5 tips to keep away kidney stones

Drink enough water to produce 2-2.5 quarts/liters of urine every day. Recommendations to drink a set amount of water daily do not take into account how much water a person needs, which can vary depending on activity level and other factors. It is more reliable to consider how much urine comes out, or how many times one urinates daily.

Follow this link to an updated version of this post

What you should know to avoid kidney stones

Stones, or urinary tract calculi, don’t usually cause symptoms as long as they stay in the kidney. But if they migrate down into the ureter, the tiny tube that connects the kidneys to the bladder, trouble begins. As the stones try to wiggle their way down the narrow passageway, spasms of pain result; and the…

No, these are not kidney stones but if, like me, you have had one, it probably felt this big.

Almost nothing compares to the agony of kidney stones; it is often compared to the pain of labor and childbirth; I can attest to that, having had both.

big rocks
not kidney stones

Called renal colic, the pain of kidney stones is similar to the episodes of crying and distress in infants. (I will have a post on infant colic soon.)

Stones, or calculi, don’t usually cause symptoms as long as they stay in the kidney. But if they migrate down into the ureter, the tiny tube that connects the kidneys to the bladder, trouble begins. As the stones try to wiggle their way down the narrow passageway, spasms of pain result; and the bigger the stone the worse.

The urinary tract- kidney, ureters and bladder
The urinary tract- kidney, ureters and bladder

Fortunately, most stones eventually pass into the bladder and out the body through the urethra. Some get stuck and must be removed. Occasionally, large stones can block the kidney, leading to infection. But , once you have had a stone, you want to prevent another.

What causes kidney stones?

We know what substances cause most stones- chemicals that normally pass through the urine but  sometimes build up, harden and form into tiny rock -like structures called calculi. These chemicals mostly come from food, so  changes in diet are one way to prevent new stones from forming.

5 tips to keep away kidney stones-watercresswords.com

Steps to stopping kidney stones

These steps can help lessen the risk of new stones in people who have already had one. We don’t know if it applies to people who have never had any stones. Check with your doctor to see if any of these are right for you.

Drink enough water to produce 2-2.5 quarts/liters of urine every day.

Recommendations to drink a set amount of water daily do not take into account how much water a person needs, which can vary depending on activity level and other factors. It is more reliable to consider how much urine comes out, or how many times one urinates daily.

Limit the amount of sodium, salt, in the diet.

Since the majority of stones contain calcium, it might make sense to limit calcium. But the kidneys spend more time filtering sodium; so with less sodium, more calcium can  be filtered out  and not be available to make stones. Here are 5 tips to reduce salt intake from WebMD

Limit intake of oxalate rich foods.

peanuts in the shell

Oxalate is another chemical found in kidney stones. It comes from eating rhubarb, spinach, tea, nuts and cocoa.

Although watercress and other greens contain oxalate, it’s probably not necessary to avoid them entirely; they also are a good source of calcium which attaches to the oxalate, removing both from the body. Moderate amounts with adequate fluid intake should be safe, unless your doctor tells your otherwise.

Limit intake of non-dairy animal protein.

two fried eggs on toast

eat more fruits and vegetables

Drink beverages with lime and lemon juice.

fresh vegetables-lettuce, tomatoes, radishes

Get expert advice about kidney stones at these links.

Eating tips from the National Kidney Foundation

Watch a brief video about kidney stones from MedlinePlus  here.

Print a PDF handout at this link-  Preventing Kidney Stones -from the American Academy of Family Physicians

exploring the HEART of health

Thank you for joining me to explore the HEART of health. I hope you’ve learned something. Please contact me about topics you want to read about.

Dr. Aletha

Heartburn, hernias, and how to lose weight – a Q&A post

Today I am answering a medical question about my recent post on a new option for weight loss without using drugs or invasive surgery.

The ReShape Integrated Dual Balloon System was approved by the U.S. Food and Drug Administration in July 2015.  The device can be  offered to adults with

  • BMI 30-40
  • At least one obesity-related condition- hypertension, diabetes, elevated cholesterol

The device is placed into the stomach by going through the mouth and down the esophagus with a tube called an endoscope. It takes about 30 minutes and requires only a mild sedative, not general anesthesia. Once in the stomach the “balloon” is inflated; by taking up space in the stomach it can trigger a feeling of fullness.

ReShape Dual Balloon
The balloon sitting in the stomach. The esophagus is at the top entering the stomach.

Patients  follow their eating and exercise plan and the device is removed in 6 months.

My reader asked if people with heartburn, reflux or a hiatal hernia can use the device safely and effectively. So first let’s understand what these mean.

Heartburn should probably be called “esophagus burn”. It’s that painful sensation in the chest due to acid from the stomach flowing backwards into the esophagus- that’s called reflux, or gastro-esophageal reflux, aka GERD (the D is added to call it a Disease if it’s frequent, persistent, or severe).

A hiatal hernia is related to GERD but not the same thing. To enter the stomach, the esophagus passes through a hole or hiatus in the diaphragm – the large flat muscle that separates the chest from the abdomen. Sometimes this hole becomes stretched so much that part of the stomach gets pulled up into the chest (where it should not be). This enlargement is called a hernia, in this case a hiatal hernia.

In many cases a hernia is associated with  reflux of stomach contents but the person may not experience heartburn. Or,a person can have reflux  and heartburn without the hernia.

Here is an overview of heartburn from FamilyDoctor.org.

Thanks to Pixabay for this nice illustration of the digestive tract.

digestive organs
the human digestive system

Now to answer the question.

ReShape Medical writes on the web site that the device should not be used if the hiatal hernia is larger than 5 cm, about 2 inches.  Even with a smaller hernia, it should not be used if reflux symptoms are severe and persistent.

Persons with any condition affecting the esophagus, stomach or intestines, or previous surgery in these organs probably should not consider this weight loss method. Unfortunately, since so many people experience gastrointestinal disease, this method’s use will be limited.

But there are other weight loss options so just because this one won’t work, don’t give up trying. Here are some other ideas to consider if you want to lose weight.

breaking up with junk food

using weight loss medication

how motivation helps manage weight

Thanks for asking and please, ask another medical question soon.