Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.

These are called Hunner s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner s ulcers are seen only in people with intestinal cystitis, it s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.

Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the  loo  as much as 40, 50, or 60 times a day.

Diagnosis
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner s ulcers are both a diagnosis of exclusion. This means that they re diagnosed only after a number of other conditions have been ruled out.

Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.

Treatment
There's no cure for IC, but Hunner s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.

Pain medicines are the first line of treatment to manage Hunner s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner s ulcers.

Hunner's Ulcer In Urinary Bladder - How They Can Be Treated?

Gallstone removal surgery is mainly of two types i.e. keyhole surgery and open surgery. In the case of the former, the patient is not required to stay in the hospital after the surgery, but in the case of the latter, the patient cannot be immediately discharged. Even though after the surgery the amount of bile that is necessary is made by the liver, still patients sometimes feel difficulty in digesting foods with fatty acids. But there are some steps which you can undertake that will give you relief from the complications that arise after the surgery.

A proper diet: A proper diet is very necessary for the fast recovery of your gall bladder. So, introduce different food groups gradually. To start with you can have liquid foods like broth or gelatin and then progress to solid foods. You should avoid fatty foods and fried foods as much as you can. Maintain a low-fat diet. Hence, the food items which you must discard from your list includes pizzas, creamy soups, burgers, chocolate, spicy foods, meat gravies and oily foods. And probably after a month, you can start eating the high fiber foods like nuts, legumes, whole-grain bread, broccoli, cabbage and others which would help prevent constipation.
Do some mild exercise: Exercise is essential in improving body condition in any circumstance, and gallstone removal surgery is no exception. Heavy exercise that will place stress on your wounds is not recommended. You can go for a walk or indulge in such mild workouts. Any physical activity that causes discomfort should be stopped immediately.
Increase your fluid intake: Don t let your body be dehydrated. Drink water from time to time. Dehydration will slow down the recovery process and also result in fatigue. Drink fruit juices too as they will not help in restoring the nutrients in your body but also prevent dehydration.
Take care of your incision area: Taking care of the cuts is very important otherwise they might get infected. So take care of your incisions and change the bandage regularly. Wash the area carefully, and you can apply any antiseptic too but only with the advice of the doctor. You must avoid swimming pool or warm water or bathtub till the incision is completely healed.
Take pain medications if it becomes unbearable: If you experience too much after the surgery, then you can ask your doctor to prescribe some pain medications that will help you with the pain. However, don t panic as the pain is completely normal in the initial days and you may even feel pain in other portions of the body like your shoulders as well.
With these points in mind, you will be able to recover very fast and resume your normal day-to day activities in no time.

Gallstone Removal Surgery - Get Relief In A Fast And Easy Way!

The kidneys make urine, which is a fluid through which wastes from the body including urea are eliminated from the body. There are two kidneys on the right and left side, which make urine, and pass it down to the bladder through tubes known as ureter. The bladder acts as a reservoir of the urine that is formed in the kidneys. It is stored temporarily there before being excreted out of the body through the urethra. The urinary bladder is a highly muscular organ and has a rich connective tissue. 

Interstitial cystitis (IC) or painful bladder syndrome (PBS) is a very common condition, which affects females more than males. While the exact etiology is not known, it could be age-related and also lifestyle related. People who are used to controlling the urge to pass urine are highly likely to develop this condition. The simple logic is that there is additional pressure on the bladder from the urine that is contained for longer period of time. As such, the muscular wall stretches and begins to feel stressed.

When this habit continues over a period of time, the bladder wall may become irritated or inflamed or even scarred in severe cases. There is no role of bacteria in this condition, and antibiotics are of no help in managing this condition (though the name cystitis usually indicates infection).

The following symptoms are seen as a result of this constant irritation and inflammation.

One may suffer from pain and pressure in the bladder as it continues to collect more and more urine.
This pressure in the bladder also puts pressure on the surrounding tissues in the abdomen including the pelvis, urethra, abdominal organs, uterus, etc.
Women may experience pain in the vaginal tract including vulva and behind the vagina.
Men may experience pain in the area of the scrotum, testicles, prostate, and penis.
There is an increased urge to urinate, which may be as much as 9 to 10 times a day. As the condition progresses, there could be more visits, as many as 40 to 50 visits a day.
This tendency and urge to urinate increases during nighttime.
For women, this urge to urinate and other symptoms including pain are worse during menstruation.
There could be pain during intercourse for both men and women.
There could be pain even otherwise, which can range from a mild dull ache to a piercing pain.
At a structural level, this constant pressure leads to pinpoint bleeding (glomerulations) and sometimes even ulcers in the bladder wall.
There is no definitive treatment for IC or PBS. However, bladder distention and instillation are proven methods of increasing bladder capacity, which therefore helps in relieving symptoms.

Painful Bladder Syndrome - Know The Signs!

The liver is a vital organ within the body, which functions as a filter for the blood that comes from the digestive system. One of the conditions that afflict this organ is fatty liver, which occurs due to the accumulation of triglycerides within it. There could be multiple reasons behind this, such as alcoholism, obesity, pregnancy, hepatitis among many others. Homeopathy has some great treatments for fatty liver disease, depending on the cause.

1. Nux vomica: one of the major reason of developing a fatty liver is alcoholism. While drinking moderate amounts of alcohol isn't harmful, the tendency to drink very regularly will lead to fatty liver disease. In such cases you may feel pain in the abdomen, especially a few hours after eating. You may also suffer from constipation with cravings for fatty and spicy food. Nux vomica is thus prescribed in these conditions.

2. Phosphorus: fatty liver has many symptoms, which may manifest differently in different people. Many people complain about indigestion and sour belching. Your liver area may be painful and you may also vomit. You may constantly crave for foods such as ice-creams, juices and cold drinks. In such case, s you may feel weak after passing stool. Phosphorus is a great remedy in such cases.

