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

Investigations in healthy persons have shown that drinking mineral water containing HCO(3) has a positive effect on urine supersaturated with calcium oxalate (SS(CaOx)). The present study evaluates in a common setting whether these effects are also relevant in patients with multiepisodic urinary stone formation. A total of 34 patients with evident multiepisodic CaOx-urolithiasis were included in the study. Patients with hyperparathyroidism, renal tubular acidosis, Wilson's disease, Cushing disease, osteoporosis and malignant diseases were excluded. In a cross-over design and double-blinded the patients received 1.5 l of a mineral water with 2.673 mg HCO(3)/l (test water) or the same amount of water with a low mineral content (98 mg HCO(3)/l) (control water) daily for 3 days. During the study period the patients diet was recorded in a protocol, but not standardised. The main target parameter was SS(CaOx )in 24 h urine. In addition, urinary pH and the most important inhibiting and promoting factors were measured in 24 h urine (Ca, Ox, Mg, Cit). Both waters tested led to a highly significant increase in 24 h urine volume without a difference between each other. In the group, drinking the water containing HCO(3) the urinary pH increased significantly and was within a range relevant for metaphylaxis of calcium oxalate stone formation (x=6.73). This change was highly significant compared to the control group. In addition, significantly increased magnesium and citrate concentration were also observed. Supersaturation with calcium oxalate decreased significantly and to a relevant extent; however, there was no difference between the waters tested. As expected, the risk of uric acid precipitation also decreased significantly under bicarbonate water intake. However, an increase of the risk of calcium phosphate stone formation was observed. It is evident that both waters tested are able to lower significantly and to a relevant extent the risk of urinary stone formation in patients with multiepisodic CaOx-urolithiasis. In addition, the bicarbonate water increases the inhibitory factors citrate and magnesium due to its content of HCO(3) and Mg. Thus, it can be recommended for metaphylaxis of calcium oxalate and uric acid urinary stones.
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PMID:Clinical study on the effect of mineral waters containing bicarbonate on the risk of urinary stone formation in patients with multiple episodes of CaOx-urolithiasis. 1733 4

Nephrolitiasis is a frequent metabolic disease, with a high rate of recurrences. Epidemiological studies reveal that about 80% of all kidney stones are composed of calcium salts (75% calcium oxalate), while about 5% are pure uric acid. Urolithiasis is a multifactorial disease with several underlying disorders of metabolism: that is why diet is an important treatment, especially in the prevention of recurrences. Nutritional intervention is based on a high water intake, physiological calcium intake, modest sodium and animal protein restriction and vitamin C intake <2 gr daily. In case of diagnosed disorders of specific metabolic pathways, a low oxalate, low purine-diet should be advisable.
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PMID:[Diet and nutrition in nephrolitiasis]. 1740 59

Among protease inhibitors, atazanavir has not been associated with urolithiasis in clinical studies. We describe 11 cases of atazanavir-associated urolithiasis in patients with human immunodeficiency virus (HIV) infection. Patients with low water intake, high urinary pH, and a prior history of urinary stones may have a higher risk of atazanavir-associated urine crystallization.
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PMID:Urolithiasis in HIV-positive patients treated with atazanavir. 1787 4

Many diseases have multifactorial origins. There is increasing evidence that mild dehydration plays a role in the development of various morbidities. In this review, effects of hydration status on acute and chronic diseases are depicted (excluding the acute effects of mild dehydration on exercise performance, wellness, cognitive function, and mental performance) and categorized according to four categories of evidence (I-IV). Avoidance of a high fluid intake as a precautionary measure may be indicated in patients with cardiovascular disorders, pronounced chronic renal failure (III), hypoalbuminemia, endocrinopathies, or in tumor patients with cisplatin therapy (IIb) and menace of water intoxication. Acute systemic mild hypohydration or dehydration may be a pathogenic factor in oligohydramnios (IIa), prolonged labor (IIa), cystic fibrosis (III), hypertonic dehydration (III), and renal toxicity of xenobiotica (Ib). Maintaining good hydration status has been shown to positively affect urolithiasis (Ib) and may be beneficial in treating urinary tract infection (IIb), constipation (III), hypertension (III), venous thromboembolism (III), fatal coronary heart disease (III), stroke (III), dental disease (IV), hyperosmolar hyperglycemic diabetic ketoacidosis (IIb), gallstone disease (III), mitral valve prolapse (IIb), and glaucoma (III). Local mild hypohydration or dehydration may play a critical role in the pathogenesis of several broncho-pulmonary disorders like exercise asthma (IIb) or cystic fibrosis (Ib). In bladder and colon cancers, the evidence on hydration status' effects is inconsistent.
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PMID:Hydration and disease. 1792 62

