Does Chronic Kidney Disease Affect Blood Sugar Levels?

Introduction

Chronic kidney disease (CKD) is a progressive condition that diminishes the kidneys’ ability to function effectively. These vital organs are responsible for filtering waste products from the blood and regulating various metabolic processes, including blood sugar levels. Therefore, it’s natural to wonder how CKD might impact blood sugar control. In this article, we will delve into the intricacies of this relationship, addressing common questions and providing valuable information for individuals living with CKD or concerned about their blood sugar levels.

The Basics of Chronic Kidney Disease

Before we explore the connection between CKD and blood sugar levels, let’s establish a fundamental understanding of chronic kidney disease itself.

What is Chronic Kidney Disease?

Chronic Kidney Disease, often abbreviated as CKD, refers to the gradual deterioration of kidney function over time. This condition is typically categorized into five stages, with stage 1 being the mildest and stage 5 representing kidney failure. CKD can result from various underlying causes, such as high blood pressure, diabetes, and certain genetic factors.

Stages of Chronic Kidney Disease

1. Stage 1 CKD: Kidney damage with normal or increased filtration rate.
2. Stage 2 CKD: Mild reduction in filtration rate.
3. Stage 3 CKD: Moderate reduction in filtration rate.
4. Stage 4 CKD: Severe reduction in filtration rate.
5. Stage 5 CKD: Kidney failure, requiring dialysis or transplantation.

Now that we’ve established the foundation, let’s delve into the connection between CKD and blood sugar levels.

The Link Between CKD and Blood Sugar Levels

How Does CKD Affect Blood Sugar Levels?

CKD can influence blood sugar levels through various mechanisms, making it a significant concern for individuals with both conditions. Here’s how CKD can affect blood sugar levels:

1. Insulin Resistance: CKD can lead to insulin resistance, a condition where the body’s cells don’t respond effectively to insulin. This can result in elevated blood sugar levels, a hallmark of diabetes.

2. Medication Interactions: Many medications commonly prescribed to manage CKD, such as certain diuretics, can affect blood sugar levels. It’s essential for individuals with CKD to work closely with their healthcare providers to monitor and adjust their medications as needed.

3. Impaired Glucose Regulation: CKD can disrupt the body’s ability to regulate glucose effectively, leading to fluctuations in blood sugar levels.

4. Inflammation: Chronic inflammation often accompanies CKD, and this inflammation can contribute to insulin resistance and elevated blood sugar levels.

Managing Blood Sugar Levels with CKD

Managing blood sugar levels when you have CKD requires a multidisciplinary approach. Here are some essential tips:

– Follow a CKD-friendly diet that takes into account your blood sugar levels and kidney health.

– Monitor your blood sugar levels regularly.

– Engage in regular physical activity to improve insulin sensitivity.

– Collaborate closely with your healthcare team, including nephrologists and endocrinologists, to optimize your treatment plan.

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Conclusion

In conclusion, chronic kidney disease can indeed affect blood sugar levels, creating a complex interplay between these two health conditions. Understanding this relationship is crucial for individuals with CKD and diabetes, as it can inform their treatment and lifestyle choices. By working closely with healthcare professionals, making necessary lifestyle changes, and staying informed, individuals can better manage both CKD and blood sugar levels, ultimately leading to improved overall health and well-being.

FAQs

Can CKD Cause Diabetes?

CKD itself does not cause diabetes, but it can increase the risk of developing diabetes due to factors like insulin resistance and medication interactions.

How Can I Prevent Blood Sugar Issues with CKD?

Preventing blood sugar issues with CKD involves lifestyle modifications, including a balanced diet, regular exercise, and adherence to prescribed medications.

Should I Be Concerned About CKD If I Have Diabetes?

Yes, individuals with diabetes should be vigilant about monitoring kidney function and blood sugar levels, as the two conditions can exacerbate each other.

Can CKD Be Reversed?

In some cases, early-stage CKD can be managed and potentially reversed through lifestyle changes and medical interventions. However, advanced stages of CKD may require dialysis or transplantation.

What Foods Should I Avoid with CKD and Diabetes?

Individuals with CKD and diabetes should limit their intake of processed foods, high-sugar items, and foods high in phosphorus and potassium. A registered dietitian can provide personalized dietary recommendations.

Is There a Cure for CKD?

While there is no cure for CKD, early detection and proper management can slow its progression and improve quality of life.

ssurocare.com – Renal Health – Best Hospital For Kidney In Bangalore

Introduction

When it comes to matters of renal health, choosing the right healthcare provider is of paramount importance. In Bangalore, ssurocare.com stands as a beacon of excellence in kidney care. In this informative guide, we will delve deep into why ssurocare.com is considered the best hospital for kidney in Bangalore. Join us on this journey as we explore its unmatched expertise, state-of-the-art facilities, and unwavering commitment to your well-being.

Unveiling ssurocare.com

At ssurocare.com, we take immense pride in being at the forefront of renal healthcare. Our dedication to providing world-class treatment and compassionate care has earned us a stellar reputation. Here’s what sets us apart.

Renowned Nephrologists at Your Service

Heading this exceptional institution are some of Bangalore’s most renowned nephrologists. Their years of experience and expertise in kidney care ensure that you receive the finest medical attention available.

