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Kidney & Urinary Health
Question #28485
211 days ago
453

uric acid stone

Simran

I am worried because for the past few months, I’ve been having this ridiculous pain in my lower back, and then last week, I ended up in the ER. They did some tests and guess what? They found a uric acid stone in my kidneys!!! I didn’t even know that was a thing. I thought only calcium stones existed. Anyway, the doctors gave me some medications to help with the pain but they didn't really explain much about the uric acid stone itself. I’m just wondering, can the uric acid stone be prevented? Like, are there foods that I should avoid? I’ve been eating pretty much whatever, and now I’m freakin out that I’ll have more stones. Should I drink a ton of water, or is that like a myth? Also, does anyone know if the symptoms will get worse or if this pain will go away soon? Wish I could get a straight answer on that without googling all the time. Last thing I need is another trip to the hospital due to this uric acid stone situation. My aunt said something about medication that can help dissolve the uric acid stone but I’m not sure if that’s true or just her being quirky again. Any experiences or advice would really help me out!

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Doctors' responses

A uric acid stone is less common than calcium stones, but it’s definitely a real occurrence. It’s great you’re looking into how to prevent them. The good news is, yes, prevention is possible primarily through diet and lifestyle adjustments. Since uric acid stone are associated with a high level of uric acid in the urine, dietary changes can make a significant difference. You should consider reducing consumption of foods rich in purines, as purines break down into uric acid. These foods include red meats, organ meats, shellfish, and some fish like sardines and anchovies. Emphasize a balanced diet with plenty of fruits and vegetables, lean protein like poultry, and whole grains. Drinking water is crucial; aim for at least two to three liters a day to help dilue your urine and prevent stone formation. This is not just a myth—staying hydrated helps to flush out any forming crystals before they become actual stones. When it comes to the medication you mentioned, your aunt is probably referring to allopurinol, which is sometimes used to lower uric acid levels in the blood. Another medication, potassium citrate, can help in alkalinizing the urine, making it less likely for uric acid stones to form. However, do consult with your doctor about whether these are appropriate for your case, as self-prescribing isn’t advisable. Regarding the pain, it should diminish as the stone passes, but if it’s persistent or gets worse, don’t hesitate to seek medical attention. In some cases, medical procedures could be necessary if the stones are too large to pass naturally. Monitor any symptoms and try to find triggers that might cause flare-ups, keeping your healthcare provider in the loop for any significant changes. Keep a close watch on your lifestyle habits and medical options, but remember, staying informed and proactive about your health is the right step forward.

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