Patient: Main symptoms: vomiting, stomach pain, leg pain, crying at night; onset: March 2008 Went to the hospital, the hospital gave electrolytic fluid; no obvious effect How to drain the stone, what should I pay attention to, can I take Chinese medicine Double kidney stones: right renal collecting system separated, right renal pelvis is seen in about 0.7cm wide fluid, renal pelvis can be seen in about 0.93cm long, about 0.25cm wide long strong echogenic Reflection, there is also a round strong echogenic reflection of about 0.8cm wide, with no obvious posterior acoustic shadow; the left renal collecting system shows concentration, and the pelvis can be seen as a strong echogenic spot, about 0.36cm larger. Huang Songming, Department of Nephrology, Nanjing Children’s Hospital: If the child has no abnormal urination, attention should be paid to alkalinizing the urine, so that the urine pH value is maintained between 6.5 and 7, and usually drink more water. You can also use raffinate solution orally to alkalize the urine. Pay attention to the diet of meat and vegetables, avoid a high protein diet. I’m not good at Chinese medicine, you should go to a regular Chinese hospital and ask a doctor to see. Patient: Is it difficult to discharge the 0.7 fluid and 0.93 stone in my child? Will it continue to grow after stopping formula? Will the stone have a big impact on the kidney if it stays in the kidney for a long time? What is the full name of raffinate solution? Huang Songming, Nephrology Department, Nanjing Children’s Hospital: If you stop using milk powder and pay attention to your diet and water intake, the stones will not increase in size, but the key is to drink more water and keep enough urine, so that the stones are not easily deposited and formed. In addition, pay attention to more vegetables and less meat. LBP solution is prepared by hospitals, using raffinate and sodium raffinate with water, generally in large hospitals can be prepared, such as the hospital of Shanxi Medical University. Patient: What is the taste of raffinate and sodium raffinate with water? Will there be adverse effects? Is it better to drink than soda? Nanjing Children’s Hospital Nephrology Department Huang Songming: I have not tasted it, but the child’s compliance is good, as long as the pH value in the urinalysis is adjusted, there should not be any side effects. The level of raffinate in the body can inhibit the formation of stones, so it is better than soda in dissolving stones. Patient: If the child does not have any adverse reactions now, is there no need to go to the hospital for observation and treatment? Is it true that there is no good treatment or medication available in any children’s hospital in China? Only conservative treatment is available? If the melamine stone is inside the kidney for a long time, it will be very harmful to the kidney? It will cause damage to the urinary system, bladder, kidney failure, uremia, and will affect fertility in the future? I am very worried 。。。。 Huang Songming, Nephrology Department, Nanjing Children’s Hospital: The current consensus is that the stone should be treated conservatively, and surgery or lithotripsy is more damaging to children. As long as there are no symptoms and no obstruction, then conservative treatment is appropriate. The effects of urinary tract stones are limited as long as they do not cause complications such as infection or obstruction, and there is no evidence that they can cause other serious injuries. As for fertility, it is even more unlikely, as the urinary system and the reproductive system are two different things. Patients: I went to several large hospitals in the province said there is no such drug as raffinate solution, is not the market does not sell this drug? Is there any treatment for kidney stones in children’s hospitals in big cities? Nanjing Children’s Hospital Nephrology Department Huang Songming: I think it is not necessary to use this drug to alkalize the urine, this drug is dispensed by the hospital, usually large children’s hospitals will have, because children with renal tubular acidosis often need to use, you can go to Beijing or Shanghai and other large hospitals to consult the treatment of such stones. Patient: Does your hospital have a treatment for these stones? If not, is it true that other major hospitals should also not have good treatments? It should be the same across the country, right? Huang Songming, Nephrology Department, Nanjing Children’s Hospital: It is not that there are no treatments for stones, such as extracorporeal lithotripsy, percutaneous nephrolithoscopy or holmium laser treatment, surgery to remove stones, etc. The key is that there is no such need, because the damage caused by these treatments is greater than the harm caused by the stones themselves. Therefore, it is recommended that you treat the stone conservatively or with follow-up.