The presence of blood in urine is known as Haematuria. It is categorized under 2 types:

    Macroscopic haematuria, which means the patient has seen blood.
    Microscopic dipstick haematuria, which means blood is identified by urine microscopy or by dipstick testing either in association with other urological symptoms (symptomatic microscopic haematuria) or during a routine medical examination. It has been variably defined as 3 or more , 5 or more or 10 or more Red Blood Cells (RBCs) per high - power field.

Urological and other Causes of Hematuria

    Cancer: Bladder, Kidney and Prostate Cancer
    Stones: Kidney, Ureteric
    Bladder Infections: Bacterial tuberculosis, infective urethritis Inflammation
    Interstitial Cystitis Trauma : Kidney, bladder, urethra, pelvic fracture causing urethral rupture
    Renal cystic disease: (e.g. medullary sponge kidney)
    Other urological causes: Benign prostatic hyperplasia, vascular malformations
    Other medical causes of haematuria: anticoagulation therapy (e.g. asprin, anti platelet therapy) Nephrological Causes: more likely in children and young adults, proteinuria; red blood cell casts.
    Urological investigations: Urine culture, urine cytology, cystoscopy, renal ultrasonography and intravenous Urography and CT Urography.

Management of haematuria depends on the cause as determined by the urologist.

Causes and Treatment for Hematuria

A loss of tooth or teeth is one of the biggest dental problems that someone can face. The irony is that people consider loss of teeth to be very insignificant. But in reality loss of teeth can lead to not only cosmetic problems, but also functional problems and an unstable chewing mechanism.

Loss of teeth can lead to many problems. Some of them are:
1. Supra eruption of opposing teeth
2. Compromised efficiency of chewing
3. Adjacent teeth might drift into the space created by missing teeth
4. Food tend to accumulate between teeth, which have moved
5. Food accumulation also leads to periodontal disease and caries
6. A lopsided chewing pattern as there is loss of equilibrium in the mechanism of chewing
7. The extracted area might reveal a loss of bone height
8. Problems of the temporomandibular joints, like closed bite and tmj osteoarthritis
9. The existing functional teeth might lead to problems due to overload
10. There are increased chances of cheek biting due to collapse of the cheek in the missing space, thus leading to functional and cosmetic problems
11. The frequency of tongue biting and ulceration might increase in the area of missing teeth or tooth
When missing teeth are replaced, one can easily restore the healthy look of the teeth and also prevent any other dental problems which are due to the missing teeth.

While replacement of the missing teeth it is of utmost importance that the equilibrium is maintained with the distribution of the forces caused by chewing. Care is also taken that the cosmetic outlook is also maintained in the treatment. 

Ideally the teeth when extracted or lost should be immediately replaced. This is because the replacement prevents the bone resorption or bone loss in the area and also retains the good bone. But a drawback is that such an immediate replacement might lead to limitation. Immediate treatment is usually done with the help of implants which easily fit in the sockets created by extraction. But even for this an analysis of the bone and gum health is necessary, thus leading to only a few instances for such replacements. Other alternative is that immediate removable dentures can be prepared and these can be replaced once the gums of the area have healed. The time period for this is usually 3 months. If these need to be fixed permanently then a waiting period of 3 months is mandatory for the settling and healing of the gums and bone of the area.

The 3 basic ways of fixing missing teeth are through implants, fixed bridgework (bridges and crowns) and dentures, which can be removed.

Missing Teeth and Problems Associated With It

6 Natural Treatments for Constipation Relief

Constipation can make you miserable. Though medically defined as less than three stools a week or worse, daily bowel movement is essential to keep healthy and feel fresh. Caused by slow movement of food through the digestive tract, constipation can occur due to poor bowel habits, eating less fiber, medications, hormonal issues or some other disease. However, it can be easily fixed with fiber, fluids and frequent exercising. You can try these natural treatments to relieve your discomfort and keep it away:

1. Coconut Oil and Flaxseed - A great combination
Coconut oil is a wonderful hydrating agent and eases stools. Flaxseeds help in the elimination of toxins, excess fat and cholesterol from the body. So in one tablespoon of coconut oil, add half a teaspoon of flaxseeds, chew well and eat this every morning.

