The kidneys are a pair of bean shaped organs responsible for blood filtration. It also eliminates waste products from the body. The kidneys are located in the abdomenal cavity of the body and help in keeping a check on the electrolyte level in the body.

Polycystic kidney disease or PKD is a condition in which a number of cysts grow on the kidneys. The cysts are filled with fluid, and if the number or the size of the cyst increases, it can lead to kidney damage and kidney failure. 5% of kidney failures are caused by PKD. PKD does not affect only the kidneys. It can also cause the cyst to grow on other organs, such as liver, pancreas, ovaries, spleen and large bowel. The brain and the heart can also be affected by PKD. If it reaches the brain, an aneurism is caused. Heart murmurs may occur if PKD affects the heart.

Symptoms: Symptoms are visible for those in the 30 to 40 age group; however, it differs from person to person. Back pain or side pain, enlargement of the abdomen, blood in the urine, high blood pressure, and frequent bladder or kidney infections are some of the common symptoms of PKD.

Diagnosis: An ultrasound is the most dependable, affordable and non-invasive way to diagnose PKD. MRI and CT scans can be used to detect the volume of the cyst. It also helps to determine small cysts which cannot be detected by ultrasound.

Treatment: There is no specific treatment for PKD at present. But certain steps and measures can be taken to slow down the growth of the cyst and to control the symptoms.

Prevention: Keeping a check on blood pressure, use of prescribed antibiotics to treat kidney or bladder infection, restricted use of caffeine, and medications to control pain are some of the treatments for relief and for arresting the growth of the cyst. Research also shows that drinking plenty of water throughout the day can also slow down the growth of the cyst. A diet low in fat and moderate in calories is recommended.

Types: Autosomal dominant kidney disorder is a genetic disorder and is passed on to the child from the parent by dominant inheritance. It is the most common type of PKD. The symptoms are visible after the age of 30 to 40. Infantile or autosomal recessive PKD is a genetic disorder and is inherited by the child from the parent by recessive inheritance. The symptoms are visible during the early months of life or in the womb. It is a rare form of PKD and occurs in 1 out of 25,000 people. Acquired cystic kidney disease occurs due to long-term kidney damage and is linked with kidney failure and dialysis. The bleeding of the cyst causes the bleeding in the urinary system and leads to urine discolouration.

Poly Cystic Kidney Disease - How You Can Prevent it?

What do we mean by the term Anemia?

It is described as a decrease in the total number of red blood cells, or hemoglobin in the blood, or a decreased oxygen-carrying capacity of blood.

How to know if an individual has Anemia?

An individual with anemia may show one or more of the following signs or symptoms:
Shortness of breath, chest pain, and headache are especially seen with exercise as the oxygen supply decreases
Difficulty in concentration which is mostly seen in children
Easy tiredness, fatigue, and loss of energy
Dizziness because of low blood volume leading to hypotension
Hair loss especially while combing, washing hair. Also, hair becomes brittle and dry due to anemiaInsomnia (lack of sleep)
Cramps in legs especially calf muscle 
Rapid heartbeat with exercise as the demand for oxygen increases during exercise, so your heart beats faster than usual
Craving for indigestible substances, such as pica, paper, mud, ice, dirt, etc.
Koilonychia (spoon-shaped nails or upward curvature of the nails)
Soreness and cracks at the corners of the mouth
Very heavy menstrual periods or irregular bleeding because of low hemoglobin count
Pale skin is especially seen over the palms of your hands and under your nail beds. Also, the conjunctiva looks pale
Anemia due to Deficiency of Vitamin B12 Dementia (loss of memory)
Tingling sensation in the hands or feet
Loss of the sense of touch
Difficulty in walking
Stiffness in the arms and legs
Delayed growth and development in children
Swelling of the hands and feet
Episodes of severe pain in the joints, abdomen, and limbs as the red blood cells obstruct capillaries
Anemia by Chronic Red Blood Cell Destruction/Hemolytic anemia

Jaundice (yellowish or greenish pigmentation of skin and sclera of the eyes)
Brown or red colored urine due to the destruction of red blood cells
Fever due to the destruction of red blood cells
Small bruises under the skin
Abdominal pain because of enlargement of the spleen and liver
Black stools due to the destruction of the red blood cells
Anemia Caused by Chronic Lead Poisoning
Level of lead in blood is higher than 50  g/dLA blue-black line is seen on the gums. It is also known as a lead line
Abdominal pain
Constipation
Vomiting
Investigations 

Complete blood count: This test will help an individual know the percentage of hemoglobin in blood as well as red blood cell count. Also, mean cell volume (MCV) is used to categorize anemia.
Serum Ferritin Test: Ferritin levels below 15 20 micrograms/L in a person confirms iron-deficiency anemia.
Total Iron-Binding Capacity: It measures the blood's capacity to bind iron with transferrin.

