Diets

Oxalate Kidney Diet

General rules

In the structure of deferred calculi in the ICD oxalates (salt calcium oxalate) occupy a leading place.

The main predisposing factor for the formation of calcium-oxalate stones is hyperoxaluria, which refers to high urinary excretion (more than 40 mg per day) oxalic acid. An oxalic acid anion combines with a calcium cation to form a soluble salt calcium oxalatemost often in the form of a monohydrate - wavellite (calcium oxalate monohydrate) and dihydrate - Weddel (calcium oxalate dihydrate).

One of the reasons for the formation of oxalate calculi in the kidneys is an excessive intake of oxalates from food or an increase in intestinal permeability, which contributes to increased penetration oxalic acid through the intestinal mucosa and its entry through the kidneys into the urine.

This is due to a deficiency of calcium that binds oxalates in the intestines. High absorption of oxalates in the intestine is mainly associated with a violation of the digestion of fats. Increased oxalate formation may also be due to excessive consumption. ascorbic acid, including synthetic, which is metabolized in the body to oxalic acidinsufficient dietary magnesium and vitamin b6. In this regard, in complex treatment oxalate urolithiasis diet therapy prevails.

Hypooxalate diet is aimed at:

  • exclusion / limitation of foods high in oxalic acid from the diet;
  • normalization of the exchange of oxalates;
  • decreased synthesis of oxalates in the body;
  • decreased absorption of oxalates in the intestine;
  • active excretion of oxalates in the urine;
  • deficit elimination vitamin b6 and magnesium.

The diet for oxalate kidney stones provides for the complete exclusion from the diet of foods containing large amounts of oxalic acid - offal (kidneys, tongue, brain, liver), meat and fish broth, salted fish, spicy salt cheese, jellied meat, spinach, sorrel, chocolate , gelatin, rhubarb, tomatoes, celery.

For quantity reference oxalic acid 4 product groups can be distinguished:

  • a large amount (> 1 g / kg) - in spinach, parsley, cocoa beans, rhubarb, chocolate, sorrel, celery;
  • moderate amount (0.3-1.0 g / kg) - in chicory, tea, carrots, green beans, beets, onions, tomatoes;
  • a small amount (0.05-0.3 g / kg) - in apricots, fresh cabbage, Brussels sprouts, bananas, currants, potatoes.

Baked Cauliflower

Minimal amount oxalic acid have cucumbers, eggplant, pumpkin, lettuce, mushrooms, cauliflower, peas. However, the content of oxalic acid in products is largely determined by the type of soil and the technology of their cultivation.

If a stone is found in the kidneys and an inflammatory process develops in the kidneys or urinary tract, the following is prohibited: spicy foods, seasonings, pickles, smoked meats, marinades, horseradish, mustard, vinegar, fish caviar, onions, garlic, eggs (1 egg per day), alcoholic beverages .

With oxalates in the kidneys, to reduce absorption in intestinal pathology, you should limit the intake of fats to 60 g in the diet and include foods with a sufficient calcium content in it. It is also recommended to reduce the amount of carbohydrates in the daily diet to 300 g, since it is possible to synthesize oxalic acid in the intestines from carbohydrates under the influence of intestinal bacteria.

The amount of protein is at the level of 100 g. At the same time, meat, poultry, cooked sausages are consumed only in moderate amounts (up to 150 g / day), it is better in boiled form. It is also necessary to limit the consumption of milk, cottage cheese and cheese, but you do not need to completely abandon them. Preference is given to sour-milk and non-fat dairy products and to use them is recommended in the morning.

Since oxalates in MKD are often formed with a lack of magnesium and vitamin b6 the diet should include foods rich in magnesium: wheat bran, oatmeal, buckwheat, pearl barley, wholemeal bread, dried apricots, oatmeal, peas, soybeans, seaweed, beans, radish. In this case, magnesium oxalateswhich compared to calcium oxalates well soluble in water.

Limit high-content foods Vitamin C - gooseberries, currants, rose hips, cranberries, oranges, tangerines, mountain ash, wild strawberries, grapefruit, strawberries, lemon, wild leek, sweet red pepper, dill, horseradish.

