male kid of age 1.5 years having recurrent renal pelvis calculi associated with hearing impairment and autism and branchial fistulae in the neck , he already underwent surgery for stone removal in right kidney now he is having stone in left renal pelvis . want to know why he is having stone forming tendency and how can we find it out and what treatment available for that
Hi, Recurrent calculi may form either from an abnormal anatomy of the urinary tract, or due to abnormal handling of salts/electrolytes by the kidney. Since here it happened on both sides, the later cause is more likely. In such cases, we need a basic metabolic workup including urine pH, urine calcium excretion, serum levels of calcium, phosphorus and arterial blood gas analysis.  Also, given the association of deafness, we have to rule out a condition called RTA(renal tubular acidosis). Kindly discuss with a pediatric nephrologist. Hope I have answered your query. Let me know if I can assist you further. Take care