All You Need to Know about Urinary Incontinence

What is Urinary Incontinence?

Urinary incontinence (or simply ‘incontinence), is when the bladder control is lost, which leads to issues like occasional urine leakage and in certain extreme cases inability to hold the urine even for a few minutes. Incontinence is not just socially embarrassing, it also disrupts a person’s normal lifestyle. And hence, when faced with the issue of incontinence, do not hesitate to consult with an expert urologist who can help with appropriate treatment.

Types and Symptoms of Urinary Incontinence

Incontinence can be caused due to a number of reasons, and are categorized as following:

  • Stress incontinence: In this type, involuntary leakage of urine takes place when pressure is exerted on the bladder, for example, when sneezing, coughing, exercising, laughing, or lifting something heavy.
  • Urge incontinence: In this type, the person feels a sudden and extreme urge to urinate, which frequently to involuntary urination. This is especially problematic during the night as it disrupts sleep.
  • Overflow incontinence: In this type, the bladder doesn’t completely get empty and leads to constant dripping of urine.
  • Functional incontinence: This type of incontinence is actually caused as a result of any physical or mental issues which delay a person to reach the toilet in time.
  • Mixed incontinence: This is when the patient experiences more than one of the above types of incontinence.

Causes of Urinary Incontinence

The exact cause of urinary incontinence can be determined by a thorough examination by your doctor. The point to note here is that incontinence in itself is not a disease but a symptom of an underlying condition. It can be caused by lifestyle habits, another disease or physical issues.

Let’s take a look at some of the most common causes of urinary incontinence:

  • Urinary Tract Infection (UTI): UTIs cause bladder irritation leading to strong urination urges, and at times incontinence. Common signs of UTI are burning while urinating and foul-smelling urine.
  • Constipation: Bladder and the rectum share many nerves, due to which hardening of stool in the rectum increases the nerve sensitivity making them overactive and causing incontinence.
  • Pregnancy and Childbirth: The hormonal changes that take place during pregnancy can cause stress incontinence. Additionally, vaginal delivery can affect the pelvic floor, weaken bladder control muscles, damage bladder nerves, as well as push the bladder, uterus, rectum, etc. towards the vagina- all of which contribute to urinary incontinence.
  • Ageing: With age, the capacity of the bladder can reduce, causing the need to urinate frequently.
  • Hysterectomy: Surgeries involving women’s reproductive system (such as Hysterectomies) can affect the pelvic floor leading to incontinence. This is because the bladder and uterus share many of the same ligaments and muscles.
  • Enlarged prostate and Prostate Cancer: In case of men, incontinence can be caused due to prostate enlargement (benign prostatic hyperplasia) as well as untreated prostate cancer or even prostate cancer treatment side effects.
  • Tumors and Stones: Stones in bladder and tumors in the urinary tract are also responsible for causing urine obstruction or increased urination.
  • Neurological disorders: Stroke, brain tumour, multiple sclerosis, spinal injury, Parkinson’s disease, etc. which affect the nerve signals may also lead to urinary incontinence.
  • Food Habits: Certain foods, drinks, and medications have a diuretic effect and can lead to increased urination. These include tea, coffee, alcohol, carbonated drinks, spicy food, medicines for blood pressure and heart conditions, etc.

Tests and Diagnosis of Urinary Incontinence

These include:

  • Urinalysis: In this, a urine test is conducted to check for infection and other possible abnormalities.
  • Post-Void Residual Measurement: In this, the patient is required to void the bladder (urinate) into a measuring container, after which the doctor checks how much urine is left in the bladder. This is done using an ultrasound test or a catheter. If the amount of leftover urine in the bladder is high, it could indicate a urinary tract obstruction or issue with bladder muscles.
  • Urodynamic Testing: In this, a catheter is inserted into the urethra to fill the bladder with water, and a pressure monitor records the bladder pressure. This test helps to determine the type of urinary incontinence as well as measure the bladder strength and health.
  • Pelvic Ultrasound: In this, the ultrasound of the genitals or urinary tract or genitals is done to reveal any abnormalities.
  • Cystogram: In this, a catheter is inserted into the urethra and bladder and a special dye is injected. After this, X-ray images are taken as the patient urinates to expel this fluid, which then highlight any issues with the urinary tract.
  • Cystoscopy: In this, a thin tube with a tiny lens is inserted into the urethra to see (and remove) and abnormalities present in the urinary tract.

