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Re: Kidney stones - interputing results

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Hydrochlorothiazide is a diuretic. It will definitely help with the

retention of water. The problem with it is that it often depletes the

potassium level so it is important to keep track of your potassium level.

I have been taking something similar since before surgery and it has yet

to affect the pouch.

Lori Owen - Denton, Texas

SRVG 7/16/01

Dr. Ritter/Dr. Bryce

479/356/hoping for close to 200

On Thu, 11 Dec 2003 19:37:03 -0700 " Joanie " writes:

> About 1.5 months ago I had 2 kidney stones removed . . .delightful

> experience a basket up my ureter . . . mmm something I hope not to

> repeat.

>

> The Urologist had me do a 24 hour urine collection and mailed me the

> results. I'll put a call in to him tomorrow, but can you guys help

> me interpret what he is saying???? Pretty Please

>

> " Your 24-hour urine shows that your calcium in quite high at 547.

> Your volume was good at 4975. Your uric acid is normal at 448.

> Your oxalate is high at 95 and your citric acid is normal at 995.

> You are at significant risk for future stone formation. I would

> recommend that you start on hydrochlorothiazide 25 mg a day and see

> you for followup in a month. When on hydrochlorothiazide, you may

> need additional potassium supplementation. Enclosed is a

> prescription and a low oxalate diet. "

>

> Questions,

> - what makes my calcium high, where is it coming from?

> - What is hydrochlorothiazide and is it pouch friendly?

> - I don't do brown beverages, just water and an occasional hot

> chocolate) I do Citrate calcium, which I'll continue on, should I

> bump up my dose?

> - could this be why I retain water? By the end of the day my feet

> sometimes swell out of my shoes.

>

> Any advice thoughts?

>

> Thank you all so much. I truly do not want the misery of another

> kidney stone. Dry heaving for hours on end in pain well, they were

> horrible.

>

> Thanks so much!

> Joanie

> Lap RNY 08/13/02

> 284/152

> (goal was 150 - but now I want to go to 140)

>

>

>

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Greens? Any carbonate in any of your substances? Anything you're

taking for your ulcer resemble Tums? Not that I know anything about

them, except that it is an experience I prefer NOT to repeat.

Now, interestingly, my endo put me on HALF a 25mg hctz for several

months to lower that urine CA level. You don't feel anything at that

low dose. But the output rose more. So, he doubled it, to a full

25mg and that's what nearly did me in. I didn't NEED a diuretic in the

first place, so even though I was sucking down water in a continuous

trickle (and not doing my diet coke much), I still dehydrated to the

point of having to pull over and do the dry heave thing, then was too

disoriented to find my way home. Water bottle in hand, but not

willing to dry heave, so I couldn't drink it. Bad shape.

So, please pay attention closely when you do these, ok?

And BTW, the excretion level INCREASED with more. So, with his

permission, I stopped doing even the half. He kept trying to put me

back on the whole one, but no way. I had to crawl into my PCP that day

to figure out what was making me SOOOOO sick. I did the pinch test and

the skin just didn't come back down at all. Pot. was low, of course

and it stays balanced all the time.

Did they recommend upping your CA citrate? When I first had the

crystals, my uro said that citrate can offset oxalates, to a degree.

Oh man, I wish I'd listened back in 1997. I'd have bones today. Don't

get me started.

Thanks,

Vitalady, Inc. T

www.vitalady.com

If you are interested in PayPal, please click here:

https://www.paypal.com/affil/pal=orders%40vitalady.com

Kidney stones - interputing results

> About 1.5 months ago I had 2 kidney stones removed . . .delightful

experience a basket up my ureter . . . mmm something I hope not to

repeat.

>

> The Urologist had me do a 24 hour urine collection and mailed me the

results. I'll put a call in to him tomorrow, but can you guys help me

interpret what he is saying???? Pretty Please

>

> " Your 24-hour urine shows that your calcium in quite high at 547.

Your volume was good at 4975. Your uric acid is normal at 448. Your

oxalate is high at 95 and your citric acid is normal at 995. You are

at significant risk for future stone formation. I would recommend

that you start on hydrochlorothiazide 25 mg a day and see you for

followup in a month. When on hydrochlorothiazide, you may need

additional potassium supplementation. Enclosed is a prescription and

a low oxalate diet. "

>

> Questions,

> - what makes my calcium high, where is it coming from?

> - What is hydrochlorothiazide and is it pouch friendly?

> - I don't do brown beverages, just water and an occasional hot

chocolate) I do Citrate calcium, which I'll continue on, should I

bump up my dose?

> - could this be why I retain water? By the end of the day my feet

sometimes swell out of my shoes.

>

> Any advice thoughts?

>

> Thank you all so much. I truly do not want the misery of another

kidney stone. Dry heaving for hours on end in pain well, they were

horrible.

>

> Thanks so much!

> Joanie

> Lap RNY 08/13/02

> 284/152

> (goal was 150 - but now I want to go to 140)

>

>

>

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Share on other sites

I take 3 500mg doses of citrate calcium a day. I kind of vary my routine,

depending on how pouchie is feeling (I've got a bad ulcer). Mostly 2

citracal Plus Magnesium 3x a day (morning, then at 6ish and then at bedtime)

Water I'm really good at. 72 oz a day and then I stop keeping track. I

generally get 42 oz of it in before noon.

Not many Greens, No carbonate, totally no tums or any of that kind of dead

bone calcium stuff.

I have been eating rutabaga's and they are on the no no list. And I had

been eating some nuts. So no more of that . . . . even peanut butter is on

the no no list!

Oh and an evil peepcorn peep, sent a huge tin of popcorn to me at work!

Lucky for me it was still kind of cold/frozen when it arrived so it went to

a co-worker! hehehe peepcorn 0 Joanie 1

Thank you all for your help on these dreadful kidney stones. I worry about

taking the diuretic drug and killing my potassium. It seems like such a

fine balance.

Thanks again,

Joanie

Kidney stones - interputing results

>

> About 1.5 months ago I had 2 kidney stones removed . . .delightful

experience a

> basket up my ureter . . . mmm something I hope not to repeat.

>

> The Urologist had me do a 24 hour urine collection and mailed me the

results.

> I'll put a call in to him tomorrow, but can you guys help me interpret

what he

> is saying???? Pretty Please

>

> " Your 24-hour urine shows that your calcium in quite high at 547. Your

volume

> was good at 4975. Your uric acid is normal at 448. Your oxalate is high

at 95

> and your citric acid is normal at 995. You are at significant risk for

future

> stone formation. I would recommend that you start on hydrochlorothiazide

25 mg

> a day and see you for followup in a month. When on hydrochlorothiazide,

you may

> need additional potassium supplementation. Enclosed is a prescription and

a low

> oxalate diet. "

>

> Questions,

> - what makes my calcium high, where is it coming from?

> - What is hydrochlorothiazide and is it pouch friendly?

> - I don't do brown beverages, just water and an occasional hot chocolate)

I do

> Citrate calcium, which I'll continue on, should I bump up my dose?

> - could this be why I retain water? By the end of the day my feet

sometimes

> swell out of my shoes.

>

> Any advice thoughts?

>

> Thank you all so much. I truly do not want the misery of another kidney

stone.

> Dry heaving for hours on end in pain well, they were horrible.

>

> Thanks so much!

> Joanie

> Lap RNY 08/13/02

> 284/152

> (goal was 150 - but now I want to go to 140)

>

>

>

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