Shree Srinivasa Uro Care

An overactive bladder is a condition that is characterized by a problem in the bladder storage function. This condition can cause problems in your social and work life. You may isolate yourself from others and feel embarrassed about the situation.

Symptoms
If you have an overactive bladder, you may exhibit symptoms of frequent urination, involuntary leakage of urine and frequent urge to urinate. These symptoms might disrupt your daily life; so it is important to seek advice from a medical practitioner.

Causes
To better understand what causes an overactive bladder, you need to know how the urination process works. Urine is produced by the kidneys, which flows to the bladder. During urination, the urine is excreted from an opening in the bladder and flows out via the urethra. As the kidneys secrete urine, the bladder starts to fill up. During this stage, nerve signals are sent to the brain; signals that trigger your body to urinate. The bladder muscles tighten that pushes the urine out of the body.

An overactive bladder results from the involuntarily contraction of the bladder, which might happen even if the content of urine in the bladder is low. These contractions create the urge to urinate. The various causes of an overactive bladder are:

1. Excessive fluid intake, if your fluid intake is high, then you may have the tendency to urinate frequently.
2. Presence of tumors or stones in the bladder can make the bladder overactive as well.
3. Excessive alcohol or caffeine consumption has the same effect as an excessive intake of fluids has.
4. Urinary tract infections may interfere with the entire process of urination, thus causing your bladder to swell up and become overactive.
5. Other diseases and conditions such as constipation and an enlarged prostate can hamper bladder functioning.

Treatment
There are multiple approaches to treat an overactive bladder; your doctor may use one or a combination of multiple methods.

1. Medications: Medications such as Trospium and Tolterodine help in relaxing the bladder. These medications help treat symptoms of frequent urination.
2. Bladder injections: Botox is a protein that is injected into the bladder that causes partial paralysis of the bladder muscles. This helps in treating the constant urge to urinate. However, its effects are temporary as they last for 6-9 months.
3. Lifestyle modifications: Certain lifestyle modifications such as incorporating exercises to strengthen the pelvic muscles, maintaining optimal weight levels and bladder training to control its functioning can help with managing an overactive bladder.
4. Surgery: If the other treatments do not produce the desired results, then surgery is usually recommended. The aim of the surgery is to enhance the storage capacity of the bladder and reduce bladder pressure.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Urinary incontinence is a problem that can affect anyone. Urinary incontinence is the loss of bladder control or the ability of a person to control his/her urine output. It is an embarrassing problem as the urgeto urinate and lack of bladder control can occur even when you are in the middle of something important. This condition is classified by its severity and ranges from the occasional urine leakage to the discharge of urine so suddenly that the person will not be able to make it to the toilet in time.

Symptoms and types:
The symptoms of urinary incontinence are to do with urine output, and can be categorized by minor leaks of urine to moderate amounts. In some cases, the urine discharge can be sudden. This condition is more common among the elderly.

Types of urinary incontinence:

1. Stress incontinence: The leakage occurs when you are exerting pressure on your bladder, and can include instances of coughing, sneezing, exercising or even lifting something heavy.
2. Urge incontinence: There is an intense urge to urinate followed by an involuntary loss of urine. The sensation or urge to urinate will be often. This can occur throughout the night too and can cause discomfort both physically and mentally.
3. Overflow incontinence: This is experienced when your bladder does not empty completely. As a result, you would be experiencing constant dribbling of urine. No matter how many times you go to the toilet, the dribbling will continue.
4. Functional incontinence: This type of incontinence is caused by an impairment, disorder or condition that prevents you from making it to the toilet in time. For example, if you are elderly or if you have severe arthritis, you may not be able to reach the bathroom in time.
5. Mixed incontinence: This happens when you experience more than one or two types of the above mentioned urinary incontinence.

Urinary incontinence is not a disease, but could be a symptom of an underlying condition. Do consult with your physician if you notice these symptoms and get treated for it. A simple urinalysis will help to determine and diagnose infections and other disorders causing this condition.