To prevent the precipitation of calcium oxalates in the form of sediment and reduce the concentration of oxalic acid in the urine, it is necessary to ensure high diuresis (in the absence of contraindications) by increasing the intake of free fluid - up to 3.0 liters per day and limiting the intake of sodium chloride, which retains fluid in the body. At the same time, it is necessary to use the liquid not just in the form of water, but alternating with juices, fruit teas, compotes, decoctions (vegetable and fruit), since weak organic acids (malic, citric, lactic, benzoic, formic, fumaric) contained in these drinks dissolves oxalate stones.

Essentuki healing mineral water №4

Diet for oxalates in the urine involves drinking beverages and foods that contribute to change pH urine. To alkalize urine, it is recommended to include mineral water in the free fluid volume Naftusya, Truskavetskaya, Berezovskaya, Essentuki №4 and №20, Luzhansk, Morshinskayaas well as cucumber and other vegetable juices.

The presence of oxalate salt in urine is also found in children of different ages. At the same time, the appearance in the urine of a child of oxalates may also be a sign of the presence of another pathology, which will be discussed in the appropriate section below.

A few words about oxalaturia. Oxalaturia (oxalate diathesis), is, in fact, a harbinger urolithiasis. Against this background, the threat of the formation of "sand" or stones in the kidneys sharply increases. However, with oxalaturia, there is no urgent need to observe a very strict milk-vegetable ("alkaline") diet. It is enough to exclude foods rich in oxalic acid from the diet, as well as limit foods containing carbohydrates, salt, strong broths, fried meat and fish. It is important to control indicators pH urine given that pH in the range of 5.5-6.5 is optimal for the precipitation of oxalic acid salts.

There are no special requirements for the culinary processing of products, but at the same time it is preferable to boil or stew the products.

Indications

  • Oxalaturia in adults and children.
  • Urolithiasis disease in the presence of stones of oxalate etiology.

Allowed Products

It is allowed to eat fish, meat and poultry of low-fat varieties in baked / boiled form in small quantities, wheat and rye bread from second-grade flour, vegetable oil, cereals, from almost all cereals (buckwheat, pearl barley, oat, wheat), dairy products (sour cream , dairy products, butter (in the morning).

From vegetables and fruits, the diet includes cauliflower and white cabbage, boiled potatoes, eggplant and squash caviar, carrots, eggplant (in moderation), pumpkin cucumbers, apricots, bananas, grapes, pears, prunes, apricots, cilantro greens, non-sour apples, watermelons, melon, peaches, dogwood, quince, mountain ash.

From drinks - juice from dried apricots, pears, prunes, birch, cucumber juice, compotes, jelly, slightly alkaline mineral waters.

Approved Product Table

Proteins, gFats, gCarbohydrates, gCalories, kcal

Vegetables and greens

zucchini0,60,34,624
broccoli3,00,45,228
Brussels sprouts4,80,08,043
cauliflower2,50,35,430
carrot1,30,16,932
cucumbers0,80,12,815
pumpkin1,30,37,728

Fruits

apricots0,90,110,841
quince0,60,59,840
bananas1,50,221,895
pears0,40,310,942
melon0,60,37,433
peaches0,90,111,346

Berries

grape0,60,216,865

Nuts and dried fruits

prunes2,30,757,5231

Cereals and cereals

buckwheat groats (kernel)12,63,362,1313
oat groats12,36,159,5342
cereals11,97,269,3366
Wheat groats11,51,362,0316
wheat bran15,13,853,6296

Bakery products

wheat bread8,11,048,8242

Milk products

milk 1%3,31,04,841
kefir 1%2,81,04,040
sour cream 10% (non-greasy)3,010,02,9115

Meat products

cooked beef25,816,80,0254

Bird

turkey19,20,70,084

Eggs

chicken eggs12,710,90,7157

Fish and seafood

boiled fish17,35,00,0116

Oils and Fats

butter0,582,50,8748

Soft Drinks

mineral water0,00,00,0-

Juices and compotes

apricot compote0,50,021,085
Birch juice0,10,05,824
the grape juice0,30,014,054
jelly from dried apricots0,40,012,954
cucumber juice0,80,12,514
* data are per 100 g of product

Fully or partially restricted products

Products rich in oxalic acid, such as strong tea, sorrel, spinach, offal (kidneys, tongue, brain, liver), fatty meats and fish, bread kvass, jelly, gelatin-containing foods, cocoa, coffee, chocolate, rhubarb, are completely excluded from the diet. , mushrooms, pickled vegetables. During the period of exacerbation, the use of potatoes, beets, tomatoes, onions, carrots is also limited. Salted cheeses, canned food, smoked meats, fish caviar, as well as soups cooked on strong broths (meat, fish and mushroom) and containing legumes, spinach, sorrel, and vegetable caviar are excluded.

