How to prevent kidney stones: water, diet and what else helps

About 1 in 10 people get a kidney stone at some point, and once you’ve had one, there’s roughly a 50% chance of another within 5 to 10 years. The good news is that a few everyday habits lower that risk a lot.

What are kidney stones?

Kidney stones are hard deposits that form when minerals in your urine become too concentrated and crystallize. Most are calcium oxalate stones. Others are made of uric acid, calcium phosphate or, less often, struvite or cystine. Knowing your stone type helps your doctor tailor advice, so ask for any stone you pass to be tested.

1. Drink enough water

This is the single most important step. Aim to drink enough to pass at least 2 to 2.5 liters (around 8 to 10 cups) of urine a day, which for most people means drinking 2.5 to 3 liters of fluid. Your urine should be pale yellow. Drink more in hot weather or when you exercise.

2. Add some citrus

Citrate in lemons, limes and oranges helps stop stones from forming. Adding fresh lemon or lime juice to water is an easy habit. Avoid sugary lemonades and sodas, which can raise risk.

3. Cut back on salt

Salt makes your kidneys pass more calcium into the urine. Keep sodium under 2,300 mg a day by limiting processed foods, canned soups, takeaway meals and salty snacks.

4. Don’t cut out calcium

It sounds backwards, but eating enough calcium from food lowers the risk of calcium oxalate stones, because calcium binds oxalate in the gut before it reaches the kidneys. Have dairy or other calcium-rich foods with meals. Calcium supplements are different: take them only if advised, and with food.

5. Watch oxalate-rich foods if advised

If you’ve had calcium oxalate stones, your doctor may suggest limiting very high-oxalate foods such as spinach, rhubarb, nuts and nut butters, beets and black tea. Pairing them with a calcium-rich food helps too.

6. Moderate animal protein

Large amounts of red meat, poultry, eggs and seafood raise uric acid and lower urine citrate. Keeping portions moderate and eating more vegetables, fruit and beans helps.

7. Keep a healthy weight

Obesity and type 2 diabetes raise the risk of stones. Avoid crash diets, which can increase risk. See how to lose weight safely.

Medicines and herbal products

If you keep getting stones despite these changes, your doctor may test your blood and urine and prescribe a medicine matched to your stone type, such as a thiazide diuretic, potassium citrate or allopurinol.

Herbal products: Himalaya Cystone, available as tablets and syrup, is an Ayurvedic formula traditionally used to support urinary health. A few small studies suggest it may help, but the evidence isn’t strong enough to say it prevents or dissolves stones. If you try it, use it alongside the habits above and your doctor’s advice, never instead of medical care.

Symptoms of a kidney stone

  • Severe pain in the side and back, below the ribs, which may spread to the lower belly or groin and come in waves
  • Pain or burning when urinating
  • Pink, red or brown urine
  • Needing to urinate often, or passing only small amounts
  • Nausea and vomiting

Get urgent medical help if you have pain with a fever or chills, pain so severe you can’t sit still, vomiting that stops you keeping fluids down, or you can’t pass urine. A stone with infection is an emergency.

Frequently asked questions

What is the best drink to prevent kidney stones?

Water is best. Water with fresh lemon or lime juice adds citrate, which also helps.

Does coffee cause kidney stones?

No. Studies link moderate coffee and tea drinking with a slightly lower risk, as long as you also drink plenty of water.

Can kidney stones come back?

Yes. Around half of people get another stone within 10 years, which is why prevention habits matter.

More in our Everyday Health guide: all our articles and products on this topic in one place.

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    Sore throat remedies: what helps fast and when to see a doctor

    Most sore throats are caused by the same viruses that cause colds and flu. They usually get better on their own within a week. Antibiotics don’t help a viral sore throat, but plenty of simple remedies can make you feel better while your body clears the infection.

    What causes a sore throat?

