Dialysis is a very important and life-saving procedure. It is performed to replace kidney function in case of renal failure. Wastes and extra fluids in the blood are filtered out during this process. To be able to perform Dialysis, the connection between the patient s bloodstream and the equipment for performing Dialysis (dialyzer) outside the body is established. This connection is created through Dialysis Access Surgery. It is a type of Vascular Surgery which forms the vascular opening for access during Dialysis. Thus, Dialysis Access Surgery is the lifeline for the survival of the patient.

Types of Vascular Access for Dialysis- 
There are three types of Vascular Access for Dialysis: Arteriovenous (AV) Fistula, Arteriovenous (AV) Graft, and Venous Catheter.

  Arteriovenous (AV) fistula is a surgical connection of an artery to a vein. An AV fistula is usually placed in the upper arm or in the forearm. It causes extra blood to flow into vein making it grow large. A larger vein hence provides easy access to blood vessels. An AV fistula is preferred over other methods as it lasts longer than other methods of access and provides a good flow of blood. Moreover, it is less prone to infection and blood clots than other methods. Before an AV Surgery, a Vessel Mapping Test is sometimes performed for assessing the blood vessels most suitable for Dialysis. An AV fistula is performed under local anaesthesia and requires two to three months for maturation before hemodialysis. If it fails to mature, the procedure is repeated.

  Arteriovenous (AV) graft is performed when AV fistula fails to mature. It is hence the second most preferred choice for long-lasting access to vascular tissues for Dialysis. An AV graft is a looped plastic tube which establishes a connection between an artery and a vein. Like AV fistula, AV graft is also performed under local anaesthesia. It is slightly more difficult to maintain than an AV fistula.

  A venous catheter is used for short- term hemodialysis. It is a tube which is inserted into chest, neck, leg, or near groin for vascular access. After exiting the body, the tube splits into two halves. In the case where a renal disease has made quick progression leaving little or no time for the AV fistula or AV graft to mature, a venous catheter is used to establish the required vascular connection. This procedure is also performed under local anaesthesia. It is a tool for emergencies but is not suited for long- term use. It can cause narrow vein due to an infection,
scarring, or blood clot. If long- term venous catheter is used, it is tunnelled under the skin which has fewer problems associated with it and is more comfortable. 

How to Care for a Vascular Access?
  Get checked for infections and other problems before each hemodialysis session;
  Use the operated site for access only for the intended use;
  Always keep the access clean;
  Prevent cutting or bumping the access;
  Check for thrill/ vibration in the access and inform the doctor if any;
  Do not put pressure on the access site;
  Do not put blood pressure cuff around the access arm;
  Do not wear jewellery or tight-fitting garments over the site;
  Do not lift a weight.

Take Away-
Vascular Surgery for Dialysis is performed to provide vascular access for the procedure. AV fistula is the most preferred type followed by an AV graft. A venous catheter is recommended to be used only in case of an emergency when there is not much time left for the other two options to mature.

Vascular Surgery - Can It Help For Dialysis?

Many people are embarrassed to talk about their urine colour or urine problem with anybody, including their doctor. But, what people always forget is that strong smelling urine and the change in the colour of the urine is a serious issue. Your urine colour directly tells you about your health, especially your inner body. So, without being embarrassed you should consult a doctor, if and when, you find foul odour in your urine. Following are some of the reasons for the causes of strong smelling urine.

You are dehydrated: Urine is not supposed to leave odour. It should be odourless, but if you find strong smell in your urine, you should consult a doctor immediately. The most common reason of foul odour in your urine is dehydration. If the amount of water needed in your body is not enough then, there will be less water in your body as a result the waste products will not be diluted in water being more concentrated making the urine darker and more odour. But once you start drinking water, it should go normal. Normally, this kind of situations occur in early morning when your water intake is less or not at all. But drinking lot of water will solve this issue immediately.
More alcohol or caffeine intake: If you are habituated to drink a lot of coffee then it may happen that you find strong smell of coffee in your urine. Although it is not very problematic yet it is healthy if you reduce the intake of coffee in your daily life in order to have a healthy digestive system. Not just coffee but even alcohol could be the reason of irregular or need to urinate a lot more than usual.
Bacterial Infection: There could be bacterial infection or kidney infection which could lead to strong smell of urine. In order to ensure you should go to a doctor and get important tests done. Then the doctor can suggest treatment according to your results and if all the results are normal then you could be suggested to maintain a balanced diet on regular basis.
Imbalanced Diet: The problem can sometimes come from the use of certain vitamins from imbalances in your diet. There are substances like nitrates and phosphates in the urine which can give dark colour and odour. You should always have a proper diet and follow it in order to have a healthy digestive system. Eating lot of garlic and onion can also bring odour in your urine.
Diabetes: If you are diabetic, it may be possible that you find dark urine and odour in your urine. It indicates that your sugar level is not normal and gone much high than normal. If you are not diabetic then it may be a sign of diabetes so you should get diagnosed immediately with your doctor.
There are multiple causes of strong smelling urine but most of them could be cured easily if diagnosed immediately. But in order to avoid this issue it is better to be careful with your diet and drink a lot of water. At least three litres of water a day is an absolute necessity!

