Diet after urolithiasis. Features of dietary nutrition for urolithiasis. Features of the diet for phosphate stones

A diet for kidney stones can be an excellent tool in treatment - or it can be completely useless. This depends on the type of metabolic disorder that led to stone formation, and, therefore, on the chemical composition of the stone.

What are the general dietary guidelines for treating kidney stones?

• One, but very important: drinking enough water. Ideally, 2-2.5 liters daily, preference is given to clean non-mineral water, juices and fruit drinks are allowed, but not tea, coffee, cocoa, beer or wine. The process of stone formation begins with an increased concentration of ions in the urine; accordingly, the more water is filtered with urine, the lower this concentration will be.
• A diet for urolithiasis of the kidneys must be balanced in composition and have sufficient energy value - after all, you will have to stick to it for many years.

If there are any diseases of the gastrointestinal tract, this must certainly be taken into account: exacerbation of cholecystitis or pancreatitis, intestinal dysbiosis inevitably leads to impaired absorption of vitamins and microelements, and ultimately contributes to stone formation.

In what cases is the diet effective?

• Amino acid stones - cysteine ​​and xanthine - are formed against the background of genetic abnormalities; they cannot be corrected by diet, but there is hope to get rid of urate stones by following certain recommendations.
• You should not rely on the dissolution of existing oxalates or phosphorus-calcium stones and calcium carbonates, but a diet is necessary to prevent the formation of new stones.
• Magnesium salts of phosphoric acid (struvite) are most often formed not due to metabolic disorders, but against the background of a urinary tract infection. But even in this case, some dietary recommendations will not be superfluous.

So, to choose a diet for urolithiasis, you need to know the chemical composition of the stone.

Urats

They are formed when there is an excess content in the urine of the final product of purine metabolism - uric acid.

• Purines are found in large quantities in meat, especially young animals (chicken, veal), and offal; their concentration is high in jellies and rich broths. Excess purines in mushrooms and legumes. The diet allows you to eat boiled meat or fish no more than 3 times a week.
• Alcoholic drinks, especially beer and red wine, sharply reduce the excretion of uric acid by the kidneys. The content of these products in the diet should be reduced.
• Vegetables, grains and dairy products contain few purines. That is, with urate nephrolithiasis, it is advisable to adhere to a dairy-vegetable diet. Potatoes, tomatoes, sweet peppers, eggplants; buckwheat, millet, barley and pasta; nuts and seeds; milk and fermented milk products, cottage cheese and mild cheeses; eggs, any berries and fruits can be eaten in unlimited quantities.
• Uric acid crystallizes in an acidic environment, so in case of uric acid diathesis, the urine must be alkalized. Alkaline mineral waters (Borjomi, Jermuk, Obukhovskaya), lemon juice and citrate mixtures (blemaren) are suitable for this.
• As herbal medicine, you can use decoctions of clover, blackcurrant leaves, cornflower flowers, burdock and dandelion roots.

Oxalates

Excess oxalates can form with increased consumption of foods containing oxalic acid or vitamin C, which is metabolized in the body before it, as well as with increased absorption of oxalic acid, which is associated with a deficiency of calcium and vitamin B6.

• Therefore, first of all, foods rich in oxalic acid are excluded from the diet: lettuce, spinach, beets, celery, parsley, tea and coffee, chocolate and cocoa, jelly and jellies.
• Limit carrots, tomatoes, green beans, chicken and beef.
• Potatoes and cabbage, pumpkin, peas, pears, apricots, bananas and watermelons, all cereals, dairy products are allowed, preferably in the first half of the day.
• Vitamin C should not be taken as a dietary supplement; foods that contain ascorbic acid as a preservative should be excluded from the diet. Limit foods containing a lot of vitamin C: citrus fruits, currants, rose hips, sour apples.
• You need foods rich in vitamin B6, calcium and magnesium (potatoes, nuts, whole grains).
• The effect of alkaline drinking is small, but herbal medicine - half-palm, madder, birch leaves and violet roots - are highly recommended.

Phosphates

Calcium salts of phosphoric acid (apatites) are formed against the background of disturbances in phosphorus-calcium metabolism (hypervitaminosis D, excess parathyroid hormone, renal tubular acidosis), therefore for this type of urolithiasis it is important to reduce calcium excretion by the kidneys.

The condition for the formation of magnesium compounds (struvite) is a urinary tract infection, so good immunity is needed to prevent them. But both of them crystallize in an alkaline environment, so one of the main goals of the diet for phosphaturia is acidification of urine.