3. Chelidonium: this is one of the best overall remedies for fatty liver. Some of the symptoms where chelidonium may work are as follows:
A) pain in upper right abdomen
B) enlargement of liver
C) constipation
D) jaundice along with fatty liver
E) feeling excessively weak
F) craving for hot drinks and hot foods

4. Calcarea carb: if you are obese or fairly overweight and suffer from fatty liver, calcarea carbonica can be very effective in treating the symptoms. Some of the symptoms exhibited by the patients where this medication is effective would be a yearning for eggs, profuse sweating and sensitivity to air if it's cold.

5. Lycopodium: this medication is very effective in treating fatty liver disease, especially if you suffer from gastric issues and acidity. You may have symptoms like, bloating of the stomach, burning of the esophagus when belching or burping and pain in the upper right abdomen. You may also exhibit cravings for hot drinks and sweets.

5 Homeopathic Remedies for Fatty Liver

Top Remedies To Get Rid Of Acidity

Over eating or spicy food gives us regular or once-in-a-while acidity. While we all love to indulge in good food, at times, we are forced to abstain for fear of the acidic reaction that follows. 

Follow these simple home remedies which can cure and help combat acidity.

1) Cold milk - milk has calcium which stops acid build up in the stomach. For immediate relief from acidity, it is advised to drink a glass of cold milk.

2) Fennel Seeds - if you have had a spicy or a heavy meal, chew on some fennel seeds as is the habit in india, traditionally.

3) Ginger - ginger has anti-inflammatory properties which help cure acidity. All that one needs to do is chew on a slice of ginger. If you have a chronic acidity problem, you can make it a habit to drink the water with ginger boiled in it.

4) Cloves - if you face problems with acidity regularly, it is advisable to carry cloves with you at all times. Chew a few cloves everytime you feel acidic.

5) Basil Leaves - chew basil leaves at the first sign of acidity. Alternatively, you can also boil 3-5 leaves in a cup of water for a few minutes. Drink this water for relief. While you can add honey for taste, do not add milk.

6) Cinnamon - boil half a teaspoon of cinnamon powder in a cup of water for a few minutes and drink it throughout the day.

7) Buttermilk - lactic acid in buttermilk helps dilute the acidity in your stomach. Drink chilled buttermilk bit by bit throughout the day or until you get relief.

8) Cardamom - cardamom is known to sooth the inner lining of our stomach to reduce the effects of excess acid produced in the stomach. You can crush a couple of cardamom pods, boil in water, and drink it for instant relief.

9) Mint Leaves - mint leaves help digestion and in lowering the acid content in our stomach. Boil some chopped mint leaves in water, cool the water and drink it.

10) Banana - bananas contain natural antacids. Potassium in bananas keeps the acid production in your stomach under check. Eat a ripe or overripe banana to beat acidity.

If you have any further questions, ask me by clicking on'consult.

From lybrate: if you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media.

Top Remedies To Get Rid Of Acidity

The liver is a vital organ in our body because it performs many important functions. This includes filtering harmful substances in our blood, producing bile to facilitate digestion of food, storing energy and nutrients as well as producing hormones and enzymes that the body uses for performing essential functions. However, too much consumption of alcohol can affect the liver, lead to serious consequences related to our health, and also result in an alcohol-related liver disease (ALD). An ALD may, in turn, cause disruption of the digestion process and weaker immune system. It may even increase the risk of developing cancer.

Causes:

As the name suggests, the prime cause behind the development of alcohol-induced liver disease is the consumption of alcohol for a long duration. However, some of the other causes behind the development of alcohol-induced liver disease include the presence of an existing liver disease such as fatty liver or hepatitis, inherited liver disease, or a liver disease induced due to excessive or prolonged consumption of certain drugs.

Alcohol-induced liver diseases (ALD) can be of three types. 

Alcoholic fatty liver disease: Alcoholic fatty liver disease or steatosis occurs due to the deposition of fats in the liver, which is an end result of excessive alcohol consumption.
Alcoholic hepatitis: Too much of alcohol consumption can also lead to liver inflammation, which is called alcoholic hepatitis.
Alcoholic cirrhosis: This alcoholic-liver disease occurs when the liver is scarred due to excessive consumption of alcohol. In this case, the healthy and soft liver tissues are replaced with dead and hard tissues.
Symptoms: Some of the signs and symptoms, mostly related to ALD, are not noticed in the initial stage. It is only after a few years that the symptoms may appear. Some of the common symptoms include abdominal pain, loss of appetite and weight loss, swelling in the abdomen as well as the legs, feet, and ankles, a yellowish appearance of the skin, itchy skin with hair loss, and bleeding and complications such as liver cancer or ascites.

Diagnosing alcohol-related liver disease is based on your history of alcohol consumption. But, there is no single test that can detect this type of disease, so a combination of tests will be suggested by your physician before a specific type of alcoholic liver disease is diagnosed.



Ayurvedic Treatment

Ayurveda is known to be greatly beneficial for the treatment of alcohol-induced liver diseases. The use of natural ingredients like herbs can not only treat the liver disease but also promote the overall well-being of the liver. The treatment will include abstinence from alcohol, as it is very important when it comes to undoing the damage that alcohol has caused to your liver.

There are some home remedies also which are only supportive in case of Alcoholic fatty liver, but if you are suffering from alcoholic hepatitis and ALD related liver cirrhosis you must need proper line of treatment under a well experienced and expert Ayurvedic doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!

Alcohol Related Liver Diseases - Ways Ayurveda Can Help With It!

Don't wait any longer, manage your Gastroenterologist online with a Lybrate doctor today

Consult for Gastroenterologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES