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Old 28 May 2022, 04:20 AM   #31
Speedbird-1
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Hi Paul, I hope you can get it sorted very soon.



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Originally Posted by mmutte View Post
Urologist here.
Hi Matt, I was wondering, what you do to reduce your chances of getting stones?
It sounds blooming awful.

On a personal note, how do you treat, Minimal Change, Nephrotic Syndrome, in the 'States? (asking for a friend who has been on and off Prednisolone, for a few years)
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Old 28 May 2022, 05:03 AM   #32
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Ah the joy of Kidney Stones... again.

I just read the title of your thread again and realized that I have Never seen the words Joy & Kidney Stones used in the same sentence! Feel Better...
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Old 28 May 2022, 05:50 AM   #33
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Never had one, don't want one. Feel better. So sorry about your weekend.
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Old 28 May 2022, 11:19 AM   #34
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Quote:
Originally Posted by Speedbird-1 View Post
Hi Paul, I hope you can get it sorted very soon.





Hi Matt, I was wondering, what you do to reduce your chances of getting stones?
It sounds blooming awful.

On a personal note, how do you treat, Minimal Change, Nephrotic Syndrome, in the 'States? (asking for a friend who has been on and off Prednisolone, for a few years)

Generally speaking, to reduce your risk of kidney stones you need to:
1. Drink enough water to urinate 2L water daily. No one keeps track of how much they urinate out, so a surrogate is fluid consumption. You need to drink at least 3L water (100oz) daily, on the low end, to meet this requirement.
2. Low sodium diet
3. Moderate calcium intake. Yes, that’s right. Moderate calcium intake.
I won’t bore you with the details, but even patients with calcium stones need to follow this.
4. Low Oxalate diet. Oxalate is in green, leafy veggies (kale, spinach, etc) chocolate, black tea among many other things. Simple google search will clear this up for ya.
5. Low animal protein diet. Essentially you cannot eat a steak for breakfast, lunch and dinner. The old Atkins diet = stone diet.


Of all of those, the biggest bang for your buck is to drink plenty water. You will be peeing all day long. But it beats staring down the business end of a metal scope we use to go in and extract it.

Yes, fresh squeezed lemons in your water also helps. It puts citrate in your water, citrate is a stone inhibitor.

Hope this helps.
Of all the things I treat, stone patients and urinary retention patients are the most appreciative.
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Old 28 May 2022, 11:24 AM   #35
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Quote:
Originally Posted by Speedbird-1 View Post
[SIZE="4"]Hi Paul, I hope you can get it sorted very soon. [/SIZE
On a personal note, how do you treat, Minimal Change, Nephrotic Syndrome, in the 'States? (asking for a friend who has been on and off Prednisolone, for a few years)
I do not treat nephrotic syndrome. This is a medical renal disease, as urologists, we treat surgical renal issues; stones, cancer of the kidney, obstruction of the kidney etc.
however, nephrotic syndrome is defined by excess protein in the urine. You essentially need to avoid excess dietary protein, nephrotoxic medications, most commonly NSAIDs (ibuprofen, naproxen, etc)
Additionally, keeping your blood pressure under control is greatly helpful. So low sodium, healthy diet etc.

Hope this helps.
Renal dysfunction is life changing. You need to protect those kidneys!!
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Old 28 May 2022, 12:30 PM   #36
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Horrible! I hope you get through this OK and I hope I never go through this pain. My wife had 4 stones during the beginning of Covid in 2020 and due to the lockdowns just beginning, they tried to have her pass them naturally for about 2 months. No dice. She ended up having surgery and the largest was actually 10mm. There was no way she could have possibly passed that.

Since it was right in the middle of the lockdowns, they had her remove her own catheter at home instead of coming back in!!

She said the initial pain from the stones when it hit her was far more excruciating than all natural childbirth was, and removing her catheter was on par with the stone pain, even having taken every pain med they sent her home with. She said she would never wish that on anyone.

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Old 28 May 2022, 01:19 PM   #37
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Been there sadly. The pain is unreal.


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Old 28 May 2022, 06:47 PM   #38
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Kidney Stones

Thank you very much Matt, for your clear, succinct answer. Very useful indeed to many of us here, I imagine.
Some extremely interesting points, especially regarding the green vegetables.

Thanks again, for taking the time to clarify.
The, threat of excruciating pain, does focus the attention, when considering one's dietary habits.

There will be a few members, (me included) drinking more water and watching the salt intake from now on.

