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How do you advise patients with recurrent nephrolithiasis who also have chronic mild hyponatremia for which they limit daily fluid intake?

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Would you continue fluid restriction in a patient with SIADH and recurrent nephrolithiasis?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Nephrology · Mayo Clinic
Answered on

Depending on the cause of hyponatremia, as you implied, our usual recommendation for recurrent stone formers to drink more fluid may be inappropriate or contraindicated.

First, I would like to know the kidney stone composition. For example, if it is uric acid, we could prevent new stone formation an...

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