    • Viruses such as colds, flu and COVID-19 cause most sore throats, often with a runny nose, cough or hoarse voice.
    • Strep throat, a bacterial infection, causes around 1 in 10 sore throats in adults and up to 3 in 10 in children. It needs a test and antibiotics.
    • Dry air, allergies and acid reflux can irritate the throat, especially first thing in the morning. See allergies or cold: how to tell and heartburn relief.
    • Smoking and shouting can also leave your throat raw.

    Home remedies that help

    • Salt water gargle: dissolve half a teaspoon of salt in a glass of warm water, gargle and spit. Repeat several times a day.
    • Honey: a spoonful on its own or in warm water or tea soothes the throat and can ease coughing. Never give honey to babies under 1 year old.
    • Warm and cold drinks: warm tea or broth, or cold drinks and ice lollies, whichever feels better.
    • Rest your voice and get plenty of sleep.
    • Humidify the air with a humidifier or a steamy shower if the air is dry.
    • Stay hydrated so your throat doesn’t dry out.

    Over-the-counter options

    • Pain relievers: acetaminophen (paracetamol) or ibuprofen ease pain and fever. Follow the label and check other cold medicines for the same ingredient.
    • Medicated lozenges and sprays: lozenges with menthol, or with numbing ingredients like benzocaine, give short-term relief. Don’t give lozenges to young children because of the choking risk.
    • Herbal lozenges: honey and herbal lozenges such as Himalaya Koflet lozenges soothe and keep the throat moist.
    • Cough syrups: if a cough is keeping your throat sore, a soothing herbal syrup such as Himalaya Koflet-EX linctus may help. Read the age guidance on the pack.

    Is it strep throat?

    Strep is more likely if you have:

    • A sudden, severe sore throat and pain when swallowing
    • A fever of 101°F (38.3°C) or higher
    • Swollen, tender glands at the front of the neck
    • White patches or pus on the tonsils, or tiny red spots on the roof of the mouth
    • No cough or runny nose

    A doctor or urgent care clinic can do a quick swab test. If it’s strep, antibiotics help you recover faster and prevent complications.

    When to see a doctor

    See a doctor if:

    • Your sore throat lasts longer than a week, or keeps coming back
    • You have signs of strep throat, listed above
    • You have a high fever, a rash, or ear pain
    • You have a weakened immune system

    Get urgent help if you have trouble breathing or swallowing, are drooling because you can’t swallow, can’t open your mouth fully, or have swelling on one side of the throat or neck.

    Frequently asked questions

    How long does a sore throat last?

    A viral sore throat usually improves within 5 to 7 days. Strep throat improves within a day or two of starting antibiotics.

    What is the fastest way to soothe a sore throat?

    A salt water gargle, a spoonful of honey, a lozenge and a pain reliever such as acetaminophen or ibuprofen usually bring relief within an hour.

    Do I need antibiotics for a sore throat?

    Only if a test shows a bacterial infection such as strep. Antibiotics don’t work on viruses and can cause side effects.

    More in our Allergies guide: all our articles and products on this topic in one place.

    More in our Everyday Health guide: all our articles and products on this topic in one place.

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      Questions about a product, dosage or delivery? Leave your details and our team will get back to you within 1 business day.

      This article is for general information only and isn’t a substitute for advice from a doctor or pharmacist.

      Cracked heels: causes, home treatment and when to see a doctor

      Cracked heels (heel fissures) are very common, especially in dry weather and for people who stand a lot. Most cases heal within 1 to 2 weeks with a simple daily routine.

      Why heels crack

      • Dry skin, especially in winter or hot, dry climates
      • Standing for long periods, particularly on hard floors
      • Open-back shoes and sandals, which let the heel fat pad spread
      • Long hot showers and harsh soaps
      • Extra body weight, which adds pressure on the heels
      • Conditions such as diabetes, thyroid problems, eczema, psoriasis and athlete’s foot

      Nightly routine to heal cracked heels

      1. Soak your feet in warm (not hot) water for 10 minutes.
      2. Gently rub thick skin with a pumice stone or foot file. Don’t cut hard skin yourself.
      3. Pat dry and apply a thick foot cream to the heels, such as Himalaya FootCare Cream.
      4. Put on cotton socks overnight to help the cream soak in.
      5. Moisturise again in the morning.

