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Now I'm 43 .and am a female. I am suffering from diabetes for past 10 years. I can't able to control my blood sugar level at normal rates. I would have taking medicines and doing regular exercises. Suggest me the relief.
Our kidneys act as filters which constantly flushes out toxins and excess minerals with water in form of urine. Urine contains lots of minerals which may precipitate and form stones. Urine has lots of pro-precipitating agents and anti-precipitating agents. When their balance disturbs due to some disease, stones start forming. These stones may often lead to abdominal pain which is referred to as renal colic.
What exactly is renal colic?
Renal or ureteric colic is the term used for typical pain in one side of abdomen in flank region starting from back and radiating forward towards lower abdomen up to scrotum. This is usually associated with nausea, vomiting and urinary discomfort. There may be blood in urine.
How kidney stones are related to renal colic?
Kidney stones usually form inside kidney and lies there without causing any pain. But whenever they are dislodged and stuck at mouth of kidney (pelvis) or anywhere in ureter, they block the passage of urine of that kidney. This causes swelling in kidney termed as hydronephrosis. This swelling in kidney causes renal / ureteric colic. This colic is protective phenomenon and tries to push out the stones. Small stones do come out in urine by this natural process. This spontaneous expulsion of small stones is common and many local practitioners used to get credit of it feigning benefit of their medicine. However large stones need some form of intervention to come out. Otherwise, they do harm to kidneys in long term.
Symptoms of kidney stones along with renal /ureteric colic -
- Most stones which are lying in calyces of kidney are asymptomatic
- Nausea & vomiting
- Frequent urinary tract infections
- Fever with chills
- Foul smelling urine
- Hesitency, frequency and burning in urination
- Blood in urine (urine with a reddish, pink or brownish hue)
- Passage of small stones in urine
Treatment of renal colic
Treatment of ureteric/renal stones involves control of symptoms and stone removal.
- Expectant Treatment or Medical Expulsion Therapy: Small stones of less than 4 mm size usually pass on its own and some medicines like alpha-blockers and steroid hasten up their expulsion. Medium size stone (4-6 mm), sometimes passes with aid of these medications. But stones larger than 6 mm usually require intervention.
- Lithotripsy: This method involves breaking of stones by shock waves into small dusty particles which pass through urine on its own. This is usually suitable for stones upto 1.5 cm and lying in kidneys. This is non-operative treatment which can be done on OPD or Daycare basis.
- Ureteroscopy (URS): This method involves entry of very thin semirigid scope through urethra into ureter. Stone is broken by LASER and removed. This involves single day admission and spinal anaesthesia.
- RIRS- Retrograde Intra Renal Surgery: In this method very thin flexible scope in maneuvered through urethra into the upper ureter and pelvi-calyceal system of kidney. Stones in kidney or upper ureter are broken by LASER and removed. This is also done under anaesthesia and requires a day admission.
- Mini- PCNL: This method is suitable for large renal stones. In this technique, a small hole is made into the kidney through back and tiny scope is entered into the kidney. Stones are broken by LASER and removed. This is done under anaesthesia and require two to three days admission. If you wish to discuss about any specific problem, you can consult a Urologist.
Is there medication for Premature ejaculation. Does it really help. How long does it take n how much does it cost?
I am 65 years old. I am having difficulty in passing stool smoothly. The rectum portion comes out if I apply some force. If some laxatives / churna is taken, it empty out stool going to toilet 2 - 3 times and feels good. No bleeding in stool is found. I had problem of constipation since many years. Kindly advise medicine / remedies so that stool can be passed smoothly.
When men become sexually aroused, a number of hormones, muscles, nerves, and blood vessels all work in conjunction with one another to signal an erection. Nerve signals, sent from the brain to the penis, stimulate muscles to relax. This, in turn, allows blood to flow to the tissue in the penis. Once the blood fills the penis and an erection is achieved, the blood vessels to the penis close off so that the erection can be maintained. Following sexual arousal, the veins in the penis again open up allowing the blood to leave.
At some point in a man’s life, he may have difficulty achieving or maintaining an erection. Erectile problems occur when you cannot achieve an erection that is firm enough to have sexual intercourse. For most men, this problem occurs occasionally and is not a serious issue. However, if you are unable to achieve an erection 25 percent of the time or more, you may have a health problem that requires medical attention. Erection problems are also known as:
erectile dysfunction (ED)
What Are the Common Underlying Causes of Erection Problems?
The causes of erection problems can be both physical and psychological. Physical causes of erection problems are more common in older men. They occur because of disorders that can affect the nerves and blood vessels responsible for causing an erection.
Physical causes of erectile problems include:
atherosclerosis (hardening of the arteries)
high blood pressure
Peyronie’s disease(development of scar tissue in the penis, causing painful erections)
use of certain medications, including diuretics, muscle relaxers, or antidepressants
alcoholism or substance abuse
trauma or injury to the spinal cord or genital region
congenital problems, such as hypospadias or epispadias
liver or kidney disease
treatment for prostate problems
Psychological causes of erection problems occur in 40 percent of cases and are more common in younger men. Psychological issues can distract a man from becoming aroused and include:
anxiety over not being able to achieve or maintain an erection
prolonged emotional distress related to economic, professional, or social issues
When Should You Call Your Doctor?
If you develop erection problems that get worse over time, you should call your doctor. You should also call your doctor if erectile problems develop or get worse after injury or prostate surgery. If you experience erectile problems along with other symptoms, such as lower back pain or abdominal pain, make a doctor’s appointment.
You should also talk to your doctor if you believe a new medication is causing your erectile problems. Do not stop taking your medication before talking to your doctor.
How Can Erectile Problems Be Treated?
If you experience erectile problems, you may want to try homecare options to reduce your symptoms. Many of the physical causes of erectile problems are related to lifestyle choices.
As such, you may want to consider the following:
cutting down or stopping tobacco use
reducing alcohol consumption
getting plenty of rest
eating a healthy diet
talking with your partner about sexual issues
If changes in your lifestyle do not reduce your symptoms, you will need to contact your doctor to identify the cause of your erectile problems. Your doctor will examine your penis and rectum as well as your nervous system function. Your doctor will also ask you about current health problems and when your symptoms began.
In an effort to accurately diagnose the cause of your erection problems, your doctor may also order tests, including:
complete blood count (CBC)—a set of blood tests that checks for anemia (low red blood cell count)
hormone profile—measures the levels of sex hormones (testosterone and prolactin)
nocturnal penile tumescence (NPT)—measures erectile functionality while a man is sleeping
duplex ultrasound—high-frequency sound waves are used to take pictures of the body’s tissues
urinalysis—analyzes urine to measure protein and testosterone levels
Once your doctor determines the cause of your erection problem, he or she will provide appropriate treatment. Treatment options may include addressing the underlying health problem and providing intervention to reduce erection problems.
Options for treating erection problems may include:
medications injected into the penis, including prostaglandin E1 (alprostadil) and papaverine
medication (alprostadil (MUSE)) injected into the urethra
erectile dysfunction medications taken by mouth, such as Viagra
What Are the Complications of Erection Problems?
The complications associated with erection problems are significant and can impact your quality of life. If you experience erection problems, you may also experience:
stress or anxiety
dissatisfaction with your sex life
How Can You Prevent Erection Problems?
To prevent erection problems, you should engage in healthy lifestyle behaviors, such as eating a healthy diet, maintaining a healthy weight, and exercising regularly. If you have chronic health conditions, such as diabetes or heart disease, you should also work with your doctor to manage your symptoms. If you experience mental health problems, such as anxiety or depression, you should also seek treatment.
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