What is Diabetic Nephropathy?

Diabetic nephropathy (Diabetic Kidney Disease) is defined as the progressive damage to the kidneys caused by diabetes. It is characterised by the scarring of the glomeruli in the kidneys due to prolonged diabetes mellitus.

What Causes Diabetic Nephropathy?

Diabetes is a condition characterized by high concentration of blood sugar. Although the cause of Diabetes Nephropathy is not yet well defined, it is likely that the high sugar levels in the blood damage the blood vessels present in the kidneys that help to filter waste products, thus resulting in decreased kidney function and ultimately, kidney failure.

Not everyone with diabetes suffers from diabetic nephropathy. Although, factors that can increase your chances of getting diabetic neuropathy are-

Smoking

Poor control of blood glucose

High blood pressure

History of kidney diseases

What are the symptoms of diabetic nephropathy?

In the early stages, there may be no symptoms at all, but as the disease progresses, you may notice swelling in the extremities like your feet. Thus it is recommended to get your blood albumin levels tested on a regular basis. If it is diagnosed in early stages, the damage can be reversed. Other symptoms that can indicate damage to the kidneys are-

Severe malaise

Headaches

Nausea

Lack of appetite

Frequent voiding

Itchiness of skin

General feeling of illness

Diagnostic tests that can confirm diabetic nephropathy are-

Routine urine test (urinalysis) - Kidney diseases are detected by the presence of a protein in the urine called albumin and this condition is called albuminuria. Other parameters that must be regularly monitored are-

Blood pressure

Cholesterol levels in your blood

How can you treat/ manage diabetic nephropathy?

If this type of nephropathy is diagnosed in the early stages, the damage to the kidneys can be reversible. The key to managing diabetic nephropathy are-

Diet: Reduce the dietary intake of salt, phosphorous and potassium in the advanced stages.

Glycemic Control: Monitor your blood glucose levels regularly

Management of Hypertension: It is important to manage your blood pressure as it can have a direct effect on the coronary blood vessels which in turn pump blood to the various blood vessels of the body

Renal Replacement Therapy: In chronically ill patients, renal replacement therapy is the best option. This can include haemodialysis (a procedure to flush out toxins from the blood, such as urea), peritoneal dialysis or ultimately renal transplantation.

Diabetic Nephropathy - Causes, Symptoms and Treatments

If you are experiencing symptoms such as swelling, inflammation, thickening, yellowing and crumbling of your nails, toenail fungus or onychomycosis is indicated. This is a very common problem, which is usually painless, unless the infection gets spread. The fungus thrives under certain conditions like abnormal levels of pH in the skin, a weak immune system, poor hygiene, diabetes and a continuous exposure to moist or damp environment. If not treated properly, toenail fungus can lead to cracking, splitting or total loss of your toenail. There are various ways of treating fungal infections in the nails. Some of them are as follows:

Tea Tree Oil: Tea tree oil contains antiseptic and antifungal properties, which help in treating toenail fungus. You need to mix some drops of tea tree oil with coconut oil and olive oil. Using a piece of cotton, apply the mixture on your affected nail, keep it for 10 minutes and scrub off the nail with a toothbrush. For ideal results, you must repeat this process more than twice regularly.

Baking Soda: Baking soda is a commonly used remedy for fungal infections in your nails. It also helps in neutralizing foot odor. Add baking soda, hydrogen peroxide and Epsom salt in hot water, add vinegar to the mixture and soak your affected nail in the solution. After this, wash your feet with water. Repeat the procedure twice a day for several weeks.

White Vinegar: This is an ideal ingredient for the treatment of toenail fungus. It helps in restoring the pH balance of the skin and fights against infections. Add one part of white vinegar to warm water and soak your affected toenail in it for about 10 minutes. After this, you must wash it off. Carry out the process twice a day for effective results.

Oil of Pregano: Oil of oregano is considered effective because of its antibacterial, antiviral, analgesic and antiseptic properties. It is an ideal way for treating fungal infections in your nails. Mix oregano oil with olive oil, apply the solution on your nails and leave it for over 30 minutes. Repeat the process thrice a day for good results.

Listerine Mouthwash: Listerine mouthwash is another important home remedy for treating fungal infections in the nails. This mouthwash contains certain compounds along with alcohol, which have very strong antiseptic properties and help in eliminating harmful fungi and bacteria from your nails.

Best Ways To Treat Fungal Infections In Nails

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?

A bone may break due to several reasons starting from a fall or an injury or a condition like osteoporosis that makes the bones brittle and leaves them susceptible to fractures. The fracture usually takes a few weeks to get fixed as the broken bones grow back together with the help of various forms of treatment including a plaster and sling applied by the orthopaedic specialist or general physician. Find out more about how bones heal with this article.

Types of fracture: Before we get to the subject of how bones heal, it is important to understand the various kinds of fractures recognised by doctors. The first kind is the complete fracture where the bone breaks into two distinct parts. The next kind is the greenstick fracture or hairline fracture where there is simply a crack on one side of the bone due to pressure. Further, there is the single fracture which occurs where there is breakage of the bone only in one place. A bowing fracture may occur when the bones bend instead of breaking completely. This kind of fracture is pretty common for children. The comminuted fracture happens when the bone is crushed or broken in many places. And finally, the open fracture is one where the bone ends up protruding from the skin.

Treatment: Once you have broken a bone, the doctor will conduct an X ray which will help in understanding the type of fracture and the extent of the damage caused. The doctor will then apply a cast and plaster that will help in bringing the bone back to its normal position so that it grows back with the main bone. In case the bone has broken into various parts or there is a complete fracture, then the doctor may even insert metal pins.