      Ingredients that help

      • Urea (10 to 25%) softens hard skin and holds in moisture
      • Salicylic acid or lactic acid gently remove thick, dead skin
      • Petroleum jelly, glycerin or shea butter seal in moisture

      Prevent cracks coming back

      • Moisturise your feet every day
      • Wear closed-back, supportive shoes
      • Drink enough water and avoid very long hot baths
      • Check your feet for athlete’s foot, which can cause cracking. See athlete’s foot treatment.

      When to see a doctor or podiatrist

      • Cracks that bleed, are deep or very painful
      • Redness, warmth, swelling or pus, which can mean infection
      • No improvement after 2 weeks of daily care
      • If you have diabetes or poor circulation: see a doctor or podiatrist about any crack or sore, as foot wounds can become serious quickly

      Frequently asked questions

      How long do cracked heels take to heal?

      Mild cracks usually improve within a week of nightly care. Deeper cracks can take 2 to 3 weeks.

      Is Vaseline good for cracked heels?

      Yes. Petroleum jelly seals in moisture, especially under socks overnight. A cream with urea works faster on thick skin.

      Can I use a razor to remove hard skin?

      No. Cutting can cause deep cuts and infection. Use a pumice stone or foot file instead.

      More in our Skin and Fungal Infections guide: all our articles and products on this topic in one place.

      More in our Everyday Health guide: all our articles and products on this topic in one place.

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        Questions about a product, dosage or delivery? Leave your details and our team will get back to you within 1 business day.

        This article is for general information only and isn’t a substitute for advice from a doctor or pharmacist.

        How to get rid of dandruff: shampoos that work and how to use them

        Dandruff affects about half of adults at some point. It’s not caused by poor hygiene, and it’s very treatable. The key is using the right shampoo ingredient, the right way, consistently.

        What causes dandruff

        Most dandruff comes from a mild form of seborrhoeic dermatitis. A yeast called Malassezia, which lives on everyone’s scalp, breaks down scalp oils. In some people this irritates the skin and speeds up how fast skin cells shed, causing white or yellowish flakes and itching. Dandruff is often worse in winter, with stress, and in people with oily skin.

        Anti-dandruff ingredients compared

        IngredientHow it worksGood to know
        Ketoconazole 1%Antifungal; reduces the yeastOne of the most effective; use 2 times a week
        Zinc pyrithioneAntifungal and antibacterialGentle enough for frequent use
        Selenium sulfideSlows skin shedding and reduces yeastCan discolour light or colour-treated hair; rinse well
        Salicylic acidLoosens and lifts flakesHelps thick scale; can dry the scalp
        Coal tarSlows skin cell turnoverStrong smell; can stain light hair
        Tea tree oilMild antifungalOne small trial showed benefit with 5% tea tree shampoo; a gentler option for mild flaking

        For mild dandruff, a gentle option such as Himalaya tea tree or cooling mint anti-dandruff shampoo may be enough. For stubborn flakes, ketoconazole usually works best.

        How to use anti-dandruff shampoo properly

        1. Wet your hair and massage the shampoo into your scalp, not just your hair.
        2. Leave it on for 3 to 5 minutes before rinsing. This is the step most people skip.
        3. Use it 2 to 3 times a week until flakes clear, usually 2 to 4 weeks.
        4. Then keep using it once a week to stop dandruff coming back.
        5. If one shampoo stops working, switch to a different active ingredient.

