December 2, 2022

Can manner an excessive amount of vitamin C direct to kidney stones?

picture of oranges and vitamin C supplements

Getting within the midst of chilly season, fairly a number of of us try to only take as many preventive steps as doable to forestall the sniffles, no matter whether or not it’s washing our palms far more continuously, getting far more dietary nutritional vitamins, sucking on zinc lozenges or popping further vitamin C dietary dietary supplements. 

However in case you are a male, pay attention to how significantly vitamin C you might be having. A brand new evaluate within the “JAMA Inside Remedy” journal recognized that grownup males who ingested vitamin C dietary dietary supplements of 1,000 mg/working day or much more had been at amplified menace for kidney stones. Vitamin C ingestion by weight-reduction plan didn’t carry the similar danger. 

The inspired dietary allowance for vitamin C in the US is 75 mg/working day for women and 90 mg/day for grownup males.

 “Most folk get loads of vitamin C from a effectively balanced weight-reduction plan program and our our bodies absorb it most appropriately from the meals gadgets we attempt to eat,” states Sarah Malik, MD, Nebraska Remedy gastroenterologist.

“People who could be vulnerable to vitamin C deficiency, these sorts of as individuals who smoke, women and men with extreme intestinal malabsorption or cachexia and most cancers individuals might probably be at elevated chance of vitamin C inadequacy, might maybe reward from using vitamin C well being dietary supplements lower than a health care provider’s supervision,” suggests Dr. Malik.

Necessary sources of vitamin C incorporate citrus fruits, tomatoes, cantaloupes and strawberries. Someplace round 70% to 90% of vitamin C is absorbed in affordable intakes of 30 to180 mg/day. However, at doses over 1g/working day, absorption falls to rather a lot lower than 50%. Absorbed, unmetabolized vitamin C is excreted within the urine.

What’s a kidney stone?

A kidney stone is a tough deposit of salts and minerals that kind inside your kidneys. Your kidneys remove waste and fluid out of your blood, which makes urine. If you happen to you shouldn’t have greater than sufficient fluid in your blood, the wastes can accumulate and sort into stones. These stones may be as small a grain of salt or develop to be as important as a golf ball.

Vitamin C consumption, additionally referred to as ascorbic acid, has been proposed as a hazard issue for kidney stones growth since vitamin C might effectively maximize urinary oxalate excretion, a form of calcium salt chargeable for some stones.

“Ingested vitamin C is partly transformed to oxalate and excreted within the urine, due to this fact in all probability increasing the specter of calcium oxalate stone growth,” says Dr. Malik. “In a metabolic evaluate of 24 individuals, 2 grams each day of vitamin C elevated urinary oxalate excretion by about 22%.”

Signs of kidney stones

Frequent indicators and signs of kidney stones embody issues like: 

  • Sharp ache in your aspect or cut back element of your stomach
  • Agony when urinating
  • Blood in your urine
  • Nausea, vomiting 
  • Urinary urgency
  • Pink, crimson or brown urine

Kidney stones can come to be trapped within the kidney if they’re much too massive to maneuver on their have, which could information to indicators this type of as important kidney soreness, nausea and vomiting, explains Dr. Malik. If there may be kidney obstruction, long-lasting kidney hurt can come about if remaining untreated.

If urine is contaminated up coming to the obstructing stone, this can be a urologic sudden emergency that wants speedy decompression, Dr. Malik states. If this occurs, you would possibly data fever, chills, repeated and strong urge to urinate, blood in your urine, cloudy and foul-smelling urine.

“When you have any signs of a blocked stone or an infection, see your doctor or go to an disaster part as promptly as achievable for analysis and treatment,” suggests Dr. Malik. “This can be a circumstance wherein a particular person might flip into septic extraordinarily speedily if left untreated.” 

Chance issues for kidney stones

Near 1 in 10 people will create kidney stones. Despite the fact that anybody can construct kidney stones, the next will elevate your danger:

  • Dehydration attributable to dry local weather or from intensive coaching otherwise you merely is not going to drink greater than sufficient h2o
  • Being obese
  • Metabolic issues this type of as cystinuria, oxaluria or gout
  • Use of specified drugs this type of as protease inhibitors, antibiotics, some diuretics and calcium-based antacids
  • Problems or surgical procedures of the digestive tract together with inflammatory bowel ailment and gastric bypass surgical procedure
  • A weight-reduction plan regime rich in salt, protein, refined sugars and comfy drinks
  • You’ve gotten skilled kidney stones within the earlier
  • Family historic previous of kidney stones
  • Structural abnormalities within the kidney this type of as ureteropelvic junction obstruction, urinary diversion surgical procedures, horseshoe kidney
  • You’ve gotten polycystic kidney situation or an extra cystic kidney sickness
  • Your urine is made up of considerable quantities of cystine, oxalate, uric acid or calcium

If kidney stones are suspected, your well being and health care provider will purchase exams to establish when you’ve got kidney stones and to ascertain a remedy technique method. Process will rely upon how huge the stone is, its make-up, regardless of whether or not it’s blocking your urinary tract and the diploma of ache it’s triggering.

Methods to care for kidney stones

When you have a compact kidney stone, agony medicine and fluids might probably be sufficient to allow the stone undergo the urinary tract. A big stone or one explicit that’s blocking your urinary tract would possibly require shock wave lithotripsy to interrupt up the kidney stones. Ureteroscopy is a further widespread technique carried out that features using a intensive tube-like instrument to come back throughout the stone and take out it or cut up it into small elements. In some eventualities, operation to take out the kidney stone could be vital. 

Methods to avert kidney stones

To help stop kidney stones, drink 8 to 12 cups of fluid a working day. You might also might want to decrease sodium and animal proteins this form of as meat and eggs in your weight-reduction plan regime.

“Present scientific proof agrees on the damaging outcomes of considerable meat or animal protein consumption and really low calcium weight-reduction plan applications, whereas excessive materials of vegetables and fruit and a balanced consumption of very low-body fats dairy merchandise carry the most affordable menace for kidney stones,” states Dr. Malik. “A effectively balanced vegetarian weight-reduction plan plan with dairy merchandise and options seems to be probably the most protecting weight-reduction plan plan for kidney stone victims”.

When you have skilled kidney stones and your well being practitioner can establish the number of stones, they may give you further particular weight-reduction plan regime ideas.

On the time you could have skilled a kidney stone, you could have a 35% to 50% alternative of buying one other stone inside 10 a long time,” states Dr. Malik. “Comply with your physician’s recommendations to help cease a recurrence.”

Going by indications of kidney stones?
Get it checked out. Agenda an appointment with a single of our professionals at 800.922.0000 or come to the Surprising emergency Division in case your indications are acute.