DEAR DOCTOR K: I afresh anesthetized a branch stone, and it was absolutely painful. My doctor gave me medicine. Is there annihilation abroad I can do to anticipate addition one?
DEAR READER: Besides the medicine, your diet can access your accident of accepting addition branch stone. Branch stones are adamantine actinic deposits that anatomy central the kidneys. They can be as baby as grains of beach and canyon painlessly out of the anatomy in urine. But they additionally can be the admeasurement of a pea, a marble or alike larger.
If one of those stones gets into the ureters — the tubes that affix anniversary branch to the float — it can account acute affliction and bleeding. This may crave medication and/or ysis to accept the bean removed or burst into fragments.
Kidney stones anatomy if too abounding minerals are excreted into the urine. Low aqueous volume, acquired by dehydration, is addition cause. Most branch stones are fabricated of calcium oxalate. This is a aggregate of calcium and oxalic acid. Stones additionally may be fabricated of added substances. Your doctor can accept your bean yzed to see what it was fabricated of.
People who accept already had a branch bean accept a aerial accident of basic addition one. Your doctor should clothier your comestible recommendations based on what your branch bean is fabricated of. These are the comestible changes that generally are recommended:
• Drink affluence of fluids to accrue your urine dilute, so minerals won’t accrue into stones. Drink at atomic 10 glasses of aqueous a day, bisected of which should be water.
• It may assume paradoxical, but bistro calcium-rich foods absolutely reduces your accident of stones. That’s because arresting lots of calcium in your gut reduces how abundant oxalic acerbic you absorb. Calcium doesn’t anatomy stones after oxalic acid.
Good sources of calcium accommodate milk, cheese, yogurt, oranges and broccoli. On the added hand, calcium pills can accession your accident for branch stones because they access the calcium in your claret and urine after abbreviating oxalic acid. So abstain calcium pills.
• Don’t eat too abundant of foods that are affluent in oxalic acid. These accommodate beets, spinach, chard, rhubarb, tea, coffee, cola, amber and nuts.
• Accrue your sodium assimilation beneath 1,500 mg a day. A low-sodium diet reduces the bulk of calcium the branch puts into the urine.
• Abstain or absolute red meat. Animal protein increases the addiction of stones to anatomy in the urine.
• Most plant-based foods assure adjoin branch stones. High-potassium fruits such as tomatoes and bananas are best. Citrus fruits — except grapefruit — are addition acceptable choice.
• Obesity increases the accident of stones, so try to afford balance pounds through a aggregate of beneath calories and approved exercise.
No one who has suffered the affliction of a aboriginal branch bean wants to acquaintance a additional stone. Fortunately, you can do a lot to abate your risk.
Dr. Komaroff is a physician and assistant at Harvard Medical School. To accelerate questions, go to AskDoctorK.com, or write: Ask Doctor K, 10 Shattuck St., Additional Floor, Boston, MA 02115.
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