Category Archives: Nephrology

Kidney Disorder During Pregnancy

Often, pregnancy does not cause a kidney disorder to worsen. Usually, kidney disorders worsen only in pregnant women who have high blood pressure that is not well-controlled. If pregnant women have a kidney disorder, they are more likely to develop high blood pressure, including preeclampsia (a type of high blood pressure that develops during pregnancy).

kd-1

Having a before becoming pregnant increases the risk that the fetus will not grow as much as chronic kidney disorder expected or be stillborn. Having a severe kidney disorder usually prevents women from carrying a baby to term.

In pregnant women who have a kidney disorder, kidney function and blood pressure are monitored closely, as is a growth of the fetus. If the kidney disorder is severe, women may need to be hospitalized after 28 weeks of pregnancy so that bed rest is guaranteed, blood pressure can be controlled well, and the fetus can be monitored closely.

kd-2

Women who have had a kidney transplant are usually able to safely give birth to healthy babies if they have all of the following:

  • A transplant that has been in place for 2 or more years
  • Normal kidney function
  • No episodes of rejection
  • Normal blood pressure

Women who have a kidney disorder that regularly requires hemodialysis are often at high risk of pregnancy complications, including miscarriage, stillbirth, preterm birth, and preeclampsia. But because of advances in dialysis treatment, up to 90% of babies born to these women survive.

Usually, delivery is required before the due date because the woman develops preeclampsia or the fetus is not growing as much as expected. Doctors may remove and analyze a sample of the fluid that surrounds the fetus (amniotic fluid). This procedure, called amniocentesis, helps doctors determine whether the fetus’s lungs are mature enough to breathe air and thus when the baby can be delivered safely.

Cesarean delivery is often done, but sometimes vaginal delivery is possible.

Diabetic Kidney Disease

dk-1

 Diabetes mellitus, usually called diabetes, is a disease in which your body does not make enough insulin or cannot use normal amounts of insulin properly. Insulin is a hormone that regulates the amount of sugar in your blood. A high blood sugar level can cause problems in many parts of your body.

dk-2

What does diabetes do to the kidneys?

With diabetes, the small blood vessels in the body are injured. When the blood vessels in the kidneys are injured, your kidneys cannot clean your blood properly. Your body will retain more water and salt than it should, which can result in weight gain and ankle swelling. You may have protein in your urine. Also, waste materials will build up in your blood.

Diabetes also may cause damage to nerves in your body. This can cause difficulty in emptying your bladder. The pressure resulting from your full bladder can back up and injure the kidneys. Also, if urine remains in your bladder for a long time, you can develop an infection from the rapid growth of bacteria in urine that has a high sugar level.

What are the early signs of kidney disease in patients with diabetes?

The earliest sign of diabetic kidney disease is an increased excretion of albumin in the urine. This is present long before the usual tests done in your doctor’s office show evidence of kidney disease, so it is important for you to have this test on a yearly basis. Weight gain and ankle swelling may occur. You will use the bathroom more at night. Your blood pressure may get too high. As a person with diabetes, you should have your blood, urine and blood pressure checked at least once a year. This will lead to better control of your disease and early treatment of high blood pressure and kidney disease. Maintaining control of your diabetes can lower your risk of developing severe kidney disease.

dk-3

Signs of Kidney Disease in Patients with Diabetes:

  1. Albumin/protein in the urine
  2. High blood pressure
  3. Ankle and leg swelling, leg cramps
  4. Going to the bathroom more often at night
  5. High levels of BUN and creatinine in the blood
  6. Less need for insulin or antidiabetic medications
  7. Morning sickness, nausea, and vomiting
  8. Weakness, paleness, and anemia
  9. Itching

dk-4

What will happen if my kidneys have been damaged?

First, the doctor needs to find out if your diabetes has caused the injury. Other diseases can cause kidney damage. Your kidneys will work better and last longer if you:

  • Control your diabetes
  • Control high blood pressure
  • Get treatment for urinary tract infections
  • Correct any problems in your urinary system
  • Avoid any medicines that may damage the kidneys (especially over-the-counter pain medications)

How is kidney failure treated in diabetic patients?

