To avoid the pit of kidney stones, you may wish to do a "private custom" metabolic assessment

Seven days off and about to get ready for work, but if you don't pay attention a little, there are some diseases that take advantage of the fire to hit the "festival" to find the door, such as kidney stones
.
How painful a stone attack is, I think anyone who has experienced it does not want to experience it again
.
According to research statistics, nearly half of kidney stone patients have relapsed within 5 years, and the multidisciplinary science popularization team of urological calculus stones in Peking Union Medical College Hospital "Xieyu Fossil" said that the prevention and treatment of kidney stones is particularly important and must avoid these pits
.
In fact, if you are willing to go to a professional clinic for urinary stone metabolism assessment, you can help you "customize" personalized preventive measures
.

Can drinking more water and urinating more prevent kidney stones?

This concept may not seem like a big problem, but it is different if people have a misunderstanding of
"water".
Some people like to drink fruit juice, drink tea, drink soup, but most of the juice contains a lot of sugar, strong tea, especially fermented tea contains oxalic acid, soup contains salt, broth also contains high purines, these "water" contains ingredients may promote the formation
of kidney stones.
In addition, some patients have too strict a choice of "water", such as whether to drink soda water, not to drink mineral water
.
In fact, if the doctor does not have a special account, the water is usually OK
.
If you are really entangled, then drink cool and white
.

In addition, the amount of water to drink is appropriate, in fact, it needs to be estimated
according to the amount of urine.
If there is no heart failure, kidney failure and other restrictions on drinking water, it is recommended that patients with kidney stones have a daily urine output of more than 2000-2500ml, which will have positive significance for diluting urine and promoting the discharge of stones, so it is necessary to decide how much
water to drink according to the amount of urine.
In general, the urine volume of each urine in adults is about 300-500ml, and the color will become lighter after dilution of urine, so it can be used to urinate more than 5 times a day, and the urine is clear and
yellowish to simply assess whether to drink enough water.

Don't drink milk, don't eat tofu, don't eat calcium tablets?

The main component of kidney stones is calcium, but the "calcium restriction diet" may not be able to prevent stones, and even in some cases, it will become an accomplice
to the formation of stones.
Why? First of all, if the calcium intake in the diet is insufficient, the body may lose calcium in the bones faster
in order to maintain the stability of calcium content in the blood.
Not only does this not reduce the amount of calcium in the urine, but long-term "calcium restriction diet" may also cause osteoporosis
.

Secondly, if the calcium in the food is not enough, oxalic acid cannot be combined with calcium in the intestine, and it is excreted through feces, it will take another way, that is, too much oxalic acid is absorbed by the intestine, resulting in an increase in the concentration of uric oxalic acid, which instead promotes the formation and growth
of calcium oxalate stones.

Therefore, people with stones usually do not recommend a "calcium-restricted diet", but instead encourage taking milk with meals and increase the intake
of calcium-rich foods such as tofu.
Since milk or yogurt has the highest absorption of calcium in dairy products such as milk or yogurt, it is generally recommended to drink at least 500ml
of milk daily.

As for whether calcium tablets can be taken, it is necessary to distinguish whether calcium tablets are only used for "health care" or "treatment"
.
If used only for "health care", it is usually not recommended to take it, but it is recommended to supplement the diet with adequate calcium, because additional calcium intake may cause a transient increase in blood calcium and urinary calcium, which may adversely affect
the stones.
If it is necessary for the treatment of diseases, such as some patients with osteoporosis, patients whose food cannot supplement calcium in sufficient amounts, and who add calcium under the advice of a doctor, should still take into account the treatment of kidney stones and other comorbid diseases, and take it
under the guidance of a doctor.

In addition, it is important to note that another class of drugs that may cause elevated urinary calcium - active vitamin D, such as calcitriol
.
Therefore, when taking such drugs, doctors often require regular monitoring of 24-hour urine calcium test indicators
.

Can't people with kidney stones eat spinach?

Spinach is high in oxalic acid, and eating too much spinach may cause an increase in urinary oxalic acid, but due to the different mechanisms of kidney stone formation of different components, it is only necessary to limit the dietary intake
of oxalic acid only if calcium oxalate stones are considered by clinical history or stone analysis or if there is a clear hyperoxaluria.
And the restriction does not mean that it is completely inedible, on the one hand, it can be appropriately reduced in the original eating habits, on the other hand, appropriate cooking methods can be taken, such as boiling spinach with boiling water, removing the astringency and then discarding the soup to eat, you can better remove a large number of oxalic acid components
.

However, even in patients with clear calcium oxalate stones, it is not enough to limit oxalic acid intake, because only about 50% of the oxalic acid excreted in the human urine comes from the food we eat (exogenous intake), and the vast majority (50%-60%) of uric oxalic acid comes from the body's metabolic metabolism
.
In the body's metabolism, endogenous production of oxalates is produced by synthesis in the liver
.
When the intake of animal meat is too much, the body's metabolic diseases appear, which will cause the liver to produce more oxalic acid, resulting in high
urinary oxalic acid.
Therefore, the prevention and treatment of urinary stones depends on comprehensive lifestyle management
.

Correct prevention of kidney stones

Healthy and regular lifestyle is conducive to the prevention of kidney stone recurrence, daily can actively avoid high fat, high sugar, taste heavy salt, like to eat pickled processed foods and other bad eating habits, light and low-fat diet, daily salt intake should be limited to 3-5g, appropriate intake of protein (0.
8-1.
0g / kg / day), balanced intake of sufficient vegetables, intake of rich potassium and magnesium, to ensure the appropriate intake of calcium in the diet, adequate drinking water, suitable for exercise
.

Since the composition and risk factors of kidney stones may vary from patient to patient, it is recommended that patients with the condition perform precise prevention of kidney stones, find individualized risk factors, and take personalized preventive measures
.
This "private customization" process is the metabolic assessment
associated with kidney stones.
In both the latest guidelines of the U.
S.
and European Urinary Associations, patients with first-time renal stones or recurrent episodes of kidney stones are recommended to have a specialized outpatient clinic for a metabolic assessment
of nephrolithiasis.

Urological Stones Multidisciplinary Science Popularization Team "Xieyu Fossils"

Urological calculus stone multidisciplinary science popularization team "Xieyu Fossil" is a multidisciplinary urological calculus stone metabolism assessment medical team composed of urology, nephrology, endocrinology, clinical nutrition, health care medical department, health care department, health care department, is committed to disseminating the knowledge of the prevention and treatment of kidney stones and related metabolic diseases, taking kidney stones as the starting point, exploring the metabolic problems of the whole body, and helping
to scientifically, accurately and effectively maintain the health of kidney stone patients.