• Vegetables and fruits are sharply reduced in the diet, except for pumpkin, beans, peas, asparagus and Brussels sprouts (they have little calcium and alkalizing components), and sour berries - cranberries, currants, lingonberries.
• Limit milk and dairy products (cheese, cottage cheese), which have an alkalizing effect and are rich in calcium.
• Avoid foods that increase the secretion of gastric juice and, therefore, lead to the loss of acid radicals: alcohol, coffee, spices and spicy snacks, carbonated drinks.
• Excess table salt increases calcium excretion, so if apatite is present, salty foods are also undesirable.
• You can eat meat and fish, pasta and bread, cereals and soups, butter and vegetable oil. You should especially not neglect butter, which, along with liver and egg yolk, is rich in vitamin A. Retinol has been found to help prevent infection and reduce stone formation.
• Against the background of a constantly followed diet, you need to periodically arrange “calcium” days - eat cottage cheese, cheese, nuts - this will prevent the unpleasant consequences of hypocalcemia and will not lead to the growth of stones.
• As with any variant of urolithiasis, with phosphaturia you need to drink a lot, and it is better to choose sour drinks - fruit drinks from cranberries and lingonberries, juice from sour varieties of apples and grapes, mineral waters such as Arzni, Dolomitnaya, Truskavetskaya, Sairme.
• You can also pay attention to herbal teas, especially using herbs that increase the solubility of phosphates: burdock root, madder, elecampane, bearberry, lovage, centaury.

Thus, dietary recommendations are possible if the nature of the stone is established; in all other cases, there is no need to act at random. It is enough to drink more - ordinary fresh water or neutral mineral waters of Zheleznovodsk, herbal decoctions with a diuretic, but without a pronounced alkalizing or acidifying effect, eat food rich in vitamins A and B, empty the bladder more often and move more.

Today, doctors diagnose almost every second person. In their opinion, such sad statistics in most cases are explained by the deteriorating environmental situation, and in particular by the fact that we drink water of very low quality. Thus, one of the factors stimulating the occurrence of diseases of this kind are heavy metals present in drinking water, food and the air we breathe.

Urate kidney stones and causes of their appearance

Very often, patients are horrified by such a large list of restrictions, but do not worry, because there are also a huge number of permitted products.

According to the conditions of diet No. 6, when urate stones are deposited in the kidneys, dietary preference should be given to dairy and plant products that have an alkalizing effect.

Allowed foods for urate kidney stones

List of permitted products:

Drinking during the deposition of urate stones:

1. Water:
   • medicinal mineral water (“Borjomi”, “Essentuki No17”, “Polyana-Kvasova”, etc.). Alkaline mineral waters are excellent for dissolving stones. The norm per day is no more than half a liter. You should drink warm water half an hour before meals;
   • medicinal table water – up to 1-1.5 liters per day;
   • table water – can be consumed in unlimited quantities.

   Important! In case of urolithiasis, mineral water is consumed only under the supervision and as prescribed by the attending physician.

2. Fermented milk drinks: fermented baked milk, kefir, milk.
3. Compotes of fresh or frozen fruits and berries.
4. Teas: weak tea.
   Note!Diet No. 6 involves a complete abstinence from drinks such as strong tea, cocoa and coffee, since their consumption is one of the main factors in the active formation of kidney stones. These drinks not only increase the level of uric acid in the body, but also contribute to dehydration.
5. Herbal infusions and decoctions. Any pharmacy offers kidney preparations, which include medicinal plants such as stinging nettle, and others.

The drinking regime of patients in whom the formation of urate stones occurs in combination with the development of other diseases (for example, etc.) can only be established by the attending physician.

As mentioned above, urate stones are formed when there is an excess amount of uric acid, the production of which is promoted by purine substances. Sources of large quantities of these substances are: meat products and offal, fish and mushrooms.

It is worth noting that it is the cooking of these products that allows you to get rid of most of the purines they contain, which, accordingly, remain in the broth. That is why it is strictly forbidden to consume meat, fish and mushroom broths if you have urate kidney stones, but you can treat yourself to a tasty boiled piece of meat.

Tip #1 . Before you start cooking the meat, it should be soaked in a saline solution for at least three hours.

Tip #2 . Soaked meat should be placed immediately in boiling water.

Tip #3 . When preparing first courses, meat should be cooked exclusively in a separate container and added to the plate already fully prepared.