Cutting-Edge Technology

ssurocare.com is synonymous with innovation. Our hospital boasts state-of-the-art technology, enabling us to diagnose and treat kidney conditions with unparalleled precision.

Comprehensive Services

From routine check-ups to complex surgical procedures, ssurocare.com offers a wide spectrum of services under one roof. This ensures convenience and continuity of care for our patients.

Personalized Treatment Plans

We understand that every patient is unique. That’s why our experts craft personalized treatment plans tailored to your specific needs, ensuring the best possible outcomes.

Patient-Centric Approach

At ssurocare.com, you’re not just a patient; you’re family. Our patient-centric approach ensures that you receive not only medical treatment but also emotional support throughout your journey to recovery.

The Journey to Excellence

ssurocare.com’s journey to becoming the best hospital for kidney in Bangalore has been marked by unwavering dedication and continuous improvement.

Continuous Medical Education

Our medical staff is committed to staying updated with the latest advancements in nephrology. Regular training and workshops keep them at the forefront of medical knowledge.

Research and Development

In our pursuit of excellence, we invest significantly in research and development. This commitment to innovation enables us to offer cutting-edge treatments and therapies.

Patient Success Stories

The true measure of a hospital’s excellence lies in its patients’ success stories. At ssurocare.com, we are proud to have helped countless individuals regain their health and quality of life.

Conclusion

In your pursuit of the best hospital for kidney care in Bangalore, ssurocare.com emerges as the clear choice. With a team of esteemed nephrologists, cutting-edge technology, and a patient-centric approach, we are committed to your well-being. Trust us to be your partners in renal health.

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Frequently Asked Questions (FAQs)

What makes ssurocare.com the best hospital for kidney in Bangalore?

ssurocare.com unmatched expertise, renowned nephrologists, state-of-the-art technology, and patient-centric approach collectively make it the top choice for kidney care in Bangalore.

What services does ssurocare.com offer?

ssurocare.com provides a wide range of services, including diagnostic tests, medical consultations, dialysis, kidney transplantation, and post-operative care.

How can I book an appointment at ssurocare.com?

Booking an appointment at ssurocare.com is easy. You can call our helpline, visit our website, or use our user-friendly mobile app to schedule your visit.

Is ssurocare.com affiliated with any international kidney care organizations?

Yes, ssurocare.com is affiliated with several international kidney care organizations, ensuring that our patients receive the most advanced and globally recognized treatments.

What is the success rate of kidney transplantation at ssurocare.com?

ssurocare.com boasts an impressive success rate for kidney transplantation, thanks to our experienced surgical team and cutting-edge facilities.

Does ssurocare.com offer financial assistance for kidney treatments?

Yes, we understand the financial burden that kidney treatments can pose. ssurocare.com offers financial assistance programs to eligible patients.

Advantages of the best hospital for kidney in Bangalore

For kidney care, the highest medical care is one of the solutions to revive these precious parts of the body to a perfect state of operation. At the best hospital for kidneys in Bangalore, you can revive kidney health to perfection. 

High medical care

Kidneys are vital organs of the body and require the highest care to restore them to normalcy if affected. For kidney diseases, you need special treatment from expert nephrologists. A good hospital like SS Uro Care makes a significant difference. 

Skilled nephrologists

At the best hospitals in Bangalore, you have skilled nephrologists. Apart from this, you will find apt urologists and surgeons. One of the best things associated with these doctors is their specialty in dealing with complex kidney problems. 

Accurate diagnosis

For kidney treatment, you can consult an expert nephrologist like Dr K S Shiva Kumar who will do an expert diagnosis of the problem. When there is an accurate diagnosis, it is followed by the perfect treatment with effective care in Bangalore. 

Modern medical technology

The best hospital for kidneys in Bangalore has the latest medical technology associated with it. With the latest equipment and modern operation theatres, the work for the doctor becomes easy for treating different kidney conditions including kidney transplants. 

Because of the modern equipment in hospitals, there are high chances of correct diagnosis of kidney ailments. Correct diagnosis is the first step to the success of the treatment. 

Inclusive services

At SS Uro Care, you will be provided full guidance about preventive nephrology. Besides this, such hospitals offer you the facilities for kidney disease management at the early stages. There are also facilities for dialysis and kidney transplants. 

The best hospital for kidney in Bangalore offers you various treatments for this precious organ under one roof. You do not have to visit multiple hospitals for kidney treatment. 

CONCLUSION

SS Uro Care offers you the finest kidney treatment under the guidance of Dr. K S Shiva Kumar. You will renew your kidney health. You will have to follow the post-treatment guidelines. 

Advanced Kidney Stone Treatment in Bangalore – Relieve Pain and Regain Health

If you are experiencing excruciating pain due to kidney stones, finding the right treatment is crucial. In Bangalore, a city known for its medical advancements, you have access to some of the best hospitals and urologists specializing in kidney stone treatment. In this comprehensive article, we will delve into the world of advanced kidney stone treatment in Bangalore, exploring the services, expertise, and authority of urology hospitals and specialists in the field. Let’s explore how they can help you relieve pain and regain your health effectively.

