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Living with Primary hyperoxaluria

An inherited condition in which the body makes too much oxalate, leading to repeated kidney and bladder stones and kidney damage.

Understanding Primary hyperoxaluria

Primary hyperoxaluria is a rare condition in which too much oxalate is made, leading to repeated kidney and bladder stones.

Oxalate combines with calcium to form hard stones. Deposits can damage the kidneys and other organs and can lead to blood in the urine, urinary infections and kidney damage, including end-stage kidney disease. When kidney function falls, oxalate can build up in bones and blood vessel walls, which can cause fractures. There are three types. Type 1 stones usually start from childhood to early adulthood. Type 2 is similar to type 1, but kidney failure develops later. Type 3 often causes stones in early childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Repeated kidney stones
  • Blood in the urine
  • Chronic kidney disease
  • Bone pain
  • Slow weight gain (failure to thrive)
  • Vision changes from the retina and optic nerve

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists, genetic specialists and kidney specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Oxalosis and Hyperoxaluria Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of primary hyperoxaluria do I have, and should we have genetic testing?
How can I lower my risk of kidney stones and protect my kidneys?
How often should my kidney function and oxalate levels be checked?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive

Primary hyperoxaluria is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent. The three types differ in their genetic cause.

GeneticKidneyInherited Metabolic

Also known as: hyperoxaluria, primary; primary oxalosis

Patient organizations

Source: NIH GARD · Primary hyperoxaluriaGARD ID 16530 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Primary hyperoxaluria.

Explore the Primary hyperoxaluria blog

Explore research for Primary hyperoxaluria

Explore actively recruiting Primary hyperoxaluria studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Primary hyperoxaluria with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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