Physician Consultations

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Our Kidney Stone Nephrologist possesses unique expertise in evaluating the underlying causes of kidney stones and developing tailored medical interventions. Patients can expect:

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In-depth Assessment of Personal Stone History: This includes documenting the number of stones passed, frequency of episodes, and age of onset.

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Evaluation of Co-existing Medical Conditions and Relevant Family History: Identifying contributing factors is crucial for effective prevention.

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Thorough Review of Current Medications: This review identifies medications that may contribute to stone formation, including:

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• Loop Diuretics (e.g., Bumex, Edecrin, Lasix, Soanz)

• Corticosteroids (e.g., Prednisolone, Prednisone, Dexamethasone)

• Carbonic Anhydrase Inhibitors (e.g., Acetazolamide, Brinzolamide)

• Various Laxatives and Antacids

• Dietary Supplements (e.g., Vitamin C, Vitamin D, Calcium)

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Ordering of Diagnostic Testing: This includes blood work, urine analysis, 24-hour urine collections, and, when indicated, genetic testing.

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Prescription of Medications for Stone Prevention: Based on individual needs, specialists may prescribe medications to reduce the risk of future stones, such as:

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• Thiazide Diuretics (e.g., Hydrochlorothiazide (HCTZ), Indapamide, Metolazone, Chlorthalidone)

• Xanthine Oxidase Inhibitors (e.g., Allopurinol, Zyloprim, Uloric, Febuxostat)

• Potassium Citrate Supplements (e.g., Urocit-K and OTC brands)

• Bile Acid Sequestrants (e.g., Questran, Cholestyramine Light, Prevalite)

• Bisphosphonates (e.g., Fosamax, Boniva, Actonel, Reclast)

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Dietary Guidance: Specialists like our physician provide dietary recommendations to address risk factors; however, they often refer patients to a registered dietitian with expertise in kidney stone management for more in-depth nutritional counseling