Three types of treatment can be used once your kidneys have failed: kidney transplantation, hemodialysis, and peritoneal dialysis.

Male Sexuality and Chronic Kidney Disease

It’s a silent disease that’s often overlooked for fear of something more prominent, but with so many of us already dealing with the effects of poor kidney health it might be time to start seriously questioning that lack of commitment to your love life.

“Kidney disease is a common condition which can lead to a range of health complications, such as heart disease. However, early detection of kidney disease can reduce the associated cardiovascular risk by 20- 50%.

ck-1

First, be aware that those most at risk of developing kidney disease are:

  • People with diabetes
    • Those who suffer from high blood pressure, have established heart problems or have had a stroke
    • People who are overweight
    • People who smoke

Sexuality has physical and emotional components, both of which can be affected by chronic kidney disease (CKD). Kidney Disease can cause chemical changes in the body affecting circulation, nerve function, hormones, and energy level. Also, any underlying health conditions that contribute to CKD like high blood pressure or diabetes can affect male sexuality.

Too tired for sex?

Fatigue is one of the most common symptoms men with kidney disease experience. In the early stages of CKD, low levels of waste and fluid remain in the body. This can leave you feeling tired and sluggish. Your doctor can perform tests to determine how much kidney function you have left. If you are in the later stages of CKD or end-stage renal disease (ESRD), your doctor may refer you to a renal dietitian. The dietitian will place you on a kidney-friendly diet designed to limit the amount of waste that can build up in your body. The less waste and fluid in your system, the better you will feel.

ck-2

People with ESRD may feel tired after their hemodialysis session. If you are new to hemodialysis, it may take several treatments for your body to adjust. Ongoing fatigue should be discussed with your doctor and renal dietitian. Your doctor can recommend changes to your dialysis treatment or medicines. Your renal dietitian can help you go over your food and fluid intake and make any needed changes.

Low sex drive

Hormones are chemicals produced by the body’s endocrine system. They play a major role in a person’s ability to feel sexual desire. The kidneys are part of the endocrine system. The adrenal glands, located at the top of each kidney, produce certain hormones. If hormone levels become out of balance, you may experience a decrease in your sex drive.

Your doctor can perform blood work to determine if your lack of interest in sex is due to your changing hormone levels. He may prescribe medicine to bring your levels to a normal range.

Erectile dysfunction

Erectile dysfunction (ED), commonly called “impotence,” affects many men—even those without kidney disease. An estimated 20 to 30 million men in the U.S. have problems with impotence. ED can happen when blood vessels and nerves to the penis become damaged. Without proper blood flow, the penis cannot maintain an erection.

Diabetes and high blood pressure affect blood flow and weaken blood vessels. If you have either of these conditions, follow your doctor’s treatment plan to prevent further damage.

Sometimes ED is a side effect of medicines, particularly those taken to control blood pressure. Talk to your doctor about the medicines you’re taking if you’re experiencing impotence. Your doctor may be able to make changes to your medications or suggest treatments for impotence.

ck-3

Psychological effects of CKD on men’s sexuality

Sexuality is not just about sexual intercourse. It’s also about how people feel and express themselves. Feeling sexual or attractive becomes more difficult when the body undergoes unexpected changes. This can affect how people interact with others and their ability to develop intimate relationships.

Body image

People with CKD may experience some undesirable changes to their bodies, making them feel less attractive Symptoms such as breath and body odor, complexion problems, weight gain or unusual facial or body hair can occur. A man on hemodialysis may feel self-conscious about how his vascular access site looks and feels. Men on peritoneal dialysis (PD) may worry about the size of their abdomens. Discuss any uncomfortable physical changes with your partner and your healthcare team. Some physical changes are temporary, while others may indicate a health complication.

Worry and stress

Men may feel worried, anxious and depressed when faced with CKD. This is normal, but these emotions may cause loss of energy and lower interest in activities, including sex.

If feelings of depression or sadness last for more than two weeks, tell your doctor and social worker immediately.

