### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear Doctor, I am aged 33 + , male .I am suffering from recurrent kidney stone problem. In 2005, I had a left kidney stone ( around 6mm) and it was broken by Extracorporeal shock wave lithotripsy (ESWL). In 2009, I had a small 3-4 mm kidney stone and I think it got washed away after taking medicines and drinking fluids as the pain subsided, however am not sure as I didnot go for a second ultrasound. In 2010, I had a right kidney stone around 5-6 mm for which I had taken plenty of fluids and medicines. In 2012, again I had a right upper ureteric calculus 18*10mm with proximal mild hydroureteranephrosis  along with a tiny 3-4 mm right renal calculus ( I underwent a ct scan then)..I underwent Right PCNL + DJ stenting under GA for removal of the right upper ureteric calculus . Last week again I had severe back and abdominal pain on the right side.I underwent again a CT scan of the KUB region, this time scan revealed 6*5 mm right renal upper calyceal calculus along with a tiny left renal calculus. I consulted with doctor and I am taking mdeicine K-Cit syrup along with lasilactone 50 and plenty of fluids. I am also taking now homeopatChatDoctoredicines. Will this kidney stone be flushed away along with urine after taking both allopathic and homeopatChatDoctoredicine as I really dont want to go under any type of invasive or non invasive procedure like lithotripsy?Please suggest. I am controlling my food diet and drinking around 3 litres of water since last 1 year.But I dont know why the stone keeps on recurring.

### output:

Hi, Stone disease by nature has a potential for recurrence. I feel you are doing correctly by consuming good amount of water, KCit. But in place of Lasilactone, take Gladstone 25 mg once daily. You may continue Homeopathy treatment. Increase water intake to 3.5-4litres daily. Start Tab Cyst one 2 tabs twice daily and Cap Climax 0.4 mg once daily. This treatment will be very effective. In view of recurrence, also get urine-24 hours uric acid, oxalate,phosphate, calcium,proteins, creatinine estimation, Bloodbath, 25(OH)D3 estimation, kft done. You can convey the reports once done