Summary

A Proven Plan to Prevent Painful Kidney Stones At last! Whether you are a chronic kidney stone sufferer or at risk of developing stones, this practical, comprehensive guide will help you take charge of your health and eliminate this painful disease from your life forever. Written by a team of experts in the field, No More Kidney Stones includes the latest information on risk factors, dietary and lifestyle choices, and state-of-the-art treatments. It includes: Specific, detailed remedies to prevent the formation of the four major types of kidney stones Prescriptions for creating a diet that works and dietary troublemakers to avoid Treatment options, including Extracorporeal Shock Wave Lithotripsy (ESWL), cystoscopy, ureteroscopy, percutaneous stone surgery, and open surgery Case histories showing what types of treatment are appropriate for what specific conditions Guidance on what to expect before, during, and after treatment Advice on finding the right specialist

Author Biography

John S. Rodman, M.D., is an internationally recognized expert and researcher on kidney stone disease. He is associate clinical professor of medicine at the Weill Cornell University School of Medicine in New York City and a member of the attending staffs at New York Presbyterian Hospital and Lenox Hill Hospital. He has published extensively in the professional journals and medical textbooks and has lectured worldwide on kidney stone formation and treatment.

R. Ernest Sosa, M.D., is a leading urologist in New York City who specializes in surgical techniques for kidney stones. He is associate clinical professor of urology at the Weill Cornell University School of Medicine and attending urologist at New York Presbyterian Hospital. He served for 20 years as director of the Brady Stone Center at the Department of Urology at Weil Cornell–New York Presbyterian Hospital. He has written and lectured on and taught the diagnosis and treatment of stone disease internationally.

Cynthia Seidman, M.S., R.D., is director of dietary services at the Rockefeller University Hospital in New York City. She coordinates the design and development of all research diets at Rockefeller and has published in a number of professional journals. She is cochair of the Research Committee of the National GCRC Research Dietitians Association and is a member of the American Dietetic Association.

Rory Jones, an award-winning writer and television producer, has done extensive work on health and medical topics. She has developed educational programs as well as interactive multimedia for both adults and children.

