Showing posts with label GOUT. Show all posts
KIDNEY STONE (RENAL CALCULUS) | CAUSE, SYMPTOMS & HOMEOPATHY
What are
kidney stones?
Kidney stones (also known as Nephrolithiasis
or Renal calculus) are small hard masses made up of crystals which are seen in
urinary tract (Kidney, urethra and ureter). These crystals are formed by
minerals and acid salts. Usually stones forms when the urine becomes
concentrated as minerals get crystallized and stick together.
Kidney stone is one of the most
painful condition. Kidney stones typically leave the body by passage in the
urine stream, and many stones are formed and passed without causing symptoms.
If stones grow to sufficient size (usually at least 3 millimeters (0.12 in))
they can cause obstruction of the ureter.
National Institute of
Diabetes and Kidney Disease reports that about 1 million people in the United
States are treated for kidney stones each year.
Types of
kidney stones
Calcium
Calcium stones are the most common. They can be made of
calcium oxalate (most common), phosphate, or maleate. Oxalate is a naturally
occurring substance found in food. Some fruits and vegetables, as well as nuts
and chocolate, have high oxalate levels. Your liver also produces oxalate.Vitamin
C and spinach contain oxalate. Calcium-based kidney stones are most commonly
seen in young men between the ages of 20 and 30.
Cystine
Cystine stones are rare. They occur in both men and women who
have the genetic disorder cystinuria.
Struvite
This type of stone is found mostly in women with urinary
tract infection. These stones can be quite large and cause urinary obstruction.
Uric Acid
This type of kidney stone is more common in men than in
women. They can occur in people with gout or those going through chemotherapy.
Other
Medications like triamterene and acyclovir also can cause
stones.
What are
the causes for kidney stones?
There are many factors which can lead to form stones in your
kidneys. Certain foods may promote stone formation in people who are
susceptible.
People who do not drink enough fluids may also be at higher
risk, as their urine is more concentrated.
Risk factors
·
Family history:
If someone in your family has kidney stones, you're more likely to develop
stones, too.
·
Dehydration:
Not drinking enough water each day can increase your risk of kidney stones.
People who live in warm climates and those who sweat a lot may be at higher
risk than others..
·
High-protein, salt, or glucose diet: A high-salt diet is another risk factor, as an increased
amount of sodium passing into the urine can also pull calcium along with it.
The net result is an increased calcium level in the urine, which increases the
probability for stones. Intake of oxalate-rich foods such as leafy green
vegetables, nuts, tea or chocolate may also worsen the situation.
·
Inflammatory bowel diseases (which can cause increase calcium absorption)
·
Other medical conditions. Diseases and conditions that may increase your risk of
kidney stones include renal tubular acidosis, cystinuria, hyperparathyroidism,
certain medications and some urinary tract infections.
What are
the symptoms?
Kidney stones typically leave the
body by passage in the urine stream, and many stones are formed and passed
without causing symptoms.
Some stones may be washed out of the
kidney by urine flow and end up trapped within the ureter or pass completely
out of the urinary tract. Stones usually begin causing symptoms when they block
the outflow of the urine from the kidney leading to the bladder. At this point
these signs and symptoms may be seen,
·
Severe
pain in the side and back, below the ribs
·
Pain
that comes in waves and fluctuates in intensity
·
Pain
on urination
·
Pain
that spreads to the lower abdomen and groin
·
Pink,
red or brown urine
·
Nausea
and vomiting
·
Persistent
urge to urinate
·
Fever
and chills if an infection is present
·
Cloudy
or foul-smelling urine
·
Urinating
more often than usual
Investigations
If your doctor suspects kidney stones in you he may ask you
to perform,
·
Blood
test: for calcium, phosphorus, uric acid and electrolytes
·
Urine
analysis: to check for crystals, bacteria, blood, and white cells.
·
Analysis
of passed stones: to determine type
·
Abdominal
X-rays
·
Intravenous
pyelogram (IVP)
·
Retrograde
pyelogram
·
Ultrasound
of the kidney
·
MRI
of the abdomen and kidneys
·
Abdominal
CT scan
Treatment
for kidney stone
Treatment of kidney stones varies
according to size, number and locations. Small kidney stones (less than 5 mm (0.20 in) in
diameter) may pass through urine without any pain or other symptoms. Homeopathy
has got wonderful results in treating kidney stones which will be explained in
detail later.
