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Dr. Shanthi Manoharan

Gynaecologist, Chennai

70 at clinic
Dr. Shanthi Manoharan Gynaecologist, Chennai
70 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Shanthi Manoharan
Dr. Shanthi Manoharan is a trusted Gynaecologist in Tambaram West, Chennai. You can visit her at Mano Hospital in Tambaram West, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Shanthi Manoharan on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 years of experience on Lybrate.com. You can find Gynaecologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Mano Hospital

No.1 & 2, Krishna Nagar, 8th Street, Mudichur Road, Tambaram West. Landmark: Near Andhra Bank, ChennaiChennai Get Directions
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Having pain while breast feeding and nipples are damaged. Nipples are white in colour now.

DGO,DNB
Gynaecologist, Kolkata
Having pain while breast feeding and nipples are damaged. Nipples are white in colour now.
Breast care is important while feeding. Proper latching of baby, and holding in correct position is important to avoid injury to nipple. Please consult a proper breast feeding nurse /paediatrician for feeding technique.
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What is the use of progesterone during pregnancy? Is it an optional medicine during pregnancy?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
What is the use of progesterone during pregnancy? Is it an optional medicine during pregnancy?
Progesterone is naturally secreted by pregnancy to maintain it. As it is naturally secreted then there is no need to take progesterone. Progesterone tablets have become fashion and a source of income these days for the doctors. There is no need to take any medicines except folic acid in the first 3 months. It is not optional, it is not needed at all and this fact is based on the research done world wide on this issue.
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I am continuously having my periods from a very long time. The maximum they stop is for a week and then they again start. Please guide me. And I started taking medicine i. E Dub5 and B- long but now they are also not doing anything.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
I am continuously having my periods from a very long time. The maximum they stop is for a week and then they again st...
Do ultrasonogram to check tumor. If tumor then come privately otherwise, medicine german reckeweg sabina 200, single dose (4-5 drops in mouth) morning. / daily 1 dose / 3 days buy medicine from good homoeopathic shop. Food mixed fruit juice daily evening. Please continue treatment.
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Hi doctor. Its me Nitu. I am unmarried n I think I am suffering from Menorrhagia. My period duration is 7 days to 10 days. I am very worried about it. Will it effect on my married life. How I'll cure it. Waiting for your reply thanks.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Hi doctor. Its me Nitu. I am unmarried n I think I am suffering from Menorrhagia. My period duration is 7 days to 10 ...
Check your hemoglobin level. Normally it should be 12, but up to 10.5 is acceptable. Any level below 10 means every month you are loosing more blood than your body can replace. In that case a good resolution ultrasound exam could detect the cause of excess bleeding and the cure is can be advised accordingly. Some other blood tests may also be necessary.
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My wife having bleeding after menstrual cycle on day of 8th and 9th, what are the causes or is there any thing serious please let me know.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My wife having bleeding after menstrual cycle on day of 8th and 9th, what are the causes or is there any thing seriou...
The condition is termed as Metrorrhagia also known as the dysfunctional uterine bleeding is a problem that women suffer from.Basically, this condition is characterized by bleeding episodes (mainly spotting but can lead to severe bleeding) outside the menstrual phase. Metrorrhagia is considered a symptom of a possible health problem but shouldn’t be handled as a serious health problem right away. One should not panic. Some of the main cause are----------- • Endometrial hyperplasia. • Uterine cancer.. • Ruptured polyps. • Cervical dysplasia. • Cervicitis. • Abortion or miscarriage. • Infection. • Hormonal imbalance. • Coagulation problems. • Use of contraception. So consult a Gynaecologist for physical examination.
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I am 24 years old after sezrian delivery my weight is 65 kg and my tummy looks very big I have tried many ideas To rid out with that but no effects please tell me what should I do.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 24 years old after sezrian delivery my weight is 65 kg and my tummy looks very big I have  tried many ideas To r...
- there is excess fat deposited during pregnancy in the tummy. If you continue exclusive breastfeeding to your baby, it will burn that fat very fast. Also muscles of the tummy gets lax because of the growing fetus. To increase the tone of these abdominal muscles, you need to start brisk walk or jogging daily for 4-5 km and increase your protein intake. This will burn fat very fast reduce the size of your tummy. Also one can do exercises like sit-ups.
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To get pregnant how many times is intercourse is required and when after periods.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
To get pregnant how many times is intercourse is required and when after periods.
If a women’s menstrual cycle varies from 26days to 31days cycle, The shortest cycle (26days) minus18days=8th day. The longest cycle (31days) minus 10days=21st day Thus, 8th to 21st day of each cycle counting from first day of menstrual period is considered as fertile period. Regular intercourse means 3-4 times a week.
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If Any Lady can get pregnant after sex and after that she's period get started? And what is the reason behind period date is delayed ?

