A phosphaturia diagnosis can shock anyone. In fact, this is a fairly common problem and is associated with the precipitation of insoluble salts. In fact, this is a violation of phosphate and calcium metabolism, against the background of which insoluble salts are formed, which turn into stones over time, with a gradual increase if no therapeutic measures are taken.
Usually, the patient does not understand for a long time that something is wrong in his body. Only with the formation of a large stone does the symptomatology begin.
Therapeutic measures in this case are based on drug therapy, spa treatment and healthy eating. Diet No. 14 is prescribed, which allows you to suspend the formation of new salt sediment and thereby improve the general condition of the patient.
Indications for the use of diet number 14
Phosphate stones can appear anywhere in the urinary system. With an increase in volume, they bring a lot of inconvenience to the patient, which can manifest itself in the following form:
- nausea and severe vomiting;
- constant heaviness in the bladder;
- flakes in the urine;
- increased flatulence;
- frequent urge to urinate.
In addition, pain in the kidney area may appear while walking and running, with strong physical exertion. If the phosphate formation has sharp ends, then it can injure neighboring organs and provoke an inflammatory process.
In most cases, the problem can be identified even by the appearance of urine, it will contain grains of a grayish tint, rather than resembling lace snowflakes.
Allocate primary and secondary phosphaturia. The first type can appear with a change in calcium-phosphate metabolism, with tuberculosis, and even in the presence of epilepsy or during neurosis. The secondary disease is associated with inflammatory processes in the urinary tract. For example, if prostatitis, pyelonephritis is diagnosed, then the risk of developing phosphaturia increases several times. At risk are people with chronic diseases of the lungs, gastrointestinal tract, diabetes mellitus. In children, pathology can be provoked even by ARVI.
If the balance between phosphate and calcium is imbalanced, diet is required in addition to drug treatment. It is aimed at restoring the normal pH in urine and is designed to prevent the formation of new stones, as well as:
- should reduce the amount of hydrochloric acid;
- reduce the excitability of the nervous system;
- normalize metabolic processes.
In the course of treatment, the amount of water in the diet necessarily increases.
General rules
Meals according to the diet of table number 14 must be fractional. In this case, the calorie content should not exceed 2500 units. The amount of protein is reduced to 70 g, and fat is not more than 80 g. You will have to drink a lot of water, about 2.5-3 liters. The main condition is that there should be 30 ml per 1 kg of human weight. Special mineral waters, for example, “Narzan”, ” Truskavetskaya ” or ” Dzau-saur “, are introduced according to the doctor’s prescription .
The diet of this table is quite limited, so the diet can be followed exclusively as prescribed by a doctor and for a short time. Urine tests should be done periodically to monitor the amount of phosphates.
The diet must include vitamin supplements.
What you can eat with diet number 14
In the diet, you should adhere to the following rule – the amount of “acidic” foods increases, and “alkaline” is reduced to a minimum. Accordingly, useful products in this case include:
- tomatoes;
- oranges;
- raisins;
- meat;
- lemons;
- hard cheese;
- carrot;
- mushrooms;
- lingonberry;
- apples;
- pumpkin;
- cucumbers.
It is recommended to consume at least 2 eggs every day, as they greatly increase the acidity of urine.
Almost everything is possible from bakery products, but it is best to refuse those products that contain a lot of milk and egg yolks. Don’t eat fresh baked goods. From sweets, you can all confectionery, sugar, honey, and even ice cream is allowed, but it is better to give preference to fruit varieties. The main thing is that the sweets do not contain chocolate.
In small quantities, you can eat canned fish, all seafood. Any meat is allowed, even there are no restrictions on the processing method. It is allowed to add vegetable and ghee to food. You can even sauces, but only mild ones.
You can add pasta, cereals to the first courses, but they should not be cooked in a steep broth.
There is no prohibition on the consumption of fruits and vegetables, but it is better to give preference to sour varieties. From them you can make drinks, jelly, cook compotes.
There are no special requirements for drinks, all tea, coffee is allowed, but without milk and not strong. Rosehip decoction is very useful in this case.
What not to eat with diet number 14
Absolutely all products that contain phosphates fall under the ban, they include:
- corn;
- milk;
- potatoes;
- legumes;
- beef liver;
- dried fruits;
- garlic.
You will have to give up drinks and foods that stimulate the nervous system. We’ll have to give up chocolate and cocoa, hot spices.
The amount of salt in the diet is limited, since it stimulates the excretion of calcium, and thereby increases the amount of phosphorus.
Any alcoholic beverages are completely banned.
Diet table number 14, menu for the week
Despite the rather tough diet, it is still not so difficult to create a delicious menu.