Treatment of Urinary Incontinence

Depending upon the type, severity and cause of the incontinence, treatment is decided. Following are some of the main types of treatments for treating urinary incontinence, one or more of which may be used by the doctor.

A. Behavioral Techniques
These techniques are basically used to change certain lifestyle and toilet habits so that more effective bladder control can be gained without the requirement of any medicines or invasive treatments.
Such techniques include bladder training (practicing resisting the urge to urinate), double voiding (learning how to completely empty the bladder), and fluid and diet management (reducing intake of diuretics such as caffeine, alcohol, spicy foods, etc.).

B. Pelvic Floor Muscle Exercises
Pelvic floor muscle exercises, also called Kegel exercises, help in strengthening the muscles that control urination. These are useful in dealing with stress as well as urge incontinence. To ensure that the patient does these exercises correctly for maximum effect, a physical therapist or biofeedback techniques may be recommended by the doctor.

C. Electrical Stimulation
Another way of strengthening the pelvic floor muscles is through gentle electrical stimulation by inserting electrodes into the rectum or vagina. This is usually effective for stress as well as urge incontinence, but requires several sessions lasting for months.

D. Medication
There are certain types of medicines including alpha blockers and topical estrogen. These medicines help in calming an overactive bladder and make it easier to empty bladder more completely.

E. Interventional Therapies
Among the various types of comparatively less invasive interventional therapies are Botox injections, nerve simulators, and bulking material injections. These therapies help with different types of incontinences and are generally prescribed only when first line treatment such as medications are not successful.

F. Catheters and Absorbent Pads
These products are used to reduce the inconvenience caused by incontinence, in case medical management is not proving to be effective:

  • Catheter: For cases in which the bladder doesn’t empty completely on its own, a soft tube called catheter is inserted into the urethra to drain the bladder. The patients are taught to use and clean the catheters.
  • Absorbent Pads: These can be used under everyday clothes and help deal with the issue of frequent urine leakage.

G. Surgery
Finally, if no other treatments work, the doctor may resort to one of the many available surgical procedures for treating urinary incontinence. Some of these include: Sling Procedures, Bladder Neck Suspension, Prolapse Surgery, Artificial Urinary Sphincter, etc.

Robotic Cystectomy for Bladder Cancer Treatment

For most bladder cancers, surgery is a big part of the treatment. Depending on the stage of the cancer, the type of surgery required depends upon the stage of cancer. When the bladder cancer has progressed to an advanced stage, a part of or the complete bladder may need to be removed. This type of surgery is known as Cystectomy.

bladder reconstruction surgery

Types of Cystectomy

Following are the main types of Cystectomy procedures:

1. Partial Cystectomy: This type of procedure can be done for those cases in which the cancer is not very large and present only in a single site. In such a case, just the cancerous portion along with a small part of the bladder can be removed instead of the whole bladder.

As a result, the patient can keep his bladder and doesn’t require any reconstructive surgery. Though, due to the removal of bladder portion, the amount of urine it can hold is less, leading to the issue of frequent urination. An important point to note about partial cystectomy is that there are chances of the cancer developing in another part of the bladder wall.

2. Radical Cystectomy: When the cancer is large or has spread to more than one parts of the bladder, radical cystectomy operation is required. In this, the entire bladder and nearby lymph nodes are removed. Additionally, the prostate and seminal vesicles in men and the ovaries, fallopian tubes, uterus, cervix, and a small portion of the vagina in women may also have to be removed.

Both open as well as laparoscopic (keyhole) surgeries can be opted for a cystectomy, however, the advantages of laparoscopic are definitely higher.

Robotic Radical Cystectomy

Laparoscopic surgeries have been preferred by surgeons and oncologists for the last many years due to their minimally invasive and nerve-sparing features. With the advent of robotic surgery in the last decade, minimally invasive surgery has been propelled to an even higher level. While the traditional open surgeries would lead to significant blood loss, increased risks and complications, and tissue and nerve damage, robotic surgeries have overcome these disadvantages.

Robotic radical cystectomy, done is most of the robotic surgery centres using the da Vinci surgical method, is an advanced and more efficient method of surgery for bladder cancer. The surgeon controls the robotic arms to conduct a more precise and effective surgery. To learn more about how robotic surgery works, please click here.

