When do kidneys need dialysis?

Kidneys are a pair of organs that are located on either side of the spine, each about a size of a fist. The kidneys help in purifying blood by removing toxins, waste materials and excess fluids from the human body. Disorders and dysfunctions of the kidney can lead to severe and often fatal consequences. When the kidneys stop functioning as they are supposed to, dialysis is performed to resume normal functioning in the body.

Dialysis is a type of treatment, which filters and purifies the blood with the aid of a machine. It is an artificial way of purifying blood. There are two types of dialysis, namely hemodialysis and peritoneal dialysis. Hemodialysis, the most common form of dialysis, which involves using a manmade kidney called a hemodialyzer, which removes toxins and waste materials from blood.

Peritoneal Dialysis, on the other hand, is a type of treatment which involves implanting a catheter in the stomach. During the procedure, a fluid called dialysate flows into the abdomen that absorbs all the waste material, which is consequently drained out of the body.

You may need a dialysis if:

- Your kidneys are dysfunctional
- When waste materials and toxins start to accumulate in the body
- In an event of an injury or accident to the kidney such as internal lacerations (wound caused by the tearing of a tissue)
- If the creatinine (a type of a chemical waste product) level falls to 10-12 cc/minute
- In an event where the kidneys aren't able to work properly leading to accumulation of toxins, irregular amounts of chemicals in the body and other dysfunctions

Weakening of the abdominal muscles and weight gain are some of the risks involved in dialysis. Dialysis is a temporary treatment and serves to function till the time the actual kidneys get repaired. In chronic cases of kidney disease, kidney transplant may perhaps be the last resort.



When Do Kidneys Need Dialysis?

Can Exercise Help Control Blood Sugar Levels?

It is an established fact that regular physical exercise has wonderful effects on the overall health of a person. People of all ages can reap the benefits of exercise that take manifestation in all the various systems of the human body.

One such healthy effect of exercise is that it can help control blood sugar levels. For those who have been diagnosed with diabetes, exercise works like any other drug in keeping blood glucose at an optimal level. It also helps in preventing further health complications that may be caused by this condition, such as heart disease or strokes.

How does exercise control blood sugar?

Exercise affects the body's blood glucose levels in the following ways:

- Exercising increases insulin sensitivity, which makes the body more capable of using insulin to take up available excess glucose in the bloodstream.

- Muscle contractions during exercise stimulate the cells to use up glucose to produce energy.

- Heightened cardiovascular activity while exercising burns through blood glucose a lot faster.

It is necessary to keep checking blood sugar levels at regular intervals, especially if you suffer from diabetes. Working out has different effects on different individuals, depending on the duration and intensity of exercise and the overall health and medical history of the person.

What are the best ways to use exercise to reduce blood sugar levels?

It is important to chalk out a suitable exercise routine that is tailored specifically to your individual needs. Consult a health care specialist or physical therapist for formulating the best possible workout regime for your specific requirements.

Most experts recommend engaging in moderately intense exercise for a minimum of 150 minutes in a week.

A few examples of activities that fall under this category are as follows:

-Brisk walking
-Cycling
-Swimming
-Squats and lunges
-Stretching exercises
-Yoga

One thing that diabetes patients should always keep in mind is that over-exercising must be avoided. Excessively strenuous workouts can lead to hypoglycemia (deficiency of blood glucose) which is a highly unsavory condition.



Can Exercise Help Control Blood Sugar Levels?

Addison s disease is a disorder caused due to significant damage in the adrenal cortex (located alongside the adrenal gland s perimeter that helps mediate stress reaction), which leads to a deficiency in the secretion of the hormones  aldosterone  (that regulates the sodium and potassium level of the body),  androgen  and  cortisol  (which control the body s reaction in situations of intense pressure) by the adrenal glands.

Causes
There are generally two stages of Addison s disease. The causes vary according to the stages:

In the primary stage of the disorder, the body s immune system attacks the adrenal cortex and significantly damages it.

Other significant causes are as follows:

This might occur as a result of the development of tumors and cancerous cells in the body
Resulting from certain infections
Long-term usage of glucocorticoids (inflammation reducing steroids) might result in the primary adrenal insufficiency
This might also be caused due to tuberculosis or severe bleeding in the adrenal glands.
Risk Factors

If you re suffering from any one of the following complications, your chances of contracting Addison s disease increase significantly:

Cancer or if you have undergone any surgery to remove parts of the adrenal gland
Tuberculosis or diabetes.
Frequent usage of coagulants
Treatments
The treatment of Addison s disease varies according to the cause of the disorder.
The most common treatments for the disorder include:

A prescribed dosage of glucocorticoids might be recommended
Replacement of the hormones that the adrenal glands are unable to produce: Cortisone acetate or prednisone might be used in order to replace the  cortisol  hormone.
Meditation or other relaxing techniques to ease excessive stress levels or manage any trauma that you have been through.

Addison's Disease - 4 Causes Behind It 

How many of us have heard about Extracorporeal Membrane Oxygenation (ECMO) before Tamil Nadu, Chief Minister late J Jayalalithaa was put on it for recovery? Hardly a handful. Patients who are placed on the device have 50-50 chance of survival and while it could not help the late Chief Minister, her condition put a spotlight on ECMO.

What is ECMO?
ECMO is a life support device that is put in place when a patient's heart and lungs stop functioning completely post a cardiac arrest. When the patient does not respond to Cardio Pulmonary Resuscitation (CPR), the patient is put on ECMO.