How Can Anaemia Be Diagnosed?

Green tea has been promoted as one of the healthiest beverages around. It is made from the same kind of leaves (camellia sinensis) as generic black tea or oolong tea. The primary difference is that while processing the leaves for green tea, the withering and fermentation procedures are avoided, which helps the leaves retain more nutrients. However, green tea comes with quite a few side effects just like ordinary tea or coffee. They are:

1. Digestive problems
Since green tea is not put through the oxidation or fermentation process, the tannins present in the leaves are not removed. Tannins, can cause nausea and constipation by producing more gastric acid. Adding a little milk to your tea might help with this problem.

2. Reduced absorption of iron
Green tea contains catechins- antioxidants, which can block the absorption of iron from food. Iron deficiency has a number of negative impacts, the most threatening one being anemia where red blood cell formation is hindered. Anemia causes fatigue because sufficient oxygen is not circulated throughout the body due to low haemoglobin levels.

3. Problems with the nervous system
Green tea contains caffeine, just like tea or coffee, though its caffeine content is lower. Excessive consumption can lead to insomnia-like tendencies, heightened anxiety, frequent urination, irregular heartbeat, muscle cramps etc.

4. Risks during pregnancy
Caffeine decreases calcium content in the body, leading to weaker bones, which is an alarming symptom in an expecting mother. Also, caffeine, catechins and tannins are individually related to increased risks of miscarriage and other negative effects. Tannins and catechins passed on to breast milk can also block absorption of nutrients like proteins and fats in an infant's system.

5. Reactions with medication
Several chemical drugs are extremely reactive to the polyphenols in green tea, especially stimulant drugs like nicotine, ephedrin and amphetamine. Green tea reduces the functioning of lithium and dipyridamole. The polyphenols may also block the healing properties of the anti-cancer drug name bortezomib. Any kind of interference with your regular medication may impact your health adversely.

6. Negative impact on patients with glaucoma
The disease impairs the optic nerve and green tea increases the pressure on the eye within minutes of drinking it because caffeine accelerates intraocular pressure. The effects take more than an hour to subside.

Green Tea: SIde effects and why you may need to avoid it

5 Symptoms that Indicate Your Heart is in Trouble!

Your heart gives you warning signs before the onset of a major problem. You may not even know that you are at risk of one or more heart diseases if you fail to notice these small signs that your heart sends out. Even a minor symptom, like chest pain, can indicate that your heart may be in trouble. While there could be many causal factors for a heart condition, here some symptoms, which are possible indications of a heart disease and should not be ignored in any case.

1. Chest pain or discomfort

This symptom is the most common one, which indicates that your heart is not healthy. It usually comes in the form of a pain, pressure or tightness in the chest and may happen due to a blocked artery. This may be an early warning sign of a heart attack and you should seek professional advice before it turns into a major problem.

2. Excessive sweating

If you often sweat without any valid reason, it might be a sign to be concerned for. The sweating experienced will feel more like the one that arises due to stress rather than common perspiration experienced due to any vigorous physical activity.

3. Difficulty in breathing

Shortness of breath is an indication that you are at high risk of getting a heart attack. The symptom includes having difficulty in breathing and feels similar to the panting experienced after a long run.

4. Nausea and frequent stomach problems

If you experience nausea, heartburn, indigestion or abdominal pain frequently, it may be the result of an unhealthy heart. Of course, these signs may be due to other diseases as well, but if you experience any of the other symptoms of heart problems too, it's highly probable that your heart is in trouble.

5. Exhaustion

If you fall into the high-risk zone of being a potential heart patient, you may feel exhausted after doing some simple chores, which didn't tire you earlier. Common examples may be climbing the stairs or carrying something from your doorstep inside the house to name a few.