Diploma in Family Medicine, M.Sc - Psychotherapy
Sexologist, Pune
If Any Lady can get pregnant after sex and after that she's period get started? And what is the reason behind period ...
Some times the periods get delayed for unknown reason. Unless proved other wise i. E. Unless the patient is checked and pregnancy is confirmed, every lady with delayed menses is not pregnant. But is she is pregnant and diagnosed so, and if she starts bleeding, there is a possibility of either she aborting or having an ectopic pregnancy. Better get her checked at least by a sonography.
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My age is 32. My husband age is 33. I got married in the month of may. I want to become pregnant. He wil come only on Saturday and sunday. We have intercourse on that time only. I had constipation problem. Last month I checked haemoglobin, thyroid, pressure,sugar. All normal. We have tried in so many ways. All things got failure. Some people are saying after the period you should not take sweets, egg etc. My doubt is wat food have 2 take for getting pregnant. Another is constipation avoid pregnancy.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
My age is 32. My husband age is 33. I got married in the month of may. I want to become pregnant. He wil come only on...
constipation/ taking sweets after periods are myths. But including nuts, green, yellow leafy vegetables in diet help in fertility. However programmed sex only on weekends will not help. At least alternate day sex during fertile period is absolutely necessary
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After which month to start sex while in pregnancy and which all positions will be safe to adopt.

MBBS
General Physician, Hyderabad
Hi lybrate-user, it's safe doing sex. After fifth month of pregnancy. Because till then egg gets attached in uterus but not in that strong way. So after 5th month it's safe till 8th month only. That too positions to be adopted is only doggy style no other position and with less force. But my suggestion is not to have sex in the period of pregnancy because mother's carrying babies are immmuno comprimised and easily get infected so chances of urinary tract infections are more. If you want to fulfill your desire to for buccal coitus if you are ok with that.
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I am pregnant from 3 months. Please suggest me healthy diet with timing. And please tell me some tips to be healthy.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am pregnant from 3 months. Please suggest me healthy diet with timing. And please tell me some tips to be healthy.
Hi Mrs Swati, you should eat healthy balance diet. Avoid oily spicy foods, food outside. Drink lots of water. Fresh fruit once a day. Avoid pineapple and papaya. Green leafy vegetables, chapatis in lunch, day and rice Dry fruits as snacks in between meals. Avoid tea coffee Have milk and milk products. Dinner should have veg and chapatis , salad
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Reduce High Creatinine Levels with 10 Best Home Remedies

Ayurveda, Delhi
Reduce High Creatinine Levels with 10 Best Home Remedies

Home Remedies to Reduce High Creatinine Levels

Creatinine is a chemical waste product of muscle metabolism that is eliminated through the kidneys. Persistently high levels of creatinine indicate that the kidneys may not be functioning properly. The normal range of creatinine in blood is:

  • 0.6 to 1.2 mg/dL (or 53 to 106 mcmol/L) for males, and

  • 0.5 to 1.1 mg/dL (or 44 to 97 mcmol/L) for females.

The values may vary slightly depending on different laboratories and their techniques. Men usually have higher levels than women because creatinine increases with muscle mass.

Factors that contribute to high creatinine levels include dehydration or inadequate water intake; medications like ACE inhibitors, NSAIDs like aspirin and ibuprofen, chemotherapy drugs and others; strenuous exercise; chronic diseases like kidney disease, diabetes, high blood pressure and thyroid disorders; kidney problems; and excessive blood loss.

Muscle building, taking the dietary supplement creatine and eating large amounts of meat can also elevate creatinine levels.

Some common symptoms of high creatinine are digestive problems like nausea, vomiting and poor appetite; fatigue; urinary changes like frequent night urination, decreased urine output and dark colored urine; edema; itchy skin; and shortness of breath.

As high creatinine levels may indicate kidney problems and kidney damage, it is best to see your doctor for proper diagnosis and treatment.

In addition, you can try some home remedies and dietary tips to help manage the problem. Drinking plenty of water, for instance, is highly recommended when dealing with this problem.

Also, there are some herbs that act as natural diuretics and thus help provide some relief. You can follow one or more of these herbal remedies daily for a few weeks or until your creatinine levels are reduced.

It is important to consult a healthcare professional before taking these herbs or their combinations because they may interfere with certain prescription drugs or may not be suitable for some cases. Some of these remedies may not be suitable for those with a history of kidney stones or other pre-existing conditions.