Fear

Some men are afraid sexual activity may be harmful to their condition or harmful to their partners. Speak to your doctor about your concerns. In very rare instances, sexual intercourse may not be possible. But activities such as touching, hugging and kissing provide feelings of warmth and closeness even if intercourse is not involved. Professional sex therapists can recommend alternative methods of sexual expression.

As with any condition, eating healthily to control your weight and making sure you exercise regularly will help with kidney function, and being aware of your symptoms is the first step towards improving your kidneys.

Hypothyroidism and sickle cell may affect Kidney

Although hypothyroidism this is a site in which the thyroid gland does not produce enough thyroid hormone -which is common in hemodialysis ( Kidney) patients, it’s unclear how it affects their health and quality of life.

 hypo-1

An increase of thyrotropin levels may affect multiple areas of health-related quality of life, including energy/fatigue, physical function, and pain.

 hypo-2

“Given the high prevalence of thyroid dysfunction and low levels of quality of life in dialysis patients, Many research is needed to determine the underlying mechanisms of these associations, and whether replacement of thyroid hormone can improve the health-related quality of life of this population. “In addition, as the first study in dialysis patients to document an association between higher thyrotropin levels and low levels of physical function, a strong predictor of death, future studies are needed to determine whether correction of thyroid status with exogenous thyroid hormone can improve physical function in this population.”

 hypo-3

Sickle cell disease, a blood disorder, can impact the function of the kidneys, and the earliest sign of kidney damage in affected patients is albuminuria or the presence of albumin in the urine.

 hypo-4

Hydroxyurea (HU), which makes red blood cells more flexible, is one of the cornerstones of sickle cell disease treatment, but its effects on kidney function are unclear. Adults with sickle cell disease who were starting HU therapy. After 6 months of treatment, patients’ kidney function, as measured by the urinary albumin/creatine ratio, improved significantly.

“The findings offer further evidence, albeit not yet definitive, of a potential renal benefit of HU, and should strengthen arguments favoring its use in sickle cell disease for other indications and encouraging patient adherence to this drug,” “Our preliminary results require additional larger, prospective, randomized, controlled trials to clearly demonstrate the positive effect of HU to reduce albuminuria levels and delay chronic kidney disease progression,”

Evolving Paradigms for Managing Prostate Cancer

evolv-1

Management of lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH) has been central to urology for many years. The urologic community has increasingly come to realize that most of the men with LUTS do not have prostate enlargement and do not need their prostates debulked surgically.

 11

 Of all the factors that have emerged to alter the trends associated with management of LUTS and BPH, none has had more impact than the advent of medical therapy Drugs for Kidney Disease. The selective, long-acting, α1-blocking agents terazosin, doxazosin, and tamsulosin have become most popular because of their specificity in the urinary tract, reduced side effects, and simplicity of dosage. In addition, finasteride, a 5-α-reductase inhibitor, was found to be effective in men with prostates of ≥40 g. Furthermore, the larger the prostate at baseline, the greater the efficacy of finasteride on symptom relief and flow rate improvement.

In addition to medical therapy, an array of device therapies has emerged in the management of LUTS and BPH. Laser prostatectomy is the oldest of the device therapies and includes transurethral vaporization of the prostate (VLAP), transurethral evaporation of the prostate (TUEP), and transurethral interstitial laser prostatectomy (TILP). Studies report beneficial outcomes approaching those achieved with transurethral resection of the prostate (TURP) with less morbidity and a shorter hospital stay. Common diseases contribute the most to national healthcare expenditures. The management of LUTS and BPH are such disorders and result in the expenditure of vast healthcare resources worldwide. The surgical strategies have an established record of outcomes documenting their potential for symptom relief and the avoidance of future complications. Medical and device therapies, although currently promising and attractive, therefore must prove comparable durability.

 evolv-3

Nutcracker syndrome is caused by compression of the left renal vein between the aorta and the superior mesenteric artery where it passes in the fork formed at the bifurcation of these arteries. The phenomenon results in left renal venous hypertension.

 evolv-4

 The syndrome is manifested by the left flank and abdominal pain, with or without unilateral haematuria. Another common presentation is as ‘pelvic congestion syndrome’ characterized by symptoms of dysmenorrhea, dyspareunia, post-coital ache, lower abdominal pain, dysuria, pelvic, vulvar, gluteal or thigh varices and emotional disturbances. Likewise, compression of the left renal vein can cause left renal-to-gonadal vein reflux resulting in lower limb varices and varicoceles in males.

 evolv-5

 Its diagnosis is based on history and physical examination, basic lab tests to exclude other causes of haematuria, cystoscopy and ureteroscopy to confirm unilateral haematuria and exclude other causes of this sinister symptom. A sequence of imaging has more or less been rationalised to USS with Doppler studies, CT or MR angiography and finally phlebography with renal vein and IVC manometry to confirm the diagnosis.