2. Harad or Terminalia Chebula Myrobalan - A Wonder Fruit
An important ingredient of Triphala, harad is a wonder fruit that has amazing health benefits. One of these is relieving constipation. Take the small black variety and roast it with few drops of Ghee and grind to store. 5-6 gms daily with water at night will relieve constipation.  

3. Yogurt - Excellent Source of Probiotics
Probiotics which contain beneficial bacteria are a great remedy for constipation. However, you can take the humble homemade yogurt full of beneficial bacteria in your meal every day and get relief from constipation.

4. Fiber Fix - Figs and more
Fiber helps to bulk up your stool making the bowel movement faster. Figs are a great source of soluble fiber and you can soak 2-3 overnight and have both the fruit and the sweet water to get regular bowel movement. You can also include high fiber whole wheat bran cereal to your diet for added benefits.
Do not forget to back your fibers with 8-10 glasses of water as you increase your intake.

5. Baking Powder - The Versatile Solution
Baking powder has an alkalizing effect and eases movement through the bowels. Add a teaspoon to   cup of warm water and drink it quickly for best results.

6. Oatmeal Tea - When things are Severe
Oatmeal is fibrous, Honey is healing and moisturizing and Chamomile is an anti-inflammatory agent which soothes the stomach. Together, they can stop severe constipation. So, take a cup of water and add three teaspoons of oatmeal, a Chamomile tea bag and two teaspoons of honey. Drink 2-3 times a day if your problem is severe.

If you would like to consult with me privately, please click on 'Consult'.


6 Home Remedies that Work for Constipation Relief

Trigeminal neuralgia is specified by the condition of a chronic pain that influences the trigeminal nerve. This nerve transfers sensation from one s face to his/her brain. If a person is suffering from trigeminal neuralgia, then a gentle stimulation of face (sourced from brushing teeth or applying makeup) might generate a fright of agonizing pain. The affected person might experience short and mild attacks initially. However, the trigeminal neuralgia might progress and generate more-frequently and longer attack of severely critical pain. Women get affected by this situation more than men get and it is more prominently occur in individuals older than 50 years.

Trigeminal neuralgia does not mandatorily mean that you need to experience a lifelong pain. Various types of treatment alternatives are available and so doctors can usually handle the particular condition effectively by taking help of injections, medications or surgery. Various types of triggers might cause the pain regarding trigeminal neuralgia, such as eating, drinking, shaving, brushing teeth, touching face, smiling, washing face etc.

Symptoms

The symptoms of trigeminal neuralgia might comprise of one or more patterns and some of these are described below:

Sequences of serious, jolting or shooting pain that might generate as an electric shock
Spontaneous pain attacks or attacks stimulated by different activities like face touching, speaking, chewing, or brushing teeth. Pain attacks last from a few moments to some minutes.
It is not a comprehensive list because Trigeminal neuralgia hosts various other symptoms as well. If a person feels facial pain, specifically recurring or prolonged pain or if the person does not get relief through the utilization over-the-counter pain relievers, then that person must consult a doctor.
How does Radiofrequency Ablation treat Trigeminal Neuralgia?
Trigeminal Neuralgia is a chronic and painful condition that involves the trigeminal nerve. There are two separate trigeminal nerves on both sides of the face, which carry the sensations like pain from the face to the body. Each nerve has three branches- forehand, midface and chin and trigeminal neuralgia can cause intense pain in any of these areas.

Causes-

This occurs when the trigeminal nerve functioning is disrupted. When the blood vessel/artery and the trigeminal nerve at the base of your brain come in contact, it puts pressure on the nerves and causes pain.
It also occurs as a result of ageing or multiple sclerosis
A disorder that damages the myelin sheath protecting the nerves can trigger pain
Sometimes pain occurs from tumors, which compresses the trigeminal nerves
Surgical strokes, facial trauma or strokes can also be the root cause of excruciating pain
Triggers-

Shaving
Touching your face
Eating and drinking
Putting on makeup
Brushing
Washing your face
Symptoms-
The pain can be mild and for a shorter duration or it can happen frequently for longer durations. Some experience the pain in cycles where it can come and go for days or even for weeks. Gradually the intensity of the pain lessens.

