kidney stones (Nephrolithiassis)
There are many types of kidney stones like : calcium stones, oxalate stones, uric acid stones, cystine stones, melamine and indinavir stones and struvite stones .
In some case urine PH is also responsible for particular stone formation.
pH |
STATE OF URATE |
LIKELY STONES |
<5.5 |
Undissociated urate |
Uric acid stones |
5.5-7.5 |
Dissociated urate |
Calcium oxalate stones |
>7.5 |
Dissociated urate |
Calcium phosphate stones |
Lets understand cause and composition of stones
Causes and
composition of renal stones |
|
Pathogenetic causes |
Composition of stones
|
Hypercalciuria , hyperoxaluria, hyperuricosuria or hypocitraturia
|
Calcium oxalate |
Primary hyperparathyroidism |
Calcium oxalate |
cystinuria |
cystine |
infection |
struvite |
Acid urine pH |
Uric acid |
Hyperuricosuria |
Uric acid |
Renal tubular acidosis |
Calcium phosphate |
Alkaline urine pH |
Calcium phosphate |
Myths: any kind of Seeds or seeds containing vegetable like tomato , brinjal and guava can cause kidney stones
Fact: The seeds in fruits and vegetables cannot cause
kidney stones. A good intake of fruits and vegetable along with a healthy
balanced diet can be protective against various disease conditions including
kidney stones. all is depends on composition of stones this composition is
analyzed by a pathologist . if stones composition is calcium or oxalate , avoid
milk and milk product as well as other calcium rich food due to its calcium
content and green leafy vegetable due to oxalate content.
Myths:
Eating non-vegetarian food damages your kidneys.
Fact: Moderation is the key of healthy eating .Non-vegetarian
foods are rich in sources of protein along with micronutrients like B1, B2,
B12, iron and zinc. If eaten in moderation as suggested by a Dietitian, it does
not cause any harm to your kidneys.
Myths:
Patients with kidney disease should drink large amount of water.
Fact: only in case of reduced urine output
maintaining water balance is essential . Those with kidney stones or normal
kidney function can have water minimum 3 litres per day
Myths:
Eliminate green vegetables completely to control stone formation.
Fact:only green leafy vegetable are avoided if the
stones composition if found rich in oxalate .
green vegetables is the vital food group in our diet.
cutting vegetable can cause a lots of deficiencies . oxalates also found in dairy products so eat the food under the guidance of a dietitian .
Myths:
All Fruits should be avoided during kidney disease.
Fact: Fruits are rich sources of Vitamin C, beta
carotene, dietary fibre, antioxidants and phytochemicals. Some fruits are also
rich source of potassium which may be restricted in kidney disease. Hence,
people with kidney disease are often prescribed low potassium fruits. Fruit
juices are a concentrated source of potassium devoid of the fibre and hence,
should be strictly restricted in people with kidney disease. Consult a
dietitian to know which fruits are suitable to your condition.
Myths:
Consuming Calcium rich foods causes Kidney stones
Fact: only calcium rich food should be restricted if the stones composition is found rich in calcium .
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