Function of ECMO
The core function of the device is to separate carbon dioxide from the blood and add oxygen into it. It takes the load off from heart and lungs, providing critical time to the body organs for its treatment and recovery.
Patients are only put on ECMO, if there is a chance that the condition can be reversed.

How does ECMO work?
The device drains blood from a vein, which is attached to an oxygenator machine. The machine then removes carbon dioxide from the blood and adds oxygen to it. Depending upon the condition of the patient, the warm blood is either pumped into the body with the help of the machine or is transferred back into the body through an artery.

How long a patient can be on ECMO?
After seven days of being put on ECMO,there are chances of patient getting an infection.
In case the patient contracts an infection, it is recommended to take the patient off ECMO support.

All About ECMO - Extracorporeal Membrane Oxygenation 

Clubfoot is a deformity of the foot in infants. The condition is usually present from birth. This happens when the tissues linking the muscles to the tendons are shorter than usual, as a result of which the infant s foot appears twisted and out of shape. The condition can be mild or severe, depending on the symptoms. Often times, babies who are born with clubfoot have it in both the legs.

How to identify if your child has clubfoot?

Since the condition is present from birth, the symptoms are also easily observable. Identifying the following signs can help detect if your child is born with clubfoot-

  A foot that turns downward and inward and toes that point towards the opposite foot
  The affected foot may appear half an inch shorter than the normal foot size
  The heel of the affected foot may be smaller in size than it normally should be
  The calf muscle on the affected leg will be underdeveloped (appear slightly smaller)
  If the condition is severe, the foot may be twisted upside down

Despite its unusual shape, clubfoot does not cause pain or discomfort. The doctor will most likely notice the symptoms after the infant s birth. He/she will recommend appropriate treatment of the condition, or refer to an orthopaedic who specializes in muscle and bone ailments.

What is the treatment of clubfoot?

Clubfoot is curable so parents need not worry about their child living with a lifelong deformity.

Depending on the severity of the condition, the orthopaedic will either use devices, resort to stretching methods, or will recommend surgery.

  Ponseti Method (stretching and casting) - It is the standard treatment worldover. It starts at birth or anytime within two weeks of age and has best results in younger kids. It involves stretching the clubfoot and casting it in correct position several times over the months to restore the foot shape.
  French Functional Method (stretching and taping) - The doctor will stretch the affected foot and tape it in position several times over a couple of months to realign the shape. It, however, has very limites following.
  Surgery - Surgeries may be needed in older neglected kids or adults. The surgeon performs a surgical procedure (Achilles tenotomy) to lengthen the tendon of the clubfoot and realigns the joints and bones. Following the surgery, the child will need to be in a cast for about 2 months. Further, to prevent the recurrence of the condition, the child will be advised to wear braces for a year at least.
  Devices - They are adjunctive maintenance devices which are used by doctors in treatment of clubfoot. They are applied to the body to stabilize and limit or protect the movement of the damaged joint.

Parents should seek medical intervention if their baby is born with clubfoot. If the condition is not treated early, the child may face difficulty walking, or may even develop other disorders affecting the joints, like arthritis.

Clubfoot - Ways To Identify & Treat It Well!

Feeling bloated or acidic after a heavy meal can take away all the satisfaction the taste of food gave you. Indigestion and gas are some of the most common gastrointestinal problems faced by people around the world. In most cases, indigestion is a result of bad food choices and an unhealthy lifestyle. Heartburn is a not a condition of the heart, but a condition of the digestive system and to reduce its frequency, it is very important to drink and eat the right food. All three conditions, gas, heartburn and indigestion, can be relieved at home and do not necessarily require too much medication. Here are 4 easy steps that could help relieve heartburn, gas and indigestion.

The 4 steps to lower heartburn, gas and indigestion
Include More Fiber in the Diet: It is very important for a healthy digestion to include more fiber in the diet. Intake of fiber makes the digestion process simple and helps to push out the waste from the system. The system is detoxified by adding more fiber to your food and it also helps in preventingconditions such as heart disease, diabetes and hemorrhoids. 

Fiber can be added to your food in the form of fruits, cereals, whole grains, nuts, vegetables and plenty of water. It is very important for men to have about 25g of fiber per day.

Eat healthy food: It is very important that you chew your food well for proper functioning of the digestive system. The functioning of the stomach can be improved by eating smaller portions of food. It is best to avoid foods that are difficult to digest and it is also imperative that food must be consumed 1 hour before going to bed. Indigestion can be caused if you lie down immediately after eating food.
Intake of spicy food must be reduced: To reduce the frequency of heartburn it is very important that you reduce the intake of spicy food. It is possible to get relief from heartburn by avoiding spicy foods. Foods rich in probiotics can be supplemented as these help in better digestion.
Exercise regularly: Regular exercise is very essential for the fitness of the body and that includes a healthy digestion. The main benefit of exercising regularly is that it helps to fight stress which is the main cause of digestive problems such as indigestion. The passage of gas in the digestive system can be regulated by taking a walk after your meal. There are many benefits that can be gained by regular exercising such as the prevention of bloating, constipation, gaseous build up and even heartburn. Exercises such as swimming, cycling and yoga will have a positive impact on your digestive system and overall health.

Heartburn, Gas & Indigestion - Quick Steps That Can Help You Recover!

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