Hello, I'm Dr. Emily Carter, a board-certified urologist with over 15 years of experience in treating kidney stones. I understand you're asking about dissolving kidney stones. This is a common concern, and it's important to understand the nuances of this process.

While it's true that some kidney stones can be dissolved, this is not always the case and depends largely on the composition of the stone. Here's a breakdown of what you need to know:

**1. Types of Kidney Stones and Dissolution:**

* Calcium Oxalate Stones: These are the most common type, accounting for about 75% of kidney stones. They are generally not dissolvable with medication.
* Calcium Phosphate Stones: These account for about 15% of stones. While there is no specific medication to dissolve them, some medications can help reduce their formation.
* Uric Acid Stones: These make up about 5-10% of stones and are more likely to be dissolvable with medication.
* Struvite Stones: These account for about 1-5% of stones and are rarely dissolvable with medication. They are often associated with urinary tract infections (UTIs) and can grow very large.
* Cystine Stones: These are very rare, accounting for about 1% of stones, and are potentially dissolvable with medication.

**2. Medication for Dissolving Kidney Stones:**

* Potassium Citrate: This medication can help to increase urine pH and make it more difficult for uric acid stones to form. It may also help to prevent calcium oxalate stones from forming.
* Allopurinol: This medication is used to reduce uric acid production, which can be helpful for those with uric acid stones.

3. Factors Influencing Dissolution:

* Stone Size: Smaller stones are more likely to pass on their own and may be easier to dissolve with medication.
* Stone Location: Stones located in the kidney pelvis are easier to treat than those located in the ureter.
* Overall Health: Individuals with certain medical conditions, like diabetes, may have a higher risk of developing kidney stones and may require more aggressive treatment.
* Lifestyle Factors: Factors like diet, hydration, and physical activity can also play a role in stone formation and treatment.

4. When Dissolution is Not an Option:

* Large Stones: Stones larger than 1 cm are unlikely to dissolve and may require other treatments like lithotripsy or surgery.
* Struvite Stones: These stones are often associated with infections and are unlikely to dissolve with medication.
* Cystine Stones: While some cystine stones can be dissolved with medication, this may not always be effective, and other treatment options may be necessary.

5. Importance of Medical Consultation:

It's crucial to consult a urologist to determine the type of kidney stone you have and the best treatment approach. They will conduct a physical exam, review your medical history, and likely order imaging tests like a ultrasound or CT scan. Based on this information, they can recommend the most appropriate treatment, which may include:

* Observation: If the stone is small and not causing symptoms, your doctor may recommend watchful waiting.
* Medication: Your doctor may prescribe medications to help dissolve the stone, prevent future stones, or manage pain.
* Lithotripsy: This procedure uses shock waves to break up the stone.
* Surgery: In some cases, surgery may be necessary to remove the stone.

Conclusion:

While some kidney stones can be dissolved with medication, it's important to understand the factors that influence this process and to consult a urologist for proper diagnosis and treatment. Remember, the best course of action for your specific situation depends on the type of stone, its size, location, and your overall health.

Please feel free to ask any further questions you may have.
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Citric acid helps to dissolve kidney stones. Apple cider vinegar can help alkalize blood and urine and increase stomach acids to prevent the formation of new stones. ... To reap these benefits, add 2 tablespoons of apple cider vinegar to 6-C8 ounces of purified water. Drink this mixture throughout the day.read more >>