Initially NSAIDs are given to reduce the pain and wait for
spontaneous expulsion.
During this time the patient is advised to drink plenty of
water and liquids. A glass of orange juice in a day can help to prevent kidney
stone in susceptible subjects.
Surgical procedures:
Lithotripsy: Extracorporeal shock wave lithotripsy uses sound waves to
break up large stones so they can more easily pass down the ureters into your
bladder. This procedure can be uncomfortable and may require light anesthesia
Tunnel Surgery (Percutaneous Nephrolithotomy) :Stones are removed through a
small incision in your back
Ureteroscopy: When a stone is stuck in the ureter or bladder, your doctor
may use an instrument called a ureteroscope to remove it
HOMEOPATHY
FOR KIDNEY STONES
Homeopathy treatment is one of the
best choices of treatment in kidney stones. Homeopathic medicines can help you
to expel your kidney stones naturally.
If you are diagnosed with stones in your kidneys, consult a
qualified homeopath near you. You may need to explain all the symptoms and
history in detail to your homeopath.
These are some important homeopathic medicines which should
not be taken without a homeopath’s advice.
Lycopodium
Sarsaparilla
Beriberis vulgaris
Tabacum
Cantharides
Nux vomica
Ocimun canu
Belladonna
Chamomilla
Colocynth
Hydrangea
Pareira brava
Sepia
Nitric acid
Benzoic acid
www.urologyhealth.org
Gout | cause, signs & symptoms treatment & Homeopathy
Gout is a disorder of purine
metabolism, occurring especially in men, characterized by a raised but variable
blood uric acid level and severe recurrent acute arthritis of sudden onset
resulting from deposition of crystals of sodium urate in connective tissues and
articular cartilage.
It is a painful condition of small joints as uric acid
crystals get deposited like a needle in the joints.
Uric acid is usually harmless, and is
made in the body. Most is passed out with the urine, and some from the gut with
the faeces (stools). In people with gout the amount of uric acid in the blood
builds up. From time to time the level may become too high and tiny grit-like
crystals of uric acid may form.
Deposited uric acid crystals may form a lump in the joints
which is called as tophi.
Some people have a high level of uric acid but do not
form crystals or have gout. Also, rarely, some people with a normal level of
uric acid have gout attacks. However, as a rule, the higher the level of uric
acid, the greater the chance of developing gout.
Scientists estimate that 6 million adults age 20 and older report having had gout at some time in their lives
What cause Gout?
A number of risk actors are associated with high uric acid
level and gout attack.
·
Genetic: - In
many patients with gout has family history of the same. Estimates range from 20 to 80
percent.
·
Gender and age.
It is more common in men than in women and more common in adults than in
children.
·
Alcohol conception: - Too much alcoholic drinks especially beer can cause hyperuricemia(High
uric acid level in blood)
·
Diet: - Foods
which are high in purines can cause or aggravates gout. Those who suffer from
gout should limit the foods which are high in purines like meet, Beer, anchovy,
spinach Etc
·
Some health conditions: - Renal insufficiency is one of the most common cause of gout
where kidney fails to eliminate uricacid from the body.
Some conditions like Hypertension,
hyperthyroidism, Psoriasis, Kelley-Seegmiller syndrome or Lesch-Nyhan syndrome,
Hemolytic anemia, Lead poisoning Etc
·
Some medication can cause gout: - Diuretics, which are taken to eliminate excess fluid from
the body in conditions like hypertension, edema, and heart disease, and which
decrease the amount of uric acid passed in the urine
§ Salicylate-containing drugs, such as
aspirin
§ Niacin, a vitamin also known as
nicotinic acid
§ Cyclosporine, a medication that
suppresses the body’s immune system (the system that protects the body from
infection and disease). This medication is used in the treatment of some
autoimmune diseases, and to prevent the body’s rejection of transplanted
organs.
§ Levodopa, a medicine used to support
communication along nerve pathways in the treatment of Parkinson’s disease.
Sign and symptoms
·
Intense
and sudden onset of pain in effected joints usually at night
·
Redness
with shiny skin over effected joints
·
Swelling
or lump caused by tophi due to deposition of uricacid crystals which are tender
to touch
·
There
can have high uric acid in blood
·
Uric
acid crystals can be seen in joint fluid
How is gout diagnosed?
