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Tuesday, September 20, 2011

Diet for Kidney Stone Prevention

When you have renal stones, the best suggestion I can give you is well, the kidney stone diet. As the name suggests, this diet tackles all the guidelines you must have to manage your kidney stone. In the first place, kidney stones happen because there is a calcification in your urinary system. They form primarily on the kidneys but they can migrate to the lower urinary system. Hence, they are typically asymptomatic until they pass into the lower urinary system.

Up to 4% of the population in the United Stares has kidney stones. About 12% of males have renal stone by the age of 70. More than 200,000 americans require hospitalization for treatment of stones each year. It is so recurrent to the point that half of the patients affected will develop another bout of renal calculi in the next 10 years. Most common calculi are composed of calcium oxylate (70-80%), uric acid (10%), struvite (9-17%), or cystine (less than 1%). The most common signs and symptoms include low urine output, high urine pH (making it alkaline), excessive urinary excretion of calcium, oxalate, uric acid, or combination of these substances.

Type and cause of stone formation provide details on how to manage kidney stones. A comprehensive dietary history taking might also be needed to be able to point out the portion of the patient's diet that triggered the formation of kidney stones. Generally, treatment options include restrictive diet and modifications. Here are some guidelines on the kidney stone diet:

-Tailor diet to specific metabolic disturbances and individual dietary habits to ensure compliance

-Calcium restriction should be avoided

-Calcium and oxalate must be in balance

-Limit intake of spinach, rhubarb, beets, nuts, chocolate, team wheat bran, and strawberries

-Do not exceed recommended daily allowance for vitamin C as it increases urinary oxalate excretion

-Animal protein should be regulated to 1 g/kg body weight

-Salt intake should be restricted to less than 100 mEq/dl

-Potassium intake should be encouraged (five or more servings of fruits and vegetables each day

-Include high fluid intake to produce at least 2 liters of urine/day (2-3 L of water intake/day is recommended)

From my experience as a nurse, it is always better to try less invasive procedures until all options become exhausted. Which is why following a proper diet and drinking plenty of fluids should be your first and primary thing to do.

Fortunately, most clients pass the stone naturally from the ureter and bladder. If the stone does not move, if it causes obstruction, or if X-ray suggests that the stone is too large to pass safely into the urethra, more invasive treatment is necessary.

The kidney stone diet is not rigid. In fact, it helps you work around your usual diet in order for you not to feel as though you are in a strict regimen.

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