Tag - Kidney stone treatment in Nashik

urologist in Nashik

Male Intimate Dysfunction

Many males suffer from Erectile Dysfunction (ED) but often they avoid talking about their issues to their Urologist for treatment. Very few people know how Dangerous impacts it may have. Erectile Dysfunction (ED Erectile dysfunction (or impotence) is the inability to get and keep an erection firm enough for sex is not only causes you face problems in your relationship but also it can be a sign of heart disease and other health issues.

Symptoms:

Identify it before it’s too late. Here are some symptoms of erectile Dysfunction :

  • If you have trouble getting an erection
  • Facing difficulty in maintaining an erection during sexual activities
  • Losing interest in courtship.

Causes:

Erectile dysfunction can be caused by various reasons. One of its main reasons is stress and mental health. Given below are some possible causes of ED:

  • cardiovascular disease
  • Stress
  • Anxiety
  • diabetes
  • hypertension, or high blood pressure
  • high cholesterol
  • obesity
  • low testosterone levels or other hormone imbalances
  • kidney disease
  • increased age
  • depression
  • relationship problems
  • certain prescribed medications are given by the consultant doctor, like those used to treat high blood pressure or depression
  • sleep disorders
  • drug use
  • consuming too much alcohol
  • using or consuming tobacco products
  • Some health conditions like Parkinson’s disease or multiple sclerosis (MS)

 

There are some other male sexual Dysfunctions which include-

  • Desire disorders
  • Premature ejaculation (reaching orgasm too quickly).
  • Low libido (reduced interest in love).

How to cure sexual dysfunction in males?

Visit your urologist and he will recommend various medications to treat such sexual dysfunction among males. Some of the treatment includes:

 

Physical exercise: exercise like yoga, aerobic activity can help in curing ED Dysfunction.

Oral Medication: Your urologist will advise the required medicines.

Penis pumps: if needed your doctor may recommend you for A penis pump (vacuum erection device) which is a hollow tube with a hand-powered or battery-powered pump. over your penis, the tube is placed, and then the pump is used to suck out the air inside the tube. This makes a vacuum that pulls blood into your penis.

Penile implants: This is a surgical treatment that involves surgically placing devices into both sides of the penis. In this type of implants, it is either consist of inflatable or malleable (bendable) rods. Such Inflatable devices help you to control when and how long you have an erection.

How Male sexual Dysfunction can be a sign of heart disease?

As per the experts male face sexual dysfunction or the most common one ED dysfunction mainly due to their lifestyle or stress. The erectile dysfunction preceding heart problems is more often due to the dysfunction of the inner lining of the blood vessels (endothelium) and smooth muscle. Endothelial dysfunction causes the poor blood supply to the heart and reduced blood flow to the penis, and aids in the development of atherosclerosis.

 

How to fix it?

Here are some steps which can help you to avoid or prevent erectile dysfunction-

  • Follow the instructions of your consulting doctor Work to manage diabetes, heart disease or other chronic health conditions.
  • Go for regular checkups and medical screening tests.
  • Stop smoking
  • Stop consuming tobacco
  • Avoid drinking alcohol and don’t use illegal drugs.
  • Exercise everyday
  • Try to take less stress.
  • Try to avoid or get rid of your anxiety, depression or other mental health concerns.
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AGE-WISED KIDNEY DISEASES

Anyone can grow kidney disease, regardless of the age

Kidney diseases may happen in all age groups. Except for the genetic link, in many cases, kidney disqualifications may have been caused by an underlying condition. Glomerulonephritis is a situation where the kidneys get inflamed/swollen. Diabetes (excess sugar in the blood) is one of the primary reasons for kidney failure. Urinary tract infections when left untreated may lead to kidney infections and cause irreparable damage.

 

Renovascular conditions are noted by deposits in the inner lining of arteries and lead to narrowing and blockage. This influences the blood to give to the kidneys and decreased kidney function and failureUrinary incontinence improves the risk of urinary tract infections and consequently leads to reduced kidney function. Urinary reflux is seen in babies where there is a backflow of urine from the bladder into the kidneys. In addition to these causative conditions, there are also hereditary conditions like polycystic kidney disorder that may lead to kidney dysfunction and failure.

