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Sir I have a kidney stone pain. Taking homeopathy medicine for the last 10 days. But no benefit. meftal spas only help me from pain. Stone size is 5 mm.in lower ureter. Pls suggest me what to do. Can beer help me.
Lower Urinary tract obstruction refers to a condition of hindrance to urinary flow from bladder outwards. This can occur in all the age groups and affect either sex. The symptoms can be poor urine flow, intermittent flow, straining to pass urine or empty bladder, sense of incomplete emptying of bladder, difficulty in starting urination. Other problems can be increased urine frequency and difficulty to hold on with or without occasional urine leak in clothes. The cause and treatment vary in different age groups.
Few common reasons behind Lower urinary Tract Obstruction:
Congenital Urethral Stricture and PUV: These defects can be detected either before or after birth and need correction at earliest to avoid long-term complications. It is usually brought to attention by parents who observe abnormal urine flow pattern of their child OR found out during evaluation for repeated urinary tract infections.
Neurogenic Bladder: This is caused due to defects of nerves that are responsible for controlling bladder function. This can be due to diseases of brain, spinal cord or peripheral nerves. These defects can occur by birth or later in life. It is very important to take early consult to avoid long-term complications and progression to renal failure.
Urethral Stricture: This is narrowing in a long tube that starts from bladder to the external urinary opening. It can be idiopathic, post-traumatic, or due to urethral infections. Usually, a person is able to recognise poor urine flow and bring it to the attention of urologist. Treatment for stricture depends on various factors and range from simple endoscopic surgery to open surgeries.
Bladder Neck Obstruction: Bladder neck is a network or a group of muscles that connect the bladder to the urethra. The muscles tighten to hold urine in the bladder, and relax as they release it through the urethra. Urinary tract obstruction occurs when there are abnormalities blocking the bladder neck that restricts its opening during urination.
BPH: This occurs due to enlarged prostate obstruction urine flow out of bladder. Prostate enlargement is mostly age-related and rarely due to prostatic tumors. Urinary stones. This can be usually recognized by sudden obstruction to urine flow in person who was voiding normally. These episodes might be recurrent due to movement of stone in between bladder and urethra.
Bladder Tumors: The are mostly characterized by blood in urine. Sometimes there might be blood clots that obstruct the urine flow. Phimosis: Usually occurring post-puberty, it is referred to as the inability to retract the glans (the sensitive structure at the end of the penis). It is a condition in which the distal foreskin, which was previously retractable, is unable to retract anymore.
Phimosis: Phimosis is another major reason behind urinary tract obstructions.
Hello sir am take kidney transplant last 10 months know am all right all reports are normal Some time my bp 115/80 is this ok.
Kegel exercises are designed to strengthen the pelvic floor muscles. These
muscles support the bladder and bowel openings in both men and women.
Strengthening the muscles of the pelvic floor can aid in preventing leakage of
urine or feces with coughing, sneezing, lifting, and other stressful movements.
Other benefits of kegels include enhanced sexual function, conditioned muscles
to make childbirth easier, decrease and/or prevent prolapse of pelvic organs,
and improve the ability to pass stool.
Who should do Kegel Exercises?
? Women and men with urinary and /or bowel incontinence
? Women and men who have demonstrated weakening of the pelvic floor
? Pregnant women or women who have previously had children
? Middle aged and older women
What you need to know about Kegel Exercises
The success of Kegel exercises depends on the use of proper technique as well
as compliance to a regular exercise program. When doing the exercises, it is
important to identify the correct muscles of the pelvic floor. At first, most
people contract the abdominal or thigh muscles while neglecting the pelvic
floor muscles. This may actually worsen pelvic floor tone and incontinence.
Kegels may be done as a part of biofeedback, when some patients require
assistance. Biofeedback consists of placing a sensor on the abdomen and
around the anal area, which measure the contraction of the pelvic floor
muscles. Occasionally, an electrode may be placed in the vagina in women, or
in the rectum in men.
Three Steps to an Effective Kegel
? Learn to tighten the muscles around the vaginal/anal area
? Contract the vaginal and rectal muscles. Note that when you perform
steps 1 and 2 correctly, you should also feel the muscles around the anus
tighten slightly. This is normal, but do not consciously try to tighten
? In a quiet, relaxed setting with no distractions, practice your Kegels and
determine how long you can hold your contraction and how many you
can do before becoming fatigued. Do not do more than 5-10 reps at time
with a 3-5 second hold.
Detailed Instructions on how to do Kegels:
Step #1: The urethra?The Functional Stop Test
After partially emptying your bladder, stop your urine flow in a slow controlled
manner, paying attention to how it feels.
Note: Stopping and starting the urine repeatedly as an exercise can be harmful
and should not be done. Holding your urine can contribute to bladder
infection, causing damage to normal urinary reflexes. The Functional Stop Test
is useful for assessing what it feels like to gradually stop urine flow, and should
not be done more than once per urination.
Step #2: The vagina and rectum as your window to the pelvic floor
For this step, you will internally assess the ability to squeeze and elevate the
muscles around the opening of the vagina or rectum, while lying on your back.
This is accomplished by inserting one finger into the vaginal or rectal opening
while you try to lift and squeeze with the muscles. Pay attention to how this feels.
Step #3: Putting it all together
Begin practicing while lying on your back with your knees bent, or lying back
with pillows under your head and shoulders. When your knees are bent you
should have pillows under them so that the muscles around the hips and
buttocks can relax. In this position, you can practice the actual Kegel, which
involves lifting and tightening the pelvic floor all at one time. This will be a
combination of what you felt when you gradually stopped urine flow, with the
feeling squeezing and elevating the muscles around the vaginal or rectal area.
How long and how many?
When you are first starting out, it is common to find that you can only hold a
Kegel for 3-6 seconds, and that performing 3-6 repetitions causes muscle
fatigue. When this happens, you are usually performing the exercise correctly.
If you find you can hold it for much longer right away, recheck your technique.
For patients with incontinence or pelvic floor weakness, it is important to
concentrate on correctly performing the technique and gradually improving the
muscle quality and tone, even though you may be weak first starting out.
Making Kegels a part of your life
After you have become experienced in performing these exercises, you will
want to do them as follows:
? A series of strong, steady squeezes for 8-10 seconds each ? Try to do 8-10 at a time
? For most people, 30 repetitions per day are adequate.
As they get easier, you will find you can do them while sitting or standing, for
example, you can do them while driving, working on the computer, or waiting in
Please note that you may not see any noticeable change in bowel / bladder
control for a while. In some cases it may be many months.