Kidney stone prevention guide

Review your kidney stone prevention plan online

For adults with a confirmed kidney stone who want a prevention plan or review of mild, uncomplicated pain while a stone is passing.

Start online

Start a $59 online review for Kidney stone prevention.

This visit starts with a stone confirmed by imaging or a stone you passed. The physician reviews your results and medicines to set fluid and diet goals. Missing urine and baseline blood tests may be ordered, and medicine may be considered based on the results.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

A repeat calcium oxalate stone with a stone analysis available
A 24-hour urine result showing low citrate or high calcium
Mild pain from a passing stone without emergency signs
Wanting a fluid and diet plan after a confirmed stone

May fit online care

Adults 18 and older
You are an adult with a stone confirmed by imaging or a passed stone
You want prevention between stone episodes
You have stone analysis, urine results, or an imaging report to share
You can list every medicine you take
Mild pain from a passing stone has no emergency features or complications

Look for another care setting

Severe flank or belly pain now, especially with vomiting, fever or chills with flank or back pain, being unable to pass urine or passing very little, blood clots in the urine, pain with only one working kidney or a kidney transplant, pain that nothing at home has helped, being pregnant with stone pain now, or confusion or passing out (emergency: go to the nearest emergency department now, and call 911 for confusion, passing out, or swelling of the face, lips or tongue).
Visible blood in the urine (needs a urologist; it is not assumed to come from a stone).
Kidney disease your doctor has told you is significant or advanced, dialysis, a high potassium level or a condition that can raise it.
Burning with urination or other signs of a urinary infection.
Trouble swallowing tablets, a blocked or narrowed digestive tract, or a stomach ulcer.
Pregnancy or breastfeeding.
Heart failure.
Cystine or struvite (infection) stones, or a stone caused by a medicine such as topiramate or acetazolamide.
High blood calcium, hyperparathyroidism, sarcoidosis, or gout that is not controlled.
A potassium-sparing diuretic (spironolactone, eplerenone, amiloride, triamterene) or any past reaction to allopurinol.
A new rash of any kind on allopurinol (stop it and contact your clinician now; with blisters, mouth sores, facial swelling or fever it is an emergency).
No confirmed stone, or no results to share.

What to have ready

Your stone analysis, if available
Your 24-hour urine result, if available
Your imaging report, if available
A list of every medicine you take

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

What if I do not have a 24-hour urine test yet?

Share the stone analysis (a lab test of the stone itself) or the imaging report (X-ray or scan) you do have. If you are missing a 24-hour urine test or the baseline (starting) blood tests, the doctor can order them. For this option, you need a confirmed stone and results to share.

Will I need a medicine to prevent stones?

That depends on your stone and test results. The physician reviews all your medicines and decides whether a preventive medicine is appropriate, along with fluid and diet goals.

Can this visit help while a stone is passing?

Mild stone pain with no complications may fit, after a safety review. The doctor may consider tamsulosin to help the stone pass, and an anti-inflammatory (a medicine that lowers swelling and pain) such as ibuprofen, unless you have kidney disease or a bleeding risk. This option does not prescribe opioids (strong pain medicines). It also does not treat stones that are blocking urine, infected, or complicated.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

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