Tag Archive for: gout

How to Be Stone Free

I do my best to avoid social media. Occasionally, I make a comment and it confirms I was correct to have hands off in the first place. There was a discussion on the benefits of a lifestyle-only approach to health, completely avoiding conventional medicine. I remarked that some things, such as the bladder stones I just had removed, couldn’t be fixed with lifestyle alone and that it was good to have medical options available. That led to being lectured on how diet could fix anything. Hmmm. I, too, have Google. And I also have a PhD in health education and nutrition, but okay and buh-bye. I can’t deal with that level of ignorance.

After my urologist told me he had removed stones over an inch in diameter, my little stone didn’t seem so bad. I asked him, “What was the treatment before catheters and surgery were invented?” What happened was that people died. They couldn’t urinate, developed infections when they couldn’t eliminate their urine, and died.

Every time you think things were better back then, before conventional medicine was developed, think again. That doesn’t mean our healthcare system couldn’t be better, but it sure beats death.

Preventing Stones

There are several steps we can take to reduce the risk of forming any type of stone.

  • Drink plenty of fluids. Aim for one-half your body weight in ounces of fluids per day. Every fluid counts, even caffeinated drinks such as coffee and tea, plus the ice that melts in your iced tea or soft drink.
  • Reduce your sodium intake. That’s one of my specific issues because I love salty foods. Sodium can help cause stones from calcium, so lowering your intake is important.
  • Reduce protein intake from animal sources. Excess protein contributes to an increase in acidity, which can also help create an environment that makes stones.
  • Increase vegetable and fruit intake. They contribute to making the body more alkaline, which reduces stone formation.
  • Increase your citric acid intake. The easiest way to do that is to drink lemonade, limeade, and eat more citrus fruits. Just remember to pay attention to the sugar in the lemonade.

The Bottom Line

The biggest risk factor for getting a stone is having had a stone. To reduce the risk, we have to change our lifestyle. We don’t have to be perfect; we just have to be better than we are today. If you’ve experienced the pain and discomfort of any type of stone, these changes are a whole lot easier to live with in my opinion.

And for the record, diet can’t fix everything. It can help, so do all you can, but if you need medical care, the smart move is to call your doctor’s office.

What are you prepared to do today?

        Dr. Chet

The Inconvenient Stones

Bladder stones, kidney stones, gall stones, gout—all can present quite a challenge if you happen to produce them. Imagine being scared to eat because you may end up writhing on the floor with gall stones. Or how about feeling a twinge in your lower back and having that fleeting thought, “Oh, no, I hope I don’t have another kidney stone!”

In my case, it was a bladder stone: a 1.5 cm bladder stone rolling around my bladder; the photo on the right shows what it looked like after my doctor blasted it into pieces and removed it. Without getting too graphic, attempting to urinate was always an unknown experience, depending on exactly where the stone was positioned at any given time and whether it was blocking the urethra. Painful? Not always. Inconvenient? If you can’t evacuate your bladder completely, you feel the need to go more often. So yes, you bet it was inconvenient.

Not anymore. I had the stone blasted and removed last Friday. It was not a comfortable 24 hours, but my body is working as it should again. Once you’ve had a stone, any type of stone, that’s the greatest risk factor for getting another one. Is it preventable? Most likely not, but I’ll happily take a few stone-free years. Are there things that we can do to reduce the risk? Yes, and I’ll cover those on Saturday.

Insider Conference Call

The next Insider Conference Call is tomorrow night. This call will include an Aging with a Vengeance topic related to muscle mass. Also, I’ll answer Insider questions. This year is dedicated to helping you become the best version of yourself, so it’s time to consider whether you’d benefit from an Insider membership. Sign up by 8 p.m. ET and you can participate.

What are you prepared to do today?

        Dr. Chet