The consumption of milk is limited (up to 250-300 g per day), dairy products and lean meat (not more than 150 g / day), fatty sausages, pork, beef and cooking fat, pasta. Foods containing many are reduced in the diet Vitamin C - lemon, grapefruit, oranges, currants, wild rose, garden rowan, Antonov apples, strawberries, gooseberries, cranberries, tangerines, sweet peppers, horseradish, dill, wild garlic. The restriction also applies to sodium chloride (up to 3-4 g / day), pepper, spices, eggs (no more than 2 per day), sugar (no more than 30 grams).

Prohibited Products Table

Proteins, gFats, gCarbohydrates, gCalories, kcal

Vegetables and greens

salad pepper1,30,05,327
rhubarb0,70,12,513
celery0,90,12,112
dill2,50,56,338
horseradish3,20,410,556
sorrel1,50,32,919

Fruits

oranges0,90,28,136
grapefruit0,70,26,529
tangerines0,80,27,533

Berries

wild strawberries0,80,47,541
cranberry0,50,06,826
gooseberry0,70,212,043
Rowan1,50,110,950
currant1,00,47,543
rose hip1,60,014,051

Mushrooms

mushrooms3,52,02,530

Chocolate

chocolate5,435,356,5544

Raw materials and seasonings

ketchup1,81,022,293
mayonnaise2,467,03,9627

Milk products

sour cream 30%2,430,03,1294

Cheeses and cottage cheese

cottage cheese 18% (fat)14,018,02,8232

Meat products

pork liver18,83,60,0108
pork kidney13,03,10,080
pork fat1,492,80,0841
beef kidneys12,51,80,066
beef brains9,59,50,0124

Sausages

smoked sausage28,227,50,0360
smoked sausage16,244,60,0466

Bird

smoked chicken27,58,20,0184
smoked duck19,028,40,0337

Fish and seafood

smoked fish26,89,90,0196
salted fish19,22,00,0190
Red caviar32,015,00,0263
cod roe24,00,20,0115
pike caviar17,32,00,087
salmon19,86,30,0142
sturgeon16,410,90,0163
canned fish17,52,00,088
sardine20,69,6-169
cod (liver in oil)4,265,71,2613

Oils and Fats

cream margarine0,582,00,0745
melted beef fat0,099,70,0897
cooking fat0,099,70,0897

Alcoholic beverages

vodka0,00,00,1235
cognac0,00,00,1239

Soft Drinks

coffee0,20,00,32
black tea20,05,16,9152
* data are per 100 g of product

Menu (Power Mode)

The menu is based on a list of allowed / forbidden products.

Diet: 5 times a day, in small portions.

For children

Since the urinary system of children is physiologically immature, the kidneys, in some cases, are not yet able to fully support the dissolved salts. First of all, non-episodic increased content oxalates in the urine of a child should be a serious reason for his in-depth examination and the exclusion of pathologies of the development of the urinary system and diseases (intestinal infections, kidney diseases, endocrine diseases). However, most often, the presence of oxalates in the urine of a child is caused by an unbalanced diet with the consumption of foods rich in oxalic acid, insufficient fluid intake or intense sweating (with increased physical exertion, hot weather). The acceptable norm is the episodic presence of calcium salts of oxalate in the urine in a concentration of "++".

The diet for oxaluria (a diet for children) has some features that determine the nature of the diet and drinking regimen. Despite the general approaches to allowed and forbidden foods, a hypooxalate diet should not just copy the diet of adult nutrition, but also take into account that the growing body of a child needs sufficient intake of proteins, fats, carbohydrates, minerals and vitamins. Therefore, only products with an oxalic acid content of more than 50 mg / 100 g should be excluded from the diet and foods with its content from 5 to 50 mg / 100 g should be limited.