Advanced Kidney Stone Treatment in Bangalore – Addressing the Pain

What are Kidney Stones?

Kidney stones are solid mineral and acid salt deposits that form in the kidneys. They can vary in size and may cause severe pain and discomfort when they block the urinary tract. Understanding the composition and types of kidney stones is essential for targeted treatment.

Cutting-Edge Techniques for Kidney Stone Removal

In Bangalore’s urology hospitals, advanced techniques for kidney stone removal are employed, ensuring minimal invasion and faster recovery times. Among these techniques are:

1. Extracorporeal Shock Wave Lithotripsy (ESWL): This non-invasive procedure uses shock waves to break down kidney stones into smaller pieces, making them easier to pass through the urinary tract.

2. Laser Lithotripsy: Utilizing laser technology, this procedure precisely targets and breaks down kidney stones, enabling their removal through natural bodily processes.

3. Percutaneous Nephrolithotomy (PCNL): This procedure involves creating a small incision in the back to access and remove larger kidney stones, reducing the risk of complications.

4. Ureteroscopy: A thin, flexible tube with a camera is inserted into the ureter to locate and remove kidney stones, making it a preferred method for stones closer to the bladder.

Expert Urologists – Masters of Stone Treatment

In Bangalore, urologists are renowned for their expertise and experience in managing kidney stone cases. They are equipped to handle even the most complex scenarios and offer personalized treatment plans for each patient.

The Best Hospital for Kidney in Bangalore – Where Expertise Meets Care

When it comes to your health, choosing the right hospital is vital. Bangalore boasts several top-rated urology hospitals, providing exceptional care and advanced kidney stone treatment. Some of the factors that make a hospital stand out are:

State-of-the-Art Facilities: The best hospitals in Bangalore invest in cutting-edge technology and medical infrastructure, ensuring accurate diagnostics and effective treatment.

Experienced Medical Team: Renowned hospitals have a team of experienced urologists and kidney specialists who work collaboratively to provide the best possible care.

Patient-Centric Approach: These hospitals prioritize patient well-being and ensure that every patient receives personalized attention and compassionate care throughout their treatment journey.

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Kidney Stone Treatment in Bangalore – FAQs

How can I prevent kidney stones from recurring after treatment?

After treatment, following a balanced diet, staying hydrated, and taking prescribed medications can help prevent the recurrence of kidney stones.

Is ESWL suitable for all types of kidney stones?

ESWL is generally effective for smaller stones but may not be ideal for large or complex stones.

Can kidney stones be treated without surgery?

In some cases, smaller stones may pass through the urinary tract naturally, but larger stones often require medical intervention.

How long does it take to recover after kidney stone removal?

Recovery time varies depending on the treatment method used, but most patients can resume regular activities within a few days to a week.

Are there any lifestyle changes I should make to prevent kidney stones?

Yes, maintaining a healthy diet, reducing sodium intake, and staying hydrated are key lifestyle changes that can help prevent kidney stone formation.

Can kidney stones lead to more severe kidney problems if left untreated?

Yes, untreated kidney stones can cause infections and other complications that may lead to more severe kidney issues.

Conclusion

In Bangalore, advanced kidney stone treatment is a reality, offering hope to those suffering from kidney stones. With state-of-the-art techniques and experienced urologists, the top urology hospitals in Bangalore are well-equipped to provide comprehensive care and relief from kidney stone pain. By prioritizing patient well-being and employing cutting-edge technology, they stand out as beacons of trust and authority in the medical field. Remember, early intervention and the right hospital can make all the difference in your journey to regain your health and bid farewell to kidney stone pain.

The Ultimate Guide to Finding the Best Kidney Specialist in Bangalore

Finding the best kidney specialist in Bangalore is of utmost importance when it comes to the diagnosis and treatment of kidney-related conditions. Bangalore, known as the hub of healthcare in India, boasts a wide range of medical professionals specializing in nephrology. However, choosing the right kidney specialist can be a daunting task, considering the numerous options available. In this ultimate guide, we will provide you with valuable insights and tips to help you find the best kidney specialist in Bangalore.

Why Choosing the Right Kidney Specialist is Crucial

Selecting the right kidney specialist is crucial for effective diagnosis, treatment, and management of kidney-related conditions. Kidney diseases require specialized care, and a skilled nephrologist can provide you with the necessary expertise and guidance to ensure the best possible outcomes for your kidney health. Additionally, a good kidney specialist will offer personalized care, addressing your unique needs and concerns throughout your treatment journey.

Steps to Find the Best Kidney Specialist in Bangalore

1. Seek Referrals and Recommendations

Start your search by seeking referrals and recommendations from trusted sources such as your primary care physician, family members, or friends. They may have firsthand experience or know someone who has received treatment from a reputable kidney specialist in Bangalore. Gathering recommendations from trusted individuals can help you narrow down your options and provide valuable insights.

2. Research and Gather Information Online

Utilize online resources to research and gather information about kidney specialists in Bangalore. Visit their websites, read their profiles, and explore their areas of expertise. Look for patient reviews and testimonials to gauge the satisfaction levels of their patients. Pay attention to feedback regarding their professionalism, communication skills, and treatment outcomes.