Advantages of Robotic Cystectomy

The robotic surgery for bladder cancer has the following main advantages over open surgery:

1. Smaller incisions that do not damage that delicate nerves and muscle tissues.
2. Smaller scars
3. Lesser pain
4. Lesser blood loss
5. Faster recovery time leading to shorter hospital stay
6. Lesser risk of post-operative risks and complications

It is important to note that any type of surgery has inherent risks and side-effects, however, with robotic surgery, these complications can be greatly reduced.

To learn more about the possible treatments for bladder cancer and other bladder related issues, please contact our experts here.

Why You Should Opt For Robotic Radical Prostatectomy

Radical Prostatectomy is the operation done to remove the prostate gland and nearby tissue in order to remove prostate cancer. Earlier, the prostatectomies were done using open surgeries, but with the modern advances in the field of surgery, laparoscopic surgeries (also known as minimally invasive surgeries or keyhole surgeries) have become the more preferred and common type. And even though there always are certain risks involved when it comes to surgery, for prostate cancer surgery turns out to be the most effective type of treatment as it removes malignant tumors without producing the painful side effects of radiation therapy or chemotherapy.

During the last decade, robot-assisted prostatectomy procedures have vastly outnumbered the open radical prostatectomy surgeries. In fact,according to a study conducted in 2013, robot-assisted prostatectomies accounted for around 85% of all radical prostatectomies (compared to just 22% in 2003).

Here are some of the main reasons why both surgeons and patients prefer robotic surgery for prostate cancer over the open surgeries.

robotic radical prostatectomy

Benefits of Robot Assisted Radical Prostatectomy

Some of the most notable advantages of robotic prostate cancer surgery include:

    • Better Results

Robotic surgical systems like the da Vinci system (also used at Centre for Robotic Surgery), are known to provide better clinical results for prostate cancer surgery as compared to other traditional procedures. This is since such a robotic surgical system offers the surgeon with more degrees of freedom than a human hand and magnified 3-D image of the ongoing procedure, as well as enables the surgeon to make much more precise movements inside the incision than they ever could on their own.

As a result, the efficiency and ease of robotic radical prostatectomy is far higher compared to non-robotic surgeries, and it also reduces damage to the healthy tissue and scar tissue build up. Therefore, the overall clinical results are far superior in a robotic prostatectomy.

    • Lesser Complications

While any prostatectomy is not completely safe, the risk of complications is much less in a robot-assisted radical prostatectomy than in other types. The development of infection at the incision site, which is a primary cause of delayed recovery, is more common with open surgeries compared to robotic.

The surgical systems such as the da Vinci surgical system requires only four to five incision which are smaller than two inches; while other traditional open surgeries require bigger, six-to-eight inch incisions instead. As a result, the chances of post-operative infections are much higher in non-robotic surgeries.

    • Quicker Recovery

The use of robotic surgical systems has many benefits, chief of those being smaller incisions, less number of sutures, more effective removal of cancerous tissue, less damage to the healthy tissue, minimal bleeding, and reduced contact between the incision walls and the surgical instruments. All these benefits translate directly into a speedier and more hassle-free post prostatectomy recovery of the patient.

    • Minimum Scarring

Apart from the obvious aesthetic benefit, minimum scarring caused by robotic surgeries also ensures better healing. This is because in certain rare cases, open surgeries can lead to excess scar-tissue build up, which can affect the normal functioning of the prostate.

And therefore, among the various prostate cancer treatment options, robotic radical prostatectomy has fast become a top choice for both doctors and patients. To learn more about prostate cancer, outcomes of robotic prostatectomy, post-operative care, etc., click here.

Kidney Disease: Myths vs. Facts

 

kidney cancer surgery

Many people receive a lot of misinformation related to kidney functionality and kidney diseases, and are therefore, not suitably aware of how this disease affects our lives. In this post we compare some of the most common myths surrounding kidney diseases and the actual facts about them.

# 1

Myth: Kidney disease is rare.

Fact: Kidney disease affects millions across the globe every year, and is quite common. Almost 10% of the world’s population suffers from Chronic Kidney Disease.

# 2

Myth: Kidney disease tests are expensive and cumbersome.

Fact: The diagnostic tests required to determine kidney disease are very simple and painless. One is a simple urine test which checks for protein in the urine, while the other is a blood test which checks for GFR (Glomerular Filtration Rate). Both are pretty affordable and accurate.

# 3

Myth: If there are no obvious discomforts like difficulty in passing urine, it means the kidneys are fine.

