The kidneys are the purifiers of the body; they help in removing the waste from the body through the urine. In those suffering from kidney diseases, the function of the kidney is affected, and so their ability to clear out waste from the body is reduced and completely lost gradually. However, waste continues to form, and therefore, such patients have to undergo dialysis, where the blood is purified through an external device.

The frequency and duration of the dialysis would depend on how effectively the kidneys are still functioning and how much waste has been formed from the time of the previous dialysis session. The person s overall body mass index (BMI) and the water weight gained are also considered.

Once it is decided that a person s kidneys are damaged and dialysis is required, the person has to prepare for a long-term process. The following outlines what to expect before, during, and after the dialysis sessions. 

Before the session: 

Since most people prefer to get it done at a dialysis centre, it is preferable to plan for it, three treatments a week on an average, with each session lasting about 4 to 4 hours.

During the session: 

The blood flows through the dialysis device, which acts as an artificial kidney. The sequence of events are as follows:
The Weight is checked
Vital signs, including heart rate, blood pressure, breathing and pulse are checked.
The access areas are washed, and needles are used to connect these areas to the dialysis machine. Anesthesia may be used in the beginning to reduce the pain in this area.
The same access areas are used for each session, and over a period of time, buttonholes are formed which is like a small tunnel.
Though the session would last about 3 to 4 days, normal activities can be done, including reading, working on a laptop, watching television, or even sleeping.
Once the dialysis session is complete, the tube will be removed and a dressing is placed over the site.
After the session

The same site is used each time for the dialysis, so for the first couple of sessions, there could be discomfort. There could also be nausea, diarrhoea, cramping, and headaches.
The treatment needs to be adjusted based on symptoms, so please let the doctor know if you experience any symptoms.

Call the doctor if you are facing the following:

Bleeding from the access site
Inflammatory signs around the site
Persistent fever of over 104 degrees
Numbness or weakness in the arms
Confusion, drowsiness, or cognition problems
Though initially uncomfortable, once you get into the dialysis schedule, you will notice the difference of how cleansed you will feel after each session.

Undergoing Dialysis - What To Expect From It?

Enlargement of the prostate is a condition that can happen as you tend to get older. This can be treated with medications. However, did you know that the problem can be indirectly related to your performance in bed? It is true and read ahead to get acquainted with more knowledge.

Studies show that the urinary problems caused by an enlarged prostate can be one of the causes of erectile dysfunction. Getting up many times in a night to urinate can also indirectly affect this. Once the prostate enlarges due to old age or due to an underlying condition it affects the flow of urine. This increases the need to urinate frequently or prolonged time duration when passing out urine. Studies conducted have identified that this impacts your sexual life to a vast degree. Simply put, your urinary symptoms decrease the level of sexual activity.

When your thought process is on constant need to urinate enlarges, you might be physically less tolerant towards your sexual urges. Also, the sensation may be enough to put off any guy during the act. Prostate enlargement also affects your libido levels and can decrease the healthy sperm count. Prostrates important job is to aid the addition of semen to the sperm.

Symptoms:
Some of the common symptoms a person undergoes when facing a prostate enlargement include a feeling of urgency, a need to urinate frequently, waking up many times in the middle of the night to urinate, a weak urine stream and straining to urinate. These lead to sexual deficiencies such as little or no erection during a sexual activity and sexual dissatisfaction and sexual problems. It can also be rightly summarized that this predominantly affects the old age men and these are something which a person may have to accept as a result of old age.

Treatment plans:
Prostate enlargement can be treated and you might have to undertake a dosage of medications for such conditions. A range of treatment options are available to deal with the enlarged glands. It depends vastly on your age and the conditions of your lifestyle you live in. You can choose to opt for a minimally invasive same-day procedure that will surely help you relieve the symptoms. Most people also do take up ayurvedic treatments for prostate enlargement which are very helpful. Do talk with your doctor before you go in for such ayurvedic remedies.

Herbs In Ayurveda That Help In Erectile Dysfunction!

Asphaltum(Shilajit): The Ayurvedic herb Shilajit has been popular since ages for its wonderful effects on the male libido. The fertility rates and sperm counts increase multi-fold with the usage of Shilajit. Ayurvedic physicians recommend Shilajit herb for improving stamina and energy levels in males thereby helping them feel more powerful and efficient when working out.
Withania Somnifera (Ashwagandha): It is a great antioxidant and has anti-inflammatory properties. It helps to promote overall well-being of the body and nourishes it with strength and immunity. 
Tribulus Terrestris(Gokhshura): Tribulus is a wonderful herb for strength and stamina. It helps improve the immunity which enhances the self-esteem and self-confidence in men. Tribulus herb for prostate health and power helps improve erectile dysfunction.
5 Yoga Poses for Erectile Dysfunction
The yogic techniques are also known to improve your testosterone levels and increase blood flow to your pelvic region, helping you treat erectile dysfunction and enhance your sex life. Try these yoga poses to promote to manage ED.

