मंगलवार, 24 सितंबर 2024

Can I drink alcohol after my gall bladder is removed?

 Can I drink alcohol after my gall bladder is removed ?


Gallbladder has no direct role in digestion. It stores the bile which is required to initiate the fat digestion. Bile is formed in liver continuously and about 50% of it collects in gallbladder. If there is no gallbladder then bile go directly into intestines.

Alcohol is not metabolized in intestines. Its absorption starts from mouth and then stomach and then from intestines. It causes irritation of lining of all intestines stomach and mouth.

Alcohol is directly metabolized in liver into acetaldehyde, and then into acetate and finally into co2 and water. About 10% passes unchanged in urine, sweat and breath.

SIBO

After gallbladder removal amount of bad bacteria in small intestines increases and alcohol potentiates this. Patient may have bad digestion, gas formation, heaviness, bloating, distension, pain and constipation.

Cancer

It is seen that alcohol intake causes an increase in cancer formation of bile tract in prediabetics and diabetics. 


Problems appear after operation and continued intake of alcohol

Patient may complain of following conditions after gallbladder removal and continued alcohol intake-

*Alcohol intolerance

*Pancreas inflammation

*Migraines

*Allergic reactions

*Stomach pain

*Discomfort


Interactions of painkillers & antibiotics with alcohols


Painkillers ( Ibuprofen, Aspirin )and antibiotics ( Metrogyl, septran, and cephalosporins) may have interactions with alcohol so they should be avoided in post operative phase.

Take your decision wisely. Alcohol intake is not advised till painkiller and antibiotics are taken by the patient.

When all the drugs are stopped by the patient small amount can be taken with lots of water and non oily and spicy eats.

A last word quoted by me "As Dr Sarin even single drop of alcohol is poison for the body".

Happy recovery




सोमवार, 16 सितंबर 2024

Orange is high In Oxalates Should we consume it in Kidney stones

 Orange is high In Oxalates . Should we consume it in Kidney stones ? Is orange juice good for kidney stones ?
Can I eat oranges if I have kidney stones? Can you eat oranges on a low oxalate diet? 




Most common kidney stones are formed from calcium oxalate. It is advisable to avoid high oxalate diet and food items which are high in Oxalates. To know contents of oxalate in different foods Click here

Oranges are considered high in oxalate. We should avoid it but it is advised by scientists to drink one glass of orange juice daily even in kidney stones.

Orange juice is high in citrates. It is also high in potassium magnesium, folate and vitamin C.

All these substances reduce oxalate crystals formation and oxalate stone formation. Citrates present in the juice combines with calcium and prevents absorption of oxalates. Always remember lemon is best source of citrates followed by orange and grapefruit.

Orange as whole contains more oxalate than orange juice because orange fruit contain fiber surrounding the juice. Even if you are taking this juice, don't take more than one glass per day because it is very high in sugars especially fructose and high sugar consumption is not allowed in kidney stones. 

Oranges are also not allowed if your kidneys are not functioning well because It contains lot of potassium which is dangerous in kidney failure.

While one orange contains 29 mg of oxalate, one cup of orange juice contains only 2 mg of oxalate.



मंगलवार, 10 सितंबर 2024

Can we eat rice in kidney stones ? If yes then which one white or brown ?Is rice high in oxalate ?

 Can we eat rice in kidney stones ? If yes then which one white or brown ?Is rice high in oxalate ? 


Rice is the staple diet for most of Indians especially in South India. It is available as white or as brown which unprocessed.

Brown rice is a whole grain, It is rich in Magnesium, fiber, sodium, phytates and calcium, vitamin b comples.

White rice is stripped in bran and germ. 

A cooked cup of white rice contain 4 mg of oxalate while a cooked cup of brown rice contain 24 mg of oxalates. 

Brown rice contain 86 mg of magnesium in one cooked cup. It also has 3.5 gms of fiber, 2 mg of sodium and 20 mg of calcium.

It has good source of phytates, although anti-nutrients yet it slows down the stone formation.

Mix your rice with low oxalate vegetables and one servings of milk.


So yes you can consume rice, both varieties  with some precautions.

Brown rice  Image by Racool_studio on Freepik

सोमवार, 2 सितंबर 2024

Know foods and their oxalate contents, what is the best food to eat when you have kidney stones, Stone in Kidney

Know foods and their oxalate contents, What is the best food to eat when you have kidney stones ? Kidney stone diet chart, High oxalate foods, Good food for kidney, Best food for kidney stone, Low oxalate diet, How to pass kidney stone fast ?


Most genuine question is How to prevent kidney stones and Food to avoid kidney stone. Kidney stone me kya nahi khana chahiye is more important than kya khana chahiye.

