Crystaluria - small crystals in urine Posted: 11-03-07 20:11pm
A 63 year old male patient (personal
friend) is passing small sand size
crystals in urine intermittently, with no
other symptoms of stones such as pain,
hematuria, etc. No other symptoms of
urinary tract dysfunction or gout are
reported currently or in past. Chemical
analysis of urine sample reveals calcium
oxalate and uric acid crystals. The doctor
reports there is no evidence of UTI and to
have not previously seen this particular
presentation and does not know what it
means. The doctor agrees to report back
after a review of literature and other
investigation. Meanwhile, the patient is
left with no information on how to manage
this problem other than to keep drinking
lots of liquids. I have recommended to the
patient to seek an expert opinion from a
urologist rather than wait for the primary
care doctor to make some kind of helpful
evaluation. Incidentally, the patient has
experienced several other seemingly
unrelated medical problems over the past
year to 18 months, which are not given
here, but may be if this seems important
to anyone. I am trying to be a helpful
friend since self directed research has
led to extreem anxiety in patient. Thanks
for any discussion that may help interpret
these findings or to help in understanding
what the patient may do about it.