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[Conservative treatment of urolithiasis in children]
K Gadomska-Prokop1, Z Konopielko
1Kliniki Nefrologii i Nadciśnienia Tetniczego Instytutu Pomnika-Centrum Zdrowia Dziecka.
Abstract:
Treatment of urolithiasis depends on the stone and secretion renal tubular transport disturbances. Conservative treatment of urolithiasis and prevention of stone formation in children should consist of: adequate fluid intake, low salt and animal protein diet in all stone formers; calcium-oxalate stones: diet containing a proper amount of dairy product, low oxalate diet, if indicated: thiazide diuretics, magnesium salts, citrate; uric acid stones: low purine diet, alkalization of urine up to pH 6.5-7.0, if indicated: allopurinol; infection stones: treatment of the urinary tract infection, low phosphate diet; cystinuria: low animal protein diet, alkalization of urine up to pH 7.0, if indicated: captopril, d-penicillamine.