Most of the persons consume about 200-300 mg of oxalate with their food every day. 

If you have family history of oxalate stones or you have passed stones in your urine in past or if you have been operated for stones in past you are at high risk and should consume about 100 mg of oxalate in your diet. 

If you are at very high risk then you should consume only 50 mg of oxalate per day in your diet. 



From where oxalate reached to our body?

1 The main source of oxalate in our body is different chemical and metabolic activities. And we can't regulate or govern these automatic activities of our body. It's a byproduct of metabolic reactions. From blood it is excreted in our urine. 

2 Secondly it is an essential constituent of our different food items. Naturally whatever we eat contain some amount of inherent oxalate in it. When we eat oxalate of food combines with calcium available in food. It makes calcium oxalate and excretes into the feces. If it is not excreted it is get absorbed in the urine and excreted in our urine. If urine is concentrated and thick because of less hydration or other causes crystals start forming and slowly stones form.

3 Oxalates are also produced from vitamin c breakdown. That's why don't take not more than 1 grams of synthetic vitamin c in your diet per day.


You should plan your diet to keep yourself stone free. Drinking lots of water in day and before going to bed and keeping yourself well hydrated is key to success. 

These are the main points while preventing oxalate stones:-

1 Keep yourself well hydrated with 2 lts of urine per day

2 Consuming less than 2 gms of salt per day

3 Consuming not more than 150 gms of nonvegetarian food per day

4 To eat low oxalate diet

5. To have 3 servings of milk or milk products per day

6. Lifestyle modification to keep yourself active and non obese.

Read my blog to know further about these points-

Ways to prevent kidney stone formation




Foods classification 

In day to day life we eat several types of foods. For convenience of patients I will start from one type of food one at time. 

I have divided every food item into 3 categories :- 

1 Food with high oxalate which should be avoided at any cost, 

2 Food with medium oxalate contents which should be consumed in limited amount, 

3 Food with low oxalate contents which can be consumed in any amount.

How to reduce oxalate in food items ?

Try to cook your food before you eat. Cooking reduces the amount of  oxalate in food items. You can boil, steam, bake or sauté.


Whole Fruits:-

1 Fruits high in Oxalate, should be avoided:-

Avocados

Dates

Grapefruit

Kiwi

Orange

Raspberries 

Chikoo


2 Fruits moderate in oxalate, eat in moderation:-

Tangerine

Figs


3 Fruits low in oxalate:-

Apple sauce

Apple

Apricots

Banana

Blackberries

Blueberries

Cantaloupe

Cherries

Grapes

Honeydew melon 

Lemons

Limes

Mango

Nectarine

Peaches

Pears

Pineapple

Plaintain

Plums

Raisins

Strawberries

Watermelon


Vegetables

1 Vegetables high in oxalates:-

Bamboo shoots

Beets

Fava beans

Navy beans

Okra- Ladies finger

Olives

Parsnip

Red kidney beans

Refried beans

Rhubarb

Rutabaga

Spinach

Tomato sauce

Turnip

Yams


2. Vegetables moderate in oxalate

Artichokes

Asparagus

Carrots

Collards

Soybeans

String beans

Tomato


3 Vegetables with low oxalate

Alfalfa sprouts

Bok choy

Broccoli

Brussels sprouts

Cabbage

Celery

Chives

Corn

Cucumber

Endive

Green pepper

Iceberg lettuce

Kale

Mung beans

Mushrooms

Mustard greens

Onions

Peas

Pickles

Sauerkraut

Sea vegetables

Waterchestnuts

Yellow squash

Zucchini


Potatoes

1 Potatoes with high oxalates

French fries

Baked potato with skin

Mashed potatoes

Potato chips

Potato salad

Sweet potatoes


Dairy

Typically all dairy products are having low, very low or none oxalates for example

