Kidney Stone Misconceptions
Chandan Singh
| 11-09-2023
· Food Team
Many individuals hold the belief that consuming milk escalates the risk of developing kidney stones; however, this notion lacks scientific support.
There's a rumor circulating that the calcium found in milk accumulates in the body and contributes to the formation of kidney stones.
This notion has been explored in a study where individuals with a history of kidney stones. Remarkably, their urinary calcium levels remained unchanged despite abstaining from milk and dairy, suggesting no link between milk consumption and kidney stones.
While it's true that excessive calcium supplements might heighten the risk of kidney stone formation, dietary calcium from natural sources has the opposite effect.
A significant proportion of kidney stones (about 70 to 80 percent) are composed of calcium oxalate.
Surprisingly, an adequate intake of dietary calcium (ranging from 800 to 1,000 milligrams) doesn't promote stone formation; instead, it aids in preventing their recurrence.
This is because the presence of sufficient dietary calcium can interact with oxalic acid in food, causing it to precipitate in the digestive tract. As a result, oxalic acid isn't absorbed into the bloodstream, diminishing the likelihood of stone development in the kidneys.
Certain fruits, vegetables, and grains that we include in our diet contain oxalates, which contribute to an increased risk of kidney stones. Notably, oxalate stones can also arise due to excessive vitamin C supplementation.
Yet, the calcium present in milk can mitigate oxalate absorption by binding with oxalic acid. Since a portion of dietary calcium is excreted along with oxalate, it's advisable to consume milk between meals to compensate for this loss of calcium.
Compelling evidence supports the notion that the consumption of milk, dairy products, and other dietary calcium sources doesn't elevate the risk of kidney stones. In fact, oxalate in urine holds greater significance in the formation of kidney stones than urinary calcium levels.
When dietary calcium is insufficient, the intestines absorb more oxalate, leading to heightened oxalate levels in urine and consequently an increased risk of kidney stone development.
To foster effective prevention of kidney stones, dietary considerations are crucial:
1. Stay Hydrated: Drinking ample water plays a pivotal role in preventing urinary stones and stands as the most efficacious preventive measure.
2. Balanced Diet Intake: Maintaining a well-rounded diet, avoiding excessive animal protein consumption, and steering clear of dietary biases are essential.
3. Moderate Oxalic Acid Intake: Be mindful of foods rich in oxalic acid, such as spinach, peanuts, chocolate, and asparagus.
4. Limit Strong Tea Consumption: Reducing strong tea intake is advisable, as it contains higher levels of oxalic acid that can contribute to stone formation.
5. Sodium and Sugar Restriction: Limiting salt and sugar intake is vital for kidney stone prevention. Excessive sodium consumption triggers heightened urinary calcium excretion and reduced calcium absorption by the kidneys.
It's recommended that kidney stone patients consume no more than 5 grams of salt per day and utilize acidic condiments like vinegar or lemon juice in cooking. Minimize or omit sodium-containing condiments like soy sauce and MSG, and avoid high-sodium foods like salted vegetables and preserved meats.