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Kidney stone, fever. Done kidney scan. What is the diet to be followed?

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General & Family Physician
Practicing since : 1978
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Hi, I am suffuring from kidney stone from yesterday (8jun2012), I would like to know the diet to follow and present I am getting little bit fever, Please let me know to prevent this happening again in future.
Present Kidney Scan Report: Right kidney 10.2x4.1x5.1 cms.-Normal
Left kidney 11.4x6.3x6.6cms. with two calculus measuring 0.4cms and 0.5cms seen in upper and mid zone of kidney. Rest of the scan report are found to be normal.
Posted Sun, 1 Jul 2012 in Kidney Conditions
Answered by Dr. Pavan Kumar Gupta 1 hour later
Thanks for the query.
There are different types of kidney stones And basically some modification has to be made in diet according to the type of stone present in a person.
But since we don't know the composition of stone,I would like to tell you the general recommendation about the diet.Specific therapy should be tailored to the type of stones involved. Diet can have a profound influence on the development of kidney stones.  Current dietary recommendations to minimize the formation of kidney stones include
Increasing fluid intake of citrate-rich foods (especially citrate-rich fluids such as lemonade and orange juice), with the objective of increasing urine output to more than two liters per day
Attempt to maintain a calcium (Ca) intake of 1000 – 1200 mg per day
Limiting sodium (Na) intake 
Limiting vitamin C intake 
Limiting animal protein intake 
Limiting consumption of foods containing high amounts of oxalate (such as spinach, strawberries, nuts, rhubarb, wheat germ, dark chocolate, cocoa, brewed tea)
Maintenance of dilute urine by means of vigorous fluid therapy is beneficial in all forms of nephrolithiasis, so increasing urine volume is a key principle for the prevention of kidney stones. Fluid intake should be sufficient to maintain a urine output of at least 2 liters.
Calcium binds with available oxalate in the gastrointestinal tract, thereby preventing its absorption into the bloodstream, and reducing oxalate absorption decreases kidney stone risk in susceptible people. Calcium citrate supplements can be taken with meals if dietary calcium cannot be increased by other means. The preferred calcium supplement for people at risk of stone formation is calcium citrate because it helps to increase urinary citrate excretion.
Urine should also be made alkaline by giving alkalisers.
I hope to have answered your query however you may revert to me for any other query.
Best of luck.
Above answer was peer-reviewed by
Follow-up: Kidney stone, fever. Done kidney scan. What is the diet to be followed? 47 hours later
Dear Sir,

Thank you very much for detailed explanation, sure I will follow the recommended diet. I would like to clarify the below doubt, At present I am getting fever by evening time and after two to three hour the temperature decreases automatically without any medication, is this problem is because of swelling of left kidney? please let me know, Also my doctor prescribed to take IVP (Intravenous pyelogram) test, kindly let me know if this test is safe and necessary, as I am little bit afraid of this test.

Thank you in advance,
Answered by Dr. Pavan Kumar Gupta 41 minutes later
You could be suffering from urinary tract infection.
You must consult your doctor and get the required investigations done to find the cause for fever.
IVP is a safe procedure and very necessary for you.
You need not to be afraid of this test as it involves just an intravenous injection of a drug followed by serial x-rays of your urinary system.
Above answer was peer-reviewed by
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