Simple Dietary Mistake Caused Kidney Failure: Medical Mystery Solved

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Published 2024-05-25
Meet Nancy, a woman who decided to improve her diet. She’d fallen into a habit of snacking on chips in the evening, so she decided to swap out the chips for a healthier option. But little did she know, her choice of snack would cause her kidneys to start shutting down, and affect the rest of her life!

Please do not leave this video thinking you need to cut out all high-oxalate foods from your diet. You really only need to focus on limiting them in your diet if you have a medical condition that makes it necessary, like Nancy!
Instead, eat a balanced diet with enough calcium and drink plenty of water to prevent kidney stones. Fruits, vegetables, grains and nuts are healthy! They’re packed with vitamins, minerals and fiber that you need… so don’t write them off because they contain some oxalates!

This video was adapted from a medical case report published in the Canadian Medical Association Journal. Click to read the original case!
www.cmaj.ca/content/189/10/E405.short

This video is made for educational purposes only and should not be viewed as medical advice. Speak to your doctor if you have any concerns about your health.

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📸 Image Credits:
- www.thekidneydietitian.org/
- By User:Spicy, User:Stevenfruitsmaak, User:Bobjgalindo - Source files:File:Dipstick urinalysis.jpg by User:Spicy (own work, CC-BY-SA 4.0) commons.wikimedia.org/w/index.php?curid=120522728
- By Mohsenin V. doi: 10.1186/s40560-017-0251-y. PMID: 28932401; PMCID: PMC5603084., CC BY 4.0, commons.wikimedia.org/w/index.php?curid=1202835

All Comments (21)
  • @beenthere4076
    This video was eye opening to say the least. In fact, it was mind-blowing! I'm so glad this woman got the proper care from the proper professionals so they could properly diagnose the problem instead of putting her on dialysis and then a waiting list for kidney transplant!
  • @AlEndo01
    "Dr. Violin" has the gift! She's not only exhibits outstanding clinical reasoning, she is also an adept translator from doctorese to English, making even complex issues understandable. I do hope she has the opportunity to be trailed by a parade of medical students, who would greatly benefit from her teaching skills. Another great video.
  • @nancys2839
    My son had kidney failure right after he turned 25. He was in the hospital for about around a week and the doctor couldn't figure it out. They placed a shunt and started him on dialysis. He had one dialysis treatment, and his kidney function started to recover. He was then released from the hospital, and was monitored for a few weeks. This was totally terrifying, especially as we never found out why it happened. He's going to be 41 this year and hasn't had any problems since. This was a fascinating case. I'm a subscriber now. Thanks doc!
  • I can not thank you enough for educating us. You have no idea how many people you are helping. ❤
  • @iancormie9916
    All these tests and no one asked what she was eating and drinking.
  • @donross7820
    As a physician who is huge on prevention and food as medicine, I would say kudos to you for such a great and interesting video! Thank you
  • @alphaturtle4839
    The real scary thing about this video is she got a bone and kidney biopsy before they asked her what she had been eating.
  • @uniquegeek2708
    This really clarifies why many people are told to up their calcium intake after having calcium oxalate kidney stones, despite it seeming counterintuitive.
  • I knew about the high oxalate load in spinach but was not aware that cashews were also high. I do have a problem with the almost blanket endorsement of taking calcium supplements. We have good studies showing that those who take calcium supplements have a much higher rate of all cause mortality and the thought is that the extra calcium is deposited on the lining of blood vessels..
  • I am a renal (kidney) dietitian and loved this! Everyone should see a dietitian for so many reasons. We never recommend eliminating specific food or nutrients unless it is medically necessary.
  • Seeing a nephrologist to learn what is causing me to make calcium oxylate stones helped me a whole lot. This video helped more! Thank you!!!
  • @jeffpro8
    You know it's going to be a good Saturday when violin MD uploads a medical mystery video. 😊
  • I absolutely love your videos. When you explain things so well and are so happy to see patients
  • @melissah187
    GREAT Video!!! Thank you so much for sharing Nancy's story. I think people often underestimate the issues an unbalanced diet can cause. This one in particular is quite astounding to the average person. I really like how you broke it down to a level that non-medical professionals can understand. :)
  • @cindybee9270
    Something similar happened to me last year. I switched from chips to smoked almonds. Over time I developed kidney stones, which were determined to be calcium oxalate stones.
  • @exploringlife738
    Thank you for this video! As a chronic moderate kidney person, it was very helpful in highlighting why nuts are generally discouraged, and reminded me that broccoli, which I love but have neglected, and calcium, are important in my diet!
  • @-cMc-
    This woman is such a breath of fresh air ❤❤❤❤
  • @liserjones8465
    I was an hour away from death due to hypocalcemia! I had gone to my doctor because I pulled a muscle in my sleep! She was training and put me on diazapam. I collapsed the next day! I couldn't believe that a lack of calcium could cause this much damage and nearly kill me!
  • @jimgrant4348
    Wow, what great timing for this video. I have been battling lymphadema for over 20 years. I take a somewhat high dosage of Lasix and have not had kidney issues until just the last 5 or 6 months. In May of 2023, I had bariatric surgery with the SADI switch. I was recently hospitalized because of the excessive fluid retention that had started accumulating in my abdomen. I take Eliquis for afib and had also started bruising easily. My labs showed low platelet count 78,000. My platelets kept dropping, eventually going down to 49,000. I had a bone marrow biopsy, which came back normal. Eventually, it was determined because my RBC, WBC, potassium, protein levels creatinine, and BUN were all abnormal my system my not in homeostasis. One level low was my calcium. I was not given an Rx for calcium. Next week I have an appointment with my nephrologist and I have a great question to ask her. BTW, when my blood work showed my other levels back in normal, everything else except creatinine and BUN were normal.