Paschimottanasana: This posture can help relax pelvic muscles that are tense from sitting for long periods of time. 
Uttanasana: This is a staple in many yoga routines. This intense stretch may help you with anxiety. It even helps with infertility while also improving digestion and stimulating the organs in the abdomen.
Baddha Konasana: You may have heard this as a Butterfly Pose. Along with stretching the inner thighs and groin, it stimulates the prostate gland along with the bladder, the kidneys, and the organs in the abdomen.
Janu Sirsasana: Head-to-knee pose is the most effective when performed on an empty stomach. It helps with your flexibility, especially in the hamstring muscles, thighs, back and hips. It also helps with blood flow in the lower abdomen and groin. 
Dietary changes such as the inclusion of ghee, nuts, urad (black gram) lentil and sweet items reported help in the cure of erectile dysfunction. Hot and spicy foods should be avoided as they can upset the doshas of the body and impede treatment. You can take an ayurvedic treatment package for effective results.

Enlarged Prostate - Can It Lead To Erectile Dysfunction?

Renal Tubular Acidosis is a medical condition. When the kidney is unable to acidify urine, it leads to the accumulation of acid in the body. Usually, when blood is filtered by the kidney, it passes through the tubules of the nephrons (the functional unit of the kidney).

Before it flows into the bladder from the kidney, the urine undergoes an exchange of salts, acids and other solutes. Renal tubular acidosis results in the formation of excessive amounts of acid because the kidneys cannot drain them. This may happen because the kidneys cannot reabsorb the alkaline bicarbonate ions from the urine in the early segment of the nephron or because of inadequate production of acidic hydrogen ions in the latter half of the nephron.

Renal Tubular Acidosis is simply associated with abnormal urinary acidification. Other functions of the kidneys remain unimpaired.
There are several different types of renal tubular acidosis-

  Distal Renal Tubular Acidosis (RTA)
This is the most fundamental form of RTA. It is characterized when the hydrogen ions are not secreted into the lumen of the nephron by the alpha-intercalated cells of the medullary collective duct of the distal nephron. When this happens the pH of urine cannot be brought down below 5.3. Renal excretion is inhibited and hydrogen ions are not eliminated which leads to academia. At the same time, Potassium ions cannot be absorbed by the cell which leads to hypokalemia. The end result is protein retention and potassium excretion. Distal RTA can lead to the urinary stone formation, calcium deposits in the kidney, rickets and osteomalacia and Sjogren s syndrome.

  Proximal RTA
When proximal tubular cells reabsorb 85% of filtered bicarbonates and 60% of filtered sodium from the urine, then this again leads to academia. The distal intercalated cells, however, function normally and so the academia is not as severe as in case of Distal RTA. The alpha-intercalated cells can acidify urine to a pH of 5.3 or less because they produce hydrogen ions. Proximal RTA is also associated with Fanconi Syndrome which is characterized by aminoaciduria, uricosuria, glucosuria, and tubular proteinuria.

  Combined distal and proximal RTA
Inherited carbonic anhydrase II deficit leads to combined distal and proximal RTA. This is accompanied by osteopetrosis, cerebral calcification, and renal tubular acidosis. Cases of combined distal and proximal RTA are very rare.

How is RTA understood?
The following steps are applied to analyze Renal Tubular Acidosis-
  Determining the anion gap in acidosis. The normal Anion Gap is 8-12 (4-6 mEq/L)
  Separating the renal from the extrarenal causes of normal anion gap acidosis
  Classifying the types of RTA
  If it is distal RTA, further tests will be necessary to support the diagnosis

How is RTA diagnosed?
Three types of tests can reveal if a person is affected by Renal Tubular Acidosis-
  Urine test
  Acid load test
  Physical examination

Treatment of RTA-
Doctors prescribe either or both of the following two types of therapies-

  Alkali therapy- The pH level of urine is restored and electrolytes are balanced
  Vitamin D supplements- If RTA leads to bone deformities or rickets, your doctor will prescribe vitamin supplements to strengthen your bones.

Timely diagnosis can prevent the effects of Renal tubular Acidosis from becoming compounded. With the right medication, a person can lead a healthy normal life.

What Should You Know About Renal Tubular Acidosis?

At a point when our bodies process the protein we eat, the procedure creates waste products. In kidneys, millions of tiny blood vessels act as filters since they have even tinier holes in them. As blood flows through these vessels, little molecules such as waste items may press through the gaps. These waste items turn out to be a part of the urine. Helpful substances, such as protein and red blood cells are too enormous to go through the gaps in the filter and stay in the blood.

Diabetes and kidneys: Diabetes can harm the kidneys. Abnormal amounts of glucose make the kidneys filter a lot of blood. After a couple of years, they begin to spill and helpful protein is thereby, lost in urine. Having low protein levels in the urine is called micro albuminuria.

Medication: When kidney disease is analyzed on time, during micro albuminuria, a few medications may keep kidney disease from getting worse. Having elevated levels of protein in the urine is called macro albuminuria. When kidney disease is looked up some other time during macro albuminuria, end-stage renal disease (ESRD) usually follows.

Causes: Strain on the organs may cause the kidneys to lose their filtering capacity. Waste items then begin to develop in the blood. Finally, the kidneys start to fail. This failure, ESRD, is intense. A patient with ESRD needs a kidney transplant or a blood filtration by a machine (dialysis).

