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Query: UMLS:C0451641 (urolithiasis)
 3,973 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Seventeen hypercalciuria patients (8 control, 9 treatment) with a history of urolithiasis were randomly selected to receive low-calcium, low-oxalate diets with or without the addition of 30 g of dietary fiber as unprocessed wheat bran. Diet alone resulted in a 5.6 percent decrease in calciuria compared with a 23.5 percent decrease with the addition of the fiber. The addition of hydrochlorothiazide and potassium citrate further reduced calciuria by 40.4 percent and 34.5 percent, respectively. Oxaluria was decreased 21.4 percent by diet alone compared with 3.9 percent in the diet and fiber treatment group. Patient compliance to diets was good, and no complications resulted from fiber intake.
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PMID:Effect of unprocessed wheat bran on calciuria and oxaluria in patients with urolithiasis. 215 68

The authors considered an important problem of in vivo verification of urolith composition as specifying the choice of drug treatment and prevention of urolithiasis. 84 nephrolithiasis patients were allocated to 4 groups according to their concrement compositions (after spontaneous or surgical removal): 23 patients with urate calculus, 19 with oxalate, 20 with phosphate and 22 with oxalate-phosphate concrements. Polarizing microscopy, x-ray structural analysis and infrared spectrophotometry were employed for verification of calculi composition. Biochemical assay was used for the assessment of serum and circadian excretion of calcium, phosphates, sodium, potassium, uric acid, oxalates and uroacidimetric values. The findings were subjected to discriminant computed analysis which resulted in 6 linear computable functions defining 4 selective groups with regard to biochemical blood and urine data. The aforementioned functions were used in diagnostic routine for the in vivo assessment of calculous composition in 26 controls. In 61.5 per cent of the patients the diagnosis was confirmed, in 34.6 per cent it was verified, and only in 3.9 per cent the diagnosis turned to be erroneous.
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PMID:[Determination of the composition of the concretions in patients with nephrolithiasis by metabolic indices]. 267 29

The effect of combining therapy with hydrochlorothiazide, allopurinol and systemic alkalization for urolithiasis with lower urinary pH was examined. A total of 90 patients were followed up for 1 to 3 years, the average follow up period being 18 months. The total stone disappearance rate was 60% (kidney stone), 74% (ureter stone) and 20% (bladder stone). Large amounts of thiazide diuretics, potassium and magnesium were intravenously administered to a patient with systemic alkalization at slow infusion speed, neither serious side effects nor complication occurred. This method is simple and an effective remedy. It is also very practical in the developing countries of the third world.
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PMID:Effect of combined therapy in patients with urolithiasis of lower urinary pH. 283 86

Plasma cortisol and urinary excretion of water, sodium, potassium, calcium and magnesium have been studied in the rat after application of heat stress. There was a significant increase in plasma cortisol level after exposure to heat. During heat stress complete cessation of urine formation was observed. In the next 30 min there was statistically significant increase in the urinary excretion of water, sodium and calcium but not of potassium and magnesium. Urinary calcium/magnesium ratio was also significantly elevated. The increase in urinary water and electrolyte excretion seemed to be mediated through prostaglandins since it could be abolished by administration of indomethacin prior to the application of heat stress. On the basis of these results, the possible role of heat stress in the genesis of urolithiasis has been discussed.
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PMID:Effect of acute environmental heat stress on urinary water and electrolyte excretion in the rat. 318 59

Plasma Cortisol and urinary excretion of water, sodium, potassium, calcium and magnesium have been studied in the rat after application of 2 types of neurogenic stress:--(a) tight rubber band tourniquet and (b) electric shock. Plasma cortisol levels increased significantly after application of either type of stress. During both type of stress, there was statistically significant increase in the urinary excretion of water, sodium and calcium but not of potassium and magnesium. Urinary calcium/magnesium ratio was also significantly elevated. The results suggest that stress may be one of the factors involved in the genesis of urolithiasis.
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PMID:Acute effects of neurogenic stress on urinary electrolyte excretion. 342 32

