Kidney Stones

24-Hour Urine Test  |  Naturopathic Treatment


24-Hour Urine Test for Kidney Stones
Effective preventative measures are based on the patient’s chemical risk factors, which can often be uncovered with a 24-hour urine test and a blood test.

The patient strains their urine to collect stones for chemical analysis.
The physician performs a blood test to evaluate the serum calcium, uric acid, phosphate, electrolytes, and bicarbonate content.
Urine is collected during a 24-hour period and analyzed for calcium, citrate, uric acid, magnesium, phosphate, sodium, oxalate, pH (acid level), and total volume.

The physician evaluates the data and recommends dietary modifications, supplements, and medications to minimize the risk for developing kidney stones. The 24-hour urine test may be repeated several months after treatment has begun to determine the success of the therapy and any adjustments that should be made. Long-term strict compliance and periodic retesting may substantially reduce the risk for future stone formation.

Naturopathic Treatment for Kidney Stones
From a naturopathic perspective, kidney stones that do not occur as a result of a genetic or metabolic disorder are considered to be a diet-related condition. Proper nutrition can support healthy kidney function and may discourage stone formation, and natural therapies may help ease the pain and spasm that accompanies stone passage. Kidney stone treatment should be undertaken only after a physician has made a definitive diagnosis.

Nutrition
The following nutritional recommendations may help to prevent stone formation or recurrence:

Eat a whole foods diet that contains leafy green vegetables, fruits, vegetables, whole grains, legumes, and fish and poultry in small portions. Include foods that have a high ratio of magnesium to calcium such as brown rice, bananas, oats, barley, and soy, and that are high in fiber such as oat bran, psyllium seed husk, and flaxseed meal.

Drink a minimum of ½ of body weight in ounces of water daily (e.g., a 150 lb person would drink 75 oz of water). Proper hydration helps prevent the urine from becoming concentrated with crystals, which can lead to kidney stone formation; and reduces the risk for urinary tract infections, which may lessen the risk for struvite stones. Urine color can indicate the level of concentration: dark or bright yellow urine indicates highly concentrated urine; pale or colorless urine indicates dilute urine.

Avoid sugar (check ingredients for hidden sources of sugar), alcohol, antacids, excessive protein, dairy products (especially milk), salt, carbonated beverages, caffeine, and refined white flour products such as pasta, white bread, and baked goods.
Homeopathy
Homeopathic medicines may be utilized by naturopathic physicians to treat the pain and spasm associated with kidney stones. When treating the passage of a kidney stone with homeopathy, it is important to remember that the size of the stone must be small enough to pass without surgical intervention and that administration of the homeopathic medicine usually changes the clinical picture, which will then require a different remedy. Other therapies, such as herbal medicines, hot packs, and supplements, are sometimes used with homeopathy.

The following homeopathic remedies have been utilized by naturopathic physicians in treating a kidney stone:
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Berberis vulgaris—Indicated for sharp, stitching pains that radiate to the groin area and right-sided kidney stones.
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Cantharis—Indicated for urine that burns and is passed drop by drop.
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Colocynthis—Indicated for pain over the whole abdomen while urinating.
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Ocimum canum—Indicated for pain accompanied by nausea and vomiting.
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Pennyroyal—Indicated for frequent urination and left-sided ureter spasm or stone.
The standard dosage for acute symptom relief is 3 pellets of 30C every 4 hours until symptoms resolve. Lower potencies, such as 6X, 6C, 30X, may be given every 2 to 4 hours. Symptoms may improve shortly after the second dose. If there is no improvement after 3 doses, a different remedy is given. Note: Most homeopathic remedies are delivered in a pellet that has a lactose (milk sugar) base. Homeopathic liquid may be a better choice for those who are lactose intolerant.

Hydrotherapy
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Castor oil pack—Castor oil has anti-inflammatory properties and may be used to relieve painful cramping or spasms.
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Hot pack—Placed over the affected area, hot packs can relax muscles that are tense from pain and spasm, allowing for easier passage of the stone. Use caution in the elderly and diabetics, as they are less sensitive to heat and may be burned.
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Hot vinegar pack—Indicated for severe pain: use a 50:50 vinegar-water solution and place over affected area.

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