3. Verify Qualifications and Experience

When choosing a kidney specialist, it is crucial to verify their qualifications and experience. Ensure that they are board-certified nephrologists with specialized training in kidney diseases. Check if they have relevant fellowship programs or advanced certifications that demonstrate their expertise in the field. Additionally, consider their experience in treating a wide range of kidney conditions and performing various kidney-related procedures.

4. Consider Hospital Affiliations

Evaluate the hospital affiliations of the kidney specialists you are considering. Look for specialists who are affiliated with reputable hospitals or medical centers known for their excellence in nephrology. A strong hospital affiliation can indicate that the specialist works within a multidisciplinary team and has access to state-of-the-art facilities and advanced treatment options.

5. Assess Communication and Bedside Manner

Communication and a good bedside manner are crucial qualities in a kidney specialist. Consider scheduling a consultation to meet the specialist in person. During this meeting, assess how well they listen to your concerns, explain your condition and treatment options, and address any questions you may have. A compassionate and patient-centric approach is essential in ensuring a positive doctor-patient relationship.

6. Evaluate Patient Satisfaction and Outcomes

Look for indicators of patient satisfaction and treatment outcomes. Check if the kidney specialist has a track record of successful treatments and positive patient experiences. You can inquire about patient outcome statistics or success rates for specific procedures or treatments. Consider the overall reputation of the specialist within the medical community and among their patients.

7. Consider Accessibility and Location

Choose a kidney specialist whose clinic is easily accessible from your location. Consider factors such as proximity to your home or workplace, availability of public transportation, and parking facilities. Accessibility is crucial, especially if you require frequent visits or ongoing treatment for your kidney condition.

8. Verify Insurance Coverage and Financial Considerations

If you have health insurance, it is essential to verify whether the kidney specialist you are considering is covered by your insurance plan. Contact your insurance provider or the specialist’s clinic to ensure that their services are included in your coverage. Additionally, inquire about the specialist’s payment options, including any financial assistance programs or payment plans they offer.

FAQs About Finding the Best Kidney Specialist in Bangalore

1. What is the role of a kidney specialist?

A kidney specialist, also known as a nephrologist, specializes in diagnosing and treating kidney diseases and disorders. They manage conditions such as chronic kidney disease, kidney stones, kidney infections, and kidney failure. They also provide guidance on kidney health maintenance and preventive measures.

2. When should I see a kidney specialist?

You should consider seeing a kidney specialist if you experience symptoms such as persistent high blood pressure, blood in urine, frequent urinary tract infections, or swelling in the hands and feet. Additionally, if you have a family history of kidney disease or have been diagnosed with conditions such as diabetes or hypertension, a consultation with a kidney specialist is advisable.

3. How can I prevent kidney diseases?

To prevent kidney diseases, it is essential to maintain a healthy lifestyle. This includes staying hydrated, eating a balanced diet, exercising regularly, managing blood pressure and blood sugar levels, avoiding excessive use of pain medications, and refraining from smoking.

4. Can I switch kidney specialists if I am not satisfied?

Yes, you have the freedom to switch kidney specialists if you are not satisfied with your current specialist’s services or if you feel another specialist may better meet your needs. However, it is recommended to communicate your concerns and reasons for switching to ensure a smooth transition of your medical records and continuity of care.

5. What questions should I ask during the initial consultation?

During the initial consultation, you can ask questions such as:

– What is the diagnosis for my condition?
– What treatment options are available?
– What are the potential risks and benefits of each treatment option?
– How long will the treatment last, and what can I expect during the recovery period?
– Are there any lifestyle modifications I need to make to manage my kidney condition?

6. Can I receive a second opinion?

Yes, seeking a second opinion is a common practice, especially for complex or serious kidney conditions. It allows you to gain more insights and explore different treatment approaches before making important decisions about your health.

Conclusion

Finding the best kidney specialist in Bangalore requires thorough research and consideration. By seeking referrals, conducting online research, verifying qualifications and experience, evaluating communication skills and patient satisfaction, and considering accessibility and insurance coverage, you can make an informed decision. Remember to prioritize a specialist who not only possesses the necessary medical expertise but also demonstrates compassion, effective communication, and a patient-centric approach. By choosing the right kidney specialist, you are taking a significant step towards the effective management and treatment of your kidney condition.

An Expert Explains Why Women Are More Prone To Kidney Diseases Than Men

There was a time when every health issue women suffered was blamed on her hormones the haywire cycles, the lack of production (or more of it) and serious issues were related to her reproductive system cysts in the ovaries, blocked tubes, uterine fibroids these were the most common health concerns. There was very less knowledge of how the other major organs of her body like the heart, liver, kidneys were functioning or affected. A common myth that plaque the general public is that a woman s hormones protect her from organ failures. But in the modern times, we are seeing just the opposite. The number of women falling prey to diseases related to the major organs is just rising in numbers.

