear from you soon.

Sincerely
XXXXXXX goel
Replied by Dr. XXXXXXX goel , Sun, 30 Jun 2013
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
Dear Dr.

I am still waiting for the reports. However, here I am attaching the scan report which I have taken a month back. It looks different from the latest report.
Asked by Me , 5 days ago
Doctor's reply to your question above...
Dear Sir,

I can not find any attachment.

Sincerely
XXXXXXX goel
Replied by Dr. XXXXXXX goel , 5 days ago
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
I have uploaded it again. PLease check.
Asked by Me , 3 days ago
Doctor's reply to your question above...
Dear Sir,

All the previous ultrasound report does not show angiomyolipoma, I shall treat you as if you have it. As already mentioned the AML does not need any treatment.

As far as stones are concerned, ultrasound may under or over pick the stones and thus needs to be worried about that too.

Get back to me with metabolic workup.

Sincerely
XXXXXXX Goel
doctor
Answered by Dr. Rajiv goel (23 hours later)
Dear Sir,

I need to see your 24 hr urinary oxalate levels too.

However based on your tests uptil now I am starting you on Syp. Potrate MB6 2 table spoons thrice daily for 3 months.
In addition, kindly follow the dietary restrictions as mentioned below.

1. Drink plenty of fluids; approximately 2 litre every day
2. Salt restricted diet; Whatever salt has been added to food is fine but no top ups.
3. Lemon water twice daily without adding salt
4. High fibre diet
5. Milk and milk products intake- 350-500 ml
6. Restricted protein intake; limit the intake of non vegetarian food to only twice a week.

You need to repeat the ultrasound after 3 months and if possibvle kindly send me your urinary oxalate levels too.

Sincerely

Rajiv Goel
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Rajiv goel

Urologist

Practicing since :1998

Answered : 581 Questions

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Urine Test Showed Calcium- 14 Mg/day And Uric Acid- 74 Mg/day. What Does This Indicate?

Dear Sir,

I need to see your 24 hr urinary oxalate levels too.

However based on your tests uptil now I am starting you on Syp. Potrate MB6 2 table spoons thrice daily for 3 months.
In addition, kindly follow the dietary restrictions as mentioned below.

1. Drink plenty of fluids; approximately 2 litre every day
2. Salt restricted diet; Whatever salt has been added to food is fine but no top ups.
3. Lemon water twice daily without adding salt
4. High fibre diet
5. Milk and milk products intake- 350-500 ml
6. Restricted protein intake; limit the intake of non vegetarian food to only twice a week.

You need to repeat the ultrasound after 3 months and if possibvle kindly send me your urinary oxalate levels too.

Sincerely

Rajiv Goel