Eating, Diet, & Nutrition for Kidney Stones.

#Dr Rakesh Kumar 22 Aug, 2024

Eating, Diet, & Nutrition for Kidney Stones

Can I help prevent kidney stones by changing what I eat or drink?

Drinking enough liquid, mainly water, is the most important thing you can do to prevent kidney stones. Unless you have kidney failure , many health care professionals recommend that you drink six to eight, 8-ounce glasses a day. Talk with a health care professional about how much liquid you should drink .

Studies have shown that the Dietary Approaches to Stop Hypertension (DASH) diet can reduce the risk of kidney stones

DASH Eating Plan

The DASH eating plan requires no special foods and instead provides daily and weekly nutritional goals. This plan recommends:

  • Eating vegetables, fruits, and whole grains including fat-free or low-fat dairy products, fish, poultry, beans, nuts, and vegetable oils
  • Limiting foods that are high in saturated fat, such as fatty meats, full-fat dairy products, and tropical oils such as coconut, palm kernel, and palm oils
  • Limiting sugar-sweetened beverages and sweets

Based on these recommendations, the following table shows examples of daily and weekly servings that meet DASH eating plan targets for a 2,000-calorie-a-day diet.

Food Group

Daily Servings

Grains

6–8

Meats, poultry, and fish

6 or less

Vegetables

4–5

Fruit

4–5

Low-fat or fat-free dairy products

2–3

Fats and oils

2–3

Sodium

2,300 mg*

Weekly Servings

Nuts, seeds, dry beans, and peas

4–5

Sweets

5 or less

*1,500 milligrams (mg) sodium lowers blood pressure even further than 2,300 mg sodium daily.

When following the DASH eating plan, it is important to choose foods that are:

  • Low in saturated and transfats
  • Rich in potassium, calcium, magnesium, fiber, and protein
  • Lower in sodium
  • Studies have shown that being overweight increases your risk of kidney stones. A dietitian can help you plan meals to help you lose weight.

    Does the type of kidney stone I had affect food choices I should make?

    Yes. If you have already had kidney stones, ask your health care professional which type of kidney stone you had. Based on the type of kidney stone you had, you may be able to prevent kidney stones by making changes in how much sodium, animal protein, calcium, or oxalate is in the food you eat.

    You may need to change what you eat and drink for these types of kidney stones:

  • Calcium Oxalate Stones
  • Calcium Phosphate Stones
  • Uric Acid Stones
  • Cystine Stones
  • A dietitian who specializes in kidney stone prevention can help you plan meals to prevent kidney stones.

    Calcium Oxalate Stones

    Reduce oxalate

    If you’ve had calcium oxalate stones, you may want to avoid these foods to help reduce the amount of oxalate in your urine:

  • nuts and nut products
  • peanuts—which are legumes, not nuts, and are high in oxalate
  • rhubarb
  • spinach
  • wheat bran
  • Talk with a health care professional about other food sources of oxalate and how much oxalate should be in what you eat.

    Reduce sodium

    Your chance of developing kidney stones increases when you eat more sodium. Sodium is a part of salt. Sodium is in many canned, packaged, and fast foods. It is also in many condiments, seasonings, and meats.

    Talk with a health care professional about how much sodium should be in what you eat.

    Limit animal protein

    Eating animal protein may increase your chances of developing kidney stones.

    A health care professional may tell you to limit eating animal protein, including

    • beef, chicken, and pork, especially organ meats
    • eggs
    • fish and shellfish
    • milk, cheese, and other dairy products

    Although you may need to limit how much animal protein you eat each day, you still need to make sure you get enough protein. Consider replacing some of the meat and animal protein you would typically eat with beans, dried peas, and lentils, which are plant-based foods that are high in protein and low in oxalate.

    Talk with a health care professional about how much total protein you should eat and how much should come from animal or plant-based foods.

    Get enough calcium from foods

    Even though calcium sounds like it would be the cause of calcium stones, it’s not. In the right amounts, calcium can block other substances in the digestive tract that may cause stones. Talk with a health care professional about how much calcium you should eat to help prevent getting more calcium oxalate stones and to support strong bones. It may be best to get calcium from low-oxalate, plant-based foods such as calcium-fortified juices, cereals, breads, some kinds of vegetables, and some types of beans. Ask a dietitian or other health care professional which foods are the best sources of calcium for you.

