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Question: As my doctor had me take a Cat Scan for proceeding with a kidney stone surgery He mentioned I have sever atherosclerotic disease with interval development of an infrarenal abdominal aortic aneurysm measuring 3.0 cm Long x 2.9cm AP x 2.7cm transverse. I need to know what to eat. He said eat lots of vegetables for 2 weeks then nothing but water for 20 days. I live in Fairbanks, Alaska and he's the only Urologist up here and considered the best. I don't know what to eat!!! So I didn't eat for 3 days, what do I do. Please help, I'm a woman who just turned 59 on Oct 17th. Thank you a head time. I'm XXXXXXX XXXXXXX XXXXXXX My email address is YYYY@YYYY I don't have an app only email and my cell phone which I gave you. Pleas tell me what to eat!
Sorry I don't have a printer at this time so this is the best I can do! I don't know what else to ask at this time. Thank XXXXXXX XXXXXXX XXXXXXX
I'll look forward to any help you can give me. I'll look for your email Tuesday thank you so very much! XXXXXXX and my Husband XXXXXXX R. XXXXXXX
I'll look forward to any help you can give me. I'll look for your email Tuesday thank you so very much! XXXXXXX and my Husband XXXXXXX R. XXXXXXX
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that your aortic aneurysm is not a contraindication for surgery. I would recommend reducing salt intake, use statins (atorvastatin, simvastatin, etc.) and maintain a normal blood pressure for this purpose. This would help maintain under control your aortic aneurysm.
Regarding the kidney stones, I would explain that coming to this point surgery is the best treatment option, especially for the big stone which can not be treated with ultrasounds (Extracorporeal Shock Wave Lithotripsy) and needs to be treated as soon as possible to prevent from further damage to your kidney.
There are specific diets, which would help slow the progression of your kidney stones and prevent other stones from being created. But these diet modifications can not destroy the stones you have.
Here are some diet modifications which would help:
Staying well hydrated by drinking enough water is one of the best measures you can take to avoid kidney stones. To lessen your risk of forming a new stone, it is very important that you drink at least three quarts (12 cups) of fluid throughout the day. This will help keep your urine less concentrated. Less concentrated urine reduces the risk of stone formation. Most of the fluid you drink should be water.
Kidney stones are different based on their main components: calcium tones, uric acid stones, oxalate stones, mixed stones.
Reducing the amount of animal protein may help,especially if your kidney function is impaired. This would help also slow the progression of uric acid stones. Sources of animal protein include beef, chicken, pork, fish and eggs. Most people need only four to six ounces of high protein foods and three servings of milk or cheese a day. You should take a lower amount than that.
Eating and drinking calcium and oxalate-rich foods together during a meal is a better approach than limiting oxalate entirely because oxalate and calcium are more likely to bind to one another in the stomach and intestines before the kidneys begin processing, making it less likely that kidney stones will form.
Chronic kidney stones are often treated with potassium citrate. Studies have shown that limeade, lemonade and other fruits and juices high in natural citrate may offer similar stone-preventing benefits. It is believed that citrate in the urine may prevent the calcium from binding with other constituents that lead to stones.
Besides, I would recommend some specific types of tea, which can help prevent stone formation and also slow their progression :Celery Seed Tea, Corn Silk Tea, etc..
You can get them easily at the grocery.
Hope you will find this answer helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that your aortic aneurysm is not a contraindication for surgery. I would recommend reducing salt intake, use statins (atorvastatin, simvastatin, etc.) and maintain a normal blood pressure for this purpose. This would help maintain under control your aortic aneurysm.
Regarding the kidney stones, I would explain that coming to this point surgery is the best treatment option, especially for the big stone which can not be treated with ultrasounds (Extracorporeal Shock Wave Lithotripsy) and needs to be treated as soon as possible to prevent from further damage to your kidney.
There are specific diets, which would help slow the progression of your kidney stones and prevent other stones from being created. But these diet modifications can not destroy the stones you have.
Here are some diet modifications which would help:
Staying well hydrated by drinking enough water is one of the best measures you can take to avoid kidney stones. To lessen your risk of forming a new stone, it is very important that you drink at least three quarts (12 cups) of fluid throughout the day. This will help keep your urine less concentrated. Less concentrated urine reduces the risk of stone formation. Most of the fluid you drink should be water.