Life style Effect on Kidney

The kidneys filter the blood and remove the extra waste and water as urine. Many waste chemicals are in the urine. They can sometimes form crystals that clump together to make stones. Kidney stones are hard, rock-like crystals of varying sizes and shapes. They can range from as small as a grain of sand to as big as a golf ball. There are four main types of kidney stones: The most common are those formed from calcium combined with oxalate or phosphate.

 kid-1

  • Struvite stones are caused by a urine infection and are often horn-shaped and quite large. Uric acid stones are often softer than other forms of kidney stone.
  • Cystine stones are rare and hereditary and look more like crystals than stones. Animated films help us understand how kidney stones form and why.. A stone can form when substances such as calcium, oxalate, cystine or uric acid are at high levels in the urine. Yet stones can also form if these chemicals are at normal levels. A small number of people get kidney stones because of medical conditions, particularly those that can lead to high levels of calcium, oxalate, cystine or uric acid in the body. Medications used for treating some medical conditions, such as kidney disease, cancer or HIV, can also increase the risk of developing kidney disease. Kidney stones are one of the most common disorders of the urinary tract. The risk also increases as you get older. Kidney stones are more common in children in developing countries.A fter having one kidney stone, about 30 to 50 per cent of people will get a second one within five years. After five years the risk of getting another stone declines for most people. Some people continue to get kidney stones their whole lives. This causes a gripping pain in the back, just below the ribs. It can spread around to the front of the body and sometimes towards the groin.
    Other symptoms of a kidney stone include:
  • Blood in your urine
  • Nausea and vomiting
  • Shivers, sweating and fever, with cloudy or bad smelling urine if there is also an infection
  • Small uric acid stones, which look like gravel, in your urine
  • An urgent feeling of needing to urinate.

Kidney stones can be found by chance during tests for other conditions. There are also specific tests to check for kidney stones.

These may include:

  • Ultra Sound 2.CT scans
  • X-rays, including an intravenous pyelogram or IVP, where dye is injected into the bloodstream before the X-ray is taken.

 kid-2

Detecting and diagnosing stones helps to decide on the treatment. Urine and blood tests can assist in finding out the cause. Sometimes, however, pain can be so severe that hospital admission and very strong painkillers may be needed. If a stone doesn’t pass and blocks urine flow, or causes bleeding or an infection, then it may need to be treated using one of these methods:

  • Extracorporeal Shock-Wave Lithotripsy– Ultrasound waves are used to break the kidney stone into smaller pieces, which can pass out with the urine. It is used for stones less than two centimetres in size.

 kid-3

  • Percutaneous Nephrolithotomy– A small incision is made in your back and then a special instrument is used to remove the kidney stone.

 kid-4

  • Endoscope Removal– An instrument is inserted into the urethra, passed into the bladder, then to where the stone is located. It allows the doctor to remove the stone or break it up so it can pass more easily.
  • Surgery– This requires an incision in your back to access your kidney and ureter to remove the stone.

Being mindful of the risks and symptoms of kidney stones is an important part of caring for your kidneys.

Nephrotic Disease and its Effects

A Nephrotic disorder is genuine of clinical side effects which contain a substantial measure of proteinuria, swelling,  hypoproteinemia and hyperlipidaemia. The patients with a nephrotic disease, have to control their manifestations and secure their kidney harm.

 neph-1

Why we pick Chinese medication to treat nephrotic disorder?