Preface	p. xi
Acknowledgments	p. xv
About This Book	p. xvii
What You Need to Know About Kidney Stones
The Kidney Stone "Boom"	p. 3
What Are Kidney Stones?	p. 5
Why Do Some People Get Kidney Stones?	p. 5
The Stone "Boom"	p. 5
Prevention Is the Cure	p. 6
The Dietary Prescription	p. 6
Preventing Kidney Stones	p. 6
Commitment to Change	p. 7
The Urinary System	p. 9
The Urinary System and How It Works	p. 9
The Balance Concept	p. 12
How Trouble Starts	p. 13
How Your Kidneys Balance Your Body	p. 14
Why Balance Is Important	p. 15
Elements of Balance	p. 15
How the Kidneys Keep the Body in Balance	p. 15
What Happens When the Body Gets Out of Balance	p. 18
How to Keep Your Sewer System Unclogged	p. 19
Not All Kidney Stones are Created Equal	p. 20
Four Types of Kidney Stones	p. 20
Calcium-Containing Stones	p. 21
Uric Acid Stones	p. 22
Cystine Stones	p. 25
Struvite Stones	p. 25
Bladder Stones	p. 26
Importance of Stone Analysis	p. 27
How and Why Kidney Stones Form	p. 28
Genetics	p. 28
Diet and Lifestyle	p. 28
What Is a Kidney Stone?	p. 29
Discouraging Crystal Formation	p. 30
What Kidney Stones Are Made Of	p. 30
The Conditions That Favor Crystal Formation	p. 31
The Best Inhibitor of Kidney Stones	p. 31
Making a Uric Acid Stone	p. 32
Why Kidney Stones are So Painful	p. 34
Kinds of Pain	p. 34
Three Areas Where Stones Hang Up	p. 38
Secondary Symptoms	p. 39
Never Make Your Own Diagnosis of a Stone	p. 40
Treating Pain	p. 40
When Hospitalization Is Needed	p. 41
How Much Water Do I Really Have to Drink?	p. 41
Causes of Low Urinary Output	p. 43
How Much Is Enough?	p. 44
Hard Water, Soft Water	p. 44
Mineral Water	p. 45
How to Consume More Water	p. 45
The Role of Fluids	p. 46
Dietary Troublemakers	p. 47
How Much You Eat Is Just as Important as What You Eat	p. 47
Animal Protein Is Animal Protein	p. 48
Protein and Kidney Stones	p. 48
The Calcium Controversy	p. 49
Salt	p. 53
Oxalate	p. 54
Vitamins and Kidney Stones	p. 55
Alcohol	p. 58
The Dietary Troublemakers	p. 59
Medical Conditions That Can Cause Kidney Stones	p. 60
Bowel Disease	p. 61
Medullary Sponge Kidney (MSK)	p. 63
Hyperparathyroidism	p. 65
Milk-Alkali Syndrome and Ulcers	p. 65
Anatomic Abnormalities	p. 66
Paralysis and Immobilization	p. 68
Renal Tubular Acidosis (RTA)	p. 69
Acquired RTA in Glaucoma Patients	p. 69
Cystinuria	p. 70
Oxalosis	p. 70
Dieting Your Way to a Kidney Stone	p. 72
The Problem with Rapid Weight Loss	p. 72
Fad Dieting	p. 73
Fad Health Regimens	p. 75
Eating Disorders	p. 76
Laxative Abuse	p. 77
How Stone Formers Should Diet	p. 78
Men and Stones	p. 79
Why Men Make More Kidney Stones	p. 79
Pain Patterns	p. 82
Women and Stones	p. 84
Why Women Make Kidney Stones	p. 84
The Workup	p. 89
Risk Assessment	p. 89
The Workup	p. 90
Translating Your Workup into a Risk Assessment	p. 99
Where Are You on the Risk Ladder?	p. 101
The Plan
No More Kidney Stones	p. 105
Diet Is Not a Four-Letter Word	p. 105
The Master Plan	p. 106
Tips for Staying on the Plan	p. 108
Finding the Diet That is Right For-You	p. 110
Rating Yourself 24	p. 110
How Much Do You Have to Change?	p. 111
Do You Consume Too Many Troublemakers?	p. 111
How to Know if You Are Eating Too Much Protein	p. 115
How to Know if You Are Drinking Enough Fluids	p. 117
Do You Weigh Too Much?	p. 119
Food Diary	p. 119
Classic Stone-Forming Profiles	p. 120
Lifestyles of the Kidney Stone Former	p. 130
Bathroom Access	p. 130
Fluid Loss	p. 132
Ultraviolet (UV) Light Exposure	p. 132
Eating Patterns	p. 133
Change in Lifestyle	p. 134
Operation Oxalate	p. 136
Why Dietary Oxalate Is Important	p. 136
The Problem with Oxalate Recommendations	p. 137
Key Issues in Oxalate Control	p. 138
Oxalates and Seasonal Foods	p. 139
Modifying Recipes and Controlling Portions	p. 142
Recipe Modifications	p. 142
Portion Control	p. 146
Health-Food Store Hazards	p. 147
Supplements	p. 147
Muscle-Building Protein Supplements	p. 149
Herbal Teas	p. 149
Natural Weight-Loss Regimes	p. 150
Hair Regrowth	p. 150
Beverages	p. 150
Vegetarian Burgers	p. 151
Laxatives	p. 151
Energy Bars	p. 152
The Juice Craze	p. 152
Pastas	p. 153
Candies and Cookies	p. 153
Read Labels in the Health-Food Store	p. 153
Special Occasions: Parties and Other Excuses to Cheat	p. 154
Thanksgiving	p. 154
Barbecue	p. 158
Wedding Banquet	p. 159
Breakfast Buffet	p. 162
Four Pitfalls of Special Occasions	p. 163
Ethnic Cuisines	p. 164
Chinese	p. 164
Mexican	p. 167
Greek	p. 168
French	p. 169
Japanese	p. 170
Italian	p. 171
American	p. 173
Indian	p. 175
Staying Motivated	p. 178
How Far Can You Deviate?	p. 179
Diluting the Mistake	p. 179
Medicines, Specialists, and Procedures
Choosing a Specialist	p. 183
Who Does What	p. 183
How Do You Find Out Whom to See?	p. 185
Medications	p. 186
Who Needs to Take Medications?	p. 187
What Are the Medications?	p. 187
Deciding Who Should Be Treated	p. 193
Assessing whether You Need Immediate Intervention	p. 193
Procedures and Technology	p. 201
Picking a Procedure	p. 201
Comparison of ESWL and Ureteroscopy with Laser Lithotripsy	p. 208
Treating Stones in the Kidney	p. 210
Open Surgery	p. 211
What to Expect Before, During, and After Treatment	p. 214
What to Expect before and after Treatment	p. 214
When to Call the Doctor	p. 219
What if Treatment Fails?	p. 219
Asking the Right Questions	p. 220
Do Not Forget	p. 221
Useful Tables	p. 223
Food Diaries	p. 235
Glossary	p. 241
Bibliography	p. 249
Index	p. 251
About the Authors	p. 269
Table of Contents provided by Ingram. All Rights Reserved.

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