Fact: Kidney diseases don’t present any symptoms until they have progressed to very advanced stages. And hence, the lack of any external symptoms is no guarantee that a person doesn’t have a kidney disease; it should be thoroughly ruled out by conducting appropriate medical tests.

# 4

Myth: Kidney disease cannot be prevented for at-risk groups.

Fact: At-risk groups include those with high blood pressure, diabetes, family history of kidney failure, over 60 years of age, and people of Asian, Hispanic, American Indian, Pacific Islander and African-American ethnicities. However, not everyone who falls into these risk groups will develop a kidney disease. By following a healthy lifestyle including balanced diet, regular exercise to maintain weight, controlled blood pressure and blood sugar, and by quitting smoking, among other things, the kidneys can be kept healthy thereby reducing your chances of getting kidney disease.

# 5

Myth: Dialysis is the only treatment for kidney disease.

Fact: Dialysis is required by only those patients whose kidney disease has progressed to advanced stages or those who have kidney failure. Otherwise those patients whose disease is diagnosed in early stages usually require only diet modification, exercise and medication.

# 6

Myth: Dialysis is a painful and exhaustive process which restricts the patient from working or travelling.

Fact: The dialysis process by itself is painless, and generally the only discomfort caused is by the needles which are inserted in the graft or fistula. Certain patients may experience headaches, cramps, nausea, etc. but this can be avoided by taking proper diet and fluid restrictions. Also, the patients undergoing dialysis feel sufficiently fine to work or travel if they take proper care of themselves and follow the doctor’s advice correctly.

[Image credit: hywards at FreeDigitalPhotos.net]

Chronic Kidney Disease: Facts, Symptoms & Treatments

Chronic Kidney Disease (CKD) is a term used to describe the slow loss of kidney function in a person. Normal kidneys are able to filter wastes and extra fluids from the blood, which then get excreted in the urine. But due to chronic kidney disease this normal functionality is impaired, and when the disease progresses further, it can lead to the building up of dangerous levels of fluid, electrolytes and wastes in the body. When the level of kidney function falls below a certain level, it is called kidney failure.

Chronic Kidney Disease: Quick Facts

  • Diabetes and high blood pressure are the two leading causes of kidney disease.
  • Kidney disease is likely to cause kidney failure in men more than in women.
  • African Americans, Hispanics, Pacific Islanders, and American Indians are at increased risk.
  • Kidney disease can develop at any age, but affects the elderly more. Around 50% of people aged 75 and above are estimated to have CKD.
  • In the developing countries, around 1 million people die annually due to untreated kidney disease.
  • Generally, kidney transplant success rates are very good, with around 85-90% success rate for deceased donor transplant and 90-95% rate for live donor transplant.
  • Almost 8-10% of the adult population suffers from some type of kidney damage.
  • There are five stages of kidney disease, stage 5 being the End-Stage-Renal-Disease (ESRD), also known as kidney failure.

Causes of Kidney Disease

There are a number of conditions and diseases that can lead to CKD, such as diabetes, high blood pressure, polycystic kidney disease, interstitial nephritis, family history, etc. Out of these, diabetes and high blood pressure are two main causes contributing to around 2/3rd of all CKD cases. Kidney disease can make a person develop various health complications including weak bones, anemia, nerve damage, and heart diseases and stroke. Most often these problems manifest very gradually and therefore, aren’t easily noticed. As a result, chronic kidney disease can get significantly worse before it can be diagnosed and treated. In many situations, this can lead to kidney failure in the patient which can prove to be fatal without dialysis or kidney transplant.

Some of the other, less prevalent causes of CKD are glomerulonephritis (inflammations) or pyelonephritis (infections). CKD can also be caused due to inherited conditions (such as polycystic disease), enlarged prostate, kidney stones, malformations in a baby when in the mother’s womb, tumors, frequent urinary infections, lupus and other diseases that affect body’s immune system.

Certain drugs like analgesics (pain-killers), if taken over a prolonged period of time, can also lead to kidney disease.

Symptoms of Chronic Kidney Disease

Chronic kidney disease usually doesn’t present any symptoms until it has advanced to a much later stage. In the advanced stages, kidney disease can cause:

  • Fatigue, weakness, lethargy
  • Pain during urination
  • Foamy/Pink/Dark urine (blood in urine)
  • Need to urinate more often
  • Fluid retention leading to swelling of ankles, face, hands, abdomen, ankles, feet, eyes
  • Increase in thirst
  • Loss of appetite
  • Difficulty in concentrating
  • Difficulty in sleeping
  • Muscle cramps
  • Dry, itchy skin

Diagnosis and Treatment

Chronic kidney disease can be diagnosed by means of certain tests and procedures such as:

Blood tests: These can include a blood creatinine test to determine the Glomerular Filtration Rate (GFR), a blood urea nitrogen (BUN) test, a fasting blood glucose test and some other tests that check for the amount of waste products and electrolytes in the blood.

