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Nephrology • Nephrolithiasis
Would you start potassium citrate for a patient with recurrent calcium oxalate nephrolithiasis who has normal urinary citrate levels but persistent acidic urine?
Answer from: at Academic Institution
Potassium citrate is one of several possibilities for dealing with low pH. It remains relatively expensive, but I would use it if circumstances warranted (e.g., relatively low serum potassium). I most frequently use calcium carbonate or calcium citrate with meals as a dietary calcium source, which a...
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Answer from: at NCI-Designated Cancer Center
An excellent, fundamental question!Before starting medical treatment, I want to know if the patient’s stone burden is increasing in volume. That requires, in my opinion, serial CT scans, typically annually.If the stone burden is increasing in volume, it’s time for metabolic (non-surgical) treatm...