Kaye Parker is a 49-year-old teacher with erratic eating habits due to her busy schedule. She...

Kaye Parker is a 49-year-old teacher with erratic eating habits due to her busy schedule. She has been following a high-protein diet to lose weight over the past two months. She often forgets to drink fluids during the day and notes that her urine is often dark and concentrated, especially when she works in her garden on weekends. She was awakened from sleep one night with stabbing pain in her back. She experienced some nausea as well. Eventually the pain subsided. The next morning, she noticed blood in her urine and called her doctor. Tests reveal hypercalciuria and calcium oxalate kidney stones.

Based on her limited history, what factors may have predisposed Kaye to develop kidney stones?
Why is it prudent for Kaye to avoid foods high in oxalates?
Because her stones are composed of calcium oxalate, Kaye feels she should avoid drinking milk. What advice would you give her? Why?
Kaye is motivated to avoid future pain and complications of kidney stones. What other dietary adjustments would be helpful for her?

Expert Solution

●The factors which could have predisposed her risk factor are

High protein diet:This can increase the level of calcium and risk for getting renal stone
Decreased fluid intake can lead to concentrated urine because of increased solutes in it making one to be at risk for renal stone
Overweight is one of the predisposing factor

●It is prudent for Kaye to avoid foods containing oxalte because it can further increase the chance of stone formation in the kidney. The oxalates are generally excreted by the renal system.

●Calcium is necessary to maintain the oxalate level when it is decreased it can increase the oxalate level and be a threat to renal stone formation .In order to prevent this process right and appropriate amount of calcium has to be taken by these patient.So milk should not be avoided from the diet which can provide calcium. She can be encouraged to drink atleast a glass of milk daily.

●The other dietary adjustments needed are

protein should be decreased in the diet.Nearly 30% can calorie cam be re add eived through protein intake and not more than that
Limited oxalate rich foods
Appropriate quantity of calcium has to taken
Increased fluid intake to keep urine diluted and smooth renal function
Reduce the sodium intake in the diet.

Nightingale answered 2 years ago

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