Click here to learn more about GFR and its correlation to Chronic Kidney Diease.

Urine tests: These are used to measure the amount of protein in urine (ideally none), by means of Urinalysis (UA) and a urine test for microalbumin.

Imaging tests: A renal ultrasound and/or angiogram may also be conducted by the doctor to check any obstructions to the kidney or reasons for restricted blood flow.

Kidney biopsy: This procedure may also be used by the doctor to find out the reason for kidney disease, particularly after a kidney transplant if there is the possibility of organ rejection. The biopsy process involves removing a sample of kidney tissue by inserting a thin, long needle through your skin and into the kidney.

Early screening of kidney disease is recommended to those who are suffering from high blood pressure or diabetes. Unless the disease has reached the advanced stages, it can be managed by means of medications and leading a healthy lifestyle.

In patients suffering from either diabetes or high blood pressure, it is crucial to control the sugar levels and blood pressure respectively, in order to prevent further damage to the kidneys. By properly assessing the extent of damage to the kidneys as well as the contributory factors, the doctor will create a comprehensive treatment plan.

With inputs from:

1. Webmd.com

2. Worldkidneyday.org

 

કિડની રોગના સંકેત

આપણા શરીરમાં કોઈપણ રોગ થયો હોય તો તેના લક્ષણોની અગાઉથી ઓળખ થઈ જાય તો સમય પહેલાં જ મોટી બીમારીથી બચી શકાય અને યોગ્ય ઈલાજ કરાવી શકાય છે. મોટા ભાગના કિડનીનાં રોગો પણ ભેદી અને છૂપા હોય છે. આ રોગો ગુપચુપ પોતાનું કામ કરતાં રહીને આપણને નુકસાન પહોચાડી શકે છે. આ રોગોમાં શરૂ શરૂમાં ક્યારેય લક્ષણો દેખાતા નથી. જ્યાં સુધી પરિસ્થિતિ ખુબ વણસી ના જાય ત્યાં સુધી રોગીને તેની ખબર જ પડતી નથી. જેથી આપણે તેને વહેલી તકે પકડી પાડવું તે જ યોગ્ય ઉપાય છે.

આપણા શરીરમાં ઘણા એવા ફેરફારો થવા લાગે છે જે કિડનીના રોગના સંકેત હોય છે. જો આ ફેરફારોને યોગ્ય સમયે પારખી લેવામાં આવે તો વહેલી તકે તેનુ નિદાન થઈ શકે છે અને ગંભીર બીમારીમાંથી બચી શકાય છે. તો આજે જાણી લો શરીરમાં કેવા ફેરફાર થાય તો સમજવુ કે આ છે

kidney.

પેશાબની પ્રક્રિયામાં ફેરફારો

કિડની રોગનું પ્રથમ લક્ષણ છે પેશાબની માત્રા અને આવર્તનમાં ફેરફાર. ઘણીવાર પેશાબની માત્રા અને આવર્તનમાં વધારો અથવા ઘટાડો જોવા મળે છે ખાસ કરીને રાત્રિનાં સમયે. ક્યારેક ઘેરા રંગનુ પ્રવાહી પણ નીકળે. ઘણીવાર એવું થાય કે પેશાબ કરવા માટે અરજ લાગે પરંતુ કરવા જતાં પેશાબ થાય નહી. પેશાબ દરમ્યાન પીડા થવી અથવા કરવામાં તકલીફ થવી, ક્યારેક એવું પણ બને કે પેશાબ કરવામાં જોર પડે, તકલીફ પડે અથવા ખૂબ પીડા થાય. પેશાબની નળીઓમાં (કે અવયવોમા) ચેપનાં કારણે દુઃખાવો અને સખત બળતરાં થાય. જ્યારે આ ચેપનો વિસ્તાર કિડની સુધી પહોંચે ત્યારે પીઠમાં દુખાવો અને તાવ આવવાની શરૂઆત થાય.