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Old 28 May 2022, 10:08 PM   #39
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Kidney Stones

Thank you very much Matt, for your clear, succinct answer. Very useful indeed to many of us here, I imagine.
Some extremely interesting points, especially regarding the green vegetables.

Thanks again, for taking the time to clarify.
The, threat of excruciating pain, does focus the attention, when considering one's dietary habits.

There will be a few members, (me included) drinking more water and watching the salt intake from now on.

You are welcome

Happy to help out!

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Old 30 May 2022, 11:15 PM   #40
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Wishing you a speedy recovery.
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Old 30 May 2022, 11:19 PM   #41
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Quote:
Originally Posted by mmutte View Post
Generally speaking, to reduce your risk of kidney stones you need to:

1. Drink enough water to urinate 2L water daily. No one keeps track of how much they urinate out, so a surrogate is fluid consumption. You need to drink at least 3L water (100oz) daily, on the low end, to meet this requirement.

2. Low sodium diet

3. Moderate calcium intake. Yes, that’s right. Moderate calcium intake.

I won’t bore you with the details, but even patients with calcium stones need to follow this.

4. Low Oxalate diet. Oxalate is in green, leafy veggies (kale, spinach, etc) chocolate, black tea among many other things. Simple google search will clear this up for ya.

5. Low animal protein diet. Essentially you cannot eat a steak for breakfast, lunch and dinner. The old Atkins diet = stone diet.





Of all of those, the biggest bang for your buck is to drink plenty water. You will be peeing all day long. But it beats staring down the business end of a metal scope we use to go in and extract it.



Yes, fresh squeezed lemons in your water also helps. It puts citrate in your water, citrate is a stone inhibitor.



Hope this helps.

Of all the things I treat, stone patients and urinary retention patients are the most appreciative.
Thank you Matt

I drink one of these every single day ... you're right about peeing all day



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Old 31 May 2022, 03:38 AM   #42
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Was in Turkey years ago with stones. Local doc recommended getting a case of twelve liters of beer, sit in a tub of hot water and drink up. Passed it with little pain, except for mild hangover.
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Old 31 May 2022, 03:46 AM   #43
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Thank you Matt

I drink one of these every single day ... you're right about peeing all day



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That’s my 12 month water intake. Maybe 18.
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Old 31 May 2022, 03:47 AM   #44
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Was in Turkey years ago with stones. Local doc recommended getting a case of twelve liters of beer, sit in a tub of hot water and drink up. Passed it with little pain, except for mild hangover.
This is a Friday for me. I still feel them.
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Old 31 May 2022, 05:03 AM   #45
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That’s my 12 month water intake. Maybe 18.
You should substitute your vodka

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Old 31 May 2022, 05:11 AM   #46
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My sympathies

I have been stented twice for impassable kidney stones , the pain is brutal it really is indescribable, my last bout I passed out with the pain, when I eventually got to the ER they were concerned about my heart rate being so low, apparently the heart can slow because you are “bearing down “ trying to tolerate the pain which can cause a drop in heart beat.

I hope you have the pain killers and fortitude to get through this very quickly
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Old 31 May 2022, 05:15 AM   #47
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Ouch.
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Old 31 May 2022, 06:00 AM   #48
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Was in Turkey years ago with stones. Local doc recommended getting a case of twelve liters of beer, sit in a tub of hot water and drink up. Passed it with little pain, except for mild hangover.
I wonder why there was little pain? Dulled by the beer buzz?
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Old 31 May 2022, 06:03 AM   #49
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My sympathies to the O.P., hate to hear that. I've never had the misfortune and I pray to God I never do. From what I've heard over the years, some people are just prone to getting them while others aren't?
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Old 31 May 2022, 06:14 AM   #50
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So sorry dear. I can only imagine what the pain feels like.

Sometime in the past, I had to stay by the bed side of my sick Dad and he was diagnosed with Peptic Ulcer and Anemic Heart Failure. He always complained about pains and I have never seen him cry out that way. It was indeed painful. Ever since, I've come to appreciate each day I wake up healthy.
Good health is underated to most.

I hope you come out of this dear. My heart and prayers goes out for you.
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Old 31 May 2022, 08:21 AM   #51
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I wonder why there was little pain? Dulled by the beer buzz?
Twelve liters of Turkish beer gives me more than buzz. I’m not much of a drinker.
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Old 31 May 2022, 09:58 AM   #52
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You should substitute your vodka

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I won’t take medical advice from the Internet!!!!!
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Old 31 May 2022, 09:58 AM   #53
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I won’t take medical advice from the Internet!!!!!


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Old 31 May 2022, 09:59 AM   #54
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Get well soon...safe.
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