Here the top 10 home remedies to reduce high creatinine levels.

1. Chamomile Tea

A study published in the Journal of Agriculture Food Chemicals found decreased creatinine levels in study participants who drank chamomile tea. Plus, this herb will work as a mild sedative and induce relaxation.

  1. Put two or three teaspoons of dried chamomile flowers in a cup of hot water.

  2. Let it steep for three to five minutes.

  3. Strain the tea and drink it.

  4. Drink a few cups of chamomile tea daily.

2. Stinging Nettle

Stinging nettle can help remove metabolic wastes and promote renal excretion due to its diuretic properties. Plus, it purifies the blood and improves immunity.

  1. Add two to three teaspoons of dried nettle leaves to a cup of hot water.

  2. Let it steep for 10 minutes.

  3. Strain and drink it.

  4. Drink this nettle tea once or twice daily.

Note: This remedy can interfere with blood-thinning, high blood pressure, diuretic and diabetic medications. Consult your doctor before using this remedy.

3. Dandelion Root

Dandelion root tea also works as a natural diuretic to flush out toxins and lower creatinine levels. It also helps improve kidney function and relieve edema or swelling due to water retention.

  1. Put one tablespoon of dried dandelion root powder in a cup of hot water.

  2. Allow it to steep for about 10 minutes.

  3. Strain and drink it.

  4. Drink this tea two or three times daily for a few days or weeks.

Note: Dandelion may interact with diabetes and high blood pressure medications.

4. Cinnamon

Due to its diuretic properties, cinnamon is considered good for those suffering from high creatinine levels and kidney problems. It helps increase kidney output and promotes renal filtration ability. It also helps regulate blood sugar levels, thus preventing further renal damage.

Incorporate cinnamon in your diet by adding it to warm beverages, smoothies, baked goods, cereals and other foods.

Note: Do not take this herb in excess or it may lead to liver and kidney damage. Though there is no established dosage still, the generally recommendation is one-half to one teaspoon of cinnamon a day.

5. Siberian Ginseng

Siberian ginseng containing eleutheroside compounds is mostly used as a health supplement for its energy-boosting properties. It is also an effective remedy to get rid of excess creatinine because it revitalizes the kidneys and promotes renal circulation. Plus, you’ll get its anti-fatigue and anti-stress benefits.

The general recommended dosage for this herb is 300 to 600 mg per day. For proper dosage and suitability for your condition, consult your doctor. It can also be taken with cinnamon.

Note: Do not confuse Siberian ginseng with other types of ginseng, especially Asian ginseng which has an anti-diuretic effect. Seek your doctor’s advice before taking Siberian ginseng because it may interfere with many prescription drugs.

6. Astragalus

Astragalus is a traditional Chinese herbal medicine that helps slow the progression of chronic kidney disease. It works as a mild diuretic and helps improve creatinine levels. It contains a diuretic compound called asparagine that helps eliminate fluid through the kidneys. This herb also strengthens metabolism and digestion.

  1. Boil a handful of dried astragalus root slices in one quart of water for 30 minutes.

  2. Strain and drink the tea.

  3. Drink this daily between meals.

Note: Those who have autoimmune diseases should consult a doctor before taking this herb as it may stimulate the immune system.

7. Corn Silk

Corn silk acts as a natural diuretic and anti-inflammatory agent. It helps increase urine output, thus aiding in removing excess creatinine. It also reduces edema and lowers high blood pressure.

  1. Put two teaspoons of dried corn silk in a cup.

  2. Pour boiling water over it.

  3. Cover and allow it to steep for 10 to 15 minutes.

  4. Strain and drink this tea three times a day.

Note: Do not use this remedy if you are allergic to corn or have a history of liver or kidney disease. It may also decrease blood sugar and potassium levels.

8. Sage

Salvia officinalis, commonly known as sage, has been found to be beneficial in increasing the rate at which creatinine is removed in kidney failure patients because it helps filter out and eliminate creatinine from the body. It also increases circulation to the kidneys.

  1. Add one teaspoon of dried sage or 10 fresh leaves to a cup of hot water.

  2. Let it steep for five to 10 minutes.

  3. Strain and drink this tea one to three times a day.

Note: Avoid this remedy if you have diabetes or a history of liver or kidney disease.

9. Chinese Rhubarb

Chinese rhubarb promotes intestinal detoxification and increases urine output. It lowers creatinine levels by increasing the excretion of metabolic waste products including creatinine. It also improves kidney function.

  1. Chop a stalk of Chinese rhubarb.

  2. Boil it in a cup of water.

  3. Strain and drink it twice daily for up to a week.

Note: Do not take this herb if you have a history of kidney stones.