Prevention:
There are many factors that can put you at risk. Most involve everyday habits and the food that we eat. There are certain drinks such as alcohol, caffeine, aerated drinks, and chocolate drinks that can also stimulate your bladder and can increase the output of urine temporarily. Reducing your intake of these beverages particularly at night and limiting your intake of spicy foods could help you deal with this condition.

Making a few healthy lifestyle changes such as maintaining a healthy weight and regular exercises to strengthen the pelvic region can help to prevent conditions such as urinary incontinence. Watch what you eat and curb your intake of acidic and spicy foods. Also, limit or reduce your consumption of foods high in preservatives. Quit smoking and reducing the intake of alcohol will also be beneficial.

Coping with urinary incontinence can be embarrassing. Hence talk to your doctor about it and get medical attention immediately. Using adult diapers could help reduce the stress and embarrassment involved with this condition.

The kidneys may be a pair of small organs but they perform a very important function. Without the kidneys, it is impossible to filter blood and remove toxins from the body. One of the common problems associated with kidneys is the development of a kidney stone. This can be described as a hard, pebble like substance that is formed when urine contains high levels of certain minerals. Kidney stones vary in size and shape. Small stones may pass through the ureter into the bladder and out of the body with minimal discomfort. However, in some cases, a kidney stone can be as large as a golf ball. In such cases, it can block the urine flow and cause extreme amounts of pain as well as bleeding. In such cases, a doctor needs to be consulted as early as possible.

There are four different types of kidney stones.

1. Calcium Stones: This is the most common type of kidney stones. It is caused by excess calcium that is not flushed out with the urine.
2. Uric acid stones: Highly acidic urine can trigger the development of such stones. This may be caused by excessive consumption of meat, fish and shell fish.
3. Struvite stones: This is often formed as a side effect of Urinary tract infections. These stones may develop and grow rapidly.
4. Cystine stones: These stones are formed as a result of a genetic disorder known as cystinuria. This disorder causes an amino acid known as cysteine to leak into the urine.

Kidney stones are a fairly common occurrence. It affects both men and women but men have a higher risk of developing kidney stones as compared to women. Other risk factors that can influence kidney stones are:

1. Family history of kidney stones
2. Not drinking enough water
3. Obesity
4. Digestive problems
5. Recurrent UTIs
6. Gout
7. Bowel inflammation
8. Disease that causes blockage of the urinary tract
9. Certain medications such as diuretics or calcium based antacids

Once a person has been diagnosed with a kidney stone, this issue can recur. Treatment for kidney stones depends on the type of stones, size and location. In most cases, medication is prescribed to help break the stone down into smaller parts so that it can pass through urine. In extreme cases, surgery may be required. If not treated in time, it can cause severe pain, bloody urine, UTIs that can further lead to kidney failure and reduced kidney functioning.

Kidney stones can be prevented by drinking plenty of fluids and making a few dietary changes. Ideally, a person should have a minimum of 8-10 glasses of water a day. If you have a high risk of developing any type of kidney stones, reduce your sodium consumption and the amount of meat eaten. In case you have a concern or query you can always consult an expert & get answers to your questions!

The urologic system includes all problems related to the urinary system including the kidneys, bladder, ureters, urethra, and the prostate. These problems could range from trauma, injury, inflammation, infections, and muscular problems like overactive bladder, prostate hypertrophy, sexual disorders (candidiasis, erectile dysfunction, etc.), tumors or overgrowths, infections of any part along the entire tract, and even erectile dysfunction.

Let us quickly look at the most common ones kidney stones, urinary tract infections, prostate enlargement, erectile dysfunction, and vaginal candidiasis.

