Kidney Infections

Kidney disorders commence from minor infections to total kidney failure. Kidney diseases may cause high blood pressure, anemia, and elevated cholesterol. When chronic, this can lead to depression and sexual dysfunction. Kidney stones, diagnosed in more than a million cases annually in the US alone,may be extremely painful and lead to hospital stays and loss of work days. Kidney infection symptoms come very fast and includes fever, chills, pain in the lower back, upset stomach and even vomiting. One should take care to have plenty of fluids especially in summer. Have health checks regularly if you find any unusual occurence of frequent urination, burning sensation and blood in urine. This will also be accompanied with high temperature shivering. Visit your Urologist immediately. The recurrence of such symptoms also indicate that the germ never leaves unless you regularly take culture tests to find out if all bacterial substances are cleared from the urinary tract

Foods that cause Kidney stones

Foods and Drinks Containing Oxalate
People prone to forming calcium oxalate stones may be asked by their doctor to limit or avoid certain foods if their urine contains an excess of oxalate.

High-oxalate foods—higher to lower

rhubarb
spinach
beets
swiss chard
wheat germ
soybean crackers
peanuts
okra
chocolate
black Indian tea
sweet potatoes
Foods that have medium amounts of oxalate may be eaten in limited amounts.


Medium-oxalate foods—higher to lower

grits
grapes
celery
green pepper
red raspberries
fruit cake
strawberries
marmalade
liver

Preventing Kidney Stones

Take care

Recommended Herbal Cures for Kidney Problems

A new method of treatment, (HERBAL) for kidney ailments is a formula of juniper berries, parsley, uva ursi, marshmallow root, lobelia, ginger, and golden seal. Suggested use is a cup morning and evening, or two tablets or capsules morning and evening taken with a cup of parsley tea. In case of malfunction renowned Doctors have suggested this combination to assist the male: cayenne, ginger, golden seal root, gravel root or queen of the meadow root, juniper berries, marshmallow root, parsley root or herb, uva ursi leaves. These will dissolve the stones that are in the kidneys, as well as clean out other sedimentation and infection in the prostate. Mix the powders and place in capsules and take two or more morning and night, with parsley tea when possible.

Aloe Vera taken internally is said to help maintain good blood vessel tone and healthy circulation. The potassium in the plant is said to aid the heart's rhythm and stimulate the kidney to dispose of body wastes. The herb is said to help the action of digestive enzymes and deter kidney stones.

Some of the following Juices have been recommended by many renowned Kidney Specialists.

Juices for Gravel in Kidneys: Carrot & cucumber, endive & parsley.

Juices for Kidney and Bladder Troubles: Cucumber & parsley, dandelion, spinach.

Juices for Renal Calculus (Stones in Kidney): Carrot & cucumber, celery & parsley.

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Chronic Kidney Ailments

A Diabetic or High Blood pressure patient is more at risk of developing Chronic Kidney Disease. Unfortunately, a person is diagnosed with Chronic Kidney problems, when almost 50% of the kidneys are damaged. This is due to the fact that the blood creatinine levels, which are the indicators for kidney disease, don't rise till 50% of the kidney functioning is affected.

During routine check-up, most doctors do not study the creatinine levels of the patient if it is in the normal range. "But normal creatinine level does not mean that the patient's kidneys, especially those who have diabetes or high BP, are functioning properly. There is a need to study the creatinine levels seriously with respect to the patient's weight, age, sex and history of diseases as per many renowned physicians. Routine check-up does not involve creatinine level assessment.

The prevalence of chronic kidney ailment is "one in 10 people in different stages of the disease. This varies from mild to severe form called, the last Stage Kidney Disease as per most medical practitioners. Reasons that can be attributed to this, in most cases is lifestyle related. High BP and diabetes are very common today. Most of the patients have either of the two, especially in the urban population.

If a patient is diagnosed with severe kidney disease in the early stages, it can be managed well and need for dialysis and a transplant in a patient can be delayed. A creatinine clearance test along with patient's medical history can help a physician diagnose whether he/she is a case of chronic kidney ailments.
The disease can happen in children too and can affect newborns as well. "A woman's nutrition during pregnancy can affect the baby. The common symptoms of kidney disease are high HP, diabetes, low haemoglobin, difficulty in passing urine or blood in urine and swelling in body parts. t has been seen that newborns with low birth weight stand a chance of developing kidney diseases and also high BP when they grow up.
If anyone has all these symptoms, then a routine ultrasound of the kidneys is a must.

Though screening programs for Kidney Diseases are not freely available at times, a screen test would not cost more than Rs 200/- today when compared to the cost of treatment for renal failure cases. So it is advisable to go for a routine check-up, do ask the doctor for a CKD screening test, especially those who have above-mentioned symptoms and are BP or diabetes patients.

Symptoms to detect Kidney Disease & recommended Diet

A few tips to detect kidney related diseases

Pain or burning when passing urine
Puffiness around the eyes and ankles
Blood in urine
Pain in the kidney area - near lower back
Changes in frequency and quantity of urine passed, especially at night
High blood pressure
Tiredness

On most occasions kidney ailments are unpredictable, can strike at random and difficult to prevent for instance Diabetes. People suffer with diabetes long before they develop kidney failure. Early detection and prevention is the key to avoiding renal failure. Patients having Diabetes, High Blood Pressure, a history of kidney disease in the family.

New Research indicates that one should have the following TESTS to ascertain Kidney related problems

Blood Tests: these measure blood levels of creatinine and urea. Both of these products are normally excreted in the urine, but if the kidneys are not functioning properly, increased amounts can be detected in the blood.

