Urine is normally pale yellow or straw coloured. However, for various reasons, this can change. In fact, the change in the colour of urine is one of the first indications of a deeper underlying problem. This would also be one of the questions that the doctor would ask when suspecting any problem with the urinary tract, starting from infection to stones to cancer.

Hematuria is, therefore, a symptom and not a problem in itself. Some of the reasons for hematuria   presence of blood cells in the urine, producing a light pinkish urine, are listed below.

Urinary tract infections   starting from urethra all the way up to the kidneys

Glomerulonephritis

Kidney Stones-

Prostate enlargement

Tumours/cancers in the kidney, bladder, or prostate

Heavy exercises causing trauma to any of the internal urinary tract organs

Bleeding disorders

Certain medications

Appendicitis

Tuberculosis

As the disease progresses higher in the urinary tract, the severity of hematuria also increases. Though hematuria is a symptom in itself, there are some associated symptoms which are listed below-

Fever

Fatigue

Abdominal pain

Reduced appetite

Urge to urinate

Dysuria

Painful/burning urination

Feeling of incomplete emptying

Nocturnal urination (if prostate is enlarged)

Cloudy urine

Nausea, vomiting

Kidney pain (with stones especially)

Homeopathy believes in treating the person as a whole and not just the presenting symptoms. The doctor will ask a number of questions, some pertaining to unrelated organs, which will help them identify the reason for the hematuria. The treatment prescribed will be customised to the patient in question, but some of the common ingredients used in hematuria management are given below.

Hematuria from all causes can be managed with Terebinthina.

Bladder hematuria is better managed with Erigeron Canadense at 80% concentration while renal hematuria responds better to the same at 60% dilution.

Inflammatory hematuria can be reduced with Cantharis (80%)

Renal hematuria is better managed with Gossypium herbaceous (60%).

Renal colic with pain in the glans, groyne, and thighs responds well to Pereira brava.

Cocus cacti thrice a day is useful where there is itching of the urinary meatus along with the passing of red-coloured urine.

When there are small stones or sand particles in the urine along with pain at the end of the micturition process, Sarsaparilla thrice a day is known to be beneficial.

In some other people, Arnica Montana, Cantharis, phosphorus, and Hepar Sulphur are also used to relieve symptoms of hematuria.

As with any homeopathic treatment, the actual ingredient chosen would depend on the actual symptom that the patient presents with. Though these compounds are used, self-medication is not advisable. Talk to a specialized homeopath who will identify the right ingredient for a given clinical presentation.

Hematuria - Symptoms and Treatment


Here are some well advertised and well-loved foods that most youngsters cherish. These foods cause far more damage in even small quantities. 

Try to avoid these foods now, to prevent from further damage as you grow older.

1) Frosting- The creamy layer that you lick off from the top of a cake is one of the most unhealthy foods ever. It contains trans-fat, which lowers your good cholesterol and can raise heart rate, increase belly fat and lead to heart diseases or diabetes. Plus, frosting has just too much of sugar.

2) Packaged Fruit Juices- ‘But juices are good for you!’ is something that most people say to defend why they drink packaged fruit juices. It is true that juices are great, but the ones that are packaged aren’t any good. Firstly, the ones available in packed forms have a limited amount of real content (look at the concentrate, which is sometimes lesser than 10% of the total packaging). At the same time, most of these are filled with artificial flavours and a lot of sugar. Do yourself a favour and drink only fresh juices.

3) Artificial Sweeteners- Artificial sweeteners can actually cause diabetes and are as harmful as natural sugar. In fact, they are also responsible for a number of allergies, cancers, seizures, weight gain and obesity.

4) Soda Beverages-   They are the worst! There is absolutely no reason why you should be popping out that bottle of soda or fizzy drinks with so much of caffeine every time. These bottles contain 10 packets of sugar, highly synthetic flavors and have absolutely zero nutritional value. In fact, they promote the ugly fat deposits on all the wrong places. High content of phosphoric acid in sodas can lead to heart and kidney problems, muscle loss, and osteoporosis, as well as trigger accelerated aging.

If you have any further questions on issues related to nutrition or diet, 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.

Avoid These 4 Foods to Stay Healthy

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?

The disease itself may not discriminate on the gender basis, but when it comes to healthcare for patients with diabetes, women find themselves at a disadvantage as compared to men. Studies indicate that diabetes, a disease that affects over 371 million people worldwide takes a greater toll on women than men. Though, hormones in women do account for some of the unique challenges they have to face, but there are other societal factors as well that bring in the differences.

This World Diabetes Day is about promoting the significance of affordable care for diabetes and equitable access for all women at risk or living with diabetes to essential medicines, technological information and self-management education they require and achieve an optimal outcome to strengthen their adequacy to prevent type-2 diabetes. Because it's your right to a healthy and disease-free future!