Monday:
| Meals / options | one | 2 |
| Breakfast | Oatmeal with honey, coffee is weak and without milk | Cucumber salad with herbs, some bread |
| Lunch | Pumpkin fresh | Fresh fruit dessert |
| Dinner | Vegetable broth, pasta and cutlet | Mushroom soup, a little boiled chicken breast |
| Afternoon snack | Sour apples | Kissel |
| Dinner | Mashed potatoes, baked rabbit | Vegetable salad, canned fish |
| Snack before bed | Tomato juice | Orange juice |
Tuesday:
| Meals / options | one | 2 |
| Breakfast | Buckwheat porridge, meatballs | Cheesecakes, honey, coffee |
| Lunch | Rosehip decoction | Raisins, tea |
| Dinner | Barley soup, boiled beef | Vegetarian soup, steak |
| Afternoon snack | Rice with a little jam | Liver, beet juice, preferably diluted with water |
| Dinner | Corn porridge, fried pork | Semolina porridge, honey |
| Snack before bed | The juice | Orange |
Wednesday:
| Meals / options | one | 2 |
| Breakfast | Boiled eggs 2 pieces, bread and cucumbers | Carrot casserole, bread |
| Lunch | Fruit jelly | Cucumbers |
| Dinner | Broccoli puree soup, baked pork in a sleeve | Noodle soup, some green peas, a piece of meat |
| Afternoon snack | Lemon juice | Rosehip drink |
| Dinner | Pilaf, chicken cutlet | Pumpkin casserole, a piece of meat |
| Snack before bed | Tea, biscuits | Pear juice |
Thursday:
| Meals / options | one | 2 |
| Breakfast | Pancakes with cottage cheese, coffee | Buckwheat porridge, cutlet |
| Lunch | Lingonberry juice | Baked apples |
| Dinner | Low fat soup, chicken leg | Borsch, a sandwich with boiled pork |
| Afternoon snack | Berry juice | Pomegranate juice |
| Dinner | Seafood salad, yesterday’s bread | Pumpkin porridge, hard cheese |
| Snack before bed | Tangerines | Oranges |
Friday:
| Meals / options | one | 2 |
| Breakfast | Cottage cheese casserole | Boiled eggs, bread, a little boiled pork |
| Lunch | Red currant, you can even rub it with sugar | Fresh juice |
| Dinner | Meatball soup, millet porridge, boiled chicken | Rice and chicken meatball soup, bread, baked beef |
| Afternoon snack | Apples | Lingonberry jelly |
| Dinner | Pasta, best made from durum wheat | Chicken steak, bread with cheese |
| Snack before bed | Red currant jelly | Apple juice |
Saturday:
| Meals / options | one | 2 |
| Breakfast | Omelet, boiled beef | Oatmeal with honey, weak coffee |
| Lunch | Pomegranate juice | Fruit dessert |
| Dinner | Ukha, buckwheat porridge, boiled pork | Vegetarian soup |
| Afternoon snack | Cucumber salad | Rosehip decoction |
| Dinner | Meatloaf with sour cream and mushrooms | Zucchini puree soup, green beans, cutlet |
| Snack before bed | Lemon juice | Favorite fruit compote |
Sunday:
| Meals / options | one | 2 |
| Breakfast | Baked pumpkin, cheese | Semolina porridge, jam |
| Lunch | Pumpkin- carrot juice | Cookies, green tea |
| Dinner | Carrot puree soup, meatballs, bread | Vegetable broth, barley porridge, cutlet |
| Afternoon snack | Baked apples | Oranges |
| Dinner | Lingonberry pie | Boiled rice, beef cutlet |
| Snack before bed | Tomato juice | Kissel from fruits |
At first glance, it may seem that the diet of table number 14 is rather meager. In fact, it covers all the physiological needs of a person. Drinking water is recommended between meals, preferably on an empty stomach.
Any changes in the diet should be agreed with the attending physician.
Preventive measures
To prevent the appearance of phosphaturia, several rules should be followed. First of all, it is necessary to observe the drinking regime, consume about 1.5-2 liters of water throughout the day, although it is better to agree on the amount with the doctor, depending on the state of the body. Physical activity must be present in life, do any kind of sport, even simple walking or yoga. Keep track of body weight, even with a minimal increase, try to lose weight or find out the reason for the set, with its further elimination.
If you are at risk, then on a regular basis undergo an ultrasound of the kidneys, take urine tests. Prevent any risks that can trigger the appearance of stones or inflammation in the urogenital area.
Do not get carried away with diuretics on your own, even if they are made on the basis of herbs. Any, even phytotherapy , should be carried out accompanied by a doctor and with constant monitoring of test results.