As we probably aware, in western nations, the specialist frequently utilize steroids treatment to treat nephrotic disease, which has an extraordinary impact on controlling these side effects. In any case, not every one of the patients is useful with steroids treatment, a few patients are not suitable for the steroids. In patients particularly kids may encounter some genuine symptoms, for example, anomalous sexual advancement, swelling, stoutness and short tallness. As steroids treatment has such a significant number of symptoms for patients, so they have to pick some different medicines to cure their nephrotic disease

 neph-2

 Chinese Medicine for Nephrotic Syndrome : 

A nephrotic disorder is an insusceptible issue caused kidney sickness. At the point when the safe framework is typical, it can battle against the infection from an exterior and influence the entire body to work well.

We utilize Chinese prescription to cure the nephrotic disorder, which has fewer symptoms for patients. Some Chinese herbs can help take out the infection testimony in the body and stop the insusceptible aggravations in kidneys, which will keep the further harm of kidneys. In addition, Chinese solutions can likewise help enhance the blood dissemination and repair the kidney harm, which will at last help enhance the kidney work.

neph-5

Some prescribed herbs for the nephrotic disorder :

There are some prescribed herns for nephrotic disorder patients, which contain Astragalus root, Codonopsis root, White atractylodes rhizome, Poria, Coix seed, Arranged aconite root, Cinnamon bark, Umbellate Pore-organism, Aucklandia root, Epimedium and so forth. Every one of these herbs will be useful for the nephrotic disorder

 neph-4

The measurement and techniques for these herbs to be logical, patients ought to take after the advice of the expert specialists to utilize Chinese drug to treat the nephrotic disorder.

Natural or Ayurveda treatment for Kidney Failure

Ayurveda is an ancient study of treating body, brain, and soul. As per Ayurveda, any sort of illness triggers in the body is due to the blockage of the channel which are named as  Doshas.

  • The herbs that are utilized as a part of the treatment are grungy and exceptionally powerful in treating the kidney disease.
  • Ayurveda works emphatically to eliminate any sort of kidney harm signs and resuscitates the harmed kidney cells.

ayur-1

 

 

 

 

 

 

Ayurvedic medications are free of any symptoms not at all like allopathic solutions.

  • They cure ailment as well as have a general constructive outcome on the body.
  • The impact of Ayurvedic herbs on the kidneys is dependable and changeless.
  • Natural Ayurveda is the best to treat for kidney issues. It’s sheltered and secure.

Kidney Dialysis and kidney transplant are one of the basic arrangements that kidney patients take in their later stage.

 ayur-2

 

 

 

 

 

 

 

 

  • Their primary objective of treatment is to assuage side effects, avert entanglements, and postpone kidney harm. Dialysis is essentially of 2 types hemodialysis and peritoneal dialysis.
  • A kidney transplant is done from a coordinating giver and on occasion the body may dismiss the supplanted kidney, trailed by another transplant.

   The persistent needs to take lifetime course of pharmaceuticals with transplant which could have numerous reactions on the body.

  • Dialysis, then again, is dangerous and makes odds of building up the kidney disorder.
  • Also, Dialysis is an exceptionally costly process and doesn’t settle the disorder.

Why Ayurveda?

  • Karma Ayurveda is one of the most established Ayurvedic kidney health centers in Asia.
  • 35000+ Kidney Patients Cured.

   We give natural treatment and legitimate adjust eating routine to our patients.

  • Ayurvedic Treatment for Kidney Failure are Natural and Effective.
  • The changes can be observed inside the primary Month of taking Ayurvedic course.

It has turned out to be basic for the number of individuals in all ages to create either kidney issues particularly in their center and later ages. On the off chance that the kidneys get harmed, it prompts an expansion in the lethality in the body. On the off chance that such a condition isn’t treat with on time, it can in the end prompt kidney disappointment and may likewise hurt alternate organs of the body. An Ayurvedic Chronic Kidney Disease Treatment can help in maintaining a strategic distance from any further harm to the kidneys.

ayur-3

Individuals with kidney disappointment are at expanded danger of creating diverse kinds of growth, which may be because of an assortment of components identified with their illness and the medicines they get. Regularly these patients experience interims of dialysis took after by transplantation, and after that they come back to dialysis if the transplant comes up short. Seeing how these diverse exposures relate to growth hazard can help educate disease counteractive action and screening choices for patients and can give bits of knowledge into the basic reasons for tumour.

