Monday, June 15, 2015

Hidden Hazards of Iced Tea

Popular summer drink may raise risk of painful kidney stones, Loyola urologist warns

MAYWOOD, Ill. -- Mark Mulac was an "avid lover" of iced tea, downing up to six glasses a day of the popular summertime thirst-quencher.

"I was a junkie on a bender. I had to have it every day," said Mulac, a resident of Brookfield, Ill. "Iced tea was very refreshing, cheap to buy and easy to make."

Unfortunately, for health reasons, Mulac has been forced to go cold turkey. All the iced tea he was downing helped to bring on an excruciating bout of kidney stones that eventually led to surgery at Loyola University Hospital in Maywood, Ill.

"The pain was so bad that once it felt like I was delivering a child made out of razor blades," said the 48-year-old Mulac. "I really had no idea that iced tea could lead to that."

Iced tea contains high concentrations of oxalate, one of the key chemicals that lead to the formation of kidney stones, a common disorder of the urinary tract that affects about 10 percent of the population in the United States. Though hot tea also contains oxalate, it isn't as easy to consume a quantity large enough amount to encourage the formation of stones.

"For many people, iced tea is potentially one of the worst things they can drink," said Dr. John Milner, assistant professor, Department of Urology, Loyola University Chicago Stritch School of Medicine, Maywood, Ill. "For people who have a tendency to form kidney stones, it’s definitely one of the worst things you can drink."

Kidney stones are a common disorder of the urinary tract that affects about 10 percent of the population in the United States. Men are four times more likely to develop kidney stones than women, and the risk rises dramatically once they reach their 40s. Postmenopausal women with low estrogen levels and women who have had their ovaries removed also have an increased risk of developing stones.

Kidney stones are small crystals that form from the minerals and salt normally found in the urine in the kidneys or ureters, the small tubes that drain urine from the kidney to the bladder. Most of the time kidney stones are so small that they are harmlessly expelled from the body. But on some occasions, the stones grow to the point that they can become lodged in the ureters.

The most common cause of kidney stones is the failure to drink enough fluids. During the summer, people are generally more dehydrated due to sweating. The dehydration combined with increased iced tea consumption raises the risk of kidney stones, especially in people who are prone to develop them.

"People are told that in the summertime they should drink more fluids," said Milner, who treated Mulac's kidney stones. "A lot of people choose to drink more iced tea, thinking it's a tastier alternative. However, in terms of kidney stones, they're actually doing themselves a disservice."

The popularity of iced tea has grown dramatically with more than 2 billon gallons consumed a year in the U.S., according to the Tea Association of the U.S.A. Nearly 128 Americans drink the beverage daily.

Much of iced tea’s appeal is due to the belief that it is healthier than other beverages such as soda and beer.

"I stayed away from carbonated drinks for a long time because I thought it was upsetting my stomach and that it wasn’t as good for me, but I guess overdid it with the iced tea," Mulac said.

To quench thirst and to properly hydrate, there is no better alternative than water, Milner said. You might try flavoring it with lemon slices. Lemonade helps to ward off kidney stones.

"Lemons are very high in citrates, which inhibit the growth of kidney stones," Milner said. "Lemonade, not the powdered variety that uses artificial flavoring, actually slows the development of kidney stones for those who are prone to the development of kidney stones."

Milner also said people concerned about developing kidney stones should cut back on eating foods that also contain high concentrations of oxalates such as spinach, chocolate, rhubarb and nuts. They should ease up on salt, eat meat sparingly, drink several glasses of water a day and eat foods that are high in calcium, which reduces the amount of oxalate the body absorbs.

About Loyola University Health System

Loyola University Health System (LUHS) is part of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. Loyola University Medical Center’s campus is conveniently located in Maywood, 13 miles west of Chicago’s Loop and 8 miles east of Oak Brook, Ill. At the heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children's Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as Loyola University Chicago Stritch School of Medicine, Loyola University Chicago Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola's Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

Trinity Health is a national Catholic health system with an enduring legacy and a steadfast mission to be a transforming and healing presence within the communities we serve. Trinity is committed to being a people-centered health care system that enables better health, better care and lower costs. Trinity Health has 88 hospitals and hundreds of continuing care facilities, home care agencies and outpatient centers in 21 states and 119,000 employees.