Menu options for urate kidney stones

Menu option No. 1

Breakfast- soft-boiled egg, buckwheat porridge, a slice of slightly dried gray bread, rose hip decoction.

Lunch- two sweet apples.

Dinner– soup based on vegetables and pearl barley, pumpkin-curd casserole, compote.

Afternoon snack– cabbage and carrot salad.

Dinner– bell peppers stuffed with a mixture of rice and vegetables, a glass of kefir.

Menu option No. 2

Breakfast– oatmeal with a handful of nuts, a glass of fruit jelly.

Lunch- banana.

Dinner– vegetarian borscht with sour cream and breadcrumbs, cottage cheese with sweet berries and honey, green tea.

Afternoon snack– sweet fruit salad dressed with yogurt.

Dinner– vegetable stew, a glass of compote, an apple.

Menu option No. 3

Breakfast– boiled egg, potato and zucchini pancakes, herbal tea.

Lunch– salad with cucumber, sweet pepper and green onions.

Dinner– milk soup with pasta, semolina cheesecakes, a glass of compote.

Afternoon snack- bunch of grapes.

Dinner– boiled lean meat, vinaigrette salad, fruit tea.

Menu option No. 4

Breakfast– milk rice porridge, toast with jam, ginger tea.

Lunch– a pair of plums and a pear.

Dinner– vegetarian soup with vegetables, seasoned with sour cream, a glass of milk jelly and marmalade.

Afternoon snack- fruit salad.

Dinner– boiled potatoes, cabbage and carrot salad, a slice of white bread, a glass of fermented baked milk.

Menu option No. 5

Breakfast– one-egg omelette, baked beetroot and walnut salad, tea with milk.

Lunch- banana and pear.

Dinner– boiled chicken breast, rice and vegetable soup, pumpkin pancakes, a glass of compote.

Afternoon snack– baked apple with honey.

Dinner– casserole of pasta, apples and cottage cheese, a glass of milk.

Konev Alexander, therapist

To treat and prevent the disease, it is necessary to consume foods that prevent the formation of oxalic acid. It is through her fault that chemical compounds called oxalates are formed. They form insoluble stones.

To avoid the occurrence of urolithiasis or to treat it, you need to eat diuretic foods:

• fruits and berries: pineapple, cherry, viburnum, cranberry, blackberry, plum, peach, cherry, mango, watermelon, orange, quince, pear, pomegranate and its juices, lingonberries, lemon, dogwood, apples, currants, melon, blueberries, strawberries and wild strawberries;
• vegetables: rutabaga, beets, turnips, pumpkin, zucchini, cucumber, potatoes;
• porridge: buckwheat, barley, oats, rice, pearl barley, corn, millet;
• dried fruits: raisins;
• meat: wild poultry, rabbit, beef;
• mushrooms;
• bread (rye or made from wholemeal or second-grade flour);

Folk remedies for the treatment of urolithiasis

To remove uric acid from the body and to dissolve stones, you need to drink grape juice. If you take it for a long time, blood pressure normalizes.

Figs have an excellent diuretic effect. You need to eat it every day, at least one piece a day.

Drink a decoction of celery. To do this, you need to take several of its branches, pour boiling water (200 milliliters), cover, and leave for 10-15 minutes. Filter. Divide into three doses.

Drink a tincture made from green oat grass (you can also use oat grains). To prepare a healing tincture, you need to take a bunch of green grass, pass it through a meat grinder (or finely chop it), and place it in a bottle with vodka or alcohol (diluted with water). Infuse for 3 weeks (be sure to place in a dark, warm place). Sometimes, the contents of the bottle need to be stirred. After three weeks, strain. You need to consume 60-80 drops per day (divide this amount into 3 doses) before meals (20-30 minutes).

If you make a tincture from oat grains, then you need to take an incomplete handful and grind it better in a coffee grinder. Then repeat the above steps.

If fresh oat grass is not available, straw can also be used. Take a bunch of oat straw, put it in boiling water, leave for a couple of hours (until the water turns brown), filter. Heat the resulting decoction, take napkins or a piece of cloth, soak it in this water, apply it to the kidneys, cover with cellophane, bandage it (preferably with a woolen belt or scarf), hold for 20 minutes. For the first time, 5 minutes may be enough. It all depends on the skin type (as soon as you feel a strong burning sensation, immediately remove this compress).