Natural healers: Bones are known as natural healers that can heal with the process of new cells and vessel production which rebuilds the bone by covering the broken ends and closing the gap caused due to the damage or the crack.
Clot: Once a bone has broken, a blood clot or a callus forms in the surrounding region, which kind of acts towards sealing the area.
Threads: Once these clots have formed, the new threads of the bone cells begin to grow slowly from the ends of the broken bones. This will grow on both sides of the affected and fractured bones, almost as if drawing a line from one broken end to another.
Absorption: Finally, the callus will be absorbed by the new cell and the gap will close.
See a doctor is you are experiencing any noticeable symptoms that may point towards bone fractures.

Broken Bones - How Do They Heal?

Nausea can result from a variety of reasons. While the most cases arise from a hangover, it can also be a result of cancer treatment, patients fresh out of surgery and such other instances. A great degree of environmental changes is necessary such as keeping a cool temperature in the room or staying away from nausea triggering smell. Food also plays great strokes in curbing nausea. Here is a list of 10 best foods that helps to fight nausea:

Apple: Fruits with high fiber content goes a long way in eradicating chemicals that are responsible for causing nausea. Apple is definitely one of them. Consumption of a whole apple can ensure that nausea can t set in.
Crackers: Crackers such as toast, saltines and bread helps the stomach to settle down and effectively absorbs the acid from the stomach. Keeping a few crackers close to the bed or office bag can come real handy in fighting nausea.
Lemon: Lemons are a great agent that effectively blocks nausea and fight morning sickness. This can be consumed along with food, drink in the form of juice or simply sucking on it. Not to mention they are a great source of vitamin C.
Ginger: Ginger is a jack of all trade and master of many. Apart from its enormous nutritional value, it helps a person to fight nausea. This is recommended by Doctors for a patient undergoing chemotherapy or radiation. They can be consumed along with tea, in food or as a whole.
Water: Although water may not be a preferred choice for many during nausea, but it is one of the best agents to fight nausea. It not only keeps the body hydrated but negates acid formation in the stomach. Small sips of water after every half an hour can pay rich dividends in fighting nausea.
Nuts: At times the body suffers from nausea due to lack of protein and nuts contain plenty of them. Even peanut better will serve the same purpose. They ensure that the body is at the threshold of the energy level and keep nausea at bay.
Chicken broth: The Chicken broth is known to help individuals who have a tendency of suffering from nausea. Since broth is prepared of bouillon cubes, they greatly help in absorbing acid from the stomach.
Banana: Bananas are a great source of potassium which becomes essential in cases when a patient is suffering from diseases such as diarrhea. Due to their heavy sugar content banana effectively fights nausea.
Mint: Mint is refreshing for people at any state of mint. Simply chewing a mint leave or preparing a glass of juice from mint can effectively fight nausea.
Chilled food: Contrary to the popular belief chilled foods can effectively counter nausea. They have the double benefit of keeping the stomach temperature under control and easy digestion.

Nausea - 10 Foods That Help You Treat It!

The liver plays a significant role in the body s various metabolic processes. Infection with hepatitis C virus causes inflammation of the liver, known popularly as Hepatitis C. It is a relatively new discovery (late 1980s), but there are a significant number of cases identified. The challenge in identifying this disease is that the patient does not manifest with any symptoms and can be carrying the virus for years with no signs or symptoms. This makes diagnosis very difficult and in most cases, it is discovered when diagnosing for some other disease. It is transmitted via blood   through use of drug needles, tattoo needles, or sexual when the virus is present in the vaginal fluid.

Homeopathic Treatment For Hepatitis C -

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat Hepatitis C infection but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for Hepatitis C treatment that can be selected on the basis of cause, sensation and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person.

Homeopathy offers remedy for hepatitis C by detoxifying and neutralizing viral cells, improving immunity, and stimulating production of healthy cells. The following compounds are useful in this.

Chelidonium Majus: Prepared from the flowers of Celandine, it acts on the hepatobiliary system and restores overall liver function. The patient s presenting symptoms include jaundice with pain, bloated abdomen, significant lethargy, weakness, reduced appetite, nausea and vomiting.

China Officinalis: This is useful in patients who are down with intermittent fevers, headaches, gallstones, dyspepsia and hemorrhages. The patient could also have debility, trembling, ringing in the ears, flatulence in the abdomen, gassy feeling and vomiting of bile.

Bryonia Alba: This is prepared from the plant known as wild hops after potentization. It works on multiple systems including the digestive, hepatobiliary, respiratory, and musculoskeletal systems. This is useful in patients who suffer from dyspepsia, migraine, bronchitis, joint pains, back pain, menstrual issues, and respiratory tract infections. The patient could also experience a burning sensation and soreness in the abdomen, which is extremely tender to the touch, along with nausea and vomiting. The symptoms are aggravated during summer months and with heat.

Kali Carbonicum: The active ingredient acts of multiple bodily systems including kidneys, liver, digestive, blood, bones, lungs, etc. It is widely used in liver dysfunctions like nephrotic syndrome, cirrhosis, and hepatitis C. The patient may have liver atrophy, cirrhosis, heaviness in the abdomen or jaundice. He or she could be restless, excitable and nervous. Extreme weakness and reaction to changes in light, sound, touch and odors are some other symptoms. The pain could be relieved by rubbing.

Other medicines like Lycopodium, Belladonna, Nux Vomica, and Aconite are also useful. However, as with all homeopathy medicines, self-medication is not advisable. The doctor will check for all accompanying symptoms and your overall health status and then determine what would work for you.

How To Cure Hepatitis C With Homeopathy?

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