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What Causes Kidney Stones When Diagnosed With Adenomatous Polyposis?
Question: My husband has had the majority of his large intestine removed many years ago, the condition he has is familial adenamotous polyposis. In the last 5 years (he is aged 51) he has a serious problem with kidney stones and we cannot work out why. He drinks plenty of water, his diet has not changed, work habits are the same. What could be the cause?
Your help would be greatly appreciated.
XXXXX
Your help would be greatly appreciated.
XXXXX
Brief Answer:
kidney stones do increase after intestinal surguries
Detailed Answer:
Hi XXXXX,
Colon resection and ileostomy form uric acid stones, as loss of bicarbonate in the ileostomy effluent leads to formation of an acid urine and uric acid precipitates to form stones.
also these surgeries influence amount of urine and concentration of calcium phosphorus, oxalate and citrate in the urine and can contribute to cause kidney stones.
Please go through this research link:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/
It will give you some insight into the causes of stones in these patients.
so to prevent stones we need to find out the metabolic defect.
generally we will do a battery of tests including 24 hrs urine calcium, phosphorus, citrate, oxalate and uric acid. blood and urine PH and urine routine examination.
If kidney functions are normal then increasing water intake and use of potassium citrate under guidance of your doctor will definitely reduce the occurrence of stones.
Best wishes.
kidney stones do increase after intestinal surguries
Detailed Answer:
Hi XXXXX,
Colon resection and ileostomy form uric acid stones, as loss of bicarbonate in the ileostomy effluent leads to formation of an acid urine and uric acid precipitates to form stones.
also these surgeries influence amount of urine and concentration of calcium phosphorus, oxalate and citrate in the urine and can contribute to cause kidney stones.
Please go through this research link:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC0000/
It will give you some insight into the causes of stones in these patients.
so to prevent stones we need to find out the metabolic defect.
generally we will do a battery of tests including 24 hrs urine calcium, phosphorus, citrate, oxalate and uric acid. blood and urine PH and urine routine examination.
If kidney functions are normal then increasing water intake and use of potassium citrate under guidance of your doctor will definitely reduce the occurrence of stones.
Best wishes.
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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