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Kidneys are the organs that filter waste products from the blood. They are also involved in regulating blood pressure, electrolyte balance, and red blood cell production in the body. Many women are diagnosed with chronic kidney disease at a later stage of their lives, especially beyond 55 years of age. According to worldwide population-based data on the global burden of chronic kidney disease (CKD) in 2010, CKD is more prevalent in women (272 million) than in men (226 million). According to Global Prevalence of CKD A Systematic Review and Meta-Analysis CKD is more likely to develop in women compared with men, with an average 14 percent prevalence in women and 12 percent in men.

What makes women prone to kidney diseases?

Diabetes is one the biggest risk factors for chronic kidney disease. Blood pressure is second risk factor the third risk factor is NSAIDS. Apart from this, urinary tract infections (UTIs) are common risk factors for kidney disease more frequent in women than in men. HIV infection and complications of pregnancy, including pre-eclampsia, are also risk factors for CKD in females. The urethra is shorter in women than in men, which makes it easier for bacteria to travel from outside the body to the bladder. Once in the bladder, an infection can spread to the kidneys.

Yes, but there are few who might have more risk factors than the others. Kidney disease is considered as a risk factor for adverse pregnancy outcome and reduced fertility. Pregnant women are at even higher risk of a kidney infection. Some kidney diseases, such as lupus nephropathy or kidney infection (acute or chronic pyelonephritis), usually affect women more. Kidney infections (as most urinary tract infections) are more common in women and more likely to involve pregnant women.

What treatment is suggested for women who have kidney problems?

When kidneys fail, dialysis is required to remove wastes from the blood, however, it does not replace all of the functions of the kidneys, such as producing hormones. While all menopausal women are required to take calcium to prevent osteoporosis, it is important for those on dialysis. Because women on dialysis, their hormone levels might already be compromised. To help combat osteoporosis, additional calcium in the diet, or in the form of supplements, can help prevent bone loss.

How can women safe them from kidney diseases?

Many women with diabetic kidney disease may not have any symptoms. The only way is to get your kidneys checked is by blood (renal profile with electrolytes) and urine test. People with diabetes should be screened regularly for kidney disease at least once a year.

source: thehealthsite

What Consuming More Water Does To Kidney Patients?

Making patients with Chronic Kidney Disease (CKD) drink more water does not slow down the decline of their kidney function, suggests a recent research.

“While many claims about the benefits of increased water intake remain untested, a growing body of evidence suggests that increased water intake improves kidney function through the suppression of the antidiuretic hormone.

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This leads to the question of whether increased water intake can slow the progressive loss of kidney function.

Guided by a successful pilot study, the research team constructed a randomised clinical trial with patients at various hospitals. They wanted to determine if coaching patients to drink more water slowed their decline in kidney function over one year compared with those in the control group who were coached to maintain usual fluid intake.

“It is really about personalised medicine.

Could we look at the general population of patients with kidney disease and find that increased water intake helps slow the decline in function? And if not, how can we apply this knowledge to create more targeted treatment approaches?”

The trial was done on 630 participants with Stage 3 CKD. The cause of their disease was varied, including diabetes and high blood pressure.

“Those diagnosed with CKD have some degree of kidney damage, indicated by a decreased level of kidney function,” explained researcher.

“Kidney disease can range from mild to severe and, in some cases, leads to kidney failure. Kidney disease often starts slowly and develops without symptoms over a number of years, so it may not be detected until it has progressed to the point where kidney function is quite low,” urologist added.

Most patients with Stage 3 CKD experience either no symptoms or only mild effects, but they have already lost over 40 to 70 per cent of kidney function.

The research team found that after one year, the increase of water did not slow the loss of kidney function. They did find that an increase of water, particularly when the participant’s previous intake was low, did significantly suppress their antidiuretic hormone release. The prior benefits shown for water intake may relate to low water drinkers in the population.

source: thehealthsite

Get Rid Of Kidney Stones With The Right Nutrition: Things You Need To Know

Kidney stone disease is widespread in India, with an expectancy of 12 per cent in an overall population indicated to be prone to urinary stones.

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Urolithiasis or nephrolithiasis refers to the formation of urinary calculi or kidney stones. This condition causes an incredible amount of pain in the abdomen and flanks. In developed countries, roughly 10-12 pr cent of the population is affected by kidney stones. Over the last few decades, drastic changes in diet and lifestyle have led to an increase in the severity of kidney stones disease (KDS) while the age of diagnosis has decreased. Men are twice as prone as women (6 per cent) to developing kidney stones. Also, it has been noticed that the first occurrence of stones typically appears between the age of 20 and 40. Around half of patients who have had kidney stones may develop another stone within 5 years. Today, as we celebrate National Nutrition Week, it is important to remember that this can be countered by following a proper nutrition.

KIDNEY STONES RAMPANT IN INDIA

In the Indian context, KSD is widespread, with an expectancy of 12 per cent in an overall population indicated to be prone to urinary stones. Out of this 12 per cent, 50 per cent are seriously impacted by renal damage, which often results in kidney loss. Since kidneys are vital life-sustaining organs, performing many functions to keep the blood clean and constantly maintaining the electrolytes and water content of the body, it is imperative to follow a proper nutrition-rich diet. Nutritional management of kidney stones aims to keep existing stones from growing larger and new stones from developing. While kidney stones are often treated with medication, changes in eating habits can mitigate the various complications.