It is not so easy to diagnose gout as it mimics many other
joint diseases.
High uric acid level is seen in most of the patient with gout
but normal uric acid level does not rule out this condition.
X ray of effected join can help to diagnose it
Synovial fluid aspiration to detect the uric acid crystals in
it
How is gout treated?
A short course of anti-inflammatory pain killers (NSAIDs) are
used to stop the pain and inflammation.
Long term use of NSIDs (Non-steroid anti-inflammatory drugs)
is not healthy as it may damage kidneys.
On Acute attacks apply icepacks to reduce the pain.
Homeopathy for Gouty
arthritis
Homeopathic remedies can help you to
reduce the pain caused by gout and put the uric acid level in blood to normal.
Homeopathic remedies are selected by proper analysis of your
mental physical and emotional symptoms.
A constitutional remedy prescribed by an experienced
homeopath may help to reduce the likelihood of further episodes.
We are listing out some of the most common homeopathic
medicines below.
Aconitum napellus –
The person is anxious,
with a good imagination that can picture many terrible things. The joints are
swollen and painful. The pain is worse at night and with warmth, but better
with fresh air and rest.
Arnica
Arnica can also be
very helpful for discomfort that comes with gout. Pain is sore and bruise-like,
and it hurts to walk. The person may be afraid to be approached or touched,
because of pain.
Belladonna: Useful for symptoms such as sudden onset,
swelling, throbbing, heat, and. The joints look red, inflamed, and shiny - with
sharp or violent pains that are worse from touch and jarring. The person may
feel restless, flushed, and hot. Take
Benzinum acidum: 3X every four hours in gouty subjects with high- smelling
urine.
Berberis vulgaris:
Twinges of pain in
gouty joints, or stitching pains that are aggravated by changing position or
walking, may indicate a need for Berberis vulgaris. Berberis is often indicated
for people who ache all over; some have nagging back pain or a tendency toward
kidney stones.
Bryonia: Bryonia is helpful when tearing pain is worse from the slightest
movement.
Calcarea fluorica:
When the finger joints
become enlarged because of gout, and the knees and toes may be involved, it may
be time for this remedy. Stabbing pain is experienced, and the joints may make
a cracking sound on movement. Discomfort is worse during weather changes, and
warmth may bring relief.
Colchicine: 3X,
every two to four hours for great weariness, nausea,
shoutings and tearings in muscles and joints worse with movement, better at
night. Tearings in legs, feet, and toes with swelling.
Colchicum:
Colchicum is useful
for gout in the big toe or heel-so painful the person finds both motion and
touch unbearable. The joints are swollen, red and hot. Pain is often worse in
the evening and at night. Flare-ups may occur in the springtime or with weather
changes. Individuals who need this remedy often have a feeling of internal
coldness and are very tired.
Guaiacum 3X, every four hours in gout.
Ledum palustre:
Ledum palustre is indicated when the foot and big toe are
swollen. Shooting pains are felt all through the foot and ankle, moving upward
to the knee. Cold applications relieve both the swelling and the pain.
Pulsatilla nigricans: 3, every two hours when gout flies about from joint to
joint.
Rhododendron:
When you experience
gouty swelling of the big toe joint that flares up before a storm, this remedy
may be indicated. Other joints may ache and swell, especially on the right side
of the body. Pain usually is worse toward early morning and after staying still
too long. The person may feel better from warmth and after eating.
Rhus toxicodendron:
This remedy can be helpful for joints that are hot, stiff,
painful, and swollen. Symptoms are worse in cold, damp weather and improved by
warmth and gentle motion.
Sabina –
The person is
depressed. There is gouty pain and nodules may develop at the afflicted joint.
Movement and heat make the pain worse; cool fresh air makes it better. Also
when connected with uterine disorder
Sulphur:
When you have painful
gouty joints that itch, along with a burning feeling in the feet, Sulphur may
be useful. The knees and other joints may be involved. Problems are aggravated
by heat in any form, and are often worse in damp weather and in springtime.
Source:
http://www.arthritisresearchuk.org
http://www.niams.nih.gov/Health_Info/Gout/default.asp
http://reference.medscape.com
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