Idiopathic hypercalciuria is a diagnosis of exclusion. A child with hypercalciuria needs referral to a Pediatric Nephrologist for detailed evaluation for underlying etiology like renal tubular disorders, parathyroid disorders and other endocrine disorders etc. Pending evaluation, general measures like increased fluid intake , low salt diet and alkali therapy under the supervision of pediatric nephrologist can be started. There is no need for calcium restriction.
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