Patient of Chronic Kidney Stones,recurrent stone formation,compromised kidney function - #31363

No need to worry,

Start taking these medications, 1.HAJROOL YAHOOD BHASMA 125 MG+1tbsf of Honey twice in a day. 2.Syp. Neeri 2 tsf thrice in a day. 3.Punarnava tab.2-0-2 4.Pashanbhedaadi kwath 15 ml with 30ml of lukewarm water empty stomach twice in a day.

*Drink plenty of water. *Start eating KULATHI. (During this period,Avoid Shilajit)

Follow up after 45 days.

Take care😊

Kind Regards, Dr.Isha Ashok Bhardwaj

Please strictly follow meditation. Sy. Neeri KFT 10ML TWICE TAB. CYSTONE FORT 1-0-1

Start with Tablet Cystone -DS 1-0-1 after food with water Gokshuradi guggul 2-2-0 after food with water Include kulathi dal (horse gram) daily in your diet Take apple cider vinegar 5ml twice daily before food with a glass of water Follow Renal diet your doctor has suggested. Follow up after 1 month with USG reports.

1.Brihatyadi kwatham tab 2-0-2 before food 2.Chandraprabha gulika 2-2-2 after food 3.Gokshuradi guggulu 1-0-1after food 4.Thriphaladi churnam 1tsp with hot water at bedtime

Take 3-4litres of water /day

Recurrent history of kidney stones with multiple surgeries with present creatinine in 1.8 with slight rising potassium levels. This means your kidney function is compromised and your body is unable to filter the weights and balance electrolytes efficiently. Because your potassium is slightly high. You need to be extra careful with foods that can version this level. At the same time, you had to prevent further stone formation and protect the remaining kidney function. Avoid coconut water, fruit, juices, raw vegetables potatoes tomato spinach beetroot banana orange pomegranate Just confirm with your nephrologist that how much fluid intake should be taken per day Raw vegetables to be boiled first, discard the water and then cook, You can take fruits like apple, papaya, pear Avoid non veg especially red meat which can worsen kidney load Restricted that should be taken Avoid painkillers Regular checkup is for creatinine in potassium and urine reports are essential Start on punarnavadi mandura Chandraprabha vati Gokahuradi guggulu-one tablet, eat twice daily after food with warm water You haven’t mentioned presently, how much millimetre stones are present in ultrasound are they single or in multiple?

1.Gokshuradi guggulu 2 tab twice daily with water after meals 2.Capsuls Ural 2 cap twice daily with water after meals 3.Syp.Neeri KFT 2 tsp thrice daily after meals 4.Punarnavadi kwath 20 ml with 20 ml water twice daily after meals

Foods to Include - Low-potassium fruits: Apples, grapes, berries, pineapple - Low-potassium vegetables: Cabbage, cauliflower, green beans, cucumber (boil and discard water to reduce potassium further) - Moderate protein: Egg whites, lean chicken (grilled/boiled), paneer (in limited quantity) - Grains: White rice, suji (semolina), refined wheat flour (avoid whole grains if phosphorus is high) - Healthy fats: Olive oil, ghee (in moderation) - Herbs & spices: Ginger, turmeric, coriander (instead of salt-heavy masalas)

Foods to Avoid - High-potassium foods: Bananas, oranges, tomatoes, potatoes, spinach, coconut water - High-phosphorus foods: Dairy (milk, cheese), nuts, seeds, cola drinks - High-sodium foods: Pickles, papads, canned soups, processed snacks - Oxalate-rich foods (stone risk): Chocolate, beets, rhubarb, nuts - Excess protein: Red meat, organ meats (can strain kidneys)

hello Namaste ,

I hear your concern clearly. You’ve been struggling with kidney stones for many years, and now your kidneys are working under strain with creatinine at 1.81 and potassium at 5.3. This means your kidneys are filtering less efficiently, so the most important thing right now is to protect the remaining kidney function and prevent further stone formation. A renal diet is very important for you, because the wrong foods can worsen both creatinine and potassium levels.

Here’s what you can follow:

Limit high-potassium foods (avoid bananas, oranges, tomatoes, potatoes, spinach, coconut water). Control protein intake – don’t overload with meat or dal; prefer smaller portions of moong dal or well-cooked vegetables. Reduce salt and packaged/processed foods, as they stress the kidneys.

Drink water wisely – enough to stay hydrated, but not excessive if your doctor has advised restriction. Avoid oxalate-rich foods like nuts, chocolate, beets, and excess tea/coffee, since they increase stone risk.

internal medications :

Punarnavadi Kashayam – 15 ml with equal water twice daily before food (for swelling, kidney function support).

Gokshuradi Guggulu – 1 tablet twice daily after food (helps in urinary health and stone prevention).

Investigations to monitor regularly: Serum creatinine, urea, electrolytes (especially potassium) Urine routine and culture Ultrasound KUB once in 6 months

You can recover stability and slow down progression if you strictly follow diet and lifestyle measures along with safe medicines. Regular monitoring is very important in your case.