NUTRITION CAN HELP REMOVE KIDNEY STONES

Here is a list of nutrition-rich items that can aid in removing kidney stones:

Drink plenty of liquids

Bypassing kidney stones can be extremely painful. Drinking plenty of fluids is the single most essential thing that individuals who suffer from kidney stones can act on to break down existing stones and avert future stones. As per a 2015 National Kidney Foundation meta-analysis, people who produced 2 to 2.5 litres of urine a day were 50 per cent less prone to developing kidney stones than those who produced less. Water is more effective than other fluids and it requires nearly 2 litres of water to enhance the function of the kidneys. Although untreated water has no nutrient benefit, it transports vital nutrients throughout the body. Other fluids which are beneficial include:

• Orange, pomegranate and fresh tomato juice have been proven to be effective in preventing stone formation as they are rich sources of citrate and magnesium.
• Lemonjuice can increase urine citrate and likely reduce kidney stone risk.
• Watermelon juice is diuretic and high in potassium salts, which aid in the regulation of urine acidity and the removal of small stones and crystals.
• Apple Cider Vinegar contains citric acid, which facilitates the dissolution of kidney stones by alkalizing the blood and urine, making it easier to flush out toxins in the kidney.

Increase your intake of calcium-rich foods

Since dietary calcium binds oxalate in the intestines, less is absorbed by kidneys and lower concentrations end up in urine. Yoghurt, lentils, seeds, soy products, and beans are all excellent sources of calcium-rich food. Kidney beans, for instance, have a positive impact on health when eaten as a substitute for meat or other high-cholesterol protein sources. Kidney beans resemble the shape of a kidney and the Vitamin B present in them, aids in the flushing out of kidney stones. Kidney beans are also a good source of fiber and contain a lot of minerals, which enable better urinary tract function.

Choose magnesium-rich vegetables and wholegrain foods

Leafy greens are super healthy, and many are loaded with magnesium, which boosts kidney function and helps to dissolve stones. Kale, spinach, collard greens, turnip greens, and mustard greens are among the vegetables high in magnesium. Magnesium reduces oxalate absorption, so people who consume more magnesium reduce their risk of developing kidney stones. A high-fiber diet and choosing whole-grain foods can also lower the risk of kidney stones growing bigger by reducing calcium absorption and oxalate absorption.

TAKEAWAY

Maintaining a nutritionally dense diet is beneficial for kidney function, but breaking certain habits is even more important. Here are some pointers to remember:

• If you are overweight or obese, make an effort to lose weight.
• Limit high purine foods.
• Reduce the amount of sugar and salt in your food and beverages.
• Limit your alcohol consumption.
• Avoid taking too many Vitamin C supplements.

source: theheallthsite

Kidney stones

Kidney stones are solids formed in the kidneys when substances like calcium, oxalate and phosphorus that are excreted through the urine become concentrated. A kidney stone may either settle down in the kidneys or travel through the urinary tract. Kidney stones usually vary in size. So a smaller crystal may comfortably travel down the urinary tract and get expelled on its own without causing any pain or discomfort.

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However, when the crystals increase in size they may from larger hard stones which tend to get stuck as they pass along the urinary tract. This can cause several problems. Mainly it may block the usual flow of urine, causing extreme pain and bleeding. Other symptoms of kidney stones include pain in the lowerback region, vomiting and nausea.

Various factors put an individual to risk for kidney stones. Most common factors include a family history of kidney stones, repeated urinary tract infections, blocked urinary tract, or any health condition that increases the level of substances usually excreted through the urine. Lack of sufficient intake of water and certain medications can also cause kidney stones. Prevention of kidney stones include medications and dietary modification.

Types

There are four types of kidney stones which include:

Uric acid stones: The factors that can contribute to the formation of uric acid stones is a high protein diet, malabsorption, diabetes, chronic diarrhoea or metabolic syndrome.

Calcium stones: Calcium stones are the most prevalent type of kidney stones. These are in the form of calcium oxalate stones.

Metabolic disorders, high consumption of vitamin D can increase oxalate levels in urine. Another form in which calcium stones are found is calcium phosphate stones. Medical treatment of migraines with topiramate may also be associated with the formation of calcium stones.

Cystine stones: The aetiology of cystine stones is related to cystinuria, a hereditary condition that promotes kidneys to excrete a higher amount of amino acid.

Struvite stones– these stones are caused due to a urinary tract infection. Struvite stones are large and fast-growing.

Symptoms

Unfortunately, kidney stones do not cause any symptoms until they move around in your kidney or pass through your ureter, the tube connecting the kidneys and urinary bladder. Small stones may pass out even without causing any symptoms. But, with larger stones, the following symptoms may be seen:

• Back and groin pain
• Pain on urination
• Abnormal urine colour
• Nausea and vomiting
• Persistent urge to urinate

Causes And Risk Factors

Causes

Accumulation of uric acid, calcium or oxalate in the urine in the levels higher than your urine can dilute, can cause Kidney stones. These accumulations are in the form of crystals. 

Risk Factors

As men have more muscle mass than women, they are at an increased risk of kidney stones. This is because the daily breakdown of muscle mass leads to a tendency to form stones in the kidneys. 