Other complications: Individuals with diabetes will probably have other kidney-related issues such as bladder infections and nerve damages in the bladder.

Preventing complications: Not everybody with diabetes goes through a kidney disease. Elements that can impact kidney disease improvement include genetics, blood-sugar control and blood pressure. The more a person keeps diabetes and blood pressure under control, the lower the chances of getting a kidney disease.

Keeping your glucose level high can counteract diabetic kidney problems. Research has demonstrated that blood glucose control diminishes the danger of micro albuminuria by 33%. For individuals who suffer from micro albuminuria have now a reduced danger of advancing to macro albuminuria. Different studies have recommended that blood glucose control can reverse micro albuminuria.

Treatment: Essential treatments for kidney infection include control of blood glucose and blood pressure. Blood pressure dramatically affects the rate at which the condition progresses. Indeed, even a gentle increase in blood pressure can rapidly aggravate a kidney infection. Four approaches to bring down your blood pressure are:

Shedding pounds
Eating less salt
Maintaining a strategic distance from liquor and tobacco
Exercising regularly
A low-protein diet can decrease the amount of lost protein in the urine and increase the protein levels in the blood. Never begin a low-protein diet without talking to your physician or nephrologist.

Diabetes & Kidney Problems - Know The Complications!

The condition of enlarged prostate occurs due to the enlargement of a man s prostate gland, with the passage in time. Also known as benign prostatic hyperplasia (BPH), it is more common in men over the age of 60. Some cases might have symptoms and others may be symptomless. Although the causes are relatively unknown, it is evident that BPH is not a form of cancer, neither does it cause cancer. The prostate is located below the bladder and is responsible for producing the fluid needed by semen. The growth of the prostate tissue that is associated with benign prostatic hyperplasia begins near the inner prostate which is a tissue ring around the urethra. Its growth is generally inward.

Causes
It is of common knowledge that in males, the urine originates from the bladder and flows through the urethra. BPH is a condition where the prostate experiences a benign i.e. non cancerous enlargement which leads to blockage of urine flow through the urethra (the urinary duct). The resultant enlargement, caused due to the gradual multiplication of cells, subjects the urethra to extra pressure. Further narrowing of the urethra causes more contraction of the bladder, resulting in the urine being forcefully pushed out of the body.

With time, the condition leads to the bladder muscles gradually becoming thicker, stronger and oversensitive. Contraction occurs even due to the presence of small amounts of urine, giving rise to frequent needs of urination. At one point, the bladder muscle is unable to overcome the effects of the narrowed urethra. Due to this, urine does not pass properly and the urethra is not emptied.

Some of the common symptoms of enlarged prostate include:
1. Frequent urination
2. Urgency to urinate
3. Difficulty during urination
4. A slow or weak urinary stream
5. Requirement of extra effort to urinate
6. Interrupted sleep due to need of urination

Further risks
Sometimes, when the bladder is not emptied completely, a risk of urinary tract infections develops. Some other serious problems which can be a result of enlarged prostate include blood in urine, bladder stones as well as acute urinary retention (inability to urinate). In some rare cases, kidney and/or bladder damage might also result from such a condition.

Frequent Urination - Can it be a Sign Enlarged Prostate

Ayurveda is a holistic system of medicine that focuses on improving your overall well-being, rather than just focusing on the symptoms of the disease. Being a complete natural based method, it has no side effects. Ayurvedic remedies for kidney stones emphasize on improving your lifestyle and diet to keep the energy balance in your body.

The causes of kidney stones range from factors such as an imbalanced diet, sedentary lifestyle and spicy food. Less water consumption is also a major cause of kidney stones. These factors cause problems in the various doshas in the human body, leading to diseases. It leads to toxin formation in the body called ama. These toxins trickle down to the urinary tract, causing crystals to form, thus leading to kidney stones.

Ayurvedic remedies consist of using diuretic herbs to dissolve the stones. Once the stones are dissolved, it is then recommended to use various cleansing techniques such as Panchakarma, which helps in strengthening the body. It is recommended to drink at least 2 to 3 liters of water daily and urinate whenever the urge occurs.

If the bladder stores the urine for a long time, then it leads to kidney stones. You need to cut down on foods that contain salt in excess. Add more green vegetables to your diet as they provide the body with essential nutrients such as calcium.

A comprehensive list of the changes you should make are:
1. Avoid eating dry and heavy foods
2. Limit consumption of coffee, tea, pickle based foods and cold drinks
3. Restrict consumption of non-vegetarian foods such meat and poultry
4. Drink adequate water regularly
5. Consume parboiled rice, brown rice and ginger
6. Consume lots of fruit juices, soup and water
7. Increase water consumption during summer months
8. Don t suppress the urge to urinate

Some herbal remedies to control kidney stones are combining  mehendi  with water to form a decoction and then consuming it. Increase consumption of horse-gram as it decreases risk of kidney stones. Make sure you exercise on a regular basis as it improves your overall well-being and keeps you healthy. 

Kidney Stones - How Ayurveda Helps in Treating it 

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