10. Barley

Barley water works as a natural diuretic and kidney cleanser. It also helps reduce blood urea nitrogen (BUN) levels and treat nephrocalcinosis. Being rich in fiber, barley helps reduce blood sugar levels and improves digestion as well. Plus, it has a high nutritive value due to its rich vitamin and mineral content.

  1. Add one cup of barley in one liter or about four cups of water.

  2. Boil the solution for at least 30 minutes.

  3. Strain and drink it slowly.

  4. Drink it daily.

As barley is a whole grain, you can also replace refined flour in your diet with barley flour.

Note: Check with your doctor before taking this remedy as it may not be suitable for those on a potassium restricted diet.

Additional Tips

  • Increase your water and fluid intake.

  • Replace your regular tea, coffee or sodas with herbal tea.

  • Avoid eating high protein foods, dairy products and other dietary sources of creatine until your creatinine levels reduce to normal.

  • Steer clear of high arginine foods like seafood, chocolate, gelatin, beer, soybeans, peanuts, pumpkin seeds, sesame seeds and other nuts and seeds because they tend to increase the liver’s production of creatine.

  • Reduce minerals like sodium, potassium and phosphorus in your diet.

  • Include more carrots, cucumbers, garlic, onion and foods rich in omega-3 fatty acids in your diet.

  • Avoid strenuous activity as it promotes the breakdown of creatine into creatinine.

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What is stem cell therapy for infertility of men and what is the present and reality advancement in this technology?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Scientists have discovered a marker for the sperm-producing stem cells.Researchers in the US were able to essentially 'reprogram' adult stem cells into sperm and egg cells Researchers remain committed to finding ways to make this kind of treatment a reality but for now, other procedures will remain options for infertility, like IUI or IVF.
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Where do I start. I have alway had lumps in my breast. Always very lumpy. Went for a mammogram and ultra sound yesterday. Well I don't know why this one upset me so much. Was very teary. That the mammogram first to be told that they had to do more imaging on the left. Then the U/S and was told they.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, There is a possibility that mammography detected some lesions which may look like a possible benign lesion or possibly a ductal ectasia. Did you notice ever blood coming to of nipples.
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Hello Dr. I had sex with my partner right a day after last day of period on 26 Nov 2016, and gave unwanted 72 within 18 hrs, but her period is not arrived so far ,and did urine pregnancy test on 1 Jan 2017 shows negative result, again did on 2 Jan again shows negative ,test has done with early morning urine sample, I am very scared, is there chances of pregnancy, why period is not arriving, wht to do. No sign n symptoms has ever seen ,no implantation bleeding has seen. please suggest me wht to do.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello Dr. I had sex with my partner right a day after last day of period on 26 Nov 2016, and gave unwanted 72 within ...
Hello, She was in her safe period when you had sex so pregnancy is unlikely, the delay is due to ipill intake possibly. Anyhow rule out pregnancy with a serum beta hcg test conclusively first and if negative then can safely wait for her menses to return.
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Doctor I had sex before 2 weeks and now from two days I'm having blood clots (brown in color) from vagina, I just want to ask that is it a pregnancy symptoms or miscarriage? My last periods was on 13 feb16.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
Doctor I had sex before 2 weeks and now from two days I'm having blood clots (brown in color) from vagina, I just wan...
Any disturbance in pd always do upt. This will help in reaching conclusion. It can b sign of tubal pregnancy cy
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6 Indian Foods That You Must Eat!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
6 Indian Foods That You Must Eat!

When you think of healthy food, cornflakes and oatmeal are probably the first things that come to mind. For most people, eating healthy translates into eating boring, bland food. So, if you're on a diet, here's some good news for you. Healthy food does not have to be bland or expensive.

Here are 6 indigenous Indian healthy foods that are ideal for you.

