Should people with hydronephrosis avoid certain foods?

Written by Li Liu Sheng
Nephrology
Updated on December 08, 2024
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Although there are many causes leading to hydronephrosis in patients, most hydronephrosis is related to stones, meaning that hydronephrosis occurs in patients due to ureteral kidney stones. Therefore, dietary restrictions are necessary for patients with hydronephrosis in daily life.

If the hydronephrosis is caused by calcium oxalate stones, patients should avoid consuming foods that are high in calcium and oxalates, such as nuts, legumes, spinach, and beets. If the hydronephrosis is due to the formation of uric acid stones, patients should also avoid consuming excessive amounts of animal organs, such as pork liver and kidneys, avoid seafood, and try not to drink beer, as these contain a high amount of purines, which can easily lead to stone formation. Additionally, if patients with hydronephrosis also have renal insufficiency, they should follow a low-salt diet and avoid consuming particularly salty foods, including various pickles, etc.

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Written by Chen Feng
Urology
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What foods can be eaten with hydronephrosis?

Patients with hydronephrosis should pay attention to a light diet, eat more fresh vegetables and fruits, avoid spicy and stimulating foods, and consume less high-salt foods, while also abstaining from alcohol. Besides controlling their diet, patients with hydronephrosis should also actively search for the underlying causes of the condition. Common causes of hydronephrosis in clinical practice include urinary tract stones or prostate hyperplasia, mainly due to obstructions in the ureter or urethra, preventing the urine produced by the kidneys from being excreted, which then leads to hydronephrosis. Once the cause of the urinary obstruction is identified, it is necessary to actively treat the underlying cause to restore the patency of the urinary tract. After the condition improves, it is also important to drink more water and urinate frequently to maintain health.

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How is hydronephrosis treated?

The treatment of hydronephrosis often requires surgery. Decisions about diagnosis and treatment plans should be based on clinical symptoms, the duration of the obstruction, the location of the obstruction, and whether there is an infection. Since hydronephrosis is typically caused by a pathological factor that blocks the ureter, surgery is often necessary to remove the obstruction in order to address the hydronephrosis and prevent further damage to kidney function. The principle of the surgery is that if the obstruction is minor, a simple corrective surgery may suffice. However, if the dilation of the ureter and renal pelvis is very significant, a reanastomosis of the ureter and renal pelvis might be needed.

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What tea to drink for hydronephrosis

Before hydronephrosis is adequately treated and before the obstruction in the urinary system is resolved, in areas such as the renal pelvis and calyces where there is fluid accumulation, it is advised that patients should not drink tea and should try to reduce their fluid intake. This is because the fluids cannot be excreted through the kidneys, and drinking large amounts of water at this time could worsen the obstruction and may also lead to edema. Therefore, patients are advised not to drink tea until the hydronephrosis is resolved. Once the causes of urinary tract obstruction, such as urinary system stones or tumors, have been removed, patients can increase their water intake, but it is still recommended not to drink tea because tea contains considerable amounts of oxalate, which can lead to the recurrence of kidney stones.

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Written by Zhou Qi
Nephrology
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What is the best treatment for hydronephrosis?

The so-called hydronephrosis often occurs due to some factor blocking the urinary system, causing urine to not be excreted normally. The most common cause is urinary system stones, but it can also be due to issues like tumors or benign prostatic hyperplasia. The treatment for stones depends on the size of the stone. Stones smaller than 5 millimeters in diameter can often pass naturally. If the stone is 7 to 15 millimeters in diameter, extracorporeal shock wave lithotripsy is typically used. If stones in the lower mid-ureter do not respond well to medication, retrograde removal under cystoscopy can also be performed. For some patients who have had a long-standing obstruction, renal function may already be impaired. If the obstruction cannot be relieved, surgeries such as creating a urinary diversion can be performed. This includes procedures like bladder fistulation, pyelostomy, or percutaneous ureterostomy, among others.

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Causes of hydronephrosis

The so-called hydronephrosis often occurs because there is some factor in the patient's kidney or ureter that prevents the urine from being excreted smoothly, causing fluid accumulation and dilation in the renal pelvis, renal calyx, and ureter. The causes of this obstruction are often mechanical, such as urinary system stones, tumors, urinary tract deformities, or compression of the ureter caused by enlargement or tumors in nearby organs of the urinary system. In a few cases, it may also be related to a decline in the function of the ureter itself, such as a neurogenic bladder, ureteral reflux, or decreased ureteral motility.