પેશાબમાં લોહી

પેશાબમાં લોહી આવવું એ કિડની રોગનું એક ચોક્કસ લક્ષણ છે કે જે એક ચિંતાનો વિષય છે. આના અન્ય કારણો પણ હોઈ શકે છે, પરંતુ જો આવા લક્ષણો દેખાય તો તે માટે તમારે ડોક્ટરની મુલાકાત લેવી જરૂરી છે.

સોજો

કિડની આપણા શરીરમાંથી કચરો અને વધારાનું પ્રવાહી દૂર કરે છે. જ્યારે તે આવું કરવા માટે અસમર્થ થાય, ત્યારે શરીરનો કચરો અને વધારાનું પ્રવાહી સોજાનું રૂપ લે છે અને આ સોજા આપણા હાથમાં, પગમાં, ઘૂંટી અને ચહેરા પર ઉપસી આવે છે.

ઉબકા અને ઊલ્ટી

કિડનીનાં રોગને લીધે લોહીમાં જમા થતી અશુધ્ધિનાં કારણે ઉબકા અને ઊલ્ટી પણ થઇ શકે છે.

સતત નબળાઇ અને ભારે થાક

આપણી કિડની એરાઈથ્રોપોટિન નામનું એક હોર્મોન ઉત્પન્ન કરે છે જે લાલ રક્ત કોશિકાઓ બનાવવા મદદ કરી શરીરમાં ઓક્સિજનનું વહન કરે છે. કિડનીના રોગોમાં, એરાઈથ્રોપોટિનનો ઘટાડો થતાં લાલ રક્ત કોશિકાઓમાં ઘટાડો થાય છે અને શરીરમાં રક્તક્ષય થાય છે. શરીરનાં કોષોને ઓક્સિજન ઓછું મળે છે અને તેથી શરીરમાં નબળાઇ અને ભારે થાક લાગે છે.

ચક્કર આવવા અને એકાગ્રતામાં મુશ્કેલી

કિડનીનાં રોગમાં રક્તક્ષય (લોહીનો અપૂરતો પુરવઠો) થતાં મગજમાં ઓક્સિજનનો પુરવઠો ઘટી જાય છે જેથી આપણને ચક્કર આવે છે અને એકાગ્રતામાં મુશ્કેલી થાય છે.

આખો દિવસ દરમ્યાન ઠંડી લાગવીઃ

જો તમને કિડનીનો રોગ થયો હોય તો રક્તક્ષયનાં કારણે શરીર ઠંડુ લાગે અથવા ટાઢ લાગે છે. આસપાસનું વાતાવરણ ગરમ હોય ત્યારે પણ શરીરને ટાઢનો અનુભવ થાય. પાયલોનફ્રીટિસને લીધે તમને ઠંડીથી તાવ પણ આવી શકે છે.

ત્વચા પર ખંજવાળ અને ઘસરકા :

કિડનીનું કામ બગડતાં લોહીમાં અશુધ્ધિ અને કચરો જમા થાય છે જેને કારણે સખત અને તીવ્ર ખંજવાળ આવે છે અને ત્વચા પર ઘસરકાના નિશાન જોવા મળે છે.

શ્વાસમાં દુર્ગન્ધ અને જીભમાં અપ્રિય સ્વાદ

કિડનીમાં કોઈ સમસ્યા ઉદભવે તો લોહીમાં યુરિયાનું પ્રમાણ વધી જાય છે. આ યુરિયા દુર્ગંધરૂપે મોઢામાં થતી લાળમાં ભળી જાય છે અને પેશાબ જેવી દુર્ગંધ પેદા કરે છે. ઘણીવાર આને લીધે મોઢામાં એક અપ્રિય સ્વાદ જેવું પણ લાગે છે.

પીઠ અથવા પડખામાં પીડા

કિડનીના રોગના કેટલાક કિસ્સાઓમા પીઠમાં ખેંચાણ પણ થઇ શકે છે. જો મૂત્રનળીઓમાં પથરી હોય તો આ ખેંચાણ પીઠના નીચલા ભાગથી લઇને પેઢુંના ભાગ સુધી પહોંચી શકે છે. આ દુખાવા પોલિસિસ્ટિક નામના રોગને લીધે પણ થઇ શકે છે, આ એક પ્રકારનો કિડનીનો આનુવાંશિક વિકાર છે. જેને કારણે મૂત્રાશયમાં પાણી ભરાય છે. મૂત્રાશયની દિવાલમાં ચીરા કે કાપા પડતા તીવ્ર બળતરા અને તકલીફ થાય છે.