  1. Idli: This south Indian steamed dish is free from oil and fats and rich in carbohydrates and proteins. Having a low fat content makes idlis very easy to digest. Idlis are prepared using a combination of rice and dal. Their amino acids complement each other and the fermentation process enhances the vitamin b and protein levels in the dish.
  2. Sattu: Sattu is a staple dish in Bihar that is made primarily from roasted gram flour along with barley and wheat flour. Sattu is rich in fiber, has cooling properties and has a low glycaemic index. Roasting the flour also helps retain all the nutrients in the flour. Sattu can be made in a number of ways including paranthas and ladoos.
  3. Dhokla: Dhoklas are steamed Gujarati snacks made using gram flour. As with idlis, the flour is allowed to ferment before steaming. This helps enhance its nutrient value. Dhoklas also have a very low glycaemic index and is easy to digest.
  4. Bajra: Bajra is a very humble grain that is commonly eaten in Rajasthan. Bajra is a rich source of energy and aids digestion. It has an anti diabetic effect and is also said to promote a healthy heart. The lignin in grains is also said to have cancer protecting properties. Bajra is a winter food that is usually made into rotis or khichadi.
  5. Daliya: Daliya is also known as broken wheat. Daliya recipes can be sweet and savoury. Daliya is a complex carbohydrate that is slow to digest and hence releases energy at a slow, sustained rate. This makes it an ideal food for people suffering from high cholesterol or diabetes. The high fiber content also makes daliya easy to digest.
  6. Sprouts: Almost every guide to healthy eating promotes sprouts. As the name suggests, sprouts are lentils that have been germinated till they 'sprout' a root. This germination process makes them easy to digest by breaking down the nutrients into simple forms. Sprouts are rich in fiber, vitamin, minerals and proteins. They can be eaten raw or cooked depending on your preference.
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Im lactating. I thought I was pregnant so I took the home pregnancy test and it came out negative.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
Im lactating. I thought I was pregnant so I took the home pregnancy test and it came out negative.
As long as you are lactating you may not get period at all which is due to hormonal suppression. However if you do indulge in sex make sure you use condoms to avoid an unwanted pregnancy..
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My gynac has prescribed Chirocyst Tablet (contains Chromium Picolinate, D-Chiro-Inositol, Myo-Inositol, N-Acetylcysteine, and Vitamin D3 as active ingredients. I had 2 failed is on medicated cycles with injectable and clomid. She had asked to take break for 2 months and told to take Chirocyst tablets. Will that help to improve egg health and help me conceive I am having PCOS. Can I conceive naturally now?

MBBS
General Physician, Jalgaon
My gynac has prescribed Chirocyst Tablet (contains Chromium Picolinate, D-Chiro-Inositol, Myo-Inositol, N-Acetylcyste...
Please Yes you can Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Do perineal and pelvic exercises daily Take carrots plus beet juice daily Take Cap evecare by Himalaya 2 2 for 6 mths Ashokarishta 20 ml twice a day for 6 mths Lohasav 10 ml twice a day for 6 mths These medicines will regularise your periods, ovulation, will help in natural conception
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Diet Tips After You Get Your Kidney Stones Removed

Diploma in Diet and Nutrition, B.Pharma
Dietitian/Nutritionist, Gurgaon
Diet Tips After You Get Your Kidney Stones Removed

Kidney stones could be a cause for worry by the time they are not removed causing incessant and regular pains and disrupting normal life. The task is not finished even if you get them removed because what follows is a rigorous and disciplined routine that you must follow to maintain your health after the surgery is done. Diet plays a crucial role in negating the possibility of yet another stone accumulation. Here are a few diet tips that would be handy if you have got a kidney stones removal surgery done. 
 
Do's

  1. To stay hydrated is the golden rule that you must abide by at all costs. It is advisable to drink at least 2-3 litres of water on a daily basis. Water prevents the formation of stones and would also help to eliminate any remaining residues of kidney stones existing in the system.
  2. Dairy products could be included but in diluted form. 
  3. A fixed dietary routine is mandatory above all. The patient should be given meals at proper time intervals in small proportions. Heavy meals should be avoided at all costs. 
  4. Foods rich in high fibre should be included in the diet. They help in bowel movement also. These include whole grain breads and beans. 

Don'ts
 1. Foods rich in oxalates and calcium should be kept at bay for at least a period of two months after the stone removal procedure is complete. Oxalates can lead to the formation of yet another stone which is far from desirable. The foods that fall in this category include:

  • Green leafy vegetables like spinach, mustard and beet greens
  • Cabbage, cauliflower, tomatoes
  • Banana, mango, apricot, grapes
  • Nuts like almond and cashew
  • Alcohol
  • Soft drinks
  • Soda
  • Caffeinated drinks like tea and coffee 

2. Foods rich in sodium should be kept at bay for at least some time immediately after the surgery. 
 
3. Reducing the food intake that is high on animal protein. 
 
4. Do not eat stale food. 

5. Junk food should not even cross your mind. It is something which should be avoided for best results. 
 
These are generic guidelines that would help you to cope with post surgery care. However, there could be specific requirements depending from patient to patient. Therefore, it is advisable to get the guidelines by a doctor who will take into account the specificities of the case. Diet along with exercise is in most cases, the most effective combat to kidney stones. The trick however, is to not go overboard with either of them.

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