Other common risk factors of kidney stones include –

Family history: You are more susceptible to develop kidney stones if someone in your family has had stones.

Personal history: The risk of having a kidney stone is much greater if you already have a stone.

Age: Though kidney stones can occur at any age, they are most commonly diagnosed in adults aged 40 and above.

Obesity: High body mass index (BMI), large waist size and weight gain have been linked to an increased risk of kidney stones.

Dehydration: Less fluid intake will increase your risk of getting kidney stones. People that live in hot regions or those who work in environments where they tend to sweat a lot will have a higher risk of developing stones. 

Existing medical conditions: Gastric bypass surgery, inflammatory bowel disease or chronic diarrhoea may cause changes in the digestive process that affect your absorption of calcium and water, increasing the levels of stone-forming substances in your urine. Renal tubular acidosis, cystinuria, thyroid problem (hyperparathyroidism) and urinary tract infections can increase stone formation.

Certain diets: Eating a diet that’s high in animal protein, sodium and has low fibre content can increase your risk for kidney stones. This is especially true for a high-sodium diet. Too much sodium increases the calcium load on your kidneys, significantly increases your risk of kidney stones. 

Prevention

Here are 10 simple ways to prevent kidney stones –

• Drink lots of water
• Drink healthy beverages
• Eat smartly
• Eat more dairy foods every day(no scientific data)
• Limit the intake of seafood
• Reduce the intake of salt
• Maintain a healthy weight
• Know your risk
• Don’t hold your pee for too long
• Avoid alcohol and cigarettes

Diagnosis

Ultrasound of the kidney, ureter and bladder (KUB) is the most convenient and frequently used investigation to diagnose kidney stones. An X-ray KUB can further assist in diagnosis. However, if the stones are small, the patient is obese, or there is an unusual formation of gas in the abdomen, a CT scan is a better method of diagnosis.

Urine testing is significant in the detection of stone-forming minerals. A blood test can help in marking high levels of calcium or uric acid, which help in the diagnosis of kidney stones.

Treatment

Treatment is based on the size of the stones. Smaller stones can be treated with plenty of fluids, pain medications and certain antispasmodic drugs (pain and spasm relieving), which help in passing the stone out. But even when the symptoms disappear, it is essential to confirm whether the stone has been eliminated through an ultrasound or a CT scan.

Larger stones which do not pass out easily require medical therapy and more advanced treatments such as –

Sound waves: Depending on the size and location of the stones, extracorporeal shock wave lithotripsy (ESWL) may be done. ESWL uses sound waves to create strong vibrations (shock waves) that break the stones into tiny pieces, making them easier to be passed through urine. The procedure lasts for about 45 to 60 minutes. It can cause moderate pain, so it is preferably performed under sedation or light anaesthesia. ESWL can also cause blood in the urine and discomfort as the stone fragments pass through the urinary tract. Depending on the size of the stones, one or more sessions may be needed.


Percutaneous Nephrolithotomy (PCNL): This treatment is used for very large stones or where ESWL is unsuccessful. The procedure involves surgically removing the stone using small telescopes and instruments inserted through a small incision in the back.

 

Ureteroscopic Removal: Smaller stones in the ureter or kidneys may be removed by passing a thin, lighted tube (ureteroscope) equipped with a camera through the urethra and urinary bladder to the ureter. Once the stone is located, special tools can snare the stone or break it into pieces, making them easier to pass through the urine. A small tube (stent) may be placed in the ureter to relieve symptoms like swelling and promote healing.



Laser Lithotripsy: Some stones cannot be treated with ESWL because of their size, location, type. In such cases, ureteroscopic laser lithotripsy may be used. In this procedure, a tiny fiberoptic camera is passed into the urinary tract through the urethra to locate the stones in the bladder, kidney or ureter. Then using laser technique, larger stones are fragmented into thousands of small pieces, which are flushed out through urine.

Lifestyle/management

Stay hydrated – a daily requirement of drinking enough fluids should be fulfilled to pass about 2 litres of urine all day.

Salt restriction – restrict the amount of salt in your diet.

Avoid oxalate-rich food, such as spinach, beets, okra, tea, black pepper, Soy products and chocolate should be restricted as they are found to have higher levels of oxalate.

Choose calcium-rich foods instead of calcium supplements – calcium-rich food does not affect kidney stones; however, calcium supplements increase the risk of kidney stones. Therefore, use calcium supplements with caution.

Prognosis And Complications

Prognosis

The chances of recurrence of kidney stones are quite high. More than half of the people, who have had a stone in the past, will develop a new stone in their lifetime.

Complications

Untreated kidney stones can significantly damage the kidneys and even lead to end-stage renal disease (ESRD), requiring dialysis. But early detection and treatment may completely reverse the damage, even in those on dialysis.

Unfortunately, many a time, kidney stones remain undetected for years because minor symptoms are ignored/neglected. By the time the patient consults a doctor, the damage becomes irreversible or only partially reversible.

source: thehealthsite

What is Bladder Exstrophy-Epispadias-Cloacal Exstrophy Complex?

