#168 Kidney Stones and Diet with Dr Nish Bedi & Dr Matthew Bultitude

12 Oct 2022

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Today I have not one but two urology consultants on the podcast! Dr Nish Bedi, who some of you may remember from the podcast we recorded a couple of years ago titled “eat for your bladder” and Dr Matthew Bultitude, a surgeon at Guy’s and St Thomas’ hospital in London.

Today we’re talking all things kidney stones, a topic requested by a number of followers and colleagues who asked for advice on this via social media and my newsletter.

We’ll talk about:

  • What types of stones are there
  • The impact of hydration, sugar, animal protein, salt and fibre on stones
  • How do we prevent them
  • What things should one include or exclude depending on their condition
  • Supplements for stones
  • Acidification and Alkalinisation of the urine and what this means clinically

This is a fascinating discussion and on that you can also watch on YouTube on the doctor’s kitchen channel. Please do share this information widely as I’m sure it will be absolutely helpful and game changing for many people out there, especially considering the 10% of the population will suffer with a kidney stone.

Matthew Bultitude is a Consultant Urological Surgeon at Guy’s and St. Thomas’ Hospital in London. He is a general urologist and has a specialist interest in kidney stone disease. He has an interest in metabolic stones and in particular a rare condition called cystinuria which predisposes to lifelong kidney stones. He runs a rare disease website for patients with this condition - www.cystinuriaUK.co.uk. At Guy’s he has been clinical lead for his department and is currently the Clinical Director for transplantation, nephrology and urology.

Nish Bedi, MBBS, MSC, BSC, FRCS (Urol) is a Consultant Urological Surgeon working at Chelsea and Westminster Hospital in London. He specialises in endoscopic surgery in the kidney, ureter and bladder, including management of urinary tract stones, urothelial cancer and bladder outflow obstruction. He studied and trained in the UK, completing his higher surgical training in London, based out of Imperial College NHS Trust. He is passionate about training and regularly teaches on courses run by the British Association of Urological Surgeons (BAUS). He recently won a prestigious award from The Urology Foundation (TUF), through which he will build training partnerships with surgical centres in low-income countries

‘The stone away’ recipe book

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REFERENCES

Reference links from the show:

https://www.nhs.uk/conditions/kidney-stones/

http://www.cystinuriauk.co.uk/recipes

Stone Diet Patient Information Leaflet

https://ods.od.nih.gov/factsheets/Calcium-HealthProfessional/

https://www.chelwest.nhs.uk/your-visit/patient-leaflets/medicine-services/stone-disease-diet-advice-and-frequently-asked-questions

https://lpi.oregonstate.edu/book/export/html/48

https://jasn.asnjournals.org/content/15/6/1567#:~:text=ABSTRACT.,modifier%20of%20the%20oxalate%20absorption.

https://www.sciencedirect.com/science/article/pii/S0085253815544475

https://www.kidney-international.org/article/S0085-2538%2815%2955877-8/fulltext

GUEST: Dr Nish Bedi and Dr Matthew Bultitude

Dr Nish Bedi

Nish Bedi, MBBS, MSC, BSC, FRCS (Urol) is a Consultant Urological Surgeon, at Frimley Health NHS Trust. He specialises in endoscopic surgery in the kidney, ureter and bladder, including management of urinary tract stones, urothelial cancer and bladder outflow obstruction. He studied and trained in the UK, completing his higher surgical training in London, based out of Imperial College NHS Trust.

 

He is passionate about training and regularly teaches on courses run by the British Association of Urological Surgeons (BAUS). He recently won a prestigious award from The Urology Foundation (TUF), through which he will build training partnerships with surgical centres in low-income countries. Previously, he has participated in training programmes across Europe and Australia, sponsored by the European Association of Urology (EAU). He was also an elected member of the BAUS training committee for over three years. In 2012, he co-founded the “Digital Doctor“- an organisation committed to building the capacity of doctors to use health information technology.

Dr Matthew Bultitude

Matthew Bultitude is a Consultant Urological Surgeon at Guy's and St. Thomas' Hospital in London. He is a general urologist and has a specialist interest in kidney stone disease. He has also published widely and is editor for the textbook ‘Browse’s Introduction to The Symptoms and Signs of Surgical Disease’. He has an interest in metabolic stones and in particular a rare condition called cystinuria which predisposes to lifelong kidney stones. He runs a rare disease website for patients with this condition - www.cystinuriaUK.co.uk. At Guy’s he has been clinical lead for his department and is currently the Clinical Director for transplantation, nephrology and urology. Externally he was Associate Editor of the journal BJUI for 9 years and was previous Secretary of the Urology section of the Royal Society of Medicine. He is currently a member of the Executive Committee of the Section of Endourology of the British Association of Urological Surgeons (BAUS).
 

with Dr Nish Bedi
and with Dr Matthew Bultitude
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