These compresses help expand the ureters, which is very good for the passage of stones.

Juice made from horseradish is an excellent diuretic for urolithiasis. To prepare it, you need to take horseradish root, grate it, add sugar or honey. Mix. Eat a teaspoon of the resulting mixture before meals (you can spread it on bread).

There is a fairly common disease that affects people most often between the ages of 30 and 50 - urolithiasis. With this disease, stones form in the kidneys, which disrupt the normal flow of urine and the function of the organ itself.

The diet can be varied, depending on which stones are localized in the kidneys. There are several types of stones. The most common are oxalates, urates, phosphates and cystinates.

Oxalate stones are formed as a result of excess intake of foods containing calcium salts into the body. These salts are formed from ascorbic and oxalic acids.

Urates are formed from salts of uric acid. If there is a failure of phosphorus-calcium metabolism in the body, then phosphate stones are formed.

If the quantity and metabolism of amino acids is disturbed, cystine stones are formed.

3 most important diet criteria for kidney stones

The diet for kidney stones, which is prescribed to the patient, is needed to normalize kidney function and prevent further formation of stones. Its main points:

1. Balanced functioning of the digestive system.
2. Gradually bringing metabolic processes back to normal, especially with regard to the amount of purines.
3. Change in urine test reaction in different directions (alkaline, acidic). It depends on what kind of stones are present in the kidneys.

In general, food should be varied and nutritious. In some cases, it is desirable that the food contain as little animal protein and fat as possible.

There is treatment table No. 6 - the Pevzner diet, which is recommended for patients with kidney stones. This is the fundamental option for stopping this disease. According to the decree of the Ministry of Health of the Russian Federation, it is available in all medical institutions.

A person suffering from this disease can consume per day:

• carbohydrates – 360-390 g, sugars – no more than 79-81 g;
• fats – 85-89 g, of which vegetable fats – no more than 25%;
• proteins – 75-80 g, of which half are animal.

The daily norm of kilocalories should not exceed 2200-2350.

What not to eat if you have kidney stones

Foods that should not be consumed if you have kidney stones:

• baked goods, cream cakes and buns;
• meat and fish soups and broths;
• fatty meats and fish, smoked products;
• sausage products (sausages, small sausages);
• strong tea and coffee;
• chocolate candies;
• chicken egg yolk;
• all citrus fruits;
• pickles, including canned ones;
• animal fat;
• lard and margarine;
• spices and herbs;
• products containing gelatin.

It is necessary to minimize the intake of legumes and some vegetables (sorrel, eggplant, beets). Avoid drinking alcoholic beverages and smoking tobacco.

What can you eat if you have kidney stones?

The acid-base balance of urine makes it possible to determine the patient’s health status and diagnose diseases of the urinary system. With kidney stones, a shift in urine to the alkaline side, which is supported by diet, is especially important.

It is imperative to consume foods that contain Mg, B1, B6, and B12. These vitamins and elements help remove kidney stones, especially oxalates and urates. It is necessary to include in your diet foods that contain retinol - vitamin A, which restores the walls of blood vessels.

Tea from medicinal herbs and all kinds of decoctions have a positive effect if the patient has an inflammatory process in the urinary system. Medicinal water of low mineralization is also useful for kidney stones.

Products that are allowed to be consumed:

• coarse baked goods made from 2nd grade flour (high content of vitamins B1, B6, B12);
• fresh vegetable salads;
• cereal products in small quantities;
• noodles and pasta;
• lean meat and fish;
• dairy products;
• apples, pears, watermelons, sweet fruits and berries;
• vegetables (potatoes, carrots, tomatoes);
• dried fruits compote;
• unsalted cheeses;
• chicken egg white;
• vegetable oil.

If you follow these rules of eating, you can achieve good results and quick healing.

Why you need to diet

Diet for kidney stones is one of the important points for the prevention and treatment of this disease. When strictly observed, the following processes occur in the body:

• splitting of kidney stones;
• prevention of the occurrence of small and coarse stones;
• removal of stones from the body along with urine.

This diet also provides for gradual weight loss, improving the breakdown and absorption of nutrients in the intestines and stabilizing the functioning of the heart and blood vessels. According to some observations of doctors, in patients who strictly adhered to these recommendations, the inflammatory process of the urethra, bladder and kidneys decreased.

