गुर्दे की पथरी के मरीजों को टमाटर तथा उसके बीज क्यों नहीं खाने चाहिए। एक बार पथरी बनने पर उसको दुबारा बनने से कैसे रोकें
Why we should not eat tomatoes in Kidney Stones ?
Most common kidney stones are calcium oxalate stones containing calcium and oxalate-oxalic acid.
If you want to cofirmm your type of stone, send the passed stone for chemical evaluation or send your urine for examination.
Body produces Oxalates in our liver from amino acids proteins and also formed when we metabolize vitamin c. 20-40% of oxalates come from our food. Oxalates are found in nuts, fruits, vegetables, grains and legumes.
Tomatoes are botanically fruits. In 1893 a US supreme court directed that it will be considered as vegetables.
Tomatoes are considered notorious in forming kidney stones especially its seeds. People think in kidney stones we should not eat any thing containing seeds.
Is it True ?
Contrary to general belief scientists have cleared that there is no role of tomatoes in forming kidney stones or in recurrence of kidney stones.
Tomatoes contain oxalates in very small amount. About 100 gms of tomatoes contain 5 mg of oxalates. If you eat kilos of tomatoes only than you may develop excess of oxalates in your body.
How can we reduce oxalate content of Tomatoes?
1. Oxalates combine with calcium present in foods to form calcium oxalate which are then excreted in faeces from colon. So to prevent absorption of oxalate we should eat calcium rich diet with tomatoes or other oxalate rich foods. Both will combine and will be excreted out of body as tomato paneer.
2. Before eating tomatoes drink lots of water to keep body hydrated.
3. Oxalates are water soluble. They can be reduced from vegetables by boiling and discarding the water in which tomatoes are boiled.
4. Do not mix tomato and spinach as both are oxalate rich foods.
5. Don't worry about seeds as they are passed in potty without absorption.
Other common precautions
6. Drink atleast 3-4 litres of water daily. You should produce atleast 2 litres of urine daily.
7. Eat less sodium in food eg common salt (NaCl)
8. Eat less animal proteins
9. Avoid vitamin C supplements , Should not take more than 500 mg in a day
10. Eat more calcium rich foods
Dr Puneet Agrawal MS
Laparoscopic Surgeon
Laser Surgeon
Professor of Surgery
लेखक परिचय: डॉ. पुनीत अग्रवाल (MS, FISCP) – वरिष्ठ सर्जन और स्वास्थ्य मार्गदर्शक
नमस्ते! मैं डॉ. पुनीत अग्रवाल हूँ। आगरा, उत्तर प्रदेश में पिछले 40 वर्षों से एक अनुभवी सर्जन के रूप में कार्यरत हूँ। चिकित्सा के क्षेत्र में मेरा लंबा सफर मानवता की सेवा और आधुनिक तकनीक द्वारा सटीक इलाज के प्रति समर्पित रहा है।
मेरी विशेषज्ञता (Specializations):
लेप्रोस्कोपिक सर्जन (Laparoscopic Surgeon): पित्त की थैली (Gallstones) और अपेंडिक्स की दूरबीन द्वारा आधुनिक व सफल सर्जरी।
लेजर सर्जन (Laser Surgeon): पाइल्स (Piles), फिशर और फिस्टुला का बिना चीर-फाड़ वाला दर्दरहित लेजर इलाज।
डॉग बाइट एक्सपर्ट (Dog Bite Expert): कुत्तों, बिल्लियों या बंदरों के काटने और रेबीज (Rabies) से बचाव के लिए विशेषज्ञ चिकित्सा परामर्श।
मेरा उद्देश्य (My Mission):
इस ब्लॉग के माध्यम से मेरा लक्ष्य जटिल मेडिकल जानकारियों को सरल हिंदी भाषा में आम लोगों तक पहुँचाना है। मेरे YouTube चैनल (@drpuneet) पर 48,000 से अधिक सब्सक्राइबर्स का परिवार जुड़ा है, जो मेरी दी गई विश्वसनीय जानकारी पर भरोसा करता है।
Professional Philosophy: "My goal is to combine four decades of surgical precision with the latest medical technology to provide my patients with the safest care possible."
WA
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