Urine Tests: The presence of protein in the urine, simply diagnosed with a dipstick test,can often be a marker for silent kidney disease.

Renal Imaging: involves taking a picture of the kidney using a variety of methods, such as ultrasound, CAT scan or magnetic resonance imaging. These tests help determine if there are any unusual contours of the kidney growths or blockages to the flow of urine.

Renal Biopsy: a hospital procedure in which a needle is inserted through the skin into the kidney. A small sample of kidney tissue is removed for microscopic Examination.

Recommended Easy Preventive measures:-

Regular exercise and good diet will Help
Have your urine and blood pressure checked once a year
You may need to reduce the amount of protein you eat to avoid build up of urea in your body.

Proteins such as such as poultry, meat, seafood, eggs, milk, cheese and other dairy products.In smaller amounts in foods from plant sources such as breads, cereals, other starches and grains, and vegetables and fruits, Sodium, Table salt and foods with added salt such as snack foods, soups and processed cheese, shev, chiwada, ghee chakali, Canned foods, prepared foods and fast foods, Bakery items, pickles, sauces, papad, salted nuts.

Calories are important for energy and can be found in sugar and vegetable fats.Increase unsaturated fats such as vegetable (oils made with corn, cottonseed,
Sun flower soybean or sunflower oils) olive oil and mayonnaise-type salad dressings
Kheer made from rice, sabudana, rava, milk products like gulabjamun, rasgulla, cham-cham etc. Use sugar such as honey, jam, jelly. You may have canned or frozen fruits in heavy syrup. However, if you are diabetic or overweight, talk with your renal dietician about the best way for you to get the right amount of calories for your needs.

Lithotripsy (ESWL) & Lithotomy (PCNL) Producedures

Kidney stones are primarily an aggregation of crystals development by deposition of different chemicals. An article by Dr. N. Subramanian indicates that this usually happens in patients who are susceptible to stone formation. Kidney stones are amongst the most common emergency conditions in urology occurring more frequently in adults. Affecting around 3-5% of the world population, it is seen more in men. Various inhibitors in the urine ususally prevent the formation of these stones, but in some people, this protective mechanism fails or is overwhelmed by other stone forming chemicals. The most common stone is calcium in combination with oxalates and phosphates. It usually happens in patients who are susceptible to stone formation. Contrary to popular perception, dietary intake of calcium does not increase the risk of stone formation unless there is a family history or conditions like Gout and increased activity of parathyroid gland. In some cases they damage the kidney. The most common symptoms are: pain, urinary infection, fever, blood in urine, urinary frequency and burning.

Diagnosis: An Ultrasound Scan, X-Ray. A CT scan: A most accurate method, Blood and Urine Tests and Stone analysis.
Non-Surgical treatment: Stones that are 4mm or smaller pass through the urine and will not require treatment other than pain relievers.Medicines such as Tamsulosin help in passing the stones through the Ureter. Potassium Citrate helps in reducing recurrences. Those having high uric acid will benefit from Allopurinol.
Surgical treatment: Extra Corporeal Shock Wave Lithotripsy (ESWL) is the non evasive option for breaking kidney stones using shock waves delivered externally with precise mechanisms to focus the energy on the tones without damaging the surrounding structures. This is an OPD procedure and does not need anesthesia or hospitalisation.
Percrutaneous Nethro Lithotomy (PCNL) involves removal of the stones from the kidney through an endoscope introduced via small puncture hole at the back, called keyhole surgery.
Extracorporeal shock wave lithotripsy (ESWL) has replaced percutaneous nephrolithotomy (PCNL) much as the latter replaced open surgery, but a place exists in clinical practice this day for PCNL as well as open procedure and it is important for surgeons and urologists to be familiar with this technique of PCNL. Indications for PCNL. Renal calculi greater than 3 cms in diameter. Stone with composition inappropriate for ESWL.

Complete or partial staghorn calculus. Renal malformations like infundibular stenosis, pelvi - ureteric Junction obstruction. Cystine calculi greater than 1.5 cm. Failure of ESWL. Body habitus unsuitable for ESWL.
An ideal patient for PCNL is one who has two functioning kidneys and 2 cm stone in one of the kidneys with extrarenal pelvis with mild to moderate hydronephrosis. PCNL procedure has advantage of short hospital stay, small stab wound scar and negligible pain in the post operative period. Even today in good centres doing large stone work 10% to 15% require PCNL either by itself or together with ESWL. The patient needs to undergo pre operative workup as required in open operation and urine infection if present to be covered by prior antibiotics, the PCNL procedure is done with help of imaging facility like "C" Arm or fluoroscopy and under general anaesthesia. The kidney and upper ureter can also be entered through a small incision in the back through which a telescope, called a nephroscope is introduced. This operation is called percutaneous nephroscopy. Again, lasers, and grasping instruments can be introduced through these video-nephroscopes to allow for the treatment of large kidney stones or the incision of scar tissue that obstructs the outflow of urine from the kidney.
Laparoscopy is the newest and most sophisticated technique of minimally invasive surgery. This technique uses small cylindrical tubes called trocars to enter the abdominal cavity. The trocars allow entry of a video-telescope, called a laparoscope, to view the entire abdominal cavity and its contents from inside the patient. Accessory small trocars allow the introduction of fine instruments necessary to perform surgery. In laparoscopy several small keyhole incisions (usually 1 to 2 centimeters in size) are used in place of a significantly larger and more painful incision. The patient undergoes a similar operation by laparoscopy as by open incision. The advantages of laparoscopy include less pain, a more rapid recovery, a decreased hospital stay, and a quicker return to normal activities.