Our kidneys act as filters which constantly flushes out toxins and excess minerals with water in form of urine. Urine contains lots of minerals which may precipitate and form stones. Urine has lots of pro-precipitating agents and anti-precipitating agents. When their balance disturbs due to some disease, stones start forming. These stones may often lead to abdominal pain which is referred to as renal colic. 

What exactly is renal colic? 

Renal or ureteric colic is the term used for typical pain in one side of abdomen in flank region starting from back and radiating forward towards lower abdomen up to scrotum. This is usually associated with nausea, vomiting and urinary discomfort. There may be blood in urine. 

How kidney stones are related to renal colic? 

Kidney stones usually form inside kidney and lies there without causing any pain. But whenever they are dislodged and stuck at mouth of kidney (pelvis) or anywhere in ureter, they block the passage of urine of that kidney. This causes swelling in kidney termed as hydronephrosis. This swelling in kidney causes renal / ureteric colic. This colic is protective phenomenon and tries to push out the stones. Small stones do come out in urine by this natural process. This spontaneous expulsion of small stones is common and many local practitioners used to get credit of it feigning benefit of their medicine. However large stones need some form of intervention to come out. Otherwise, they do harm to kidneys in long term. 

Symptoms of kidney stones along with renal /ureteric colic - 

Most stones which are lying in calyces of kidney are asymptomatic 
Nausea & vomiting 
Frequent urinary tract infections 
Fever with chills 
Foul smelling urine 
Hesitency, frequency and burning in urination 
Blood in urine (urine with a reddish, pink or brownish hue) 
Passage of small stones in urine 
Treatment of renal colic 

Treatment of ureteric/renal stones involves control of symptoms and stone removal. 

Expectant Treatment or Medical Expulsion Therapy: Small stones of less than 4 mm size usually pass on its own and some medicines like alpha-blockers and steroid hasten up their expulsion. Medium size stone (4-6 mm), sometimes passes with aid of these medications. But stones larger than 6 mm usually require intervention. 
Lithotripsy: This method involves breaking of stones by shock waves into small dusty particles which pass through urine on its own. This is usually suitable for stones upto 1.5 cm and lying in kidneys. This is non-operative treatment which can be done on OPD or Daycare basis. 
Ureteroscopy (URS): This method involves entry of very thin semirigid scope through urethra into ureter. Stone is broken by LASER and removed. This involves single day admission and spinal anaesthesia. 
RIRS- Retrograde Intra Renal Surgery: In this method very thin flexible scope in maneuvered through urethra into the upper ureter and pelvi-calyceal system of kidney. Stones in kidney or upper ureter are broken by LASER and removed. This is also done under anaesthesia and requires a day admission. 
Mini- PCNL: This method is suitable for large renal stones. In this technique, a small hole is made into the kidney through back and tiny scope is entered into the kidney. Stones are broken by LASER and removed. This is done under anaesthesia and require two to three days admission.

Renal Colic - Ways it Can Be Treated?

Typhoid is an infectious bacterial fever with an eruption of red spots on the chest and abdomen and severe intestinal irritation, brought about by the Salmonella typhi bacteria. It can also be brought about by Salmonella paratyphi, a related bacterium that generally causes a less extreme sickness. The bacteria are stored in water or in the food by a human carrier and are then spread to other individuals around them.