Results of non-compliance with the diet

If you do not adhere to doctor’s prescriptions and do not follow a diet, various unfavorable conditions for the body may arise:

1. Inflammation of the kidneys of a bacterial nature.
2. Inflammatory process in the bladder and urinary tract.
3. Impaired renal function, up to renal failure.
4. Almost constant pain syndrome.

Urolithiasis is a disease of the urinary system, which is characterized by the appearance of insoluble formations in the form of sand and stones. The disease is quite common among other diseases of the urinary system and can occur in almost any part of it (kidneys, bladder, ureters), is often hidden and acute in nature, has severe complications and relapses.

Urolithiasis occurs both in older people and in very young people at the most active age. Both men and women are equally susceptible to the disease.

The main reason for the appearance of insoluble stones and sand is an increased concentration of salts of various substances, which can precipitate due to impaired metabolism and under the influence of many unfavorable factors. Insoluble salts are not excreted from the body and settle in various organs: joints, kidneys, bladder, etc.

Depending on the chemical structure of insoluble salts, several types of stones are distinguished. The most common are urates, oxalates and phosphates.

External and internal factors contribute to the formation of insoluble salts:

Severe dehydration (for example, as a result of food poisoning, infectious disease, etc.).

Frequent acute or chronic diseases of the genitourinary system: cystitis, pyelonephritis, prostatitis, hydronephrosis and many others.

Vitamin deficiency and constant deficiency of various nutrients in the diet, as well as prolonged lack of sunlight.

Diseases of the bones, musculoskeletal system: osteoporosis, injuries, etc.

Various chronic diseases of the stomach and intestines, as well as other digestive organs: ulcers of the mucous membranes, gastritis, colitis, etc.

Insufficient physical activity, which leads to impaired metabolism of phosphorus and calcium in the body.

Genetic or congenital features of the individual structure of the urinary organs.

Vascular and metabolic disorders in the kidneys and in the body itself, as well as pathological and anatomical changes in the urinary organs, which disrupts the normal outflow of urine.

Nutritional features. So, very spicy and sour foods shift the normal pH of urine and contribute to its acidification, as a result of which stones can form more easily and quickly.

Hard water. A large amount of hardness salts that are found in certain areas can affect the formation of insoluble salts and their deposition in the body.

Main (most common) symptoms of urolithiasis

Stones in the kidneys. In this case, lower back pain is a concern. They can be sharp or have a dull, aching character. Usually the pain begins when the stone moves and ends after it takes a new position. After an attack of pain, blood may appear in the urine.

The pain is associated with active movement and appears after physical exertion. Depending on where the stone is located, the right or left side of the lower back or both sides at the same time may hurt.

Stones in the ureter. If a kidney stone enters the ureter, the pain shifts to the groin area and radiates to the thigh and genitals. There is a frequent urge to urinate. Sometimes the stone can be passed out in the urine. If this does not happen or the stone is large enough, then urine cannot leave the kidney freely. This leads to its stagnation and renal colic. In this case, the patient feels pain in the lower abdomen, and blood may appear in the urine.

Bladder stones. When a stone gets into the bladder, pain appears in the lower abdomen, radiating to the perineum and intensifying with any movement, walking, or physical activity. In addition, the frequent urge to urinate is bothersome.

All these situations require a serious approach, as they are fraught with various complications. Thus, stones in the ureters and kidneys will almost certainly lead to chronic pyelonephritis and other problems. Bladder stones contribute to the development of acute cystitis, which can become chronic.

Treatment of urolithiasis will depend on many factors, including: location of the formation, size (sand or stone), shape and type of stone (urate, oxalate, etc.), age, presence of concomitant diseases and much more.

If the stone is small, the doctor will prescribe a strict diet and medication. In other more complex cases, surgical intervention is resorted to.

In any case, even after surgery, you need to carefully monitor your health to reduce the risk of recurrence of stones in the future.

Before prescribing a diet, the doctor conducts an examination, studies test results, identifies the nature of the formation of sand or stones and the causes of disturbances in water-salt metabolism.

General principles of diet for urolithiasis

Drink enough water (so that the daily volume of urine is from one and a half to two and a half liters). This can be regular or mineral (medicinal table) still water, various fruit drinks (especially cranberry, lingonberry).

The amount of food consumed at one meal should not be very large.

Do not use products that can form insoluble salts.

Oxalate diet. Oxalates are brown-black stones with very sharp edges that form when there is excess oxalic acid. If the examination results show the presence of oxalates, the doctor will recommend excluding foods rich in oxalic acid from the diet: spinach, sorrel, lettuce, parsley, currants, etc. It is also not recommended to consume chocolate, all sweets and citrus fruits, rich meat or fish broths.

