What is A patient is known to have calcium nephrocalcinosis for the post 10 years. All of the following dietary recommendations should be suggested, Except: and explain in detail?
Answer is B (Calcium Restriction): Low protein, Low sodium and Normal Calcium diet is recommended for patients with calcium nephrolithiasis Dietry Intervention in patients with Calcium Nephrolithiasis Dietary intervention plays a cardinal role in the preventive treatment of calcium nephrolithiasis. Studies have shown that a low protein, low salt diet significantly reduces nephrolithiasis recurrence rates in patients with idiopathic hypercalciuria. Long term dietary compliance with a low protein, low salt diet has been shown to be superior to a low calcium diet in prevention of nephrolithiasis. A low calcium diet may increase the intestinal absorption of oxalate reducing the effectiveness of this therapy. Therefore low calcium diets are not recommended. Diets containing 700 to 800 mg of calcium are adequate for patients with idiopathic hypercalciuria. Low protein diets reduce purine intake, resulting in reduced systemic acid and uric acid loads. Low sodium diets reduce the amount of calcium in urine' - The Washington Manual Nephrology Subspecialty Consult' 2nd/245