1. Kidney stones: These are calcium deposits, which can seat themselves in any part of the kidney and sometimes even in the ureter. These can cause significant sharp, shooting pain in the back of the abdomen. The pain is almost diagnostic, and while small stones may pass on their own, others may require shock wave lithotripsy to break the bigger ones into smaller ones, which can then pass on their own through urine. Dietary modifications may also be required to prevent the formation of stones, as most people tend to have recurrence of stones.
2. Prostate hypertrophy: One of the most common problems faced by ageing men is benign prostatic enlargement (BPH). There would be a constant urge to urinate, simultaneous difficulty initiating a stream and a feeling of incomplete emptying. These happen more at night, and diagnosis is very easy, any elderly male who shows these symptoms is almost diagnostic of BPH. This requires a standard surgical procedure known as transurethral resection of the prostate, which is a same-day surgery and quite non-complicated.
3. Urinary tract infections: This is one of the most common infections, which can be acquired from the use of public bathrooms and unhygienic bathroom practices. There is chance for infection of the entire tract starting from the urethra to the ureter, the bladder, and the kidney. These run the course of any infection. Treatment is usually with a course of oral antibiotics along with symptomatic treatment of the other symptoms like fever, muscle ache, etc. In very rare cases, systemic antibiotics may be required.
4. Erectile dysfunction: One of the most common, but undisclosed male sexual problem is erectile dysfunction. There is inability of the male to achieve and/or sustain an erection, sufficient to have a satisfactory sexual intercourse. This has both physical and psychological reasons, and may also be due to hormonal imbalance. Very often, a discussion with a counselor would be required to treat the couple, as involving the partner is very important.
5. Vaginal candidiasis: The normal vaginal flora is very rich with the fungi Candida, and when immunity is low, candidiasis develops. There could be symptoms like foul-smelling discharge, itching, and redness. A course of topical antifungal agents is usually effective in treating this condition.

In case you have a concern or query you can always consult an expert & get answers to your questions!

The word colic directly refers to the colon. Colic pain is a sharp abdominal pain followed by bouts of crying usually occurring in infants below the age of one year. The pain only last for a short period of time ranging from a few weeks to a couple of months. Very few number of babies will cry endlessly indicating towards an underlying condition.

It is mainly characterized by sharp crying for supposedly no apparent reason, irregular sleep patterns, and restlessness or owing to deviation from normal postures. The apparent causes of colic pain include indigestion and negative reaction of the sensitive gut to the breast or formula milk, although no concrete cause of the state has been discovered.

Doctors often suggest home remedies such as swaddling, pacifiers, holding and comforting the baby and more frequent feedings to reduce the condition. Since it is so common among infants and relatively less harmful, no proper medication is usually given. Physicians suggest mothers to reduce the content of caffeine, alcohol or spice in their diet. Sometimes a warm bath, burping the baby or going on more frequent walks is useful. Background music draws the attention of the baby and hence drives their focus, away from the abdominal pains.

Colic pains are mainly treated by care rather than medicine. The baby is made to feel comfortable and the distress is reduced just by being around the infant. The primary care giver plays an important role in consoling the child and helping them get through the sudden pain which further plays a significant role in personality development. Colic pains are extremely short lived and probably one of the first few challenges of parenthood. They are primarily dealt with care and feeding except in extreme cases where medicinal cures such as lactase drops and simethicone drops are used to treat the abdominal pain.

Urological problems such as urinary tract infection, urinary incontinence, and kidney stones are highly prevalent across gender and age groups. But there are several simple measures you may undertake to improve urological health and prevent such problems.

Read on to know how to go about it.