Strong Smelling Urine - 5 Common Reasons Behind it!

A person is said to have great vision more in the metaphorical way than in the literal sense. However, having both is just so important, especially as the ability to see reduces as a person gets older. Old age comes with its own set of problems, and vision loss is one of them. If kept in check from an early age, however, vision loss can be deferred indefinitely.

While a person's eyesight is likely to deteriorate over the course of his life, there is a lot which can be done in an effort to make sure that this is not the case. To start with, it makes good sense to be regular with eye check-ups. After a person attains the age of sixty, he or she should have a doctor take a look at his or her eyes on a yearly basis. There is no point trying to conserve eye sight if a person is too late in taking corrective action. By paying a visit to the ophthalmologist, a person will get to know the exact problem that he is suffering from.

A good diet which is rich in the nutrients which improve a person's eye sight does go a very long way in the long run. A person should make sure that is diverse enough to take care of the needs of a person and should include grapefruit, strawberries as well as berries and nuts.

One of the main things which can be done in order to preserve the health of a person's eyes until he or she reaches an advanced age is to stop smoking in all forms. As a matter of fact, tobacco leads to cyanide entering the blood stream and this does a lot of damage to the eyes. In fact, quite a few irreversible conditions of the eye are caused due to this.

Exercise is said to be good for a person at any age for a variety of reasons and it is really good for even the eyes, though the link may not be immediately so clear. It reduces the risk of age related degeneration by up to 70 per cent!

What is really interesting about a person's eyes is that they can be signs of trouble in other parts of the body. For example, if a person has blurry vision, they should get checked for diabetes. Also, eyes which do not produce enough natural lubrication can show a risk of rheumatoid arthritis and perhaps even thyroid disease.

All in all, a person's eyesight is so crucial to his or her overall health and wellbeing. We have only one pair of eyes, so we might as well take care of them!

Tips to Prevent Vision Loss in Elderly People

4 Reasons you SHOULD have your meals with ghee

Full of nutrients, ghee or clarified butter comes with an assortment of health benefits. Despite its vast nutrient content, most people avoid ghee, believing that it is fattening. This is in fact not entirely true! Here s why you should consider adding a dollop of ghee to your meals. 

1. Good for your brain: Ghee is an excellent source of omega-6 and omega-3 fatty acids, which help in the proper functioning of your brain and nervous system. Furthermore, these fats can also decrease your risk of getting brain disorders like Alzheimer s and dementia.

2. Strengthens your immunity: Ghee is rich in nutrients like CLA and K2 that give it its anti-fungal and anti-viral properties. Also, the presence of these nutrients helps ghee in strengthening your immune system so as to keep diseases at bay. 
Additionally, several studies show that the butyric acid (acid that helps in controlling metabolism) content of ghee also helps in fortifying your immune system as it enables the creation of killer T cells (a type of white blood cells) in the stomach.


3. Promotes weight loss: Contrary to popular belief, the inclusion of ghee in your diet can also help in reducing fat cells in your body, leading to loss of weight. It does so by improving the functioning of your gall bladder, so that the bile that is produced is able to break down the fats that are digested. As your meals get easily digested, your body s metabolism levels also increase significantly. 
Moreover, it contains medium-chain fatty acids (MCTs) that are responsible for augmenting your body s metabolic processes. Several researches indicate that these fatty acids have the ability to burn calories and bringing about weight loss. While decreasing hunger, they are also responsible for oxidation of fats that get accumulated in your body.