The secretion of the oxalate anion by intestinal epithelia is a functionally significant component of oxalate homeostasis and hence a relevant factor in the etiology and management of calcium oxalate urolithiasis. To test the hypothesis that human cystic fibrosis transmembrane conductance regulator (hCFTR) can directly mediate the efflux of the oxalate anion, we compared cAMP-stimulated 36Cl-, 14C-oxalate, and 35SO(4)2- efflux from Xenopus oocytes expressing hCFTR with water-injected control oocytes. hCFTR-expressing oocytes exhibited a large, reversible cAMP-dependent increase in whole cell conductance measured using a two-electrode voltage clamp and a 13-fold increase in rate of cAMP-stimulated 36Cl- efflux. In contrast, the rate constants of oxalate and sulfate efflux were low and unaffected by cAMP in either control or hCFTR-expressing oocytes. We conclude that the human CFTR gene product does not directly mediate oxalate efflux in secretory epithelia and hence is not directly involved in oxalate homeostasis in humans.
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PMID:Enteric oxalate secretion is not directly mediated by the human CFTR chloride channel. 1856 5

Two cases are reported in which it is suggested that water deprivation in laying hens resulted in urolithiasis as well as acute renal disease. With either condition birds appeared to have died terminally from renal failure with lesions of visceral gout.
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PMID:Water deprivation as a cause of renal disease in chickens. 1877 Feb 28

This article is devoted to answering frequently asked questions from veterinarians, veterinary technicians, and pet owners about urolithiasis and the detection, treatment, and prevention of various types of uroliths from various locations in the urinary tract. It has been divided into the following topics: urolith analysis, urolith types, diagnosis, treatment and prevention, urolith recurrence, urinalysis, diet, water, and miscellaneous. The information is geared toward both professionals (eg, the chemical analysis of uroliths) and pet owners (eg, the practical considerations of diet). It includes photographs of various stones and a checklist of factors that suggest the probable mineral composition of canine uroliths.
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PMID:Canine uroliths: frequently asked questions and their answers. 1903 57

The effect of high intake of Mg on urolithiasis was compared with high intake of P and K in goats being fed with a cottonseed meal and rice straw diet. Eighteen wether goats were randomly allocated into group A, B and C evenly and fed with cottonseed meal and rice straw diet for three months. From day 60 onwards, KH(2)PO(4) and K(2)HPO(4) were provided via drinking water to goats in group B to increase the intake of P, K, and MgO to goats in group C to increase the intake of Mg. Blood and urine samples were collected to analyze the concentration of P, K, Mg and Ca, and the activity product (AP) of potassium magnesium phosphate (MKP) in urine was also calculated. The composition of calculi and urinary sedimentary crystals were examined by chemical qualitative analysis, X-ray diffraction, X-ray energy dispersive spectrometry and Fourier transform infrared spectroscopy. The results showed that the incidence of urolithiasis in group C (6/6) was higher than that in group A (1/6) and B (1/6) (P<0.05). The calculi were mainly composed of magnesium ammonium phosphate (MAP) and partly composed of MKP. MKP presented in crystals of different phases in this experiment. The high intake of Mg contributed to a significant increase of plasma Mg, but additional P, K did not cause a further increase of plasma P, K. Urine P, K, Mg and Ca and AP of MKP in group C decreased significantly after the onset of urolithiasis. In conclusion, high intake of Mg was more important in inducing struvite calculi compared with high intake of K and P in goats under these feeding conditions. Cottonseed meal and rice straw with additional Mg is a good dietary model for inducing struvite calculi in castrated goats.
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PMID:Comparison of effect of high intake of magnesium with high intake of phosphorus and potassium on urolithiasis in goats fed with cottonseed meal diet. 1909 65

Dielectric permeability of the urine from healthy subjects and patients with various types of urolithiasis was studied using millimeter electromagnetic waves. The urine from healthy subjects and patients with urolithiasis differed in dielectric properties, specific water content, and structure of water. A relationship was revealed between aggregation stability of urine colloids and dielectric properties of the urine in millimeter-wave electromagnetic radiation.
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PMID:UHF-dielectrometry of the urine in prognosis of aggregation stability. 1911 May 86

Aims of our work were to appraise the quantity and nature of renal calcifications and mineral metabolism in the magnesium-deficient rats; and to find out whether the combination of pyridoxine with Mg L-aspartate or Mg chloride will reduce the length of the treatment needed to recover rats from magnesium deficient condition and urolithiasis state. To induce hypomagnesemia, fifty rats were placed on a magnesium-deficient diet (magnesium content < or = 15 mg/kg) and demineralized water for 10 weeks. On the forty-ninth day of magnesium-deficient diet, rats were treated one of the six supplementations: MgCl2, Mg-L-Asp or their combinations with pyridoxine hydrochloride, magnesium sulfate, magne B6.
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PMID:[The role of alimentary magnesium deficiency in development of nephrolithiasis and its correction with magnesium salts in rats]. 1922 67


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