Multiple Ways to Prevent Typhoid Fever

Vaccination: Take one dose of the vaccine one week before travelling. The other is given orally in four cases, with one container to be taken every alternate day. Neither one of the vaccines is 100% effective. Both require repetitive immunisation since the effect of vaccines diminishes over time.
Washing your hands: Frequently washing your hands in hot, soapy water is the most ideal approach to control contamination. Wash before eating or cooking food and after using the toilet. Use a hand sanitiser in cases where water isn't accessible.
Drinking clean water: There are a few ways in which you can avoid getting typhoid fever spread by contaminated water.
Abstain from drinking untreated water.
Contaminated drinking water is a specific issue in areas where typhoid fever is endemic. Thus, drink only boiled or filtered water, or canned or packaged carbonated drinks.
Carbonated filtered water is more secure than non-carbonated filtered water.
Request drinks without ice.
Use filtered water to brush your teeth and try not to swallow water in the shower.
Clean water can get contaminated again in case it is not put away securely.
Store the clean drinking water in a container with a little opening and use it within four hours.
Staying away from raw fruits and vegetables: Maintain a strategic distance from crude foods grown in the ground. Since crude produce may have been washed away in water, maintain distance from products of the soil that you cannot peel, particularly lettuce. To be totally protected, you might need to stay away from street food completely.
Cooking: Pick hot foods. Keep away from food that is put away or served at room temperature. Steaming hot nourishments are ideal. Also, in spite of all precautions, there is no assurance that the food served at the finest restaurants is safe for your health. It is best to stay away from foods served by street side vendors. Completely cook all meats, fish and vegetables. Eat them while they are still hot.
Washing: Wash your dishes and utensils with proper dish washing soap and water. Wash your cutting board particularly well with a cleanser and water.
Peeling: Peeling fruits and vegetables protects you from typhoid. Eat natural products that have been freshly washed and peeled, for example, oranges and bananas.

Typhoid Fever - Follow These Steps and Prevent It!

Anorexia is one of the most common eating disorders plaguing a large section of today's youth. Anorexia is one such condition which arises as a psychological ailment and then culminates as serious physical manifestations. One of the most prominent preconditions of anorexia is the severe dissatisfaction with your body. The desire to lose weight constantly reigns supreme in your mind. So much so, that all that you can permit yourself to eat and all that you can't pre-occupies your mind entirely. This extensively impairs your social life and threatens your potential in all other aspects of life. This undermines your health and self-confidence tremendously and inflicts a distorted body image complex upon your psyche.

Under the spell of anorexia, you tend to dread even the slightest weight gain and consequently, it builds a sense of self-disgust in you. It can be an extremely stressful and harmful physical condition, gravely affecting your moments of joy and happiness. Drastic diets, excruciating exercising or using laxatives and diuretics could be some of the most common leeways into anorexia. The terror which looms around your weight gain will disable you from acknowledging how thin you are or for that matter, appreciating the body that you have. This may not only jeopardize your normal body functioning but also subjugate you to acute emotional distress and depression. What is worse is that anorexia works in such insidious ways that in most cases, one doesn't even realize the existence of the problem. The first and foremost step to recovery is to avoid anything and everything that may trigger the condition. Other recourses that one may take have been enlisted below.

Realizing the difference between dieting and anorexia-
Anorexia often indicates deeper problems like depression and insecurities and the eating disorder simply emerges as a consequence of the same. Dieting does not entail an austere denial of food to self or completely throttling all of one's hunger pangs. Fulfilling the basic nutritional needs of your body as against starvation is the first step to recovery.

Seeking advice from well-wishers-
If your loved ones seem perplexed about your health conditions, know all of it is well founded. Learn to acknowledge the furzy body images that afflicts you and take proactive steps towards combating them. Share your problems with your trusted ones and learn to adopt a healthier way of living. Join some productive engagement that will keep your mind off such baseless weight obsession.

Anorexia- How to treat it

It is nightmarish when your babies have cough, congestion and stomach aches – and they happen often. The littles ones can't express very well, but as parents you might be able to figure out. Here are common and highly effective home remedies to these baby ailments.
 
1) COLD & COUGH : Honey is highly soothing for temporary cough relief. You can prepare a warm drink with ginger, honey, and lemon juice to drink before bedtime. The ginger and lemon soothe the throat, and the honey loosens up mucus and also acts as a gentle cough suppressant.  Don't give honey to babies ages one or under, though, due to the risk of infantile botulism. For the really little ones, a hot steam vaporizer usually does the trick. 
 
2) NASAL CONGESTION: A stuffy nose is an added challenge with babies and toddlers, as they can’t blow their nose. Prepare a solution of salt in lukewarm water, put this saline solution into the nose, then let your baby lie down for a while, and use the aspirator to remove the loosened mucus. This remedy is safe for babies as well as toddlers.
 
3) STOMACH UPSET/VOMITING:  Stomach aches or infections are the most difficult to get around and can be highly uneasy for the child. Try giving light liquids like dal/rice and vegetable stock, the best that works for everything is breat milk. If you can't breast feed, try to boil fennel seeds (sauf) in milk to make the baby's stomach feel better. 
 