It is allowed to include in the menu black and white bread, cauliflower, prunes, pumpkin, buckwheat and oatmeal, vegetarian soups (from those vegetables that are allowed), milk, cheese, fermented milk products, cottage cheese, eggs, vegetable fats.

The consumption of carbohydrates and table salt should be limited. Lean fish, meat and poultry are allowed in small quantities, as well as flour dishes, peas, carrots, turnips, apples, cucumbers, peaches, pears, apricots, grapes, etc.

Sample menu for oxaluria (oxalate stones) for one day

First breakfast: cottage cheese (100 grams), a mug of tea with milk (250 ml), toasted bread with butter.
Lunch: milk oatmeal (150 grams), lingonberry jam juice (250 ml).
Dinner: Vegetarian vegetable soup with sour cream (250 ml), one dried bread, dried berry compote (250 ml).
Afternoon snack: pasta casserole with cottage cheese (150 grams), fruit jelly (250 ml).
First dinner: baked meat (beef), serving - 100 grams, boiled potatoes with carrots (150 grams), mineral water (250 ml).
Second dinner: not a rich bun, one mug of cranberry juice (250 ml).

Diet for urates. Urates are formed when there is an increased concentration of uric acid salts in the body and when the urine is significantly acidified. The main goal of the diet is to shift the urine reaction to the alkaline side and limit the intake of purine bases (which are the main source of uric acid) into the body. To do this, you should greatly reduce, and in some cases completely eliminate, the consumption of animal by-products, veal, chicken, piglets and other young animals. Chocolate, coffee and cocoa are also not recommended. Fish, animal fat, canned food, smoked meats, sausage, tea and much more are subject to exclusion. All foods that help alkalize urine (vegetables, fruits, milk) are allowed.

During the diet, it is not recommended to starve; you need to eat often and in small portions, five or six times a day. You can arrange fasting days on vegetables or permitted fruits. The basis of the diet should be all kinds of vegetables. They can be baked, boiled, stewed, stuffed. The amount of water you drink should be up to two liters or more.

For a day, the approximate chemical composition of the menu should look like this: proteins - up to 80 grams, fats - up to 80 grams (of which 30% should be vegetable), carbohydrates - 400 grams.

Sample menu for uraturia (urate stones) for one day

First breakfast: carrot pudding with millet and apples (100 grams), a mug of tea with milk (250 ml), vegetable salad with vegetable oil (150 grams).
Lunch: rosehip decoction (250 ml), soft dough bun.
Dinner: noodle milk soup (250 ml), one dried bread, fried potato cutlets (150 grams), dried berry compote (250 ml).
Afternoon snack: two medium fresh apples.
First dinner: cabbage rolls stuffed with boiled rice and vegetables (200 grams), mineral water (250 ml).
Second dinner: decoction of wheat bran (250 ml).

Diet with phosphates. Phosphate stones are formed when the pH of urine shifts to the alkaline side and when phosphorus-calcium metabolism is disrupted. As a result, magnesium and calcium phosphates are formed, which precipitate and cause the formation of phosphate stones.

The main goal of the diet in this case is to “acidify” the urine and exclude calcium-rich foods from entering the body.

A large number of vegetables and fruits are prohibited, as well as milk and various fermented milk products, juices, smoked meats and marinades. Meat and flour products are allowed. Sour apples, pumpkin, currants, green peas, mushrooms and much more will be useful. Drinking should also be plentiful if possible, and meals should be split and six times a day.

Sample menu for phosphaturia (phosphate stones) for one day

First breakfast: crumbly buckwheat porridge (100 grams), a mug of tea (250 ml), a hard-boiled egg.
Lunch: fresh rosehip decoction (250 ml), shortbread bun.
Dinner: soup with meatballs (250 ml), one dried bread, dried berry compote (250 ml).
Afternoon snack: meat cutlet (100 grams), jelly (250 ml).
First dinner: baked chicken (100 grams), boiled rice (100 grams), mineral water (250 ml).
Second dinner: tea (250 ml), grain bread.

Dietary nutrition for urolithiasis has a supporting role and is intended to improve the patient’s condition during treatment, in the postoperative period and to prevent subsequent relapse of the disease. The duration of the diet and the selection of basic food products should be carried out by the attending urologist after a medical examination and receipt of test results.