I do usually take Tamulosin when a stone starts playing road music. It seems to help, especially with middling and larger (say 4mm and up) but not as much as up

I do usually take Tamulosin when a stone starts playing road music. It seems to help, especially with middling and larger (say 4mm and up) but not as much as upping my liquid intake even more than usual. I've passed several without it and many with, and judge it to be worth keeping on hand. Biggest thing for me has been to try to avoid additional formation (though I know from my annual imaging that I have at least 6 or 7 of my little buddies laying in wait). Citric acid, increased liquid intake, reduced intake of high oxalate foods (and/or taking calcium citrate or high calcium foods at the same time), trying not to hold my pee unnecessarily, and a prescription for hydrocholorothiazide have together greatly reduced my kidney stone formation. I got by with only a couple little ones last calendar year, and only one middling one (~4mm) so far this year. Don't take any of that as medical advice, of course.