        Other tips

        • Wash your hair often enough to stop oil building up
        • Avoid heavy oils and styling products on the scalp
        • Don’t scratch, which irritates the skin further
        • Manage stress and get enough sleep, which can reduce flare-ups

        When to see a doctor

        • No improvement after 4 to 6 weeks of regular medicated shampoo
        • Red, swollen, oozing or very itchy patches
        • Thick, silvery scale (possible psoriasis), or flaking on the face, eyebrows or chest
        • Hair loss in patches

        Frequently asked questions

        Is dandruff caused by a dry scalp?

        Usually not. Dry scalp flakes are small and white and improve with gentle shampoo and moisturising. Dandruff flakes are often larger, oilier and itchy, and need an anti-dandruff ingredient.

        Does dandruff cause hair loss?

        Not directly, but scratching can damage hair. Treating the itch helps. See our guide to hair loss treatment for men.

        Can I use anti-dandruff shampoo every day?

        Gentle ones such as zinc pyrithione can be used often. Stronger ones such as ketoconazole are usually used 2 to 3 times a week.

        More in our Hair Loss guide: all our articles and products on this topic in one place.

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          This article is for general information only and isn’t a substitute for advice from a doctor or pharmacist.

          Liv.52 vs milk thistle: how the two liver supplements compare

          Himalaya Liv.52 and milk thistle are two of the best-selling liver supplements in the world. One is a multi-herb Ayurvedic formula from India; the other is a single herb from European tradition. Here’s how they compare, and what neither can do.

          At a glance

          Himalaya Liv.52Milk thistle
          What it isAyurvedic blend of about 19 herbs, led by caper bush and chicorySingle herb (Silybum marianum), standardised for silymarin
          Traditional useLiver support, appetite and digestionLiver and gallbladder support
          EvidenceSome small studies, mostly older; good long-term safety recordMany studies; no clear benefit shown for liver disease
          Typical adult dose2 tablets twice a day (regular strength), or as on the packOften 140 to 420 mg silymarin a day, split into doses
          Common side effectsRare; mild stomach upsetMild stomach upset, bloating; allergy in people sensitive to ragweed or daisies
          FormsTablets, DS (double strength) tablets, drops, syrup, pet versionCapsules, tablets, tea, liquid extract

          Himalaya Liv.52

          Liv.52 has been sold since 1955 and is one of India’s most widely used herbal products. It combines caper bush (Himsra), chicory (Kasani), black nightshade, arjuna and other herbs traditionally used to support liver function and appetite. A double-strength (DS) version means fewer tablets a day.

          Milk thistle

          Milk thistle’s active compounds, together called silymarin, act as antioxidants in lab studies. In people, trials in alcohol-related liver disease, hepatitis and fatty liver haven’t shown consistent benefit. It’s considered safe for most adults.

          Which should you choose?

          • If you want a traditional all-round formula that also supports appetite and digestion, Liv.52 is the more common choice.
          • If you prefer a single, standardised herb, milk thistle is easy to find.
          • Don’t take several liver supplements at once without asking a doctor.

          Neither one treats liver disease, undoes the effects of heavy drinking, or replaces medical care. The habits that matter most are covered in our guide on how to support your liver.

          Who should check with a doctor first

          • Anyone with liver disease, hepatitis or jaundice
          • Pregnant or breastfeeding women
          • People taking prescription medicines, especially diabetes medicines (milk thistle may lower blood sugar) and medicines broken down by the liver
          • People allergic to plants in the daisy family (milk thistle)

          Frequently asked questions

          Can I take Liv.52 and milk thistle together?

          There’s no known dangerous interaction, but there’s also no evidence that combining them helps. Ask your doctor or pharmacist first.

          How long until I notice a difference?

          Herbal supplements work gradually. Most people take them for at least 4 to 8 weeks.

          Do they protect the liver from alcohol?

          No supplement makes heavy drinking safe. Cutting down on alcohol is what protects your liver.

          More in our Digestive Health guide: all our articles and products on this topic in one place.

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            This article is for general information only and isn’t a substitute for advice from a doctor or pharmacist. Supplements are not evaluated by the FDA to diagnose, treat, cure or prevent any disease.

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