<p><strong>For adult and pediatric patients with uric acid stones and low urinary pH, clinicians should recommend a diet high in fruits and vegetables while limiting non-dairy animal protein intake in adults to daily dietary allowances. (<em>Expert Opinion</em>) </strong></p>
Discussion
Discussion
<p>No randomized trials have specifically addressed the role of diet in the prevention of uric acid stones. However, since low urinary pH is the primary driver of uric acid nephrolithiasis and high uric acid levels are a less common etiology, dietary interventions that raise urinary pH and increase solubility of uric acid in the urine are desirable and can be achieved through intake of alkali-rich foods, such as fruits and vegetables.<sup>203</sup> In addition, limiting excessive exogenous sources of uric acid derived from non-dairy animal protein may provide some additional benefit.</p>