Kidney stone patients should eat a low oxalate diet

Foods marked with * may cause irritation although they are not high in oxalate. It may be best to avoid these at first. If a food has been listed as both low and medium in different tests, it is listed only in the medium group. If a food has been listed as both medium and high in different tests, it is listed in the medium group and indicated by the notation “(?high)” as well as being listed in the high group. Foods with double question marks (i.e. ?Pumpkin?) have not been tested, but anecdotal evidence seems to imply oxalate content or irritation potential.

You may want to eat only low oxalate foods at first until your symptoms begin to improve. Then, you can add medium oxalate foods one at a time, eating a small amount three days in a row. If your pain does not increase, you may add that food to your diet as a medium oxalate food.

Eat only two servings a day from the medium group. All servings are 1/2 cup unless otherwise indicated. It is not a good idea to try to eliminate all oxalate from your diet because your body will just manufacture more. Moderate consumption is necessary. Of course, you must eliminate the high oxalate foods from your diet completely.

BEVERAGES
Low Oxalate	Medium Oxalate	High Oxalate
Barley water Cider Coke* Coca-Cola* Distilled alcohol* Fruit juices (4 oz) Apple Grapefruit* Lemon* Lime* Pineapple Gingerale (Schwepp’s) Kukicha twig tea Lemonade or limeade (made without peel)* Milk Orange soda (Minute Maid)* Pepsi* Pepsi-Cola* Pineapple juice Root beer (Borg’s and A&W) Bigelow herbal teas- (hot, brew time 4 min) Cranberry Apple Cozy Chamomile Purely Peppermint Apple & Spice Chamomile Mint Cinnamon Orange Hibiscus & Rose Hips (iced, brew time 10 min) Red Raspberry Tahitian Breeze Perfect Peach Raspberry Royale Water Wine* – port, red, rose, dry, sherry, white	Beer (Budweiser) (12 oz)* Beer, draft (12 oz)* Beer, stout (Guiness draft) (12 oz)* Coffee* Fruit juices (4 oz) Cranberry* Grape Orange* Tomato* Orangeade (4 oz)* Tea, rosehip Bigelow herbal teas (hot, brew time 4 min) Lemon & C Spearmint (iced, brew time 10 min) Premium V-8 Juice* Wine, Beaujolais*	Beer – lager draft, Tuborg, Pilsner Chocolate milk Cocoa Juices containing berries high in oxalates Ovaltine Tea, black, Indian Bigelow herbal teas (hot, brew time 4 min) Apple Orchard Fruit & Almond I Love Lemon Mint Medley Orange Spice Perfect Peach Red Raspberry Specially Strawberry Sweet Dreams Take-A-Break Orange & C

CONDIMENTS
Low Oxalate	Medium Oxalate	High Oxalate
Basil, fresh (1 tsp) Chives Dill Mustard, Dijon (1 tbsp) Nutmeg, dry (1 tsp) Oregano, dried (1 tsp) Salt Vanilla extract Vinegar*	Basil, fresh (1 tbsp) Cinnamon (1 tsp) Dill (1 tbsp) Ginger, raw, sliced (1 tsp) Malt, powder (1 tbsp) Mustard, Dijon (1/2 cup) Nutmeg (1 tbsp) Pepper (1 tsp) Soy sauce (?high)	Cinnamon, ground (1½ tsps or more) Pepper (in excess of 1 tsp per day) Ginger (1 tbsp) Soy sauce

DAIRY
Low Oxalate	Medium Oxalate	High Oxalate
Butter Buttermilk Cheese Milk Yogurt Natural, nonfat, plain Dannon, Fruit-on-the-Bottom yogurts (except orange)	none listed	none listed

FATS
Low Oxalate	Medium Oxalate	High Oxalate
Butter Margarine Mayonnaise (Heintz) Salad dressing Vegetable oils	none listed	none listed

FRUITS
Low Oxalate	Medium Oxalate	High Oxalate
Apples, peeled Avocado Cherries, bing and sour Cranberries, canned (Ocean Spray)* Grapes Thompson seedless,green Red Lemons* Lemon juice (1 cup)* Lime juice (1 cup)* Mangoes Melons Cantaloupe Casaba Honeydew Watermelon Nectarines Papaya, Hawaiin Raisins, golden	Apples Apricots Berries (1/4 cup) Blackberries Blueberries Dewberries Red raspberries Currants, black Cherries, red sour Cranberries, dried* Grapefruit* Grapes Oranges* Peaches, Alberta Peaches, Hiley, Stokes, canned Pears, Bartlett Pineapple, Sainsbury, canned Pineapple chunks (Dole) Plums, green or golden Gage, Damson Prunes, Italian Tangerines (?high)*	Blackberries Blueberries Grapes, Concord Currants, red Dewberries Figs, dried Gooseberries Kiwi Lemon peel Lime peel Orange peel Raspberries, red and black Rhubarb Strawberries Tangerines

