Q: I am a 40 years old hypertensive man and taking Amlopress AT daily for the last 6 years. I have faced no problem since then. My lipid profile is normal within range. My weight is 78 kg and height is 5feet 11 inches. Recently I have started getting a burning sensation while urinating. My sonography report was normal but the routine urine report states calcium oxalate crystals positive. The doctor advised no medicine but asked me to drink lots of water. Now for the last 8-10 days, I am having pain in my thumb and fingers. There is mild pain at the tip of my fingers too. The doctor advised me to take pregabalin methylcobalamin 75 daily but it gave no significant relief. Sometimes I get back pain, which is insignificant in nature. I am not feeling normal and feel tired. I am vegetarian and take simple home-made food with plenty of water. Please advise.

A:Presence of calcium oxalate crystals in urine can be present without any significant urinary pathology, and do not indicate presence of stone disease. Presence of normal urine findings and ultrasonography are reassuring. Occasional burning in urine may occur with urinary concentration and some foods including spices, hence your doctor has advised you to drink more fluids. If brining persists or recurs, you may need further evaluation of your problem.