The probable signs of kidney diseases are demoted a lot of urine, swelling of your legs-ankles-feet from retention of fluids affected by the failure of your kidneys to eliminate water waste, shortness of breath, extreme drowsiness or fatigue, persistent nausea, nervousness, pain or stress in the chest and seizures.

 

KIDNEY DISEASES IN CHILDREN

Kids may develop kidney disorders due to birth defects, genetic diseases, and infections. Renal agenesis is a condition where the baby is born with only one kidney. Renal dysplasia is a situation where the child is born with two kidneys with only one functioning. An ectopic kidney is a condition where the kidney is placed in an unusual position. Polycystic kidney disorder (PKD) is hereditary and is signed by the appearance of fluid-filled cysts/ unusual sacs. Hemolytic uremic syndrome and Post-streptococcal glomerulonephritis are influenced by bacterial viruses. The hemolytic uremic syndrome is caused by the Escherichia coli (E. coli) bacterium discovered in meat, dairy products and juices. E. coli’s toxins may lead to kidney failure in any children.

KIDNEY DISEASES IN YOUNG ADULTS

Different types of kidney disorders are observed in young adults who are in the age group of 18 to 35. Polycystic kidney disease, also known as polycystic kidney syndrome and PKD, is a genetic dysfunction of renal cyst formation, and prominently found in young adults, children, and women. It is characterized by the presence of various tiny cysts in both kidneys. Goodpasture’s syndrome induces glomerulonephritis or acute or chronic infection of the renal glomeruli–the clusters of microscopic blood veins in the kidneys. IgA Nephropathy is a kidney disorder marked by blood or protein in the urine. This kidney disorder is very normal in young adults.

KIDNEY DISEASES IN MIDDLE AND OLD AGED

Normally, kidney diseases in middle and old aged are a fall-out of diabetes, high blood pressure, and obesity. Gross neglect of diabetes, blood pressure, and obesity may start to chronic kidney disease, a situation when kidneys stop working and waste can no longer be extracted from the blood. Middle and old aged who now have kidney disorder can slow down its progression with proper medication.

STEPS TO ENSURE HEALTHY KIDNEYS

Particular levels to follow to assure healthy kidneys include, checking blood sugar by medication-exercise-diet; controlling high blood pressure by healthy diet-exercise-medication; having kidney health check at regular intervals with close follow-up with the specialist urologistvisiting to urinary tract diseases now; controlling blood cholesterol levels with diet and medications; drinking plenty of water; and having diet rich in fiber and less of fat and sugar.

CONCLUSION

Kidney diseases are counted as silent killers, as it is not unusual for kidneys to fail with no prominent symptoms at all. End-stage kidney diseases are handled with dialysis and kidney transplantOlder people are extra at the chance of kidney diseases than children, young and middle-aged patients. However, by way of overall health checks, choosing the healthy lifestyle and urologist support, kidney diseases can be checked to ensure the healthy working of kidneys.

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Myths about Kidney Stone

Kidney stone treatment in Nashik

Hydrotherapy can flush out urinary calculi

Myth: Drinking copiously will help increase the passage of kidney and ureteral stones. The reason for this advice is that by hydrating massively, ahead of force will be formed to help passage of stone present in the kidney.

Reality: The appearance of a stone often affects urinary tract obstruction. Over-hydration in the appearance of obstruction will further distend the already bloated and inflated portion of the urinary collecting system located above the stone. This extended distension can exacerbate pain and nausea that are often symptoms of colic. The collecting method of the kidney and the ureter have natural peristalsis related to that of the intestine and over-hydration has no physiological basis in terms of helping this method along, being pointless and perhaps even dangerous. Drinking moderately on the surface of a kidney or ureteral stone is sound advice.

Barley water is good for preventing and dissolving urinary stones 

Myth: Barley water has medicinal properties that can dissolve and prevent urinary stones

Reality: Barley water is no different from normal plain water. The key is to prevent the supersaturation of urine. 

Everyone must drink 3-4 liters of water a day.

Myth: Many references of information (frequently non-medical and of dubious reliability) dogmatically assert that humans 3-4 liters of water daily to stay well hydrated and thrive.