GRAINS
Low Oxalate	Medium Oxalate	High Oxalate
Cornflakes (Kellog’s) Cornstarch (1 tbsp) Egg noodles Rice, white Rice, wild Rye bread	Bagel (1 medium) (Lender’s) Barley, cooked Bread, white (2 slices) Corn tortilla (1 medium) Cornbread Cornmeal, yellow (1 cup dry) Cornstarch (1/4 cup) English muffin, white (1 medium) Macaroni, cooked Oatmeal (¼ cup) (?high) Rice, brown Saltine or soda crackers (16) (Zesta by Keebler) Spaghetti Spaghetti in tomato sauce* Vanilla Wafers (25) (Nabisco) Wheat or plain flour	Bread, whole wheat Cheerios (1 cup) Graham crackers Graham flour Grits, white corn Kamut Oatmeal Popcorn (4 cups, popped) (Orville Redenbacher) Soybean crackers Spelt Stone ground flour Wheat bran Wheat germ Whole wheat flour Yellow Dock

LEGUMES, NUTS, AND SEEDS
Low Oxalate	Medium Oxalate	High Oxalate
Coconut Lentils Water chestnuts	?Cashews? Garbanzo beans, canned (1/4 cup) Lima beans Split peas, cooked Sunflower seeds, hulled, dry roasted (1 oz) (?high) Tofu, raw firm (?high) ?Walnuts?	Beans, green, waxed, dried Baked beans in tomato sauce, canned Nuts Peanuts Pecans Garbanzo beans, canned Peanut butter Sesame seeds Soybean curd (tofu) Sunflower seeds ?All soy products?

MEATS
Low Oxalate	Medium Oxalate	High Oxalate
Bacon (up to 9 strips) Beef Chicken Corned beef, canned Eggs Fish, haddock, plaice, and flounder Ham Hamburger Lamb Pork Turkey	Bacon (10 or more slices) Kidney, beef Liver Sardines	none listed

SWEETS
Low Oxalate	Medium Oxalate	High Oxalate
Corn syrup (Karo) (1 tbsp) Honey (1 tbsp) Jellies, jams, or preserves made with low and medium fruits (1 tbsp) Maple syrup, pure (1 tbsp) Sugar	Sponge cake (1 slice) Preserves, strawberry (1 tbsp) Marmalade (1/4 cup)*	Fig Newtons Fruitcake (1 slice) Marmalade

VEGETABLES
Low Oxalate	Medium Oxalate	High Oxalate
Acorn squash Alfalfa sprouts Cabbage, white Cauliflower Cucumbers, peeled Green peas, frozen Lettuce, iceberg (1/2 cup) Mung bean sprouts Pepper, red Turnips, roots Zucchini squash	Asparagus Artichokes Brussel sprouts Broccoli Carrots Corn (sweet, white, or yellow) Cucumber (1 medium) Garlic Green beans, snap, or runner beans (?high) Kohlrabi Lettuce butter iceberg (1 cup) Mushrooms Mustard greens Onions Peppers, green (1/2 medium) Potato chips (50) (Wise Original) Potatoes, white, russet, Idaho (1/3 cup) (?high) Potato salad (1/4 cup) Radishes Snow peas Tomato, fresh* Tomato sauce, canned (1/4 cup)* Vegetable beef soup* (Campbell’s) Watercress	Beets – tops, roots, greens Celery Collards Dandelion greens Eggplant Escarole Green beans, snap, pod, runner Kale Leeks Okra Parsley Parsnips Peppers, green Pokeweed Popcorn (4 cups, popped) (Orville Redenbacher) Potatoes Potatoes, sweet ?Pumpkin? Rhubarb Rutabagas Sorrel Spinach Squash, yellow, summer Swiss chard Tomato sauce, canned Turnip greens Watercress Yams ?Pesticides?*

OTHER FOODS
Low Oxalate	Medium Oxalate	High Oxalate
Carob Gelatin, unflavored (Knox) (1 packet) Vinegar, apple cider*	Malt (1 tbsp) No fat ranch dressing (Marzetti’s)	Chocolate, plain Cocoa, dry powder Ovaltine, powder

This list was adapted from The Low Oxalate Cookbook published by The Vulvar Pain Foundation. This cookbook is a necessity for anyone following the low oxalate diet. It includes recipes, tips, guidelines, and other information about low oxalate eating.