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

### input:
Hii , In year 2002 I hospitalised to operate my stone problem through laser opeation. .After one year in 2003,the same stone problem occured againand still fiting with the same disease. Now Quarterly, its automatically passes from kidney to eurator and it will out through urine, but some times it gives very pain at right side of stomach Few days back , due to pain i went for ultrasound , now doctor had declared 4 mm stone at right side with multiple small stones.I am very upset with this problem please direct me

### output:

Hi, After going through your history, I can understand your concerns. Stones smaller than 5 mm can usually be managed conservatively (without surgery). Since you are having recurrent stone formation it is important to find out if you have any underlying condition which predisposes you for stone formation. These conditions can be checked by testing your blood for calcium, phosphorus, uric acid levels and 24 hour urine collection for creatinine, calcium, phosphorus, uric acid, oxalate, citrate, sodium and magnesium. You may need specific therapies if you have any alteration in the blood or urine levels of these chemicals. Did you have your stone analyzed during the last surgery? The type of stone can guide us in using specific medications and taking particular diet to prevent further recurrence. The general precautions include:1.  Chat Doctor. 5 to 3 liters. Keep urine colorless. Keep 24 hr urine volume more than 1.5 to 2 liter.2. Reduce sodium intake to 3. Reduce meat consumption to 6 ounces/day. In case you have a lot of small stones, please consult a Urologist who may plan for flexible ureteroscopy - to go inside the kidney, see each stone, break and remove them. I am ready to provide any clarification you need, Wish you good health and a stone-free life,