1. Drinking adequate amount of fluids: Waste products are mostly eliminated through urine, and when you drink more water, you will be able to remove more toxins from the body. The general recommendation is having 8 glasses of water in a day even though this varies on an individual basis. You must also consider drinking cranberry juice which offers protection from various types of infections of the urinary tract. And you should drink an extra amount of water while exercising and when you are spending a lot of time outside as you might excrete more water through perspiration.
2. Cutting down the intake of caffeine and alcohol: Both alcohol and caffeine act as a diuretic and they irritate the lining of the urinary bladder. This causes frequent urge to urinate.
3. Avoid holding urine: You should never practice holding the urine for a long span of time but try going to the toilet whenever you feel the urge.
4. Controlling the daily intake of salt: When you consume too much of salt, the sodium in the body increases and it causes retention of fluids in the body. This is invariably linked with high blood pressure which can cause damage to the kidneys and formation of kidney stones. Thus, it is essential to reduce the intake of canned foods, fried stuff, and processed foods.
5. Keeping the genital area clean: You should always aim to keep the genital area clean by washing it with plain water or some mild cleanser once in a day. Also, while indulging in sexual intercourse, bacteria along with other micro-organisms can enter into the urinary tract causing infection. Women are at a higher risk of developing urinary tract infections since they have a shorter urethra. Male groins and female vaginas are considered breeding grounds for different pathogens which can transfer from one partner to another during intercourse hence care should be taken.
6. Preventing urological problems in women: Once you use the washroom, you should wipe the genital area from the front part to back. You should not use perfumed soaps and cleansers in the vaginal areas. Wearing cotton panties is always a healthier option than other fabrics. One should also avoid using vaginal deodorants and spermicidal creams to prevent infections.

Though numerous treatment options are available for these disorders since prevention is always better than cure, adopt these practices to steer clear of these common problems. Further, incorporating lifestyle changes such as eating a balanced diet coupled with exercise and leading a stress-free routine can pave the way for general good health.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Those two, small bean-shaped organs are indeed essential for a perfectly healthy life. To check if a person is dead or living, medical practitioners need to confirm response from three organs of the human body heart, brain and kidneys. Kidneys absorb impurities from the blood, thus, purifying it and lead to the production of urine. Urine is necessary to rid your system of body wastes. Kidneys play a key role in maintaining hormone balance. The presence of any factor that could impede free functioning of this organ should be diagnosed, treated and eliminated at the earliest possible. Kidney diseases and subsequent kidney failure see no age bar. It affects both young and old people. In case of younger folks, the symptoms take years to surface and thus the chances of a fatal outcome are even higher.

Causes of kidney failure at a tender age:

1. Chain smoking is a trigger: Smokers suffer from a higher risk of kidney failure. Smoking is a bad habit that has engulfed almost ninety percent of young adults. Irrespective of awareness programs and warning messages, there are millions who smoke nonchalantly. Smoking is known to impair kidney function which again can have frightening implications.
2. High blood pressure levels must be controlled: Since stress is a common phenomenon among most individuals high blood pressure is also prevalent among a majority of these individuals. Younger people suffer from high blood pressure due to workplace politics and familial tensions. High blood pressure should not be taken lightly. Exercising and regular medications should be opted for in order to counter the threat of kidney failure at a young age.
3. If you are obese, you are stepping closer to the threat: If not optimal; being close to the optimal body weight is very necessary to keep health disorders in check. If you are obese, you are not safe; one must make efforts to lose weight or else face the alarming situation when his or her kidneys fail to function properly.
4. Consumption of junk food can cause complications: Junk food is fatty. One must keep away from high-protein and high-fat diet. Food items rich in protein and fats can push you towards chronic kidney diseases.
5. Genetics may discern the health of your kidneys: The incidence of kidney failure in your family history can make you prone to a similar condition. Extra care should be taken to avoid any such possibility. Regular health check-ups should be undertaken. In case you have a concern or query you can always consult an expert & get answers to your questions!

The prostate gland in a man begins to grow in size on reaching 25 years of age quite naturally, and this is known as benign prostatic hyperplasia abbreviated as BPH. Now the problem arises when the enlargement of the prostate is more than normal.

In men, the urine flows through the urethra from the bladder. An abnormally enlarged prostate blocks the flow of urine through the urethra. The cells of the prostate slowly multiply to cause it to enlarge. This puts pressure on the urethra thereby giving rise to a number of problems, most of which manifest as symptoms.

Common Symptoms of an Enlarged Prostate Gland
The condition of enlarged prostate gives rise to some noticeable symptoms which provide the signs that you need to visit a doctor to get it treated. A weak or slow urinary system is one of the most common symptoms of being affected with an enlarged prostate. This includes urinating more often, an increase in the urgency to urinate, difficulty in starting urination and a feeling of incomplete bladder emptying immediately after urinating. At times, it is seen that passing urine becomes very strenuous. All these above symptoms indicate that there is an enlargement of the prostate gland and medical help should be sought immediately to prevent the condition from worsening.