Kidney stones are different based on their main components: calcium tones, uric acid stones, oxalate stones, mixed stones.
Reducing the amount of animal protein may help,especially if your kidney function is impaired. This would help also slow the progression of uric acid stones. Sources of animal protein include beef, chicken, pork, fish and eggs. Most people need only four to six ounces of high protein foods and three servings of milk or cheese a day. You should take a lower amount than that.
Eating and drinking calcium and oxalate-rich foods together during a meal is a better approach than limiting oxalate entirely because oxalate and calcium are more likely to bind to one another in the stomach and intestines before the kidneys begin processing, making it less likely that kidney stones will form.
Chronic kidney stones are often treated with potassium citrate. Studies have shown that limeade, lemonade and other fruits and juices high in natural citrate may offer similar stone-preventing benefits. It is believed that citrate in the urine may prevent the calcium from binding with other constituents that lead to stones.
Besides, I would recommend some specific types of tea, which can help prevent stone formation and also slow their progression :Celery Seed Tea, Corn Silk Tea, etc..
You can get them easily at the grocery.
Hope you will find this answer helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr. IIir Sharka,
Thank you for your advice about kidney stones. My husband and I are aware that the one large stone has already begun to affect the kidney and needs to be dealt with asap. As I said earlier, I'm on antibiotics and steroids due to an upper resperatory infection which is why the surgery was cancelled. As soon as it clears up I will re-schedule the kidney stone surgery. We have already begun to reserch the diet and changes that I will need to make regarding this and future kidney stones. Thank you for your advice.
However, the diagnosis of sever artherosclorosis disease and a currently small aortic aneurysm is now the most important problem we need to deal with. So far it appears that diet and the timing of meals seems to be the most important changes to be made. A low fat almost meat free diet along with as low cholesterol as possible is the main goal to obtain. However, knowing to avoid red meat and other meats and other high fat foods does not tell us what foods I can consume. From what foods should I get my main sources of protein from? For instance, are milk based proteins allowed such as yogurt. And especially what other forms of low fat protein can I consume?
Are there any types of food as a particular food that will help with the problem? As the diagnosis is already listed as severe, it is not just enough to change things in a manner so they won't get worse but it's important to know if there is anything that can be done to help reverse this situation. For instance, are there any vitamins, minerals or food supplements or treatments that will help to reverse the process? Hardening of the arteries can result in heart attacks, strokes, pulminary strokes and loss of lymbs gangrene etc... Any suggestions or advice would be very much welcome.
Thank You, XXXXXXX XXXXXXX XXXXXXX XXXXXXX R. XXXXXXX
Thank you for your advice about kidney stones. My husband and I are aware that the one large stone has already begun to affect the kidney and needs to be dealt with asap. As I said earlier, I'm on antibiotics and steroids due to an upper resperatory infection which is why the surgery was cancelled. As soon as it clears up I will re-schedule the kidney stone surgery. We have already begun to reserch the diet and changes that I will need to make regarding this and future kidney stones. Thank you for your advice.
However, the diagnosis of sever artherosclorosis disease and a currently small aortic aneurysm is now the most important problem we need to deal with. So far it appears that diet and the timing of meals seems to be the most important changes to be made. A low fat almost meat free diet along with as low cholesterol as possible is the main goal to obtain. However, knowing to avoid red meat and other meats and other high fat foods does not tell us what foods I can consume. From what foods should I get my main sources of protein from? For instance, are milk based proteins allowed such as yogurt. And especially what other forms of low fat protein can I consume?
Are there any types of food as a particular food that will help with the problem? As the diagnosis is already listed as severe, it is not just enough to change things in a manner so they won't get worse but it's important to know if there is anything that can be done to help reverse this situation. For instance, are there any vitamins, minerals or food supplements or treatments that will help to reverse the process? Hardening of the arteries can result in heart attacks, strokes, pulminary strokes and loss of lymbs gangrene etc... Any suggestions or advice would be very much welcome.
