A male patient aged 40 yrs suffering from Gout is taking Allopurinol daily, 100 mg OD. He has been taking regular treatment since 3 years. One day he presented to me with Acute abdomen. Suspecting ureteric colic, l advised ultrasound abdomen where in he was diagnosed with multiple renal calculi .To be precise 5 stones in left and 4 stones in right kidney the sizes varying and all less then 10 mm. One stone at ureterovesical junction, 6 mm.
Treatment with fluids, fast drip along with antispasmodics was given. IV sedation and lasix was given and patient got relief over 12 hrs. Advised him to take 3 litres of water daily and regularly. Later l advised him to take potassium citrate , 10 ml in a glass of water 2 times a day for 10 days and then continue taking 10ml of PC daily at night indefinitely as he is on Allopurinol where he would keep developing uric acid stones regularly. After 1…
