Stone formation is fairly common in persons with and Indiana pouch. Infrequent irrigation appears to be one cause. Check with your urologist to determine how often you need to irrigate.
There are other factors that increase the risk of stone formation in those with normal plumbing as well as persons with an IP. Be sure that your urine doesn’t become too concentrated. It should always be light yellow with only a mild odor.Your fluids needs vary greatly according to your size, activity, the weather, humidity, etc. Don't put too much stock in "8 glasses a day" or similar suggestions.
A generation ago physicians advised persons with a tendency toward kidney stones to be on a low-calcium diet but we now know that the opposite is correct. Too little dietary calcium allows oxalate, which is especially high in plant foods such as spinach and rhubarb, to be absorbed.
As a Dr maybe you would know how to get a hold of Dr. Studer (sp?) - fellow that helped develope the neobladder procedure - apparently he is advocating using tap water to irrigate as he figures saline contributes to stone formation.... Not sure if I am there yet with the idea but it does have merit when looking at the pH value of saline and how the pouch adjusts pH on its own vs our bladder.
ReplyDeleteI started drinking lemon juice every night, that keeps me from forming crust
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