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:
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Specific, detailed remedies to prevent the formation of the four major types of kidney stones
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Prescriptions for creating a diet that works and dietary troublemakers to avoid
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Treatment options, including Extracorporeal Shock Wave Lithotripsy (ESWL), cystoscopy, ureteroscopy, percutaneous stone surgery, and open surgery
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Case histories showing what types of treatment are appropriate for what specific conditions
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Guidance on what to expect before, during, and after treatment
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Advice on finding the right specialist
By:
John S. Rodman MD,
R. Ernest Sosa,
MD,
Cynthia Seidman,
MS,
RD
With:
Rory Jones
Imprint: John Wiley & Sons Inc
Country of Publication: United States
Edition: Revised and expanded ed
Dimensions:
Height: 224mm,
Width: 150mm,
Spine: 18mm
Weight: 340g
ISBN: 9780471739296
ISBN 10: 0471739294
Pages: 288
Publication Date: 02 April 2007
Audience:
Professional and scholarly
,
Undergraduate
Format: Paperback
Publisher's Status: Active
Preface xi Acknowledgments xv About This Book xvii Part One What You Need to Know About Kidney Stones 1 The Kidney Stone “Boom” 3 What Are Kidney Stones? 5 Why Do Some People Get Kidney Stones? 5 The Stone “Boom” 5 Prevention Is the Cure 6 The Dietary Prescription 6 Preventing Kidney Stones 6 Commitment to Change 7 2 The Urinary System 9 The Urinary System and How It Works 9 The Balance Concept 12 How Trouble Starts 13 3 How Your Kidneys Balance Your Body 14 Why Balance Is Important 15 Elements of Balance 15 How the Kidneys Keep the Body in Balance 15 What Happens When the Body Gets Out of Balance 18 How to Keep Your Sewer System Unclogged 19 4 Not All Kidney Stones Are Created Equal 20 Four Types of Kidney Stones 20 Calcium-Containing Stones 21 Uric Acid Stones 22 Cystine Stones 25 Struvite Stones 25 Bladder Stones 26 Importance of Stone Analysis 27 5 How and Why Kidney Stones Form 28 Genetics 28 Diet and Lifestyle 28 What Is a Kidney Stone? 29 Discouraging Crystal Formation 30 What Kidney Stones Are Made Of 30 The Conditions That Favor Crystal Formation 31 The Best Inhibitor of Kidney Stones 31 Making a Uric Acid Stone 32 6 Why Kidney Stones Are So Painful 34 Kinds of Pain 34 Three Areas Where Stones Hang Up 38 Secondary Symptoms 39 Never Make Your Own Diagnosis of a Stone 40 Treating Pain 40 When Hospitalization Is Needed 41 7 How Much Water Do I Really Have to Drink? 43 Causes of Low Urinary Output 43 How Much Is Enough? 44 Hard Water, Soft Water 44 Mineral Water 45 How to Consume More Water 45 The Role of Fluids 46 8 Dietary Troublemakers 47 How Much You Eat Is Just as Important as What You Eat 47 Animal Protein Is Animal Protein 48 Protein and Kidney Stones 48 The Calcium Controversy 49 Salt 53 Oxalate 54 Vitamins and Kidney Stones 55 Alcohol 58 The Dietary Troublemakers 59 9 Medical Conditions That Can Cause Kidney Stones 60 Bowel Disease 61 Medullary Sponge Kidney (MSK) 63 Hyperparathyroidism 65 Milk-Alkali Syndrome and Ulcers 65 Anatomic Abnormalities 66 Paralysis and Immobilization 68 Renal Tubular Acidosis (RTA) 69 Acquired RTA in Glaucoma Patients 69 Cystinuria 70 Oxalosis 70 10 Dieting Your Way to a Kidney Stone 72 The Problem with Rapid Weight Loss 72 Fad Dieting 73 Fad Health Regimens 75 Eating Disorders 76 Laxative Abuse 77 How Stone Formers Should Diet 78 11 Men and Stones 79 Why Men Make More Kidney Stones 79 Pain Patterns 82 12 Women and Stones 84 Why Women Make Kidney Stones 84 13 The Workup 89 Risk Assessment 89 The Workup 90 Translating Your Workup into a Risk Assessment 99 Where Are You on the Risk Ladder? 101 Part Two The Plan 14 No More Kidney Stones 105 Diet Is Not a Four-Letter Word 105 The Master Plan 106 Tips for Staying on the Plan 108 15 Finding the Diet That Is Right for You 110 Rating Yourself 110 How Much Do You Have to Change? 111 Do You Consume Too Many Troublemakers? 111 How to Know if You Are Eating Too Much Protein 115 How to Know if You Are Drinking Enough Fluids 117 Do You Weigh Too Much? 119 Food Diary 119 Classic Stone-Forming Profiles 120 16 Lifestyles of the Kidney Stone Former 130 Bathroom Access 130 Fluid Loss 132 Ultraviolet (UV) Light Exposure 132 Eating Patterns 133 Change in Lifestyle 134 17 Operation Oxalate 136 Why Dietary Oxalate Is Important 136 The Problem with Oxalate Recommendations 137 Key Issues in Oxalate Control 138 Oxalates and Seasonal Foods 139 18 Modifying Recipes and Controlling Portions 142 Recipe Modifications 142 Portion Control 146 19 Health-food Store Hazards 147 Supplements 147 Muscle-Building Protein Supplements 149 Herbal Teas 149 Natural Weight-Loss Regimes 150 Hair Regrowth 150 Beverages 150 Vegetarian Burgers 151 Laxatives 151 Energy Bars 152 The Juice Craze 152 Pastas 153 Candies and Cookies 153 Read Labels in the Health-Food Store 153 20 Special Occasions Parties and Other Excuses to Cheat 154 Thanksgiving 154 Barbecue 158 Wedding Banquet 159 Breakfast Buffet 162 Four Pitfalls of Special Occasions 163 21 Ethnic Cuisines 164 Chinese 164 Mexican 167 Greek 168 French 169 Japanese 170 Italian 171 American 173 Indian 175 22 Staying Motivated 178 How Far Can You Deviate? 179 Diluting the Mistake 179 Part Three Medicines, Specialists, and Procedures 23 Choosing a Specialist 183 Who Does What 183 How Do You Find Out Whom to See? 185 24 Medications 186 Who Needs to Take Medications? 187 What Are the Medications? 187 25 Deciding Who Should Be Treated 193 Assessing whether You Need Immediate Intervention 193 26 Procedures and Technology 201 Picking a Procedure 201 Comparison of ESWL and Ureteroscopy with Laser Lithotripsy 208 Treating Stones in the Kidney 210 Open Surgery 211 27 What to Expect Before, During, and After Treatment 214 What to Expect before and after Treatment 214 When to Call the Doctor 219 What if Treatment Fails? 219 Asking the Right Questions 220 Do Not Forget 221 Appendix A: Useful Tables 223 Appendix B: Food Diaries 235 Glossary 241 Bibliography 249 Index 251 About the Authors 269
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.