Cure by Radio-frequency Ablation
The treatment of trigeminal neuralgia is often a challenging process in clinical practice. When medicines do not prove as effective, surgery is the desired option.

Procedure-

After applying local anaesthesia, the Pain Specialist carefully inserts a needle through the corner of your mouth to reach the trigeminal nerve
The doctors then wake up the patient after stimulating the nerves and ask them to feel the stimulation at the same place where they undergo pain. This confirms their targeted location
Once you fall asleep again, the Pain Specialist uses radiofrequency heat to injure the nerve enough to create numbness and removes the pain
How Effective is Radio-frequency Ablation?
The pain is cured almost in 98% of the patients. 50% of patients report recurrence of pain after about two years. Hence the procedure can be repeated in the same patient if necessary.

Trigeminal Neuralgia And Radio-Frequency Ablation - What Causes It?

Carpal Tunnel Syndrome can be said to be one of the most painful disorders to have. There is a high likelihood that a lot of people can agree with this statement as the number of people who suffer from this issue is just so high! Yet, a funny thing to take note of is the fact that even people who are experts on CTS, which is the abbreviation of Carpal Tunnel Syndrome, are not really aware as to what its causes are!

That being said, it really does not mean that a person whose life has been affected negatively by it does not make a conscious effort to get better so that the condition is not as painful. In order to do this, what he or she would do is to commit to doing some exercises which directly address the problem at hand.

To start with the exercises, it makes sense, to begin with, the one which is the simplest and this happens to be an exercise which is often known as the shake. What this requires the person to do is to shake his or her hands while making sure to keep them flexible. This action is pretty much the same as a person would do, if he or she were to try to air dry his or her hands without making use of a towel.
Another simple exercise which is prescribed by quite a lot of doctors who are accomplished experts when it comes to Carpal Tunnel Syndrome is one in which the person who has the condition makes his or her hands a fist. After this is done, what he or she needs to do is to release the fist and go on to stretch the fingers out as wide as possible. The extension should attempt to be in the shape of a fan.
It may be surprising, but it can be said that the ill effects of something which is as troublesome as Carpal Tunnel Syndrome can be improved if these simple exercises are done with regularity. However, if a person is looking for a drastic change, it can be expected that he or she would have to do more by the way of complex exercises, at least on a relative scale.

One of these exercises is to join the hands in a prayer position and then separate the palms, but make sure the fingers stay pressed to each other; an act known as steepling the fingers. With these simple exercises in place, you can avoid the pain of dealing with Carpal Tunnel Syndrome for good! 

Carpal Tunnel Syndrome (CTS) - How Physiotherapy Can Help?

Polycystic kidney disease is a disorder that is inherited; it is characterized by development of cysts in the kidneys. These cysts are round sacs that contain a water like fluid. Initially, the size of the cysts are small, they tend to increase in size after the fluid accumulation. This disorder can also cause cysts to develop in the liver and other parts of the body.

Symptoms and Complications
The most common symptoms of this disorder are back pain, headache, high blood pressure and kidney failure. It can also lead to formation of stones in the kidney, presence of blood in the urine and an urge to urinate frequently. It also make your kidney prone to various bacterial infections.

Causes
The disease is caused because of the presence of defective genes in the body, implying that this disorder is primarily hereditary. In some cases, the disease is caused by a genetic mutation. Based on the causes, it is classified into two types:

Autosomal recessive polycystic kidney disease: This disorder causes the symptoms to appear immediately after birth, although the symptoms are delayed until adolescence. This disorder only occurs when both the parents carry the defective gene which is passed to the offspring.
Autosomal dominant polycystic kidney disease: This disorder usually tends to occur only after the age of 30. Unlike the previous type, here only one parent needs to carry the defective gene that is passed on to the offspring.
Treatment
The treatment of polycystic kidney disease generally involves dealing with the following signs:

Pain: Chronic pain, usually in the sides of the body or the back, is a common symptom of this disorder. You can opt for pain reliving medication such as ibuprofen. If the cysts are large, then surgery is required to ease the pain.
High blood pressure: High blood pressure is best controlled by a following a healthy diet and lifestyle. High blood pressure can damage the kidneys severely. Medications may also be required to control blood pressure, if it rises abnormally.

Frequent Urination - Can it be a Sign of Kidney Disease?

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