Therapeutic target Prevention of stone recurrence (recurrence of urinary stones). Therapy recommendations Note: The formation optimum of ammonium urate stones tends to be in the neutral range (pH > 6.5), in contrast to uric acid stones. Reduction of risk factors Behavioral risk factors Dehydration (dehydration of the body due to fluid loss or lack of … Kidney Stones (Nephrolithiasis): Metaphylaxis in Ammonium Urate Stones
Therapeutic target Prevention of stone recurrence (recurrence of urinary stones). Therapy recommendations Reduction of risk factors Disease-related risk factors Hypercalcemia (excess calcium) Hypercalciuria (increased calcium excretion in the urine). Hyperoxaluria (increased excretion of oxalic acid in the urine), primary as well as secondary to various diseases such as Crohn’s disease, pancreatic insufficiency (pancreatic weakness), etc. … Kidney Stones (Nephrolithiasis): Metaphylaxis in Calcium Oxalate Stones
Therapeutic target To avoid stone recurrence (recurrence of urinary stones). Therapy recommendations Note: Calcium phosphate stones can exist in two forms: carbonate apatite (pH > 6.8) and carbonate apatite (pH range of 6.5-6.8). Reduction of risk factors Behavioral risk factors Dehydration (dehydration of the body due to fluid loss or lack of fluid intake). High … Kidney Stones (Nephrolithiasis): Metaphylaxis in Calcium Phosphate Stones
Therapeutic target To avoid stone recurrence (recurrence of urinary stones). Therapy recommendations Reduction of risk factors Behavioral risk factors Dehydration (dehydration of the body due to fluid loss or lack of fluid intake). High protein (protein-rich) diet Diet rich in table salt Disease-related risk factors Cystinuria (cystinuria), autosomal recessive inheritance. Nutritional therapy Fluid intake of … Kidney Stones (Nephrolithiasis): Metaphylaxis in Cystine Stones
Therapeutic target Prevention of stone recurrence (recurrence of urate stones). Therapy recommendations Reduction of risk factors Behavioral risk factors Dehydration (dehydration of the body due to fluid loss or lack of fluid intake). High-protein and high-purine diet (meat-based diet including offal, herring, mackerel; fasting). Overweight or obesity Disease-related risk factors Hyperchloremic metabolic acidosis due to … Kidney Stones (Nephrolithiasis): Metaphylaxis in Uric Acid Stones (Urate Stones)
Therapeutic Target Prevention of stone recurrence (recurrence of urinary stones). Therapy recommendations Reduction of risk factors Behavioral risk factors Dehydration Disease-related risk factors Anorexia nervosa (anorexia nervosa) Urinary dysfunction Urinary tract infections with urease-forming bacteria* (urine pH > 7.0; favors crystallization of magnesium ammonium phosphate (10-15%) as well as carbonate apatite). Medication Chronic antibiotic therapy … Kidney Stones (Nephrolithiasis): Metaphylaxis in Struvite or Other Infectious Stones
Therapeutic target Prevention of stone recurrence (recurrence of urinary stones). Therapy recommendations Note: Xanthine stones are formed due to an autosomal recessive inherited defect of the enzyme xanthine oxidase. As a result of this condition, xanthinuria (excretion of xanthine in the urine) occurs. This leads to stone formation due to the poor solubility of xanthine … Kidney Stones (Nephrolithiasis): Metaphylaxis in Xanthine Stones
Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for prevention (prevention): Potassium citrate Magnesium The above vital substance recommendations (micronutrients) were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, only clinical studies with … Kidney Stones (Nephrolithiasis): Micronutrient Therapy with Calcium Oxalate Stones
Within the framework of micronutrient medicine (vital substances) of cystine stones, the following vital substances (micronutrients) are used for prevention (prevention): Potassium citrate Magnesium Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy: Potassium citrate Magnesium The above vital substance recommendations (micronutrients) were created with the … Kidney Stones (Nephrolithiasis): Micronutrient Therapy with Cystine Stones
Within the framework of micronutrient medicine (vital substances), the following vital substance (micronutrients) is used for prevention (prevention): Potassium citrate Within the framework of micronutrient medicine (vital substances), the following vital substance (micronutrients) are used for supportive therapy: Potassium citrate The above vital substance recommendations (micronutrients) were created with the help of medical experts. All … Kidney Stones (Nephrolithiasis): Micronutrient Therapy with Uric Acid Stones
Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, blood), sediment, urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for sensitivity / resistance). Electrolytes – calcium Renal parameters … Kidney Stones (Nephrolithiasis): Test and Diagnosis
Therapeutic target Improvement of pain symptoms Therapy recommendations Note: According to the current S2k guideline, patients with newly diagnosed ureteral stone up to 7 mm in diameter can wait for spontaneous discharge with regular monitoring. The most common treatment for acute renal colic is conservative therapy with the goal of spontaneous stone clearance (expulsion; medical … Kidney Stones (Nephrolithiasis): Drug Therapy
