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Ringing in the ears, medically called Tinnitus, is a condition in which the individual hears a certain sound continuously in the ears.
The nature of this sound varies with different individuals. The sound may be whistling, buzzing or bell-like; it might be low or high; seeming to come from a far point or from inside of one's body.
Tinnitus in most cases is subjective where only the affected individual is able to hear the sounds. In some cases, the condition might also be objective wherein the doctor/examiner might be able to hear the sounds on examining.
Understanding the most common cause:
The process of sound waves travelling from the ear to the brain is facilitated by hair cells. When these hair cells are damaged, the brain does not receive signals which cause dysfunction in the activity of neurons. This dysfunctional neuron activity results in the illusion of sounds in the said individual. This illusion is referred to as Tinnitus.
Other causes that might result in Tinnitus are:
Damage around the hearing sections of the brain also might result in ringing sounds / tinnitus. Excessive noise might result into Tinnitus and if not prevented might even progress to hearing loss. There are also some drugs that may cause or worsen the condition.
When to seek help:
In the case of a sudden episode of Tinnitus, it may be associated with hearing loss. Such an episode should be followed by visiting the doctor immediately to prevent any further damage.
Sometimes, the ringing sound occurs rhythmically with your heart beat. It might be because of a pulsating blood vessel and/or because of a sudden hike in blood pressure. This condition would also be relatively easy to cure if reported immediately to the doctor.
If ringing sound occurs with a certain movement, it might be associated with stroke in some cases. In such incidents, conveying the exact symptoms and seeking help sooner would help in treating the underlying cause effectively.
With the first episode of Tinnitus, a regular medication that you intake should be shown to the doctor to rule out medication as the cause or to discontinue a certain medication if found to the causative agent.
The kidneys are the main excretory organs and remove all toxins and wastes from the body in a liquid medium, the urine. The urine is normally straw coloured as there are filters which do not allow blood to enter the kidneys. However, due to various reasons, when there is a disease in the urinary tract, red blood cells can escape into the urine. The urine then assumes a pinkish tinge; the exact colour would depend on the amount of blood leaked. While the thought of pinkish urine is scary, it becomes a bigger concern when seen in children. Read on to know a little more about the types, causes, and ways to manage this condition.
- Microscopic: When there is blood visible only through a microscope. This is quite common in children, and unless there is no accompanying kidney disease, it does not pose a problem when found occasionally.
- Gross: It is when the color of the urine changes to a pinkish tinge. This is of concern and requires immediate attention.
There are various reasons and some of them are listed below
- Inherited causes: Conditions like sickle cell disease, polycystic kidney disease, Kidney stones and inherited nephritis.
- Structural causes: Cysts in the kidneys can cause hematuria
- Trauma: An injury (to the abdominal area) during sports should be ruled out, which could have damaged the problem
- Infections: Infections along the entire urinary tract right from glomerulonephritis to kidneys to bladder can cause blood in the urine 5. Imbalances in minerals: High levels of serum calcium, which puts them at a higher risk of developing kidney stones later. Dietary calcium should be reduced. These children also could have a history of stones in the family.
- Idiopathic: When the cause of the hematuria is not known, it is termed idiopathic.
Hematuria is an indication or a symptom of an underlying medical condition (be it infection or trauma) and the underlying cause always needs complete evaluation. Accompanying symptoms can help narrow down the diagnosis. If any inherited cause is suspected, presence of hematuria should always be assessed in parents and grandparents.
- Check for history of trauma
- Known prior kidney disease
Symptoms of infection
- Family medical history
- Urine tests to analyse its composition
- Urine culture, MRI, CT scanning, or biopsy may be required in more serious cases.
When to worry?
- Associated proteinuria
- Microscopic hematuria which is persistent
- Kids with high blood pressure
- Kids with other existing kidney diseases
In most cases, no specific treatment for hematuria is required as the condition subsides after the underlying problem is addressed. For instance, once the infection clears, the hematuria also clears. Follow-up urine tests may be required to confirm that it is cleared. Blood in urine must always be evaluated by pediatric nephrologist as its causes range from very mild disease to rapidly evolving kidney failure, which may occur over days to weeks.