So, how will you know if you are suffering from this deadly disease   Diabetes?

Symptoms

Women with diabetes experience many of the same symptoms as that of men. However, there are some that are specific to women.

Symptoms experienced by both women and men:

Frequent urination

Increased thirst and hunger

Unnecessary weight loss or gain

Blurred vision

Fatigue

Wounds that heal slowly

Skin infections

Nausea

Breath that has a sweet or fruity odor

Irritability

Reduced feeling in hands or feet

Symptoms unique to women:

Vaginal yeast infections

Urinary infections

Vaginal thrush

Polycystic ovary syndrome

Female sexual dysfunction

Diabetes is the ninth leading cause of death in women globally, causing 2.1 million deaths each year. Two out of every five women suffering from diabetes are of reproductive age. Women with diabetes have more difficulty conceiving and may have poor pregnancy outcomes.

Diabetes and Pregnancy

The affect of Diabetes, in a pregnancy, will not be great, if controlled properly. Women with diabetes should talk to their gynaecologists while planning to conceive so that they can control their blood sugar levels even before getting pregnant. Your gynaecologist will help you control and monitor your diabetes and blood sugar levels during pregnancy.

And, if you fail to get your blood sugar levels under control during pregnancy, you may experience severe risks:

Miscarriage

Premature delivery

Difficult delivery or cesarean section (C-section)

Birth defects

Having a large baby

Preeclampsia (high blood pressure usually with protein in the urine)

Low blood glucose in a newborn

Breathing problems in the newborn

Yellowing skin and eyes (jaundice) in a newborn

Worsening diabetic eye problems and kidney problems for the mother

Urinary or bladder infections

What is Gestational Diabetes?

When diabetes occurs in women during pregnancy, it is called gestational diabetes. It is usually diagnosed at the first week of pregnancy. Like in type 1 and type 2 diabetes, blood sugar levels become too high. When a woman is pregnant, more glucose is required to nourish the baby developing inside her womb. During this time, the body needs additional insulin, which is produced by the pancreas. In some women, the body does not produce enough insulin to meet this need, and blood sugar levels rise, resulting in gestational diabetes. 

Fortunately, for most women, gestational diabetes will go away once the baby is delivered. However, women who have had gestational diabetes are at increased risk of developing type-2 diabetes. Further, people suffering from PTSD are at higher risk and should consult their doctors immediately and those who are presently affected with Diabetes should consult for pre-conception consultation.

Risk Factors for Diabetes in Women

You are at risk for type-2 diabetes if you:

are overweight or obese

are older than 45

have a family history of diabetes (parent or sibling)

have had gestational diabetes

have had a baby with a birth weight of more than 9 pounds

have high blood pressure

have high cholesterol

have other health conditions that are linked to problems using insulin, such as PCOS

Diabetes Treatment Options

Medications

There are various medications you can take to control the symptoms of diabetes. These include:

Insulin therapy

Sulfonylureas like chlorpropamide, which increase pancreatic insulin secretion

Metformin (Glucophage), which reduces blood sugar

Lifestyle changes

A change in your diet and lifestyle can also help women control their diabetes

Exercise and maintain a healthy weight

Monitor your blood sugar

Eat a diet focused on fruits, vegetables, and whole grains

Strictly avoid smoking cigarettes

Alternative remedies

Women with diabetes can try other alternative remedies to treat the symptoms, such as 

Eat more broccoli, buckwheat, sage, peas, and fenugreek seeds

Take supplements like chromium or magnesium

Take plant supplements

But, always remember to consult with your doctor before trying any new treatment. Even if they are natural, they can intrude with your on-going treatment or medications. So, this World Diabetes Day, take a pledge towards healthy living... because your health is important to someone else!



type diabetes

Diabetes In Women - Because It's Your Right To A Healthy Future!

What is it?

Headache is a pain in any part of the head, including the scalp, upper neck, face (including the eye area).

A primary headache is caused by problems with or overactivity of pain-sensitive structures in your head. A primary headache isn't a symptom of an underlying disease.

What are the causes and triggers?

The three most common causes of a primary headache are:

1. Cluster headache
2. Tension-type headache
3. Migraine

Some primary headaches can be triggered by lifestyle factors, including:

1. Alcohol, particularly red wine
2. Certain foods, such as processed meats that contain nitrates
3. Changes in sleep or lack of sleep
4. Poor posture
5. Skipped meals
6. Stress
Doctors focus on determining whether a headache has another cause. They also check for symptoms suggesting that a headache is caused by a serious disorder. If no cause is identified, they focus on identifying which type of a headache is present.