 

Exercises can help improve the health of patients with kidney disease

Exercise-based restoration can possibly be a kidney-defensive treatment for patients with dynamic stages 3-4 CKD, and bigger investigations are arranged, “Exercise, other than securing the kidneys, likewise will enhance wellness, general wellbeing, and personal satisfaction and can possibly diminish cardiovascular hazard, a noteworthy reason for mortality and grimness in patients with CKD.” Coronary illness is the main source of death in patients with constant kidney disease (CKD). Since practice limit is altogether diminished in CKD patients the rate of kidney work decay and enhanced cardio-respiratory wellness contrasted and standard care.

k-1

 

 

 

 

 

 

Home exercise program on physical execution in dialysis patients execution in a 6-minute strolling test enhanced in the activity gathering (with members strolling 41 meters more in that measure of time), however stayed unaltered in the control gathering. A ‘sit to stand’ test likewise enhanced in the activity gathering yet not in the control. “A customized, low-force home exercise program enhances physical execution in dialysis patients “The effortlessness and versatility of the program make it reasonable to the requirements of a high-chance populace, for example, the Kidney dialysis populace.”

The investigation demonstrated the activity program enhanced in wellbeing and exercise limit. Similarly as essential, patients detailed enhancements in their regular personal satisfaction because of ending up more dynamic.

k-3

 

 

 

 

 

 

 

 

In excess of 26 million American grown-ups have CKD and, in view of hard to-see cautioning signs, late discovery is normal. The main source of death in patients with CKD is cardiovascular ailment.The finish of the examination ended up being the perfect start for members. They needed to keep working out, yet did not have a protected, managed condition.

k-4

 

 

 

 

 

 

 

The specialists found that perpetual kidney malady that isn’t related with customary hazard factors gives off an impression of being expanding in provincial hot groups as overall temperature dynamically rises. They trust the hazard for warm pressure nephropathy has expanded because of an Earth-wide temperature boost and an expansion in outrageous warmth waves, and it is disproportionality affecting powerless, for example, horticultural specialists. Diminishing precipitation worsens this pestilence by decreasing the water supply and water quality as temperatures climbs.

Micturition Effect on Kidney

Loss of proteins through urine as a egg white, is a sign of Chronic Kidney Disease (CKD). Treatments that decrease albuminuria can moderate kidney work decay and furthermore effects the heart and veins. Tragically, at present accessible treatments don’t wipe out albuminuria in numerous patients, leaving  these people which is known as lingering albuminuria.

URI-1

The examiners found that dietary sodium confinement prompted a noteworthy diminishing of remaining albuminuria and circulatory strain, though paracalcitol had no critical impact on these measures. The mix of paracalcitol and a low sodium consume less calories it may brought about the most minimal albuminuria levels.

“What we found was that sodium limitation gave a moderately extensive helpful impact, while the impact of paracalcitol was little. In this manner, the effect of the consolidated intercession was to a great extent because of the defensive impact of sodium limitation.

A great many people expend twice as much sodium as the 2 grams for each day suggested by the World Health Association. “In our examination, patients expended overall 4 grams of sodium for each day, which is well in accordance with worldwide patterns in sodium utilization among Chronic Kidney Disease patients “Curiously, following our intercession went for diminished sodium consumption, patients expended 2.5 grams for every day, which is still over the suggested level. This direct limitation brought about a solid diminishment in albuminuria and circulatory strain, showing that even a direct consumption of  sodium admission may give genuine medical advantages.”

Sign and symptoms of kidney failure

Kidney failure is a slow disease and takes time to advance into later stages. Some of the most common signs that a patient can experience are:

  • Edema is a condition that causes Swollen body parts
  • Dry and itchy skin
  • Pain in the abdomen
  • Change in the colour of urine
  • Muscle cramps and twitches
  • Frequent urge to urinate
  • Loss of appetite and abnormal weight loss or weight gain

URI-2

The appropriate target for blood pressure in patients with CKD and hypertension has been unclear.