It is very important for urolithiasis during the day to use from 2 to 2,5 liters of clean drinking water (you can boil the dogrose). Juices, fruit drinks, compotes, teas and other liquid do not count. In general, stones begin to form against the background of an increase in the concentration of ions in the urine, therefore, the more the water is filtered and leaves with urine, the better, the concentration will decrease.
Amino acid (cysteine and xanthine stones) are not subject to correction by medical nutrition, since they are formed in genetic pathologies. If certain recommendations are observed, urate stones can be removed. Oxalates or phosphoric-calcium stones are almost insoluble, dietary nutrition will only prevent the formation of new stones.
Oxalates are crystals of calcium oxalic acid salt, they are formed with increased intake of oxalic acid or vitamin C with food products, as well as with increasing absorption of oxalic acid against a background of lack of calcium and vitamin B6.
It is required to substantially limit consumption:
- salts (especially children, because oxalates are most often formed in childhood);
- carrots, tomatoes, green beans;
- chicken and beef meat;
- citrus fruits;
- black and red currants, dogrose, gooseberries, blueberries;
- acid varieties of apples;
- young greenery;
- tea, coffee (drink preferably not strong with milk).
The ration is allowed to include:
- potatoes, cauliflower, pumpkin, peas, aubergines, prunes, red beans;
- pear, apples of sweet varieties, plums, grapes (recommended grape days), dogwood, apricots, bananas, watermelons;
- all cereals and whole grains (especially buckwheat, wheat bran, oatmeal);
- otrubnoy bread;
- dairy products (preferably in the morning);
- infusions of half-pala, madder of dyeing, birch leaves and roots of violets;
- fish of low-fat varieties.
With no severe oxaluria, an adjustment diet is not required, but with a prolonged course of the disease, the risk of developing secondary inflammation (pyelonephritis) is high, which leads to alkalinization of urine and provokes the formation of phosphate stones. With a similar condition, it is difficult to develop a diet, since it is important to consider and combine the requirements of two diets.
Breakfast: cottage cheese (100 grams), 200 ml of tea with milk, a slice of bread and butter.
Lunch: gruel porridge on milk (150 g), mussel from cowberry (it is possible from a jam) (250 ml).
Dinner: Vegetarian vegetable soup (250 ml) with the addition of sour cream, a slice of bread, berry compote (250 ml).
Afternoon snack: casserole from pasta and cottage cheese (150 g), fruit jelly (250 ml).
Dinner: 100 g of baked beef, boiled potatoes with carrots (150 g), a glass of mineral water.
Second Supper: not a big bun (not baking), a glass of cranberry mors.
Their formation occurs against the background of a surplus in the urine of the product of purine metabolism – uric acid, as well as with an acid reaction of urine. Therefore, the diet provides in this case, a decrease in nutrition of foods rich in purine bases, as well as alkalinization of urine. The diet is milky-vegetative.
- porridge (buckwheat, millet, barley cereal);
- macaroni, bread;
- dried fruits, sweets (except chocolate), honey, jam, marmalade;
- potatoes (especially useful baked or “in uniform”), tomatoes, sweet peppers, eggplant, cucumber, radish (especially in combination with honey) beets;
- nuts and seeds;
- Milk and sour milk products, cottage cheese and cheeses;
- any berries and fruits (especially pears, apples, watermelons, apricots and peaches);
- mineral water, lemon juice, fruit drinks, juices (especially carrot);
- dairy and vegetarian soups (on vegetable broth with the addition of boiled meat);
- parsley, dill, green onions;
- in a small amount of spice;
- broths of cornflower, clover, black currant leaves, dandelion roots and burdock.
Fasting with this type of stone is completely contraindicated, since its effect is acidification of the internal environment of the body and increased formation of uric acid settling in the kidneys. But unloading days (1-2 times a week) will be very welcome (vegetable (1,5 kg per day), dairy or kefir (1-2 l per day), fruit (apple 1,5-2 kg)). The intake of liquid these days is not limited.
First breakfast: a pudding of carrots, millet and apples (a piece of 100 g), a glass of tea with milk, 150 g of vegetable salad (dressing – vegetable oil).
Lunch: broth of dogrose (250 ml), bun, but not baking.
Dinner: 250 ml vermicelli soup on milk, a slice of bread, potato cutlets (150 g), berry compote (250 ml).
Afternoon snack: two apples.
Dinner: cabbage rolls with boiled rice and vegetables (200 g), a glass of mineral water.
Second Supper: broth from wheat bran (250 ml).
Calcium salts of phosphoric acid (apatite) are formed due to impaired phosphoric-calcium metabolism, so the therapeutic diet is aimed at acidifying urine.
- meat and fish (including seafood);
- vegetables (pumpkin, beans, peas, lentils, asparagus, Brussels sprouts);
- sour berries (cranberries, currants, cranberries);
- macaroni, bread and bakery products (except baking);
- porridge and soups (vegetable);
- butter and vegetable oil;
- egg white (sometimes);
- broths of dogrose and fruit drinks (especially from cranberries and cowberries);
- Apples and juices from sour varieties of apples and grapes;
- mineral water;
- not strong meat and mushroom broths;
- moderately sweets;
- salt (10-12 g per day).
In the presence of atherosclerosis, despite the possible use of meat and fish in this diet, these products should be limited.
First breakfast: 100 g buckwheat porridge, a glass of tea, egg white.
Lunch: a glass of wild rose broth, not a bun.
Dinner: serving 250 ml soup with meatballs, a slice of bread, a glass of berry compote (you can use dried berries).
Afternoon snack: meat cutlet (no more than 100 g), a glass of jelly.
Dinner: 100 g of baked chicken meat, 100 g of boiled rice, a glass of mineral water.
Second Supper: a glass of tea and a grain slice of bread.