Warm regards, Dr. Karthika

GENERAL RENAL DIET PLAN

GRAINS -Favourable= old rice, barley, wheat, broken rice, rice flakes (poha). These are light, easy to digest, and don’t strain the kidneys -Avoid= millet, ragi, bajra, corn, oats in excess- they can be heavy and increase stone risk

VEGETABLES -Favourable(low potassium, stone friendly )= lauki, pumpkin, ash gourd, ridge gourd, tinda, cabbage, Beans, cucumber(peeled), torai -Avoid= spinach, beetroot, tomato, brinjal, potatoes, colocasia, mushroom. These are high in oxalates or potassium, both stone- promoting and kidney stressing

PULSES AND PROTEIN -Favourable= moong dal, kulthi dal- helps prevent stones -Avoid= rajma, chana, urad, massor, soya- heavy gas-forming, and harder for compromised kidney -Animal protein= restrict red meat, organ meat, and excess fish/eggs. They increase uric acid and stone risk

DAIRY -Favourable= buttermilk (thin, spiced with cumin), small amounts of cow’s milk if digestion is good -Avoid= panner, cheese, curd at night, condensed milk- heavy high in phosphorus and protein

FRUITS -Favourable= (in moderation, not excess)= apple, guava ,pear, watermelon (if potassium not restricted) -Avoid= banana, papaya, orange, avocado, muskmelon, coconut water- high in potassium

SPICES AND OILS -Favourable= cumin, coriander, fennel, turmeric, hing (asafoetida), black pepper -Avoid= red chilli, green chilli, vinegar, excess mustard seeds, pickles- these aggravate pitta, increasing stone formation -Oils= sesame oil, small amount of ghee are good. Avoid reheated oils, fried food

LIQUIDS -warm or lukewarm water is best -Helpful drinks= barley water, coriander seed water, cumin water -Avoid= aerated drinks, alcohol, excess tea/coffee.

FOODS TO AVOID STRICTLY -Spinach, tomato, beetroot, nuts, chocolate, black tea, coffee, fried foods, alcohol -salt heavy processed foods -excess dairy, cheese, panner

​Understanding the Patient’s Condition ​Recurring Kidney Stones: The patient has a history of recurring kidney stones since 1999, which has led to multiple PCNL (Percutaneous Nephrolithotomy) surgeries. This indicates a high risk of stone formation.

​Compromised Kidney Function: The creatinine value of 1.81 and a potassium value of 5.3 are indicators of compromised kidney function (Chronic Kidney Disease or CKD). ​Creatinine: A high creatinine level suggests the kidneys are not filtering waste products effectively. ​Potassium: An elevated potassium level (hyperkalemia) is a concern as the kidneys are responsible for regulating potassium balance. High potassium can affect heart function. ​

​Key Principles of a Renal Diet ​A renal diet is a specialized eating plan designed to help manage the symptoms and slow the progression of chronic kidney disease. The specific restrictions will depend on the patient’s blood test results and stage of CKD. ​Protein: The body breaks down protein into waste products that the kidneys must filter. Too much protein can put a strain on compromised kidneys. reducing intake of high-protein foods like red meat, poultry, and certain dairy products.

​Note: It’s not about eliminating protein entirely, but about consuming the right type and amount. Plant-based proteins may be easier on the kidneys.

​Potassium: As the patient’s potassium level is already elevated, limiting high-potassium foods is critical.

​Foods to Limit/Avoid: Bananas, oranges, potatoes, tomatoes, avocados, and spinach are often high in potassium. ​

​Phosphorus: High phosphorus can weaken bones and damage blood vessels in patients with CKD.

​Foods to Limit/Avoid: Dairy products, nuts, legumes, and processed foods with phosphorus additives.

​Sodium (Salt): High sodium intake can increase blood pressure, which is a major risk factor for CKD and can worsen fluid retention. ​Recommendation: Limit processed foods, canned foods, and fast food. Use herbs and spices instead of salt for flavoring. ​Fluid Intake: Too much fluid can cause swelling and put a strain on the heart, while too little can lead to dehydration and stone formation.

​Diet and Kidney Stones ​The diet also needs to address the recurring kidney stones. The type of dietary changes will depend on the composition of the stones (e.g., calcium oxalate, uric acid).

​Fluid Intake: Maintaining adequate hydration is key to preventing all types of kidney stones.

​Ayurveda and Chronic Kidney Disease ​While Ayurveda may offer supportive therapies, it is crucial to understand that it is a complementary approach and should never replace conventional medical treatment for CKD. ​ Treatment

1) Punarnava churna- 3 gm + Hazrul yahood bhasma-250 mg+ kshara parpati-250 mg + chandraprabha vati-250 mg+ gokshuradi gugglu-250 mg – before food with honey 3 times

2) Tab varunadi kashaya-2 tab - before food with water 3 times

What is eGFR, Urea, Hb?

