MRCP2-4094

MRCP2-4094

A 23-year-old male presents with severe abdominal pain in his left flank area going down into his groin. The pain is constant and he feels nauseated. He had a similar episode six months ago which resolved with conservative management. On examination, he has left renal angle tenderness but otherwise a soft non-tender abdomen. Investigations reveal a single solitary area of calcification within his left kidney. He is treated conservatively and subsequently seen in the renal clinic where he undergoes further investigations. Which therapeutic option is most likely to prevent future episodes?

Option A: Intravenous fluid infusion
Option B: Non-steroidal anti-inflammatory drugs
Option C: Opioid analgesia
Option D: Dietary changes
Option E: Vitamin D supplementation