Bladder exstrophy-epispadias-cloacal exstrophy complex is the most severe form of the BEEC (Bladder exstrophy-epispadias complex), constituting 10% of all the cases. In this condition, an abdominal wall defect causes bladder and large intestine extrusion, leading to anal, genital, and colon abnormalities. BEEC is a rare, congenital, multisystemic condition and involves anomalies in the musculoskeletal, urinary, and genital systems. The majority of treatment of BEEC is surgical, and it is usually done in phases. Several long-term consequences of this difficult pediatric urological condition necessitate a comprehensive approach to therapy.

You can contact our best Urologist in Bangalore for treating bladderproblems just as back torment, notwithstanding, it is critical to perceive the side effects and pick the correct specialist appropriately.

BEEC

BEEC is a term that describes a range of anterior midline defects, from glandular epispadias to multisystem defects like cloacal exstrophy. The word exstrophy comes from the Greek word “ekstriphein,” which means “turn inside out.” Within the BEEC spectrum, there are three unique conditions. These are – classic bladder exstrophy, epispadias, and cloacal exstrophy.

Classic bladder exstrophy is the most common presentation form of BEEC, constituting 60% of all cases. It is defined by an open, inside-out bladder and an exposed dorsal urethra on the lower abdomen wall’s surface. The umbilicus is positioned lower, and pubic bones on both sides of the bladder template can be felt. External genitalia involvement is present in all patients, and most have a palpable inguinal hernia.

BEEC’s mildest manifestation is epispadias. It is characterized by non-closure of the urethral plate and an atypical dorsal urethral position, accounting for 30% of all BEEC cases. Males have an ectopic meatus or a mucosal strip on the penile dorsum, whereas females have a urethral cleft.

Cause and symptoms

The specific process that causes bladder exstrophy in the embryo is unknown. The urogenital membrane is thought to break down prematurely because the lower abdominal wall fails to develop. The outcomes include an open bladder plate, a low-placed umbilicus, and a diastasis of the pubic bones. Above the genital tubercle, the cloacal membrane ruptures, resulting in a penis with an open dorsal surface that is continuous with the bladder plate. The type of defect is determined by when the rupture occurs, resulting in the different forms of BEEC.

A mix of genetic and environmental factors has also been discovered to play a role in the disease’s etiology. Male sex, race, parental age, and pre-conceptional mother exposure to smoking, certain drugs, and alcohol have all been linked to an elevated incidence of BEEC in studies.

Cloacal exstrophy typically affects the pelvis. Eversion of the innominate bones and widening of the pubic symphysis are frequent symptoms. The pelvic abnormalities in cloacal exstrophy are more severe and asymmetric, and they can result in hip dislocation, necessitating an ultrasonographic examination of the hip joints. In bladder exstrophy and as part of the OEIS syndrome (omphalocele, cloacal exstrophy, imperforated anus, and spinal defects), spinal anomalies such as neural tube malformations can arise.

Several other skeletal and limb malformations are frequent in affected children, especially with cloacal exstrophy, and should be considered during initial monitoring and long-term management planning.

Cloacal exstrophy is almost often linked to gastrointestinal abnormalities. Omphaloceles can be identified in cloacal exstrophy in 88-100 % of patients. In up to 46% of instances, gastrointestinal malrotation and short bowel are present, resulting in absorptive problems in 25% of children. Patients with cloacal exstrophy may also have various urologic problems such as ureteropelvic junction blockage, horseshoe kidney, ureteral ectopy, megaureter, and ureterocele in addition to the bladder defect.

Epidemiology

The incidence of BEEC has been recorded in a variety of ways, including subtypes, ethnicity, and sex ratio. Cloacal exstrophy is the rarest form of the spectrum, with a prevalence of 0.5 to 1 per 200,000 live births. The prevalence of cloacal exstrophy-related pregnancies could be as high as 1 in 10,000 to 1 in 50,000 due to greater rates of stillbirth and pregnancy termination.

Diagnosis and treatment

Clinical observation after delivery is used to diagnose bladder exstrophy in children. Bladder exstrophy, on the other hand, may usually be detected between the 15th and 32nd weeks of pregnancy with high-resolution real-time ultrasonography, even during regular obstetric treatment. The absence of a fluid-filled bladder, a low-set umbilicus, tiny genitalia, pubic rami expanding, and rising lower abdominal mass as the pregnancy progress have all been found to be reliable criteria for prenatal diagnosis of bladder exstrophy.

Only ambiguous instances are subjected to fetal magnetic resonance imaging (MRI) and color Doppler ultrasonography. Although prenatal intervention is not required, early detection allows for delivery in a pediatric center equipped to handle this difficult deformity and thorough family counseling.

In bladder exstrophy, treatment aims to close the bladder and abdominal defect while maintaining renal and sexual function. A pelvic osteotomy is always recommended in cases of failed exstrophy repair or cloacal exstrophy. Cloacal exstrophy is more difficult to treat surgically, and it usually necessitates neurosurgery, gastrointestinal, and urological treatments.

Repair of spinal dysraphism and myelocystocele, if present, is included. It also includes repair of the omphalocele, external genitalia, and anorectal malformations, along with the closure of the bladder, urethra, and bony pelvis. However, urinary continence in these children is usually achieved with bladder augmentation and intermittent catheterization.

source: news-medical