DIETARY ADVICE FOR RENAL STONE DISEASE PATIENTS IN INDIA

General Advice for stone patient

Drinking advice:

•         Balanced fluids

•         2.5-3.0 liters per day

•         Diuresis 2.0-2.5 liters per day

•         Specific gravity of urine < 1.010

•         Neutral beverages

•         Circadian drinking

Nutritional advice:

•         Rich in vegetable fiber

•         Rich in alkaline potassium

We prefer to give all our recurrent stone disease patients alkalinisers preferably with Vit B6 and magnesium every summer ...

•         Normal calcium (1000-1200mg/day)

•         Limited salt (4-5 gm/day)

In our opinion avoidnace of papad pickle is more important than avoiding tomotos ,brinjal(which most stone disease patients do...._

 •         Limited animal protein (0.8-1 gm/Kg/day)

            60 Kg- 60 gm/day or 250g 2/7

•         Limited sugars and fat

•         Limited oxalate intake

Life style advice:

•         BMI 18-25 Kg/m²

•         Stress limitation

•         Adequate physical activity

•         Balancing of excessive fluids

Should dietary calcium be restricted:

•         No

Foods to be avoided:

Cabbage,cauliflower,chicken,meat.fish,salty ood,pickle,beer,berries,amla,chickoo,mushroom,brinjal,bhindi,tomatoes,eggs,cucumber,cashewnuts,milk(more than 2 glasses per day),lot of diary products

Foods to be taken:

Pineapple juice,carrots,coconut water,karela,barley( preferrable made up of jowar),lime juice( donot take more than 1 ½ glasses per day),Horse gram(you can find out from Maharashtrian cuisine how to make items out of it),almonds,banana