Preventive fluid and dietary therapy for urolithiasis: An appraisal of strength, controversies and lacunae of current literature

• DOI: 10.4103/0970-1591.85423
• Publication Date: 2011-09-26T10:50:33Z
• Authors: MayankMohan Agarwal; ShwaranK Singh; Ravimohan Mavuduru; ArupK Mandal
• Keywords: Fluid intake

Regulation of fluid and dietary intake habits is essential in comprehensive preventive management urolithiasis. However, despite large body epidemiological database, there dearth good quality prospective interventional studies this regard. Often conflict pathophysiological basis actual clinical outcome. We describe conflicts, controversies lacunae current literature modifications prevention Adequate the most important conservative strategy urolithiasis-prevention; its positive effects are seen even at low volumes. Of citrus, orange provides favorable pH changes urine, equivalent to therapeutic alkaline citrates. Despite being richest source citrate, lemon does not increase significant due acidic nature. Fructose, animal proteins fats implicated contributing obesity, which an established risk factor for Fructose also contribute lithogenecity urine directly. Sodium restriction commonly advised since natriuresis associated with calciuresis. Calcium advisable urolithiasis prevention. calcium beneficial if taken food it reduces absorption oxalate. Increasing fiber protect against Evidence pyridoxine magnesium robust. There no study evaluating effect many elements, including citrus juices, carbohydrate, fat, fiber, sodium, etc. Due lack good-quality trials test findings understanding evidence. Role probiotics phytoceuticals needs special attention future research.