What is your approach to patients with recurrent nephrolithiasis and low urine volumes who struggle with increasing fluid intake following a sleeve gastrectomy procedure?  

This is a difficult situation for both the patient and the provider. I think the best solution is for them to drink small quantities of fluid frequently. This creates a compliance problem. I encourage patients to have fluid regularly available, meaning that they may have to take it with them to work...

Hydration rate cannot be very large, so I teach small numerous intake. A favorite of mine is 1/2 liter water bottles, the goal set by how many are filled and put in the fridge the night before. Sipping, and small drinks work if there is a goal of so many of these used in a day. How many depends on t...