5 Symptoms That Indicate Your Heart Is in Trouble!

Uterine fibroids, also known as leiomyomata, are non-cancerous growths which develop in and around the uterus or the womb and form benign tumors in course of time. Though there are several types of uterine fibroids, they are all consistently similar in their genetic makeup. They are generally classified depending on their specific locations:

Myometrial or intramural fibroids
Submucosal fibroids
Subserosal fibroids
Pedunculated fibroids
Signs and symptoms

In most cases, uterine fibroids display little or no symptoms at all. Therefore many women are caught unawares and do not realize whether they have leiomyomata or not. When symptoms do show, however, they may include any one of the following:

1. Prolonged menstrual periods, usually for seven days or even longer
2. Bloating belly or pelvis
3. Intensive bleeding during periods
4. Pain during sexual intercourse
5. Constipation

Treatment

Since uterine fibroids do not cause any significant complications, they normally do not require much treatment. The condition, however, can be treated through either one of the following approaches:

1. Non-surgical approach

(1) Alert and careful inspection as well as watchful anticipation of the growth and development of uterine fibroids
(2) Birth control pills or oral contraceptives which help reduce heavy periods caused by uterine fibroids
(3) Pain relievers to help numb the pain
(4) Intrauterine device along with levonorgestrel to help reduce heavy periods
(5) Iron tablets are helpful in substituting the blood loss caused by heavy menstruation

2.Surgical approach

i) Myomectomy

ii) Hysterectomy

These two procedures can be performed using several techniques like:

Laparoscopy
Open abdominal surgery
Robot-assisted laparoscopy
Vaginal approach
Hysteroscope approach
iii) Uterine artery embolization (UAE)

Uterine Fibroids - Surgical & Non Surgical Treatment!

Do you bleed or feel pain during bowel movements, or the skin around your anus feels sore or itches? Or maybe there's a lump in or around your anus, or you feel as if your bowels haven't emptied completely? Then you may be suffering from piles. Piles or hemorrhoids are essentially swollen veins and muscles in your anal canal or around your anus. And they may stay inside your anus or come outside depending on the severity of the affliction.

Often, piles can be successfully treated with high-fiber diet, proper hygiene, and topical medicines or ointments. But in situations where non-surgical methods don't achieve desired results, surgery becomes the only option. And this may be particularly necessary for those suffering from large painful or bleeding hemorrhoids. The different surgical options are given below:

Hemorrhoidectomy - In this procedure, the surgeon makes incisions around the anus to remove the piles formations. Local or general anesthesia is offered during the operation, and you can usually return home on the same day. After the procedure, the area might require stitches and commonly remains very tender and painful for quite some time.
PPH or Procedure for Prolapse and Hemorrhoids - This method is minimally invasive and makes use of a stapler-like machine for repositioning the hemorrhoids and cutting off their blood supply. So eventually, the piles shrink and die without blood supply and your pain diminishes greatly. With this process, you can expect a faster recovery, less itching and bleeding, and minimal complications, if any.
Laser - An accurate and special laser beam is used in this method, to burn off the hemorrhoids.
Rubber Band Ligation - This procedure can be used for areas with fewer pain receptors. In this, a rubber band is tied around the base of hemorrhoid to stem the blood supply and destroy the affected tissue.
Sclerotherapy - This method involves the injection of a chemical solution around the blood vessel which supplies the hemorrhoid tissues, to shrink and kill them. Though non-invasive methods are preferred by many since they create less pain, hemorrhoidectomy may provide more long-lasting benefits. Here are some other aspects you need to consider regarding piles surgery:
Risks - Infection, bleeding, reaction to anesthesia, trouble with urination, fecal incontinence are some of the risks involved, though the surgery is usually quite safe.
Ways of treating pain - Pain, especially during and after a bowel movement, can be an issue for several days after the surgery. But it can be dealt with by taking prescribed pain medications, stool softeners, and soaking in a warm bath. Recovery can take up to 3 to 6 weeks after the procedure.
Avoiding recurrence - Following a high-fiber diet, maintaining good hygiene, taking lots of fluids, and avoiding straining or constipation can prevent piles from coming back.

What You Should Know About Piles Surgery

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