Neeri Syrup 10 ml twice a day after Food Chandraprabha Vati 2-2-2 After Food Gokshuradi Guggulu 1-0-1 After food

Drink 2.5 - 3 Litre water Daily Reduce Salt intake , meats and sea foods Avoid Tea / Coffee Avoid cool drinks,Dry fruits, chocolate, leafy vegetables and tomatoes Do not avoid dairy products completely Limit Soya ,berries,grapes ,fig , kiwi , etc (contains high amounts of oxalates ) Include citrus fruits

In managing recurrent kidney stones and compromised kidney function through Ayurveda, a personalized approach is essential. Considering your recurring stones and elevated creatinine and potassium levels, dietary adjustments and lifestyle interventions will play a significant role.

Firstly, hydraaation is crucial. Aim to drink at least two to three liters of water daily unless restricted by your physician due to your kidney function. This helps in diluting urine and may reduce the risk of stone formation.

Dietarily, focus on a renal-friendly diet. Reduce sodium intake to help manage potassium levels and kidney workload. Opt for fresh vegetables and fruits in moderation – avoid high-potassium ones like bananas, potatoes and tomatoes. Consider taking lighter veggies like gourds (bottle gourd, ridge gourd) and green leafy vegetables (except spinach and beet greens).

Proteins should be limited, as excess can stress the kidneys. Prefer plant-based proteins such as lentils and beans, consuming them cautiously based on your doctor’s advice. Avoid red meats, and be cautious with dairy, as calcium stones are common.

In terms of lifestyle, incorporating daily mild exercises like yoga or walking will help improve your circulation and overall health. Particularly, yoga poses such as Paschimottanasana and Bhujangasana may assist in enhancing kidney function.

From an Ayurvedic perspective, herbs like Gokshura (Tribulus terrestris) and Pashanbheda can support urinary health and potentially reduce stone formation. However, consult with an Ayurvedic physician before using any herbs to ensure they are safe with your current medical regimen.

Consider temporary fasting practices once a week if guided by a healthcare professional. This “langhana” process helps rest digestive organs—though it is important to do this safely, especially with existing health issues.

Finally, consistent follow-ups with your healthcare provider are crucial. Be proactive in tracking your kidney function markers and work closely with your doctors to tailor your diet and lifestyle changes effectively for your unique needs.

Can I know Wats the sizes of stones?? N Gfr?? Any other past history of diabetes/ HTN??

For recurrent kidney stones and compromised kidney function, integrating Siddha-Ayurvedic recommendations can be beneficial alongside your prescribed renal diet and medical care. Your condition involves an imbalance that often links to improper digestion, sluggish metabolism (agni), and disturbance in your body’s doshas, possibly elevated pitta and kapha. Here’s how you can consider managing it from an Ayurvedic perspective:

First, dietary adjustments are essential. Start by minimizing foods high in oxalates like spinach, beets, nuts, and chocolate, as these may contribute to stone formation. Focus on a pitta-pacifying diet: include more cooling, alkalizing foods such as cucumber and zucchini. Stay hydrated with lukewarm water; this helps in maintaining a flow in the urinary tract.

Herbal formulations could also offer support. Gokshura (Tribulus terrestris) and Punarnava (Boerhavia diffusa) are considered to support kidney functions. They assist in urinary tract health, but it’s critical to consult an Ayurvedic practitioner before use, ensuring they align with your specific needs and current medical treatment.

Revisit your lifestyle habits. Stress and irregular routines can disturb vata dosha, influencing stone recurrence. Practice regular abdominal exercises and yoga asanas like Bhujangasana (Cobra Pose) to enhance circulation and metabolic activity. Ensure your daily schedule allows for consistent meals and rest.

Lastly, while Ayurveda is supportive, never delay conventional medical check-ups and follow all doctor-recommended interventions, especially considering your creatinine and potassium levels. Monitoring these is crucial, given your kidney function. Always communicate changes or new symptoms with your healthcare team promptly to ensure your safety.

HELLO ,

-Chronic kidney disease -recurrent kidney stones- since 1999, multiple PCNLs -Creatinine : 1.81 -Potassium : 5.3 (hyperkalemia tendency) -On renal diet

AYURVEDIC PERSPECTIVE -Kidney stones and CKD-> linked to Mutravaha srotas dushti and imbalance of Kapha + Vata+ Pitta -Focus on Apathya nivarana (diet control), stone recurrence prevention, and supporting kidney function

MANAGEMENT

DIET AND LIFESTYLE -AVOID= high potassium foods- banana, coconut water, tomato, spinach, potato, dates -Reduce= excess salt, spicy, oily, and junk food

PREFERRED -Barley water- in moderation -Lauki, ridge gourd, ash gourd, preparations -old rice, wheat, light moong dal soup -warm water for hydration - avoid over hydration due to CKD

INTERNAL

1) PUNARNAVADI KASHAYA= 20 ml + equal water twice daily after meals =for kidney support

2) VARUNADI KASHAYA= 30 ml + equal water twice daily after meals =for stone recurrence

3) GOKSHURADI GUGGULU= 2 tabs twice daily after meals for urinary support

LIFESTYLE -regular but gentle exercise- walking -stress reduction- pranayam, meditation -avoid suppression of urine urges

THANK YOU

DR. HEMANSHU MEHTA