હાંફ ચઢવી:

કિડની રોગમાં ફેફસાંમાં એક પ્રકારનું પ્રવાહી/સ્ત્રાવ પેદા થાય છે અને તેને લીધે રક્તક્ષય, કિડનીના રોગની આડઅસર, શરીરને ઓક્સિજનની ઉણપ વગેરે થાય છે. આ પરિબળોને લીધે શ્વાસ લેવામાં તકલીફ થઇ શકે છે.

જો પથરીનો દુખાવો ખૂબ સતાવતો હોય અને તમે તેનાથી છુટકારો મેળવવા માંગતા હોવ તો અજમાવી જુઓ આ ઉપાય.

-કિડનીના રોગોથી બચવા વધુમાં વધુ પાણી પીઓ અને કોઈપણ સમસ્યા જણાય તો તરત જ ડોક્ટરને બતાવો.

-લીંબુના રસમાં સિંધવ મીઠું મેળવીને ઊભાં ઊભાં પીવાથી પથરી ઓગળી જાય છે.

-ગોખરૂનું ચૂર્ણ મધમાં ચાટવાથી પથરી ઓગળી જાય છે.

-નાળિયેરના પાણીમાં લીંબુનો રસ મેળવી રોજ સવારે પીવાથી પથરીમાં રાહત થાય છે.

-દરરોજ દિવસમાં એક વખત કળથીનો જમવામાં ઉપયોગ કરો, (આ એક કઠોળ છે) જે અક્સિર ઇલાજ છે.

-પાણી અને છાશ વધુમાં વધુ પીવાનું રાખો.

-તુલસીના બીજને હિમજીરા દાણાદાર ખાંડ અને દૂધની સાથે લેવાથી મૂત્ર પિંડમાં ફસાયેલી પથરી નિકળી જાય છે.

– મહિનામાં પાંચ દિવસ નાની ચમચી અજમો લઈ પાણી સાથે પી જાઓ.

-જો કિડનીની પથરી હોય અને પેશાબ અટકીને આવી રહ્યો હોય તો એક ગાજરને રોજ ખાવાથી ફાયદો મળે છે.

કિડની સ્ટોનની સમસ્યા માટે કારેલા

કિડની સ્ટોનના દર્દીઓ માટે કારેલા ખૂબ જ ફાયદાકારક છે. આયુર્વેદમાં પણ એવું માનવામાં આવે છે કે તેના સેવનથી પથરી તૂટીને મૂત્ર માર્ગે બહાર નિકળી જાય છે. અર્થાત્ કિડનીમાં પથરીની સમસ્યા હોય તો ડાયટમાં કારેલા જરૂર સામેલ કરો.

ઊંટડીનું દૂધ

ઊંટડીના દૂધમાં મધુમેહ, અલ્સર, હૃદયરોગ, ગેંગરિન, કિડની સંબંધી બીમારીઓથી શરીરનો બચાવ કરવાની રોગપ્રતિકારક ક્ષમતા હોય છે. તે શરીરમાં એવી કોશિકાઓના નિર્માણમાં મદદ કરે છે જે સંક્રમણ રોગોની વિરૂદ્ધ એન્ટીબોડીઝના રૂપમાં કામ કરે છે.

જવનો ઉપાયઃ-

એક મુઠ્ઠી ખાંડેલા જવ બે ગ્લાસ પાણીમાં નાખી ઉકાળવા. ઊકળતા ઊકળતા એક ગ્લાસ પાણી રહે, ત્યારે ઉતારી ઠંડું પાડી ગાળીને આ પાણી સવારે અને રાત્રે તાજેતાજું બનાવી પીવાથી લાંબાગાળે દરેક પ્રકારની પથરી મટે છે.

Source

Health Benefits Of Exercise

Exercise is the miracle cure we’ve always had, but for too long we’ve neglected to take our recommended dose. Our health is now suffering as a consequence. The benefits of exercise extend far beyond weight management. Research shows that regular physical activity can help reduce your risk for several diseases and health conditions and improve your overall quality of life. Regular physical activity can help protect you from the following health problems.

