Diet & Urolithiasis

Presented By:
Aabhas Aryal
Aakash Marasini
Aarati Sigdel
Aashish Pantha
Aasish Sharma
Definition
The formation of solid and semi solid concentrate

Mixed with variety of minerals, Proteinous material

Called Stone, Urinary calculi , Uroliths…….

OCCURANCE

Sex wise:
More on male

Age wise- Once cross 70 years old

Season wise
Dietary cause of urolithiasis

Hypercalciuria

Hyperuricosuria-Meat, Fish, Chicken, are restricted

Hyperoxaluria

Cystinuria

Renal tubular acidosis

Dietary cause of urolithiasis
Water

Dehydration- Risk factor of Urolithiasis

“Water is best”

Must drink 2 ltr of water in 24 hour period

Sequele of Urolithiasis
Soft and carbonated drinks

Sugary drinks - calcium & magnesium absorption

Caffeinated beverage is dehydrating

Dark soft drinks tends to contain oxalates

Contains Phosphate
Increase acidity
alcohol

Doesn’t lead to kidney stone formation

Controversial- Dehydration as well as increase urination
Balancing drinks

Fluid therapy considered as best solution for urolithiasis

Serving of alcohol within safe limit

1;1 ratio drinks and water

citrate

Act as a inhibitor to stone formation

Lemonade , Real lemon juice, Real lemon

Orange and carrot juice

Dietary fiber

Indigestible part of plant

Soluble and insoluble fiber

Insoluble fiber reduce calcium in the urine

Act as laxative
Dietary Vitamin

Deficency of vit. B6 produce stone in experimental animals

High dose – Use to treat kidney stone
Protein

Dietary protein to oxalic acid

Animal protein is a way more dangerous then plant one

Cysteine
Purine
Increase calcium as well as uric acid in urine
Sodium

Diet low in sodium effecting in reducing stone formation

Loss of calcium in the urine

Increase urinary pH
Reducing sodium in diet

Enjoying food without adding salt

Flavoring food with vinegar, herbs and spices

Decreasing food processing

Aim less salt use

Magnesium

Magnesium deficiency can cause stone formation

Magnesium act a stone inhibitor

Need of magnesium supplement for human

Magnesium deficiency cause of CKD
Sugar

Controversial

Sugar intake most be reduced in stone susceptible women

calcium

Decrease Dietary intake of calcium

Deleterious effect of reducing calcium

Others

Potassium – need of potassium rich fruit

Fat- not considered as risk factor

Carbohydrate -not consider as a risk factor