Tuesday, March 19, 2013

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


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