Diet and kidney stones: What you need to know

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Drinking enough liquid, mainly water, is the most important thing you can do to prevent kidney stones.

Unless you have kidney failure, many health care professionals recommend that you drink six to eight, 8-ounce glasses a day. Talk with a health care professional about how much liquid you should drink.

Studies have shown that the Dietary Approaches to Stop Hypertension (DASH) diet can reduce the risk of kidney stones. Learn more about the DASH diet.

Studies have shown that being overweight increases your risk of kidney stones. A dietitian can help you plan meals to help you lose weight.

Does the type of kidney stone I had affect food choices I should make?

Yes. If you have already had kidney stones, ask your health care professional which type of kidney stone you had.

Based on the type of kidney stone you had, you may be able to prevent kidney stones by making changes in how much sodium, animal protein, calcium, or oxalate is in the food you eat.

You may need to change what you eat and drink for these types of kidney stones:

Calcium Oxalate Stones

Calcium Phosphate Stones

Uric Acid Stones

Cystine Stones

A dietitian who specializes in kidney stone prevention can help you plan meals to prevent kidney stones. Find a dietitian who can help you.

Calcium Oxalate Stones

Reduce oxalate

If you’ve had calcium oxalate stones, you may want to avoid these foods to help reduce the amount of oxalate in your urine:

nuts and nut products

peanuts—which are legumes, not nuts, and are high in oxalate

rhubarb

spinach

wheat bran

Talk with a health care professional about other food sources of oxalate and how much oxalate should be in what you eat.

Reduce sodium

Your chance of developing kidney stones increases when you eat more sodium. Sodium is a part of salt. Sodium is in many canned, packaged, and fast foods. It is also in many condiments, seasonings, and meats.

Talk with a health care professional about how much sodium should be in what you eat. See tips to reduce your sodium intake.

Limit animal protein

Eating animal protein may increase your chances of developing kidney stones.

A health care professional may tell you to limit eating animal protein, including

beef, chicken, and pork, especially organ meats

eggs

fish and shellfish

milk, cheese, and other dairy products

Although you may need to limit how much animal protein you eat each day, you still need to make sure you get enough protein.

Consider replacing some of the meat and animal protein you would typically eat with beans, dried peas, and lentils, which are plant-based foods that are high in protein and low in oxalate.

Talk with a health care professional about how much total protein you should eat and how much should come from animal or plant-based foods.

Get enough calcium from foods

Even though calcium sounds like it would be the cause of calcium stones, it’s not. In the right amounts, calcium can block other substances in the digestive tract that may cause stones.

Talk with a health care professional about how much calcium you should eat to help prevent getting more calcium oxalate stones and to support strong bones.

It may be best to get calcium from low-oxalate, plant-based foods such as calcium-fortified juices, cereals, breads, some kinds of vegetables, and some types of beans.

Ask a dietitian or other health care professional which foods are the best sources of calcium for you.

Calcium Phosphate Stones

Reduce sodium

Your chance of developing kidney stones increases when you eat more sodium. Sodium is a part of salt. Sodium is in many canned, packaged, and fast foods. It is also in many condiments, seasonings, and meats.

Talk with a health care professional about how much sodium should be in what you eat. See tips to reduce your sodium intake.

Limit animal protein

Eating animal protein may increase your chances of developing kidney stones.

A health care professional may tell you to limit eating animal protein, including

beef, chicken, and pork, especially organ meats

eggs

fish and shellfish

milk, cheese, and other dairy products

Although you may need to limit how much animal protein you have each day, you still need to make sure you get enough protein.

Consider replacing some of the meat and animal protein you would typically eat with some of these plant-based foods that are high in protein:

legumes such as beans, dried peas, lentils, and peanuts

soy foods, such as soy milk, soy nut butter, and tofu

nuts and nut products, such as almonds and almond butter, cashews and cashew butter, walnuts, and pistachios

sunflower seeds

Talk with a health care professional about how much total protein you should eat and how much should come from animal or plant-based foods.

Get enough calcium from foods

Even though calcium sounds like it would be the cause of calcium stones, it’s not. In the right amounts, calcium can block other substances in the digestive tract that may lead to stones.

Talk with a health care professional about how much calcium you should eat to help prevent getting more calcium phosphate stones and to support strong bones.

It may be best to get calcium from plant-based foods such as calcium-fortified juices, cereals, breads, some kinds of vegetables, and some types of beans.

Ask a dietitian or other health care professional which foods are the best sources of calcium for you.

Uric Acid Stones

Limit animal protein

Eating animal protein may increase your chances of developing kidney stones.

A health care professional may tell you to limit eating animal protein, including

beef, chicken, and pork, especially organ meats

eggs

fish and shellfish

milk, cheese, and other dairy products

Although you may need to limit how much animal protein you have each day, you still need to make sure you get enough protein.

Consider replacing some of the meat and animal protein you would typically eat with some of these plant-based foods that are high in protein:

legumes such as beans, dried peas, lentils, and peanuts

soy foods, such as soy milk, soy nut butter, and tofu

nuts and nut products, such as almonds and almond butter, cashews and cashew butter, walnuts, and pistachios

sunflower seeds

Talk with a health care professional about how much total protein you should eat and how much should come from animal or plant-based foods.

Losing weight if you are overweight is especially important for people who have had uric acid stones.

Cystine Stones

Drinking enough liquid, mainly water, is the most important lifestyle change you can make to prevent cystine stones. Talk with a health care professional about how much liquid you should drink.

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If you care about kidney health, please read studies about how to protect your kidneys from diabetes, and these heartburn drugs may cause gradual yet ‘silent’ kidney damage

For more information about kidney health, please see recent studies about best and worst diets for diabetic kidney disease you need to know, and results showing how to live long with kidney disease.

Source: NIDDK