It is also unacceptable to deprive a child of dairy products - at this age, the skeleton is actively formed and insufficient calcium in the diet can lead to negative consequences. It is important to monitor the amount of daily intake in the body vitaminsas with products - blackcurrant, rosehip, Antonovka, radish and others, and with drugs, since the formation of oxalic acid in the body increases with its consumption of more than 150-200 m / day.

The drinking regimen of the child requires special attention. The daily volume is recommended to be increased by 50% of the required age volume. At the same time, it is especially important not to limit the intake of fluid at bedtime, but rather, in the evening, the amount of fluid consumed should be increased. It is recommended to use slightly alkaline mineral waters, fruit drinks from cranberries or cranberries, tea from cherry and pear leaves, and a decoction of flax seed before meals.

Advantages and disadvantages

prosMinuses
  • Available on a set of products and not expensive.
  • Normalizes the content of oxalic acid in the body, with oxaluria reduces the risk of formation of conglomerates of oxalate etiology.
  • Long period of being on a diet.
  • Effective mainly with oxaluria and the initial stages of the formation of oxalate stones.

Advice

  • To increase the effectiveness of dietary nutrition, it is recommended to lead an active lifestyle (high physical activity - playing sports, fitness).
  • Avoid emotional stress.
  • Do not abuse alcohol.
  • Control your weight as urolithiasis more common in obese patients.

Feedback and Results

Reviews about diet with urolithic urolithiasis vary significantly. Obviously, this should be so, since dietary nutrition in the presence of already large formed conglomerates of oxalate etiology is weakly effective. Conversely, with oxaluria, the appointment of a diet can prevent the process of stone formation.

  • "... Urolithiasis for 5 years. Periodically dieted, but the stones did not decrease in size. And after the frequent appearance of colic went to surgery";
  • "... When analyzing urine for an infectious disease, a high content of oxalic acid was found. Assigned a diet. I ate with restrictions for almost 6 months. I gave urine again for analysis - everything returned to normal".

Diet price

Therapeutic nutrition for oxalate stones in the kidneys is not too expensive, because the menu includes affordable products and offers a wide selection of them, which allows you to vary them and adjust the cost of food according to your financial capabilities. The diet is dominated by cereals, fruits, vegetables, and protein foods make up a smaller share in the diet.

Costs per week approximately vary between 1800 - 2000 rubles.

Watch the video: Urology: Preventing Calcium Oxalate Kidney Stones. (January 2020).

Popular Posts

Category Diets, Next Article

Bismuth tripotassium dicitrate
Active substances

Bismuth tripotassium dicitrate

Chemical name Bismuth (III) salt of potassium 2-hydroxy-1,2,3-propanetricarboxylate Chemical properties Colloidal bismuth subcitrate belong to the group of antacids and adsorbents. The substance is usually found in coated tablets. Its molecular weight is 704 g per mole. Pharmacological action Enveloping, antibacterial, gastroprotective, antiulcer.
Read More
Proline
Active substances

Proline

Chemical name L-pyrrolidine-2-carboxylic acid Chemical properties Proline is a heterocyclic amino acid in which the nitrogen atom is part of a secondary amine. There are 2 optical isomers of the amino acid D-proline and L-proline, another substance is in the form of a racemate. The molar mass of the compound = 115.1 grams per mole, the density of the substance is from 1.35 to 1.38 grams per cm ^ 3.
Read More
Fenspiride
Active substances

Fenspiride

The chemical name is 8- (2-Phenylethyl) -1-oxa-3,8-diazaspiro [4,5] -decan-2-one. Usually the substance is in a lek. means in the form of hydrochloride. Chemical properties Fenspiride is a widespread bronchodilator. Most often it is used as part of the complex treatment of bronchial asthma and infectious and inflammatory diseases of the respiratory tract.
Read More
Phenylpropanolamine
Active substances

Phenylpropanolamine

Chemical name (±) - (R, S) -alpha- (1-aminoethyl) benzenemethanol Chemical properties Phenylpropanolamine is a stereoisomer of cathine, an organic alkaloid. Present in the form of hydrochloride in medicines. Molecular mass of the substance = 151.2 grams per mole. Melts at 53 degrees Celsius. The substance is also called norephedrine.
Read More