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Heart Disease and Stroke:- Daily physical activity can help prevent heart disease and stroke by strengthening your heart muscle, lowering your blood pressure, raising your high-density lipoprotein (HDL) levels (good cholesterol) and lowering low-density lipoprotein (LDL) levels (bad cholesterol), improving blood flow, and increasing your heart’s working capacity. Optimizing each of these factors can provide additional benefits of decreasing the risk for Peripheral Vascular Disease.
High Blood Pressure:- Regular physical activity can reduce blood pressure in those with high blood pressure levels. Physical activity reduces body fat, which is associated with high blood pressure.
Noninsulin-Dependent Diabetes. By reducing body fat, physical activity can help to prevent and control this type of diabetes.
Obesity:- Physical activity helps to reduce body fat by building or preserving muscle mass and improving the body’s ability to use calories. When physical activity is combined with proper nutrition, it can help control weight and prevent obesity, a major risk factor for many diseases.
Back Pain:- By increasing muscle strength and endurance and improving flexibility and posture, regular exercise helps to prevent back pain.
Osteoporosis:- Regular weight-bearing exercise promotes bone formation and may prevent many forms of bone loss associated with age.
Self Esteem And Stress Management:- Studies on the psychological effects of exercise have found that regular physical activity can improve your mood and the way you feel about yourself. Researchers have found that exercise is likely to reduce depression and anxiety and help you to better manage stress.
Disability:- Running and aerobic exercise have been shown to postpone the development of disability in older adults.

Boost happy chemicals,Improve self-confidence, Help control addiction, Increase relaxation. Keep these health benefits in mind when deciding whether or not to exercise.

Drinking cranberry juice can protect your heart

New study reveals drinking cranberry juice might play a role in protecting against cardiovascular disease.

Drinking cranberry juice can protect your heart

A new study has revealed that drinking cranberry juice might play a role in protecting against cardiovascular disease.

Researcher Rodriguez-Mateos of the University Duesseldorf said that cranberry juice was a rich source of phytonutrients, including proanthocyanidins, anthocyanins and phenolic acids. In the study, researchers gave 10 healthy male subjects, between the ages of 18-40 years, 450 ml of sweetened cranberry juice made from concentrate. The cranberry concentrate was prepared with water to concentrations ranging from 0 to 117%.

Blood and urine samples were collected for 24 hours following consumption to detect changes in plasma and urinary cranberry-derived polyphenols. Across the board, all of the cranberry juices benefited flow-mediated vasodilation (FMD) – including 25% cranberry juice, equivalent to the commonly consumed cranberry juice cocktail. The highest concentration of cranberry-polyphenol juice also showed improvements in systolic blood pressure.

Defending the health of the circulatory system and improving vascular function, it not only reduced the chances of developing atherosclerosis, but played an important role in kidney function, hormone delivery and waste filtration. Rodriguez-Mateos said that their results laid the groundwork to better understand the array of potential vascular and cardiovascular health benefits of cranberry polyphenols, adding that the significant improvements in vascular function from drinking two cups of cranberry juice suggested an important role for cranberries in a heart-healthy diet.
cranbury juice

Source: DNA INDIA

Prostate Cancer Treatment in India

For Prostate cancer treatment robotic surgery is a common choice to try to cure prostate cancer if it is not thought to have spread outside the gland (stage T1 or T2 cancers).

The main type of robotic surgery for prostate cancer is known as a radical prostatectomy surgery. In this operation, the surgeon removes the entire prostate gland plus some of the tissue around it, including the seminal vesicles. A radical prostatectomy can be done in different ways.

A less invasive surgical option – Laparoscopy is available for urologic surgery that uses small incisions. But, due to some the limitations of laparoscopy procedures it is not suggested
for more complex urologic surgeries.

One of the most modern and effective way of surgery is robotic radical prostatectomy surgery. It is a minimally invasive approach, using the latest Da Vinci Robotic Surgical System and
it is ideal for delicate urological surgeries.

Prostate Cancer Surgery
Robotic Surgery in India

Advantages of Robotic Prostatectomy:-

Robotic Prostate Surgery:

Clinically Superior Results
Reduced Risk of Complications
less post operative pain
Less Scarring
Less blood loss
A shorter hospital stay
Erectile Function
Faster recovery and return to normal activities
Fater return of urinary continence

Dr. Mahesh desai is the head of robotic surgery for prostate, kidney and urinary bladder cancer at Muljibhai patel urological hospital ( Centre for Robotic Surgery) in India. He is Top Urologist in world. It is the first super specialty hospital in India dedicated to Urology. We serve our patients for more than 35 years and we are popularly known as “Nadiad Kidney Hospital in India”.