4. Helps in digestion: Ghee regulates the secretion of stomach acid, which gives you a stronger appetite, while helping you to properly digest your food. Furthermore, when added to foods like khichdi or puran poli, it could help you to digest these better. If you suffer from low levels of butyric acid production, it can significantly perk up your butyric acid production by improving the functioning of your digestive tract. Butyric acid is highly important as it strengthens the walls of your intestines, while being an energy source for your body. 

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

Did You Know: GHEE Promotes Weight loss? 4 Reasons You Must Have Ghee

Asthma is a common disease, characterized by the inflammation of the airways. These airways are responsible for the passage of air and therefore their inflammation causes shortness of breath and extreme discomfort. Though different branches of medicines have tried in their own ways to deal with this problem, ayurveda with its emphasis on natural remedies has emerged as a clear favorite. According to ayurveda, it is the stomach that is the source of all chronic diseases. The science believes that as impurities accumulate in our system, diseases like asthma come to the fore. The different ways by which ayurveda treats asthma are:

1. Maintaining a proper diet: since stomach is identified as the source of most diseases, any attempt to treat them should begin from the stomach itself. Ayurveda believes that those foods, which are easy to digest, inevitably helps in relieving you from the bouts of asthma. The concept that operates behind this is that easily digestible food provides nutrients, which are further absorbed by the tissues. This helps in rebuilding the strong strength as well as keeps the stomach in a sound condition.

2. Herbal oil massage: a daily massage with herbal oil has always proved to have an extremely soothing and a calming effect on your system. Ideally the massage should be performed before taking a bath as it increases the blood circulation and pacify the nervous system.

3. Exercise: ayurveda is perhaps the only branch of medicine that gives equal priority to medications as well as exercises. It is believed that stretching and those exercises that facilitate flexibility can markedly reduce bouts of asthma.




Role of Ayurveda in Treating Asthma 

Vomiting is a natural process for the body to rid itself of something it does not want, in the quickest way possible. Nausea is usually the prior warning of this process, although it can mean other things too. Vomiting is commonly caused by an infection in the stomach or intestines that may be due to food poisoning or an infection of an unknown origin. 
Vomiting is not a disease in itself. It is a symptom that something is not alright with the body   it could be indigestion or kidney stones, medication side effect or pregnancy, alcohol or spoiled foods. Homeopathy believes in treating the underlying symptoms and the person as a whole. Listed below are some of the common homeopathic remedies which have been proven useful during the bouts of vomiting.
Arsenicum Album: If food poisoning is the cause, then this is the best remedy. There is a burning sensation in the stomach along with thirst, and small frequent sips of water are beneficial. The stools are dark, small in amount, and have a foul smell. The person is chilly, exhausted, and anxious.
Ipecacuanha (Ipecac): For prolonged vomiting, this is a good cure. Especially in pregnancy associated with belching and excessive saliva. This is also useful when watching moving objects for prolonged periods induces vomiting. There may be associated abdominal pain after a meal.
Carbo Vegetalis: If the vomiting is associated with indigestion, heartburn, flatulence, and a bloated feeling, carbo vegetalis can be the ideal remedy. Food regurgitation or GERD with a sour taste in the mouth is a good indicator for using this remedy. There is gas in the stomach which causes distention and burping, especially in children, and this remedy is very useful in such cases.
Ignatia: Vomiting is brought on by emotional stressors, associated with depression and trying to curb this feeling. The person may be crying and have mood swings and sleeplessness. This is also used in children who may complain of a lump in the throat. In children especially, everything that is said will be taken very personally.
Nux Vomica: This helps relieve nausea associated with gas and bloating sensation. It is especially useful in pregnancy where the person can be irritable and impatient and have vomiting after eating and in the morning. There is constant sense of retching. Children who have eaten too much food can be treated with this remedy. The child could also have stomach pain, headache, and irritability.
Antimonium crudum or Ant-c: The tongue is coated with a white layer and vomiting occurs soon after eating or drinking. There could be history of eating indigestible foods or overloaded stomach.
Kreosote: When undigested food stays in the stomach for prolonged periods or used in vomiting associated with cancerous growths and kidney diseases.
Aethusa: If a child is vomiting curd-like material followed by exhaustion, this is a good solution. The hungry child eats and goes through the bout of nausea, and the cycle repeats.
These are some simple homeopathic medicines; however, bear in mind that these should be taken only under supervision. 

Homeopathic Remedies for Vomiting & Nausea Problem

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