Reality: Multiple people aged people drink a lot of water end up in urologist’ offices with urinary urgency, frequency and often urinary leakage. The truth of the matter is that although some urinary issues are brought on or worsened by insufficient fluid intake–including kidney stones and urinary infections–other urinary problems are brought on or worsened by excessive fluid intake. Water specifications are based upon ambient temperature and activity level. If you are sedentary and in a cool environment, your water requirements are significantly less than when in the hot conditions. Heeding your thirst is one of the best ways of keeping good hydration status, in other words, drinking when thirsty and not otherwise. A different method of keeping good hydration status is to pay attention to your urine color. Urine color can vary from deep yellow too as clear as water. If your urine is dark yellow, you need to drink more as a lighter color is ideal and indicative of satisfactory hydration.

Beer helps in reducing kidney stones.

Myth: Beer helps in reducing kidney stones.

Reality: It is worse than water. Beer or alcohol may produce more urine by a diuretic effect but this can also be achieved by consumption of other oral fluids or water. Excess beer consumption increases the risk of oxalate renal calculi by increasing oxalate and urate content in urine.

Restriction of calcium in the diet helps to reduce urinary stone recurrence

Myth: Calcium is a major component of 75% of stones hence many people believe that restriction of dietary calcium is a logical means of preventing a recurrence.

Reality: Many studies have shown that severe limitation of calcium in the diet improves the recurrence rate of urolithiasis by increasing the oxalate absorption from the intestine. So calcium should be consumed in moderation and should not be restricted.

 

There are medicines to dissolve urinary stones

 

Myth: 80% of the urinary stones are composed of calcium oxalate or calcium phosphate. For these, there are no medicines available that can dissolve the stones.

Reality: In select patients with small uric acid stones (5 % of stones) or cystine stones (1-3% of stones), medications can potentially be used to help dissolve their stones. However, even in these, surgery may be required.

Shock Wave Lithotripsy (SWL) can be used to treat renal calculi of any size and form

Myth: SWL is used to operate only small calculi less than 2 cm. If ESWL is used to fragment larger renal calculi then these fragments may block the ureter or some of these fragments may remain in the kidney and lead to a recurrence.

Reality: Thus SWL for large renal calculi has poor success rates and is associated with a high risk of ancillary treatments for the residual calculi. Also, it is not ideal for very hard stones. It cannot be recommended as a universal treatment for all renal calculi but must be used selectively.

Staghorn or large renal calculi cannot be treated by endoscopic surgery ie PCNL

Myth: Open operation for renal calculi is done because the stone was “very large”.

Reality: Percutaneous nepholithotripsy (PCNL) is “the treatment of choice” for large renal calculi, irrespective of the stone size.

 

Clamp the catheter intermittently to maintain bladder tone

Myth: Patients who have been temporarily catheterized during an acute illness or after surgery have their catheter clamped intermittently before removal often starting 24 to 48 hours before removal of the catheter. It has been claimed that the bladder shrinks after it has been catheterized and the intention of clamping the catheter is to maintain bladder tone and capacity

Reality: There is no evidence, however, that the cyclical bladder filling produced by intermittent clamping has any effect on bladder capacity except in defunctionalized bladders. Patients undergoing prostatic surgery after several weeks or even months of catheterization void without difficulty after surgery and maintain normal bladder volumes.

There is pericatheter leak from the sides of the catheter; it must be too small-  “Put in a bigger one”

 

Myth: The leakage of urine around catheters is a common problem and has been reported to occur in 40-70% of catheterized patients. Although it is occasionally due to a blocked catheter, particularly if haematuria is also present, the usual In the catheterized patient these detrusor contractions may be caused by irritation of the bladder by the catheter balloon, by debris or stones within the bladder, or by infection.

Reality: The logical management of this problem is, therefore, to reduce to a minimum the volume of water in the catheter balloon either by partially deflating the balloon or preferably by using a catheter with 5 ml balloon capacity. The addition of anticholinergic medication may help.

Doing a prostate biopsy will spread any cancer that may be present.

Myth: Using a needle to obtain tissue samples of the prostate allows cancer cells to seed and implant along the needle track, or alternatively, into the blood or lymphatic vessels.

Reality: Although this is a theoretical consideration, millions of prostate biopsies performed every year and incidence of seeding is virtually non-existent and the potential risk can be thought of as being negligible.

 

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