Drinking more water, alkalizing urine, medication and diet control are the four cornerstones of treatment for uric acid stones, and these four treatments can be used in combination. First of all, let’s talk about drinking more water because drinking more water increases the excretion of uric acid and reduces the accumulation of uric acid in the body. It is best to have a daily urine volume of 2000 cc or more. Secondly, animal offal, seafood, tofu, peanuts and spinach are rich in purine substances, and the end product of purine metabolism is uric acid, so eat less of these foods. Finally, alkalized urine increases the amount of dissolved uric acid in the urine, further promoting the excretion of uric acid. We can use soda powder 650 mg three to four times a day for oral use to try to get the pH of the urine between 6.5 and 7.0. It is important to know that baking soda can cause flatulence and excess gas. Also potassium citrate is a good choice at 30 to 60 milliequivalents per day. Also to keep the urine alkaline even during sleep, consider giving 250 mg of acetazolamide if the pH at bedtime is below 6.5.