1985 Volume 76 Issue 8 Pages 1111-1118
One hundred-two calcium renal stone formes were treated by dietary measures for about 2.5 years. This was carried out after detailed research of individual dietary habits. The main points of our dietary treatment were high fluid intake, correction of unbalanced dietary nutrients, balanced meals throughout the day and prolongation of the time between dinner and sleep.
56 patients were treated by dietary treatment alone and 46 patients by medical and dietary treatment. The mean stone episode rates during treatment were 0.090 and 0.211 stones per year, respectively. The mean stone episode rate of 23 recurrent stone formers was significantly decreased from 0.850 to 0.106 stones per year by dietary treatment alone (p<0.01). The mean stone episode rate of 18 recurrent stone formers treated by medication (thiazide and allopurinol) was also significantly decreased from 1.444 to 0.446 stones per year by adding dietary treatment (p<0.01). From these results, individual dietary guidance is the primary measure for the prophylaxis of renal stone disease even with drug therapy.
