- The presence of kidney calculi is established through kidney imaging (usually CT scanning).
- Metabolic profiling, measuring substances in the blood such as uric acid, calcium, phosphate, and metabolites in urine such as calcium, phosphate, citrate, uric acid and oxalate are useful.
- Determining whether there is a systemic disease, such as hyperparathyroidism, that may contribute to stone formation.
- Excluding genetic stone forming diseases such as cysteinuria.
- Much depends on whether there was a single episode of kidney stone, recurrent episodes associated with complications, or whether there is a disease process which if treated would reduce the chances of kidney stone.
- The patient’s symptomatologies are very important in determining whether intervention is required.
- Treatment involves both non- pharmacological and pharmacological approach.
- Non Pharmacological approach involve diet and life style changes.
- Pharmacolgical approach involve use of medications. You doctor will advise medications based on your test results and risk assessment.