Thank You, XXXXXXX XXXXXXX XXXXXXX XXXXXXX R. XXXXXXX
Brief Answer:
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
I read carefully your question and would explain that atherosclerosis (hardening of the arteries) is a process which can be slowed, by controlling your cardiovascular risk factors:
-maintain a controlled blood pressure. Values below 130/80 would be OK in your clinical situation.
-maintain low cholesterol levels. There are two ways to do that:
a) lifestyle modifications. I would recommend performing a lot of physical activity (walking, aerobics, etc.) and reduce your weight if you are overweight.
Some modifications to your diet. You should avoid meat, especially red meat (it is prefered fish or chicken when used 2-3 times a week). For the protein intake you can take beens, peas and lentils, which are rich in proteins and low in cholesterol. I would not recommend using them for more than 2-3 days a week, because of your kidney dysfunction.
Food rich in omega 3 (fish oil, nuts, vegetable oils, walnuts, flaxseeds and soy products) would be the best for fat intake. I would recommend avoid saturated fat intake like butter, etc..
Regarding milk, yogurt and cheese, I would recommend taking them in small amounts as they have high levels of calcium, which is not very good for your kidney problems. These foods are not a concern for their cholesterol levels, but you have kidney problems too.
Carbohydrates like bread, chips, etc. are not a problem, if you have a balanced diet. You can take them normally.
I would recommend drinking a lot of water. This would be the best for your kidney problem and helps reduce the food intake.
b) medication. I would recommend taking a statin (simvastatin, rosuvastatin,etc.) which are the best to control high levels of cholesterol.
You should closely monitor your blood pressure (two times daily), to avoid possible hypertension.
It is true that atherosclerosis is a diffuse process, affecting all the arteries to your body.
All your clinical situation should be monitored. I would recommend you to perform periodically schedulled follow ups every 6 months (with blood lipid profile, resting ECG) and every 12 months an ultrasound for the evaluation of your aorta dimensions.
A Doppler ultrasound of the cervical arteries would help exclude possible atherosclerotic stenosis in this levels. But as you don't have any symptoms, there is nothing to worry about.
Hope you will find this answer helpful!
Greetings!
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
I read carefully your question and would explain that atherosclerosis (hardening of the arteries) is a process which can be slowed, by controlling your cardiovascular risk factors:
-maintain a controlled blood pressure. Values below 130/80 would be OK in your clinical situation.
-maintain low cholesterol levels. There are two ways to do that:
a) lifestyle modifications. I would recommend performing a lot of physical activity (walking, aerobics, etc.) and reduce your weight if you are overweight.
Some modifications to your diet. You should avoid meat, especially red meat (it is prefered fish or chicken when used 2-3 times a week). For the protein intake you can take beens, peas and lentils, which are rich in proteins and low in cholesterol. I would not recommend using them for more than 2-3 days a week, because of your kidney dysfunction.
Food rich in omega 3 (fish oil, nuts, vegetable oils, walnuts, flaxseeds and soy products) would be the best for fat intake. I would recommend avoid saturated fat intake like butter, etc..
Regarding milk, yogurt and cheese, I would recommend taking them in small amounts as they have high levels of calcium, which is not very good for your kidney problems. These foods are not a concern for their cholesterol levels, but you have kidney problems too.
Carbohydrates like bread, chips, etc. are not a problem, if you have a balanced diet. You can take them normally.
I would recommend drinking a lot of water. This would be the best for your kidney problem and helps reduce the food intake.
b) medication. I would recommend taking a statin (simvastatin, rosuvastatin,etc.) which are the best to control high levels of cholesterol.
You should closely monitor your blood pressure (two times daily), to avoid possible hypertension.
It is true that atherosclerosis is a diffuse process, affecting all the arteries to your body.
All your clinical situation should be monitored. I would recommend you to perform periodically schedulled follow ups every 6 months (with blood lipid profile, resting ECG) and every 12 months an ultrasound for the evaluation of your aorta dimensions.
A Doppler ultrasound of the cervical arteries would help exclude possible atherosclerotic stenosis in this levels. But as you don't have any symptoms, there is nothing to worry about.
Hope you will find this answer helpful!
Greetings!
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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