Tips that could help before seeking consultation:

1. Try to keep stress in check. Stay organized and prepared to minimize stressful situations. Have some fun, and don't overdo it at work.
2. Try incorporating meditation or yoga in your daily regime
3. Apply a heating pad, hot water bottle or warm compress to aching muscles. Or take a hot shower.
4. Apply an ice pack wrapped in a towel to the neck.
5. Practice good posture to ease muscle strain. While standing, keep shoulders back and head level, buttocks, and abdomen pulled in. While sitting, keep your head straight and thighs parallel to the floor.
When to seek consultation?

In people with headaches, certain characteristics are cause for concern; these people should immediately seek medical consultation:

   1. It occurs more frequently than usual
   2. Are more severe than usual
   3. Worsen or don't improve with appropriate use of over-the-counter drugs
    4. Prevent you from working, sleeping or participating in normal activities
    5. Headaches that cause you distress, and you would like to find treatment options that enable you to control them better
    6. Tenderness at the temple (as when combing hair) or jaw pain when chewing
    7. The presence of cancer or a disorder that weakens the immune system
    8. Use of a drug that suppresses the immune system
    9. Red eyes and halos seen around lights
   10. If you are experiencing certain other symptoms like- headaches that increase in frequency or severity, headaches that begin after age 50, worsening vision, weight loss

A headache can be a symptom of a serious condition, such as a stroke, meningitis or encephalitis. Go to a hospital emergency room or your local emergency number if you have the worst headache of your life, a sudden, severe headache or a headache accompanied by:    
   1. Confusion or trouble understanding speech
   2. Fainting, drowsiness, confusion
   3. High fever, greater than 102 f to 104 f (39 c to 40 c)
   4. Numbness, weakness or paralysis on one side of your body
   5. Stiff neck
   6. Trouble seeing, speaking or walking
   7. Nausea or vomiting (if not clearly related to the flu or a hangover)

If people with none of the above symptoms or characteristics start having headaches that are different from any they have had before or if their usual headaches become unusually severe, they should call their doctor.

Doctors can usually determine the type or cause of headaches based on the medical history, symptoms, and results of a physical examination. Depending on their other symptoms, the doctor may advise taking an analgesic or ask them to come for an evaluation.

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

Headache - Certain facts one should know

What is a foreign body (FB)?
Foreign body or FB is an object or piece of extraneous matter that has entered the body by accident or design. It is common to see certain items getting stuck in the ear, nose or throat especially, in young children. While most of the time they do not raise an alarm, however, sometimes they can lead to severe consequences like rupture of the eardrum or even choking.

How do FBs affect ear, nose and throat?

Children over 9 months develop an ability to pick up objects. As they explore the environment around them, they tend to put items such as peas, beans, marbles, beads, cotton, paper, etc, in their mouth, nose or ears. Similar trend may be seen in adults with mental disorders.
Trauma/ fall/accident can force FBs like rock, pebbles into the ear, nose or throat.
Adults while riding a bike or sleeping on the ground (campsites) can have insects: flies, ants, roaches fly into the nose or ear.
Choking occurs when FBs block the airway, common reasons are: not chewing the food properly, diseases like Parkinsonism, drinking alcohol or certain drugs that slowdowns the process of swallowing.
Managing FB in the ear, nose and throat

Foreign bodies in the ear
Symptoms: Pain in the ear, discharge or bleeding from the ear, feeling of fullness or pressure in the ear and dizziness and nausea in extreme cases.

Management: 

Make sure the patient is sitting in an upright position, pull the pinna or outer semicircle of the ear towards the back. This can help you see the object clearly and also loosen it to wiggle out. If you can see the object clearly, use a tweezer to grasp the object and gently remove.
In case a live insect gets trapped inside the ear lie down and place few drops of warm vegetable or baby oil. Use oil only if symptoms of eardrum perforation like pain, bleeding/discharge from the ear is absent.
Tilting the head to the affected side can facilitate gravity to dislodge the object.
Foreign bodies in the nose:
Symptoms: Pain and difficulty in breathing from that side of the nose.
Management: Keep the uninvolved nostril closed by pressing a finger against the side of the nose and gently ask the person to blow from the affected nostril.

Foreign bodies in the throat:
Symptoms: Choking, inability to breathe and speak 
Management: Perform Heimlich maneuver: abdominal thrusts, if trained otherwise, it is advised to call for medical help immediately.

How can you prevent foreign bodies from entering your ear, nose, throat?

Discourage talking, playing, laughing when food is in the mouth.
Do not give whole grapes, popcorn, nuts to children below 3 years.
Keep small objects out of reach of small children.
Teach children to avoid placing objects into their nose, ears.

Presence Of Foreign Bodies In Ear/Nose/Throat - How It Can Be Managed?

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