Steps to Manage an Enlarged Prostrate

• Effective medication is usually the first step in the management of an enlarged prostate gland. Alpha blockers are the drugs that are most commonly used in this situation. These drugs do not reduce the size of the prostate, but they are great in relieving the symptoms to allow free and painless passage of urine. Another group of drugs known as 5-alpha reductase inhibitors can help in shrinking an enlarged prostate. The drugs work by the reducing the levels of the male hormone called dihydrotestosterone.
• In some advanced stages of prostate enlargement, minimally invasive treatments are used for the effective management of the condition. Transurethral Microwave Thermotherapy or TUMT is used to treat mild blockages that reduce the frequency of urination, the urgency, and straining. However, it is not able to correct the bladder emptying issues. Transurethral Radio Frequency Needle Ablation or TUNA helps in the destruction of the prostate tissues resulting in an improvement in the flow of urine.
• Prostatic stents are also sometimes used for the management of the condition of an enlarged prostate. In this treatment procedure, a small metal coil is inserted into the urethra for widening it and keeping it open. In most severe case of prostate enlargement, only surgical methods remain as the opted method of treatment. Laser surgeries are performed to destroy the tissues of the prostate for easing of the condition. Ultimately, an open prostate surgery is performed when the transurethral procedure cannot be used. In this surgery, the tissues of the prostate are removed by the surgeon in case of great enlargement.
• The condition of an enlarged prostate gland requires medical attention and treatment for the most effective management, and it is best that a medical professional is consulted as soon as any of the symptoms surface.

Enlargement starts usually after 50 years. Surgery 'Transurethral resection of prostate (TURP)' either by monopolar or bipolar electrocautery. Enucleation of prostate by laser is also an option. In case you have a concern or query you can always consult an expert & get answers to your questions!

Blood in urine, medically known as Hematuria is not usually a cause of concern, but it can translate into an adverse condition if left unevaluated. The kidneys and other structures in the urinary tracts such as urethra (tube connecting the bladder to the outer part of the body); bladder (that stores the urine) and ureters (tube joining the bladder to the kidney) are the sources of blood flow to the urine. Hematuria can be accompanied by symptoms such as discharge of tea-colored, brownish-red or pink colored urine due to the presence of red blood cells, traces of which can only be detected under the microscope.

Underlying causes behind this disorder might be

1. Urinary tract infection is where the bacteria enter the body through the urethra and begin to proliferate in the bladder.
2. Kidney infections (pyelonephritis) is when bacteria infiltrate into the kidneys from the bloodstream or travel up from the uterus to the kidneys.
3. A kidney or a bladder stone is marked by the minerals in the concentrated urine precipitating out and molding into crystals that deposit on the bladder or kidney walls.
4. Enlarged prostate is a condition in which the prostate gland, that is situated just below the bladder surrounding the upper part of the urethra, starts growing as males head towards their middle age.
5. Kidney disease such as glomerulonephritis causes swelling of the kidneys, thus disrupting the filtering system.
6. Bladder, kidney and prostate cancer are also possible causes.
7. Hereditary disorders such as sickle cell anemia (a hereditary disease of the red blood cells in the hemoglobin) can also pose as a cause behind this disorder.
8. Kidney injury as a result of heavy blows, accidents or injuries sustained while playing a spot can also contribute to this condition.
9. Medications such as penicillin or the anti-cancer drug ‘cyclophosphamide’
10. Strenuous physical exercises like intense workout or running may also result in Hematuria.

Treatments
There is no fixed cure for Hematuria; instead the doctor would work on treating the repressed conditions behind the symptoms, such as prescribing antibiotics to heal the urinary tract infection or a medicine to shrink and normalize the enlarged prostate or administer a shock wave therapy to destroy the kidney or bladder stones. 

In case you have a concern or query you can always consult an expert & get answers to your questions!