Do you make any changes to surveillance imaging frequency, 24 hour urine stone risk collection frequency, and stone preventative medication approaches for patients with recurrent nephrolithiasis who become pregnant?
2 Answers
Mednet MemberInvited Expert
Nephrology · Mayo Clinic
Answered on
Pregnancy is a lithogenic state. Stone passages peak in the second trimester.
I avoid imaging that involves radiation. I monitor with ultrasound. I prefer to withdraw prescription medication and manage stone disease with diet and fluid therapy. Certainly, there are exceptions to this rule. Encouragi...
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Nephrology · U Chicago
Answered on
I agree and try conservative management with sodium restriction and if an oxalate stone former encourage low oxalate diet. Try to manage fluids and only do ultrasounds and generally will get a Litholink in the 2nd trimester.
Join for free or sign in to see the full answer