Lowering urinary oxalate excretion to decrease calcium oxalate stone disease

Academic Article


  • Dietary modifications should be considered as a first line approach in the treatment of idiopathic calcium oxalate nephrolithiasis. The amounts of oxalate and calcium consumed in the diet are significant factors in the development of the disease due to their impact on urinary oxalate excretion. There are a number of strategies that can be employed to reduce oxalate excretion. The consumption of oxalate-rich foods should be avoided and calcium intake adjusted to 1000–1200 mg/day. To encourage compliance it should be emphasized to patients that they be vigilant with this diet as a deviation in any meal or snack could potentially result in significant stone growth. The evidence underlying these two modifications is outlined and other strategies to reduce urinary oxalate excretion are reviewed.
  • Published In

  • Urolithiasis  Journal
  • Urolithiasis  Journal
  • Digital Object Identifier (doi)

    Author List

  • Holmes RP; Knight J; Assimos DG
  • Start Page

  • 27
  • End Page

  • 32
  • Volume

  • 44
  • Issue

  • 1