NUTRI 130 Lecture Notes - Lecture 20: Grapefruit Juice, Tiopronin, Struvite
6 Oct 2020
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Some may need medication to reduce cystine production in body. Form when infectious bacteria degrade urea to ammonia and elevate urinary ph. Occur most frequently in patients who have chronic urinary infections or to a level that favors struvite formation disorders that interfere with urinary flow. Renal colic course down to the abdomen toward the groin. Stabbing pain produced when a stone passes through the ureter. Pain begins suddenly in the back and intensifies as the stone follows the ureter"s. Pain may be severe causing nausea and vomiting. For any type of kidney stone, increase fluid intake. 12 to 16 cups fluid/day for stone formers. More if active or exposed to hot weather. Promote daily urinary volume between 2-3 liters. Avoid grapefruit juice and apple juice as they tend to increase stone formation. Surgical procedure whereby an incision is made in the back and a tunnel to the kidney is made to remove a kidney stone.
