What should I do if I take medicine for urinary stones but no stones are passed in the urine?

Patient's question:

Main symptoms: Hematuria
Onset time: September 4, 2009
Laboratory test results: Urinary system calculus

Doctor's answer:

Some stones may not be visible when they pass out, which is fine. If you no longer feel any discomfort, you can go to the hospital for a follow-up ultrasound to check if they have already passed! It's easy for stones to recur after treatment, so it's important to pay attention to preventing recurrence in daily life! So, how should we pay attention in our daily lives?
1. Pay attention to dietary structure. The formation of urinary stones is related to dietary structure. Therefore, adjusting the dietary structure can help prevent recurrence. Different dietary adjustments are needed based on the composition of the stones. For example, patients with calcium oxalate stones should reduce their intake of foods high in calcium oxalate, such as spinach, tomatoes, potatoes, and strawberries.
2. Treat certain underlying diseases that cause urinary stones. Hyperparathyroidism (e.g., parathyroid adenoma, parathyroid cancer, or hyperplastic changes) can disrupt calcium and phosphorus metabolism in the body, leading to the formation of calcium phosphate stones. In such cases, it's necessary to treat the parathyroid condition first. Obstructive factors in the urinary tract, such as tumors, benign prostatic hyperplasia, and urethral stenosis, can cause urine retention, leading to the "aging" of urine. Deposits of organic matter in the urine that age may grow and become non-crystalline microstones. Therefore, treating underlying diseases that cause urinary stones is also very important for preventing recurrence.
3. Prevent and treat urinary tract infections. Urinary tract infections are a major local factor in the formation of stones and directly affect the prevention and treatment of urolithiasis.
4. Take Chinese medicine. At regular intervals, drink water infused with Chinese herbal medicines like Jin Qian Cao () and Hai Jin Sha (), which can help expel small stones from the body. If possible, consult a traditional Chinese medicine practitioner to create a personalized herbal prescription for infusion.
5. Drink plenty of water. Develop the habit of drinking more water to increase urine output, which is called "internal cleansing." This helps eliminate various salts and minerals from the body. Of course, pay attention to water hygiene and water quality, avoiding the consumption of water with excessively high calcium content.
6. Stay active. Engage in regular physical activity, such as walking or jogging. When you have good physical fitness, you can also jump in place, which is equally beneficial for preventing the recurrence of urinary stones.

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