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Does pcos really increases weight and what are the long term side effects or problems in health with pcos.
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Acute pyelonephritis is a suppurative inflammation of the renal parenchyma and the renal pelvis. It is a potentially life threatening condition caused by bacterial infection. It can occur suddenly and causes the kidneys to swell, which may damage them permanently too. If the condition occurs repeatedly, it is termed as chronic pyelonephritis.
The most common bacteria involved in causing pyelonephritis is Escherichia coli. Other causative bacteria are Klebsiella and Pseudomonas. Infection starts in the lower urinary tract as a urinary tract infection. Urethra provides an entry for the bacteria, which enter the tract and begin to multiply and spread up to the bladder. They further travel through the ureters to the kidneys. Any septic infection in the bloodstream can also spread to the kidneys and cause acute pyelonephritis.
How it spreads - Pyelonephritis spreads through two routes, homogenous or from the lower ascending tract (ascending infection).
Risk factors - Urinary obstruction, vesicoureteral reflex, catheterization, pregnancy, Diabetes Mellitus, age over 65.
Symptoms - The symptoms are observed within two days of infection. Common symptoms include:
- High fever of a temperature greater than 102 degree F
- Pain in the pelvic region
- Burning sensation during urination
- Flank pain
- Presence of pus discharge or blood in the urine, fishy odor in urine and vomiting.
The symptoms observed can vary in children and older adults than they are in other people. Mental confusion is common in older adults and it often is their only symptom. In chronic pyelonephritis, people experience only mild symptoms or may even lack noticeable symptoms altogether, which is the major reason of negligence by the patient towards treatment. Flank pain in the abdomen and signs of infection can be observed.
Diagnosis - Uncentrifused urine is analyzed for the presence of pus cells. The leucocyte esterase dipstick method is used to check for Pyuria. However, it is less sensitive than microscopy. In the urine culture, significant bacteriuria is detected on presence of more than 105 colonies/ml of the sample. Imaging studies can be done to check for the presence of kidney stones. Amongst the inflammatory markers, the values of C-reactive protein (CRP), ESR, and plasma viscosity may be raised. An elevated white cell count with neutrophilia is seen on blood culture.
Complications - Abscess formation in either the kidney parenchyma or the surrounding retroperitoneal spaces is a common complication. Other complications include the development of a xantho-granulomatous or emphysematous pyelonephritis. In severe cases, there can be chronic renal failure too.
Treatment - The duration of treatment depends on spread of infection. Empirical antibiotic treatment can be started until the confirmatory tests reports of culture and sensitivity are observed. Antibiotics like Ciprofloxacin, Amoxicillin, Cefixime can be given. Medications for acute pyelonephritis are continued for up to 3 weeks, whereas for chronic conditions medicines should be given for 6 months.
Chronic pyelonephritis - It is a morphologic entity which is associated with a predominant interstitial inflammation and scarring of the renal parenchyma. There is a grossly visible scarring and deformation of the pelvic-calyceal system. Chronic pyelonephritis further leads to chronic renal failure.
The two forms of chronic pyelo-nephritis are
- Chronic obstructive pyelonephritis, where obstructive lesions lead to recurrent bouts of renal inflammation
- Reflux nephropathy.
Management includes controlling blood pressure to slow the progression of chronic kidney disease, long term antibiotic coverage for urinary tract infection, removal of calculi and antibiotic prophylaxis for vesico-ureteral reflex.
I am 29 yrs old want to know for my friend he is slim trying to fit but can't he had tried lot of exercise but still not any reason.
I m 20 yrs and I m very slim not healthy and weight is 40 and height 5'4" so what I do for increase my height and become others healthy.
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I am 27 years old 6 feet height and my weight is nearly 65 kg which is low as per standard height chart (male) and I also suffering from muscle pain on shoulder and neck pains after gym. Usually I do masturbation weekly 3 to 4 times. What I have to do? Is the masturbation is safe. please give some advice.
Sleep is a natural part of the daily biological functions and we spend some time of the 24 hours sleeping.
Sleep cycles are different for different persons and while 5 to 6 hours of sleep may be enough for some people, others may need up to 8 hours of sleep to feel refreshed. How you sleep is as important as the duration. This is one area which is often neglected by people.
Why sleeping positions are important?
Sleeping positions are very important as you stay in a single position for hours at a time every day, and if these habits are bad, they can contribute to spinal problems. Thus, many of the spinal problems can also be alleviated by sleeping correctly.
Some of the bad sleeping positions that may adversely affect your spine are as follows.
- On your stomach - This position is in overall a bad position as it curls up the spine, especially where the neck meets the spine and can cause spinal deformities over a long period of time. Certain adjustments to this position can lessen the effects, but it is important to try to change habits and sleep in a better position.
- The fetal position - Although this is one of the more natural positions and most babies are crouched up in this form in the mother's womb; as a sleeping position, it has its disadvantages as well. The lower spine is especially put under a lot of stress when someone curls up in this position.
- On your side - Although this is safer compared to the other two, sleeping on your sides straight would cause blood circulation issues and also put a lot of stress on the relevant organs, depending on the side you were sleeping on.
In all of the cases, slight adjustments to these positions will lessen the stress on the spine and also help you sleep better.
Some of the adjustments that you can make are:
1. Sleep with a pillow between your knees to align your hips and cause less strain on the spine.
2. If you don't have sleep apnea, put a pillow under your knees to raise them while lying on you back.
3. If you sleep on your back, try to consciously change your position to sleep on the side.
4. Try and actively change your posture throughout the day to ensure good sleeping position at night.
Related Tip: What really happens to your body when you're sleeping?