    Calcium Phosphate Stones

    Reduce sodium

    Your chance of developing kidney stones increases when you eat more sodium. Sodium is a part of salt. Sodium is in many canned, packaged, and fast foods. It is also in many condiments, seasonings, and meats.

    Talk with a health care professional about how much sodium should be in what you eat.

    Limit animal protein

    Eating animal protein may increase your chances of developing kidney stones.

    A health care professional may tell you to limit eating animal protein, including

  • beef, chicken, and pork, especially organ meats
  • eggs
  • fish and shellfish
  • milk, cheese, and other dairy products
  • Although you may need to limit how much animal protein you have each day, you still need to make sure you get enough protein. Consider replacing some of the meat and animal protein you would typically eat with some of these plant-based foods that are high in protein:

  • legumes such as beans, dried peas, lentils, and peanuts
  • soy foods, such as soy milk, soy nut butter, and tofu
  • nuts and nut products, such as almonds and almond butter, cashews and cashew butter, walnuts, and pistachios
  • sunflower seeds
  • Talk with a health care professional about how much total protein you should eat and how much should come from animal or plant-based foods.

    Get enough calcium from foods

    Even though calcium sounds like it would be the cause of calcium stones, it’s not. In the right amounts, calcium can block other substances in the digestive tract that may lead to stones. Talk with a health care professional about how much calcium you should eat to help prevent getting more calcium phosphate stones and to support strong bones. It may be best to get calcium from plant-based foods such as calcium-fortified juices, cereals, breads, some kinds of vegetables, and some types of beans. Ask a dietitian or other health care professional which foods are the best sources of calcium for you.

    Uric Acid Stones

    Limit animal protein

    Eating animal protein may increase your chances of developing kidney stones.

    A health care professional may tell you to limit eating animal protein, including

  • beef, chicken, and pork, especially organ meats
  • eggs
  • fish and shellfish
  • milk, cheese, and other dairy products
  • Although you may need to limit how much animal protein you have each day, you still need to make sure you get enough protein. Consider replacing some of the meat and animal protein you would typically eat with some of these plant-based foods that are high in protein:

  • legumes such as beans, dried peas, lentils, and peanuts
  • soy foods, such as soy milk, soy nut butter, and tofu
  • nuts and nut products, such as almonds and almond butter, cashews and cashew butter, walnuts, and pistachios
  • sunflower seeds
  • Talk with a health care professional about how much total protein you should eat and how much should come from animal or plant-based foods.

    Losing weight if you are overweight is especially important for people who have had uric acid stones.

    Cystine Stones

    Drinking enough liquid , mainly water, is the most important lifestyle change you can make to prevent cystine stones . Talk with a health care professional about how much liquid you should drink.

    Tips to Reduce Your Sodium Intake

    Adults should aim to consume less than 2,300 mg a day One teaspoon of table salt has 2,325 milligrams (mg) of sodium. If you have had calcium oxalate or calcium phosphate stones, you should follow this guideline, even if you take medicine to prevent kidney stones .

    Here are some tips to help you reduce your sodium intake:

  • Check the Percent Daily Value (%DV) for sodium on the Nutrition Facts label found on many foods. Low in sodium is 5% or less, and high in sodium is 20% or more.
  • Consider writing down how much sodium you consume each day.
  • When eating out, ask about the sodium content in the food.
  • Cook from scratch. Avoid processed and fast foods, canned soups and vegetables, and lunch meats.
  • Look for foods labeled: sodium free, salt free, very low sodium, low sodium, reduced or less sodium, light in sodium, no salt added, unsalted, and lightly salted.
  • Check labels for ingredients and hidden sodium, such as

    • sodium bicarbonate, the chemical name for baking soda
    • baking powder, which contains sodium bicarbonate and other chemicals
    • disodium phosphate
    • monosodium glutamate, or MSG
    • sodium alginate
    • sodium nitrate or nitrite