In a double-blind prospective clinical study patients with at least two verified episodes of urolithiasis, but stone-free at the time of inclusion in the study, were subjected to prophylactic treatment with either bendroflumethiazide (2.5 mg) + 573 mg potassium chloride 3 times a day, or placebo. The material included a total of 22 patients, all males, aged 20-49 years. We found a clear tendency to reduced stone formation in the group treated with the active drug (P less than 0.01). Calcium excretion was reduced by 25-50% in 7 of 12 patients treated with thiazide.
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PMID:Thiazides in the prophylactic treatment of recurrent idiopathic kidney stones. 353 25

Considerable progress has been made regarding pathogenesis, diagnosis and conservative management of urolithiasis. The cause of the disease can now be determined in nearly 80% of the patients. New stone formation may be prevented in the majority of patients by selective medical treatment. The metabolic, physicochemical and clinical effects of diet, thiazides, allopurinol, sodium cellulose phosphate and potassium-sodium citrate (Oxalyt-C) are described in detail. Intrinsic problems involved in clinical trial with recurrent stone formers are discussed.
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PMID:Rational prevention of calcium urolithiasis. 354 40

The influence of citrate on intestinal calcium absorption (CaA) was studied in eight healthy males. On separate occasions, either a load containing 5 mmol of calcium chloride and 21 mmol of citrate in the form of sodium potassium citrate or a citrate-free vehicle load corrected for pH and cations was ingested. CaA was measured over 3 h with a 47Ca-85Sr double tracer method. After citrate administration, 10 min fractional CaA decreased significantly from 30 to 110 min post-load, and 3 h cumulative CaA dropped to 54.6 +/- (SEM) 6.1% of the total dose as opposed to 76.3 +/- 4.5% after vehicle administration (P less than 0.002). Citrate administration raised serum and urinary citrate, but had little effect on blood acid-base status. After both loads, urinary specific activity of 47Ca significantly correlated with 3 h cumulative CaA, while citrate administration decreased urinary calcium excretion only slightly as compared with vehicle. The results suggest that, in man, higher doses of oral citrate inhibit CaA, probably by way of intraluminal complexation of calcium by citrate. The finding might help explain the fall in urinary calcium excretion observed in patients treated with alkali citrate for recurrent calcium urolithiasis.
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PMID:The influence of oral alkali citrate on intestinal calcium absorption in healthy man. 360 72

Oral potassium citrate therapy was recently approved for treatment of urolithiasis based on results of experiments in a university research setting. However, no supporting studies from private practice have been published. The present study was undertaken to assess the response to one week of oral potassium citrate therapy (60 mEq/day), with respect to urinary risk factors for kidney stones, in a private practice setting. A significant rise in urinary pH, citrate, and potassium excretion, accompanying a significant fall in calcium excretion, were observed. Urinary saturation of calcium oxalate was significantly reduced, as some risk factors in urolithiasis were corrected with oral potassium citrate therapy. The response to therapy in private practice was comparable to that observed in a university research setting.
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PMID:Urinary response to oral potassium citrate therapy for urolithiasis in a private practice setting. 369 69

Urolithiasis (kidney stone formation) is an acquired degenerative kidney lesion affecting sexually mature and immature domestic fowl. For the present study, uroliths were collected from three commercial flocks during outbreaks of urolithiasis. Uroliths also were collected from a research flock in which urolithiasis was induced by feeding immature chickens a diet formulated to contain excess calcium (3.25% Ca) and .4% available phosphorus. All uroliths were tested by x-ray diffractometry, infrared spectrophotometry, and emission spectrography. With one exception, the stones were composed of compact masses of microcrystalline to fine pleomorphic crystals of calcium sodium urate, with random substitution of magnesium for calcium, and potassium for sodium. No initiating nidus was evident. One of four stones from one laying hen flock was positively identified as an ammonium acid (hydrogen) urate. The unique calcium-sodium-urate stone composition in all but one of the stones tested suggests that similar processes were involved in stone formation in the four different flocks.
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PMID:Characterization and composition of uroliths from domestic fowl. 373 19


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