
Venugopal P
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15 Jan 2023 10:47:27 AMRisk of Kidney stones - Influence of Dietary factors especially Vegan diets
Dear all,
The incidence of Urinary calculi in is probably second to
none when compared with Incidence of Renal calculi. The numbers of surgical
procedures that we in India perform make us the leading exponents in the field globally.
There have been sporadic studies available on the causation
of Kidney stone formation, we do lack in scientific data concerning this. The
metabolic factors associated with Stone formation appear to vary across the
country. In the West, It has been found that the main metabolic abnormality
appear to be Hypocitraturia with Hyperuricosuria. But majority of the stones
encountered in the west are radiopaque and this is construed to be due to
epitaxy with ca Oxalate. Raman from Nadiad had presented a paper in CKP Menon
award concerning use of Lime juice in the prevention of Urinary calculi (Nadiad
can correct me if I am wrong). But in Southern part of Eastern India, it is
said that Hypercalciuria predominate.
In many parts of the country, more probably Gujarat, has
more Vegans than most of the other parts of the country. Kerala is well known
for its Non Veg diet. But if you look at the incidence of Urinary stone disease
across both these regions, Gujarat and its surrounding states abound with
Urinary calculi than Kerala (It is only a presumption).
I am providing an article published on March 15th,
2020 on Risk of Kidney Stone along with Role Vegetarian Diets mention that based on the available evidence; a balanced vegetarian diet with dairy
products seems to be the most protective diet for kidney stone
patients.
https://www.mdpi.com/2072-6643/12/3/779 (PDF available) (this is a good article worth reading)
I wonder why this disparity. I would like to know from our learned members (all are), if Vegan Diet leads to reduced incidence of stones, why then states with more Vegans suffer from Kidney Stones. Can we attribute this to Climatic factors and not really dietary factors?
Incidentally, I would like to bring to your notice that we
use Potassium Citrate for the treatment of Kidney Stones as it is purported to
correct Hypocitraturia. Studies are now ongoing on the value of Hydroxycitrate
(Presented at AUA 2016 and published in ‘Nature’ 2016) state that
Hydroxycitrate is more potent in elevating the lowered citrate level. It has
been demonstrated that Kudampuli (Garcinia cambogia, used mainly in southern Kerala for Tamarind)) has abundance
of Hydroxycitrate. Inspite of using this for regular cooking, there is not much
reduction in the incidence of stone disease, a point Rimer (since 2016) is
attempting to propagate that all these could be beneficial only when adhered to
Vegan diet essentially.
I would like to
know from our esteemed members what percent of the stone disease they encounter
are in Vegans who have never taken non Veg food of any sorts.
With warm
Regards,
Venu
Comments(3)
-
Tanuj Paul Bhatia
17 Apr 2020 11:21:26 PMSir in Haryana also majority of population is vegetarian, but stones are extremely common. I have many families with multiple members having kidney stone disease. I send stone analysis of all recurrent stone formers and encourage them for a 24 hr urine metabolic evaluation(urolab). Most commonly we can identify low volumes, or hypocitraturia , or hypomagnesuria. Then we end up prescribing pottasium magnesium citrate which we were going to anyways prescribe.
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Dr. Roy Chally
18 Apr 2020 08:36:44 AMPresent work habits and life style change more than diet is the cause for stones in Kerala. In endemic areas there must be an added reason which remains elusive.
Ravindra Sabnis
25 Mar 2020 11:36:37 PMWonderful articles sir. Etiology of stone disease is so complex, very difficult to understand.