Treatment recommendations

Each of our recommendations contains diagnostic and therapeutic goals to reduce the risk of stone recurrence.  Foods listed are those with research evidence or we have favorable experience using.  Other diets may also be helpful.  If the foods suggested do not meet the pets’ needs, the flowsheet for the pet’s urolith mineral type lists the urine goals (specific gravity and pH) to achieve to reduce the risk of stone recurrence.

Recommendations are now available in multiple languages on our iphone and android app. Learn more

Resources for additional testing

Resources for additional testing

Calcium Oxalate

NEW -  Hereditary Calcium Oxalate Urolithiasis, Type 1 (CaOx1)

University of Minnesota's College of Veterinary Medicine, Canine Genetics Lab  - https://vetmed.umn.edu/research/labs/canine-genetics-lab

Urate –
Genetic Hyperuricosuria testing (HUU) (SLC2A9 Gene)
               UC Davis Veterinary Genetics Laboratoryhttps://www.vgl.ucdavis.edu/index.php

Cystine
Urine cystine/creatinine ratio - Measure urine cystine at an amino acid lab (UC Davis Amino Acid Laboratory - www.vetmed.ucdavis.edu/labs/amino-acid-laboratory), measure urine creatinine at your preferred lab. 

Urine Nitroprusside/Genetic Testing/Metabolic Screening
              PennGen Laboratories(research.vet.upenn.edu/penngen)

 We are unfamiliar with laboratories outside the United States that perform these tests.  Contact the specific lab with questions about sample submission. 

How to contact and consult with a veterinary nutritionist

How to contact and consult with a veterinary nutritionist

Human Foods

Human Foods

Literature from human studies can provide some information on foods high (or low) in minerals (eg. calcium and oxalate).  This information may assist some owners who select human food as treats.

In most cases, if treats comprise less than 5-10% of the diet, they most likely will not affect prevention strategies to minimize urolith formation. 
Image icon Purine content of select human foods. 
Image icon Human foods to limit/avoid feeding dogs with calcium oxalate uroliths
Image icon Human foods with minimal calcium or oxalate content

How to interpret results

ACVIM Consensus on Treatment and Prevention of Uroliths in Dogs & Cats

ACVIM Consensus on Treatment and Prevention of Uroliths in Dogs & Cats