Hi,
After going through your history, I can understand your concerns. Stones smaller than 5 mm can usually be managed conservatively (without surgery).
Since you are having recurrent stone formation it is important to find out if you have any underlying condition which predisposes you for stone formation. These conditions can be checked by testing your blood for calcium, phosphorus, uric acid levels and 24 hour urine collection for
creatinine, calcium, phosphorus, uric acid,
oxalate, citrate, sodium and
magnesium. You may need specific therapies if you have any alteration in the blood or urine levels of these chemicals. Did you have your stone analyzed during the last surgery? The type of stone can guide us in using specific medications and taking particular diet to prevent further recurrence.
The general precautions include:
1. Drink lot of fluids - at least 2.5 to 3 liter. Keep urine colorless. Keep 24 hr urine volume more than 1.5 to 2 liter.
2. Reduce sodium intake to
3. Reduce meat consumption to 6 ounces/day.
In case you have a lot of small stones, please
consult a Urologist who may plan for flexible ureteroscopy - to go inside the
kidney, see each stone, break and remove them.
I am ready to provide any clarification you need,
Wish you good health and a stone-free life,
Dr. Raguram.