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".
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.
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.
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.
