Fresh green vegetables and acid fruits may be taken. Potatoes contain
calcium, but because they contain much more potassium, which lessens
the liberation of calcium, they may also be used.
For foods rich in calcium which should be avoided see page 219.
Foods causing calcium oxalate deposits should be avoided as they may
cause the formation of gall-stones. For a list of these see p. 219.
Meat, if taken, must be lean and eaten only once a day. Beef and
chicken are the preferable meats. Fresh fish may be used.
Alcohol must not be taken and coffee and tea must be limited in
strength and quantity.
Active exercise must be practiced daily and full elimination secured
from the bowels.
The person afflicted with gall-stones must not sit too long or in a
cramped position.
The presence of fat in the duodenum increases the flow of pancreatic
juice which, in turn, stimulates the flow of bile, so olive oil is
often recommended in case of gall-stones. It is questionable whether it
is of benefit, because, as stated, much fat upsets the liver.
Watch the water supply. Hard water which contains lime should be boiled
to precipitate the calcium.
_DERANGEMENTS OF THE KIDNEYS_
The office of the kidneys is to eliminate from the system certain
nitrogenous elements in solution; the work of the kidneys, in most
conditions, is aided by copious drinking of water.
The influence exerted on the function of the excretory organs by the
components of the food has not been given the attention it merits.
If the fluids are not taken in sufficient amount and much animal food
is eaten, the urine becomes more concentrated and may irritate the
kidneys or the bladder and give rise to calculi (kidney stones) or to
the deposit of uric acid. Watery vegetables, juicy fruits, milk, water,
and most beverages, by increasing the output of urine, lessen its
acidity and density.
A diet limited to certain articles of food by the likes or dislikes of
the individual, as the starches and sugars, too large consumption of
acid fruits or too fatty foods may cause the appearance in the urine of
abnormal amounts of various substances, as sugar, phosphates, calcium
oxalate, or fatty acids.
Acid fruits in moderation aid digestion and favor suitable elimination,
but when eaten to excess, as lemons, taken two or three or more a day
by those striving to reduce flesh, the urine is increased in acidity,
and irritation of the bladder may ensue.
Too great an amount of food tends to overwork the kidneys as well
as the liver and various derangements result; these must be treated
dietetically as well as by medicine.
[Sidenote: Acute Nephritis]
In inflammation of the kidneys (nephritis), the secretion of urine is
lessened or may cease. The kidneys and digestive system must not be
overworked and all food must be eliminated save milk until the kidney
function is restored. It may be diluted with lime or Vichy, or skimmed
milk or buttermilk may be used.
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