শেষ আপডেট: আগস্ট 15, 2026
Kidney stones are among the commonest problems I see, and most patients arrive after the pain rather than before it. When we go back over their daily habits afterwards, there is nearly always something that could have been changed. Here are the eight habits with evidence behind them.
If you only act on one, make it the first. Fluid intake does more than the other seven combined, and it is the only one that helps regardless of what your stones are made of.
- ইউরোলজি সেন্টার ব্যাংকক হাসপাতাল থাইল্যান্ড অনলাইনে বুক করুন 02-310-3009 bhquro@bdms.co.th
- সামিটেজ শ্রীরাচা হাসপাতাল চোনবুড়ি 088-022-1445
- ব্যাংকক হাসপাতাল সিরোজ, ফুকেট অনলাইনে বুক করুন 099-424-1583 info@phuketinternational.com
8 habits to prevent kidney stones
- প্রচুর পরিমাণে জল পান করুন — at least 2.5 litres a day, which reduces stone risk by up to 15%. In hot weather or with heavy physical activity, drink more to replace what you lose in sweat. A simpler test than counting litres: your urine should stay pale yellow or clear all day.
- Keep your weight in a healthy range — obesity (BMI over 30) lowers urine pH and raises uric acid stone risk. Combined with a high-protein, high-sodium, low-fibre diet, it doubles the risk of forming stones.
- Know your family history — stones run in families, and having a close relative who forms them raises your own risk about 2.5-fold. You cannot change this one, but knowing it is a reason to take the other seven more seriously, and to consider periodic imaging.
- Do not cut out calcium — this is the one that surprises everyone. Most stones contain calcium, so avoiding it seems logical, and it is precisely backwards: low dietary calcium leaves more oxalate free to be absorbed from the gut and excreted into the urine, where it forms stones. Aim for 800–1,200 mg a day from food.
- Go easy on oxalate-rich foods — dark chocolate, spinach, rhubarb, beetroot, nuts, tofu, potatoes, beans and black tea are the main sources. The aim is variety rather than elimination; keeping total oxalate under about 50 mg a day is the usual target.
- Keep protein moderate — above 2 g/kg/day, protein lowers urine pH and raises urinary calcium, pushing up uric acid stone risk. Somewhere between 0.8 and 1.4 g/kg/day is the target, and it applies to plant protein as well as animal protein.
- Avoid high-dose vitamin C supplements — ascorbic acid is metabolised to oxalate, and more than 1,000 mg a day in supplement form raises stone risk by around 40%. Vitamin C from fruit and vegetables is not the problem; the megadose capsules are.
- Get more citrate — citrate is the body’s own stone inhibitor: it raises urine pH and binds calcium so it cannot crystallise. Citrus fruit is the natural source, and about 4 oz of pure lemon juice a day is the figure usually quoted. If you take it as lemonade, make it unsweetened — sugary drinks push stone risk the other way.

One thing that makes this advice sharper
The list above is sound general advice, but prevention works considerably better when it is aimed at your stone. Calcium oxalate, uric acid and other stone types respond to different measures — cutting oxalate matters for one and is largely irrelevant to another.
Two things establish that: analysis of a stone you have passed, and urine studies. If you have already had a stone, keeping it for analysis is genuinely worth doing — it turns generic advice into a plan. Where more than diet is needed, potassium citrate therapy is the medical version of habit 8. And if you want the background on why stones form in the first place, that is covered separately.
If you have a history of kidney stones or would like a personalized prevention plan based on your metabolic profile, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. পরামর্শ বুক করুন. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on 088-022-1445.
Frequently Asked Questions about Kidney Stone Prevention
Drinking at least 2.5 litres of water per day is the single most effective lifestyle measure for kidney stone prevention. Adequate hydration dilutes urinary mineral concentrations, reducing the likelihood of crystal formation. In tropical climates or during physical activity, additional fluid intake is needed to compensate for sweat losses. The goal is to keep urine pale yellow or clear throughout the day.
No. Counterintuitively, restricting calcium actually increases kidney stone risk. Low dietary calcium means more oxalate is absorbed from the gut and excreted in urine, where it binds with calcium to form stones. The recommended daily calcium intake is 800–1,200 mg from dietary sources. It is the excessive supplementation of calcium beyond dietary needs that may increase risk, not normal food-based calcium consumption.
Yes. Lemon juice is high in citrate, a natural inhibitor of kidney stone formation. Citrate raises urine pH, reduces calcium oxalate crystal aggregation, and directly binds urinary calcium to prevent it from forming stones. The recommended intake for stone prevention is 4 ounces of pure lemon juice or 32 ounces of prepared lemonade per day, ideally unsweetened, since sugary drinks increase stone risk. This is a simple, inexpensive, and evidence-supported preventive measure.
Yes. High protein intake above 2 g/kg/day – particularly from animal sources – increases urinary calcium and uric acid excretion while lowering urine pH. This combination significantly raises the risk of both calcium oxalate and uric acid kidney stones. The recommended protein intake for stone prevention is 0.8–1.4 g/kg/day. Plant-based protein sources are generally preferable for stone-prone individuals.
Caution is advised. Vitamin C (ascorbic acid) is metabolized in the body into oxalate, a primary component of calcium oxalate stones. Taking more than 1,000 mg of Vitamin C supplements per day has been shown to increase kidney stone risk by approximately 40%. People with a history of calcium oxalate stones should limit Vitamin C supplementation and prefer obtaining it from natural food sources such as citrus fruits, guava, and bell peppers.
দাবি পরিত্যাগ This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. No medical advice, diagnosis or prescription is provided through personal messaging channels. Always consult a qualified healthcare professional before starting any medical treatment.
মেডিকেল লেখা এবং পর্যালোচিত: ডাঃ সোয়ারাউই উইরাসোপোন (ডাঃ পম) — বোর্ড-সার্টিফাইড ইউরোলজিস্ট, ব্যাংকক হাসপাতাল হেডকোয়ার্টার্স, ২০১৬ সাল থেকে ইউরোলজিক্যাল চিকিৎসায় নিয়োজিত। ফেলোশিপ: রোবোটিক সার্জারি, চ্যাং গুং মেমোরিয়াল হাসপাতাল, তাইওয়ান (২০১৯) · অবজার্ভারশিপ: এন্ডোইউরোলজি, জুনতেন্দো ইউনিভার্সিটি হাসপাতাল, টোকিও (২০২২) · রিসার্চ স্কলার ও ক্লিনিক্যাল অবজার্ভার, স্কট ডিপার্টমেন্ট অফ ইউরোলজি, বেলর কলেজ অফ মেডিসিন, ইউএসএ (২০২৫–২০২৬)।.

Dr. Soarawee Weerasopone (Dr. Pom) is a board-certified urologist at Bangkok Hospital Headquarters, specializing in Men’s Health, Robotic Surgery (da Vinci Xi) and Kidney Stone treatment. He is currently a Research Scholar and Clinical Observer at the Scott Department of Urology, Baylor College of Medicine (2025–2026), under Prof. Mohit Khera. He completed a Robotic Surgery Fellowship at Chang Gung Memorial Hospital, Taiwan (2019) and an Endourology Observership at Juntendo University Hospital, Tokyo (2022).


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