AbnormalityPossible mechanismTreatments
Hypercalciuria (more than 250 mg per 24 hours [6.2 mmol per day])
Absorptive hypercalciuriaIncreased intestinal absorption of calciumThiazide diuretic*, potassium citrate (Urocit-K)†
Idiopathic hypercalciuriaInherited traitThiazide diuretic*, potassium citrate†
Primary hyperparathyroidismIncreased bone demineralization or increased intestinal calcium absorptionParathyroidectomy
Renal hypercalciuriaRenal leak of calciumThiazide diuretic*, potassium citrate†
Hyperoxaluria (more than 45 mg per 24 hours [500 μmol per day])
Enteric hyperoxaluriaMalabsorption from any cause with increased urinary oxalate to complex with calciumDecrease oxalate intake, increase calcium intake
Primary hyperoxaluriaMetabolic error with high level of oxalate production and urinary excretionDecrease oxalate intake, increase calcium intake
Hyperuricosuria (more than 800 mg per 24 hours [4.76 mmol per day])Increased uric acid promotes calcium oxalate crystallization via the formation of nucleiPotassium citrate†, allopurinol (Zyloprim; 100 to 300 mg daily, given orally)
Hypocitraturia (less than 450 mg per 24 hours [2.34 mmol per day])Idiopathic; renal tubular acidosis (types 1, 2, and 4)Potassium citrate†