All cream products

All ice creams

All yogurt products

All cheese products

All Eggs

All dairy spreads

All types of milk


Breads and grains

1 Breads with high oxalates

French toast


2 Breads with moderate oxalates

English muffins whole wheat

Pancakes

Biscuits

Bran muffins

Wheat bread

Rye bread

Tortillas

White bread

Whole oat bread

Whole wheat bread


3 Breads with low oxalates

Corn bread

oatmeal bread

oat bran muffin, bread


Pastas, Rice & Grains


1 With high oxalates

All purpose flour

Brown rice

Buckwheat groats

Cornmeal

Millets 

Miso

Rice bran

Soy flour

Wheat flour, Whole grain


2 With moderate oxalate

Spaghetti

White rice flour


3 With low oxalate

Barley malt flour

Corn flour, bran 

Flaxseed

Hummus

Macroni & Cheese

Oat Bran raw

White rice cooked


Meats  

1 With high oxalate

Tofu

Vegggie burger

Soy burger


2 with low oxalate

Antelope

Bacon

Buffalo

Chicken nuggets, dog, liver

Ground beef

Hamburg

Hot dogs

Liver

Meatballs

Moose

Turkey dogs


Fish

1 With high oxalate

Tuna salad


2 With low oxalate

Frozen fish sticks

Alaskan king crab

Bluefish

Clams

Cod liver fish oil

 Flounder

Haddock

Halibut

Herring

Oysters

Pollock

Salmon

Sardines

Shrimp

Swordfish

Tuna fish

Whiting


Nuts and Seeds

1 High in oxalate

Almonds

Cashews

Peanuts

Pecans

Pistachios

Mixed nuts

Pumpkin seeds

Sunflower seeds

Trail mix

Walnuts


2 With low oxalate

Flaxseed


Cakes, Candies, Cookies, Pudding Snacks


1 With high oxalate

Brownies

Cake

Candies with nuts

Chocolate syrup, cake

Fudge sauce

Milk chocolate candies

Pies

Apple pie

Pudding popsicle


2 With low oxalate

Fig bars

Oatmeal cookies

Rice cake, pudding

Custard

Pudding


Crackers, Chips & Miscellaneous

2. With moderate oxalate

Tortilla corn chips


Beverages 


1 With high oxalate

Carrot juice

Hot chocolate

Lemonade

Tea

Tomato juice

Prune juice


3 With low oxalate

Apple juice

Apricot juice

Coffee decaff

Orange juice

Pineapple juice

Coffee

Grape juice

Grapefruit juice

Mango juice

Sodas all type

Iced tea instant

Water


Alcoholic beverages

3 with low oxalate

Beer

Red wine

White wine

Liquor 80 proof


Spreads , sauces & Toppings

1 With high oxalate

Chocolate syrup

Fudge sauce

Miso

Peanut butter

Stuffing

Tahini


3 with low oxalate

Cream sauce

Olive oil

Soy sauce

Butter

Ketchup

Jam, jelly

Italian salad dressing

Mayonnaise

Mustard yellow

Salsa

Whipped cream, topping


Ingredients

1 with high oxalate

All purpose flour

Brown rice flour

Cocoa powder

Cornmeal

Soy flour

Wheat flour, whole grain

White rice flour


2 With moderate oxalate

Chili powder

Brewer's yeast

cornstarch, flour

Lemon juice

Artificial sweetner

Brown sugar

cream

eggs

Garlic powder

Gelatin

Honey

Lard

Oat flour

Salt

Sugar


Fast food items or meals

1 With high oxalate

Cheeseburger

chili with beans

Lasgna with meat

Nachos with cheese

Pizza with cheese

grilled cheese sandwich

Tacos

2 With moderate oxalate

Doughnut

Eggroll

Hotdog with bun

onion rings



Try to remember what you have not to eat and rest you can eat.

Make your own list of food items and save into your purse or into your mobile.

Oxalate rich foods should be avoided at every cost. With the help of above list you can make your kidney stone diet chart in Hindi. Search for kidney stone doctor near me and discuss the management with him.

Dr Puneet Agrawal Laparoscopic and laser Surgeon
Emergency and General Surgeon


It is important to know foods for kidney stones. To reduce oxalate burden we should know which kidney foods to avoid ? Stones in kidney is a common problem world wide. About 15% of Indians sometimes suffer from stones in kidney in their life. Foods for kidney stones are low in sodium, animal proteins, oxalates and well hydrated lifestyle. In my previous video and article I have described kidney stones food to eat. You can check the list and can make your 7-days diet chart. Calcium oxalate kidney stones are most common yet we should not reduce the calcium consumption. We should avoid oxalate foods. 

What are the worst foods for kidney stones:-

Foods which are high in oxalate, sodium and animal proteins are the worst foods. Our body should be well hydrated. 

What foods help clear kidney stones :-

For melting and expulsion of kidney stones we should drink 3 liters of fluid daily, consume 125 ml of lemon juice, consume 2 grams of salt daily, should not eat more than 150 grams of meat, should take more vegetarian proteins, should take 3 servings of milk with active lifestyle.

What is the best food to eat when you have kidney stones ?

There is no best food, we have to take multiple diet approaches to get rid of kidney stones as described above.


Dr Puneet Agrawal MS

Laparoscopic surgeon and Laser surgeon

 

Can I drink alcohol after my gall bladder is removed?

 Can I drink alcohol after my gall bladder is removed ? Gallbladder has no direct role in digestion. It stores the bile which is required to...