Click on Consult Privately to ask me a private question about your child's health.

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.

3 Must-know Home Remedies For Every Parent

Sometimes, when it comes to problems in the abdominal area, an ultrasound is not clear enough for a diagnosis. In such cases, an Endoscopic Retrograde Cholangiopancreatography (ERCP) may be performed. This procedure gives the doctor a clear view of the duodenum, bile duct, pancreatic ducts, gallbladder and papilla of Vater.

This procedure is usually performed under intravenous sedation without general anesthesia. This procedure involves the use of a duodenoscope, which can be described as a thin, long, flexible tube with a camera at one end. It also has a fiber optic bundle that transmits lights to the camera and a chip to transmit video images to a TV screen.

This is inserted through the patient s mouth and sent down the throat through the food pipe to the stomach and duodenum while the patient is lying on his or her back. The air pipe is left undisturbed so as to not interfere with the patient s breathing. Since the patient is not under general anesthesia, he or she can move and turn according to the doctor s needs. The papilla of Vater is a small nipple like structure with an opening to the bile duct and pancreatic duct. Once this has been identified, a small plastic catheter is passed through the duodenoscope into the bile duct or pancreatic duct through the papilla. Dye is then injected into the area and X-rays are taken of the bile ducts and pancreatic duct. In cases where a biopsy is needed, other instruments can also be passed through the endoscope. Plastic or metal stents can also be passed through this to relieve obstructions in the bile ducts and pancreatic ducts.

ERCP can be used to diagnose and treat a number of conditions in the liver, bile ducts, gall bladder, pancreas and papilla of Vater. These include:

  Blockage of the bile duct by gallstones, cancer, scars, tumors or compression from adjacent organs.

  Jaundice due to an obstructed bile duct. This can also cause light stools and dark urine.

  Persistent upper abdominal pain

  Unexplained weight loss and loss of appetite

  Diagnosing a Dysfunctioning Sphincter of Oddi within the Papilla of Vater

ERCP can also be used to confirm pancreatic cancer and cancer of the bile duct. Once the diagnosis is confirmed, the doctors can customize treatment according to the patient s needs.

Endoscopic Retrograde Cholangiopancreatography - Procedure and Results

A cup of coffee or tea is not just enough to keep you alert throughout the day. They might be good for an early morning kick off. But you need a lot more in your diet to increase your concentration power.

Here s a list of food items that work wonders in gifting you a focused mind:

Coconut Oil: When it comes to your brain, coconut oil full of benefits, too. Coconut oil works as a natural anti-inflammatory, suppressing cells responsible for inflammation. It can help with memory loss as you age and destroy bad bacteria that hangs out in your gut.
Dark Chocolate: It has been found that dark chocolate boosts the production of serotonin and endorphin. These are essential for increasing concentration. Dark chocolates are also useful antioxidants and are rich in vitamins, and minerals, including potassium and copper. It is believed by many that regular intake of cocoa improves the blood supply to the brain and thus increases concentration power.
Blueberries: Are you fond of the tasty blueberries? There s good news for you then. Blueberries are not just good for taste, they are memory boosters. According to a study published in 2010 in the Journal of Agricultural and Food Chemistry, it has been found that people, who drank blueberry juice daily for two months, ended up having improved memory and concentration power.
Egg Yolks: Yolks contain large amounts of choline, which helps in fetal brain development for pregnant women. It also breaks down bethane, a chemical that produces hormones related to happiness. That s right, eggs can make you happy! If you ve kept away from eating eggs whole because of cholesterol concerns, there s good news. Studies show that eating eggs had no effect on the cholesterol levels of healthy adults and might, in fact, help raise good cholesterol levels. 
Walnuts: It turns out that eating walnuts can keep you from going nuts. Just munching on a few walnuts a day can improve your cognitive health. Their high levels of antioxidants, vitamins and minerals also improve mental alertness. The vitamin E in the nuts can also help ward off Alzheimer s. 
Salmon: Believe it or not, but salmon improves your memory and concentration to a great extent. It contains omega-3 fatty acids, which is needed for rebuilding brain cells. Omega-3 is also good for enhancing the synapses in the brain. 

Want Better Concentration - 6 Foods You Must Have!

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