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People with chronic kidney disease notice that their bones tend to get weaker and more slender. They become painful and are bound to break more easily as a consequence of mineral loss. The most common kind of bone infections happen when:
- There is a change in the balance between two essential minerals in your body - calcium and phosphate, which prompts loss of calcium from your bones.
- Four small glands (parathyroid organs), which regulate calcium in your body, turn out to be excessively active.
- There is a change in the way your body utilizes vitamin D, a mineral that is vital for healthy bones.
Every bone disease affects bones in different ways.
- Phosphate is found in many food items you eat. Your kidneys normally eject whatever is not required in the body. At the point when your kidneys have stopped functioning properly, phosphate may develop in your blood. Excess phosphate in your blood prompts loss of calcium from your bones, which has a tendency to weaken them. Eating food items that are low in phosphate can keep phosphate from building up in your blood.
- Since phosphate stays in your body when your kidneys are no more ready to remove it, four small glands in your neck (parathyroid organs) turn out to be excessively active. When this happens, calcium is expelled from your bones over a long period of time, making them weak.
- Vitamin D is a vital vitamin, which affects the balance in the calcium content of your body. Typically, vitamin D is processed into a more soluble state by the kidneys and can be utilized by the body. In case your kidneys have deteriorated, they can no more do this critical job. Luckily, the dynamic type of vitamin D is accessible in the form of medications that can be prescribed by your specialist, if necessary. In case you have a kidney disease, it is vital to find a way to prevent bone illness. Some of the solutions are as follows:
- Limit the amount of phosphorus you take in every day. Ask your specialist or dietitian to let you know how much phosphorus you need to have. You can likewise request a list of high-phosphorus food items.
- Take a phosphate folio. This is a medicine that you bring with dinners to keep your body from taking in the phosphorus that originates from your food and beverages. This can keep phosphorus from winding up in your blood.
- Take a calcitriol supplement. Your kidneys make calcitriol with the help of vitamin D that you get from food and the sun. When your kidneys are not working, they can't make calcitriol. A man-made type of calcitriol can help your body utilize the calcium and phosphorus it needs.
- Exercise can make your bones more strong and keep them from breaking.
- Try not to smoke or use tobacco. It can aggravate bone disease.
- Take your medications the way your specialist instructs you to and do not skip dialysis medicines.
- Even after changing your diet and taking medicines, if you still have an excess of phosphorus in your blood, your specialist may propose that you undergo further dialysis. If you wish to discuss about any specific problem, you can consult a Nephrologist.
I am suffering from constipation most of the times, what steps should I take to control the constipation?
I want to know about that how I can gain wait. My physical body is so slim, what I can do to gain weight. I eating good things but result is very bad my body is not getting protein from fruits or vegetables. What is the main reasonbehind.
I am 18 years old in have skin problems know as psoriasis I have treated in hospital my problem is that my lesions come and go back.
I am 37 years old married women. I have frequently uti infection. In last 2 yrs. Particularly it occurs before my periods. Please suggest what should I do?
I am suffering with ankylosis spondylitis already left hip replaced right now my spine movements getting lost right hip movement is also difficult any permanent cure for this disease?
Last 4 days I have a itching problem in my vagina and today its over but sudden I have black discharge with transparent discharge is anything related to pregnancy but one day I do sex but I do not insert penis in my vagina only rub and both messedup and Slowly color change in morning its dark black and after its turn brown and then lighter is I am pregnant.
I am suffering from hair loss, could you please suggests me how can I reduce hair loss. Please tell me exact solution why because this problem from last 3 years.
My husband s suffering from severe back pain. I can not remain silent seeing him like that. So please suggest me what should I do.
About my wife back pain started in her lumber and thoracic back portion in the month of feb. 2012. We started treatment under local doctor's advice and took pain killers and some muscle relaxant and pain healed. But, it got repeated every week and we did the same treatment for the span of month. After that we did total analysis and it was found that there is compression at d8-d-9 and infection from d8-d10 and l3-l4 of spine. Then we did biopsy (first biopsy) of developed lesions and all reports were normal. At this time othopedician doctor advise us that it can be non-detectable tb infection (as it is non-pulmonary) and we started akt-4 on the basis of symptoms even though mtb was negative up to 4th week of culture growth. She took akt-4 for 20 months (june 2012 to feb-2014). During last 6 months of this time of period she was absolutely fine and started normal movements which were restricted during initial part of treatment. Infection was healed partially, and lesions was also started to disappear. We monitored it by ct scan after every 3 months. But in dec 2014 when medicine supposed to stop completely, again sever back pain started and it was found that there is formation of pus and damage of tissues at d8-d10, l3-l4. During this time of period she suddenly lost her weight by 18 kg (within 15 days), so operated and currated all the pus and infected part from the infected location (second biopsy). That sample we again sent for all the lab tests and it is again negative for mtb. We cultured that sample further and it is fount that this is slow growing ntm (non tuberculin mycobacterium) infection. And rest of all test were normal. As it is very slow growing we cannot found out exact genome of that bacterium. So, at this time infectious disease specialist and spine specialist doctors took decision together and stop akt 4 and started her; 1. Amikacin sulphate 1g: daily im/iv 2. Clarrithromycin: 500mg twice a day 3. Doxycyclin and lactic acid bacillus: twice a day 4. Levofloxacin: 750mg once a day during this treatment only her bsl found high without any diabetic history; so she is also taking, 5. Reclide 80mg twice a day 6. Metformine 500 mg twice a day as amikacin daily 1 gm is very high dose we are monitoring her serum creatinine, lft, esr, crp level on weekly basis; and if serum creatinine level is above standard value doctor advising to stop amikacin for some time and once it comes to normal level again we are starting it. Rests of the medicines are same. Above mentioned medicine has been taken for 4.5 months and again we did contrast mri for analyzing effectiveness of therapy. But in this latest mri report it is found that there is new disease has been developed at d9-d10 vertebral bodies and intervention disc. So, we taken advice from Dr. Rajeev soman, hinduja, mumbai. He has diagnosed it as below; 1. Primary tuberculine infection 2. Secondary nosocomial infection 3. Non-tubeculine mycobacterium and prescribed following medicines for 6 months; 1. Inj. Tigecycline (tiganex) 50 mg, bd - 6 months 2. Tab. Clarrithromycine (synclar) 500 mg, bd - 6 months 3. Tab. Levofloxacine (levoflox) 750 mg, od - 6 months 4. Tab. Linezolid 600 mg, od - 6 months } now all medicines stopped due to severe side effect. Side effect recovery is going on. What should we do?
Sir/Ma'am I am suffering from premature greying of hairs now Iam18+. What should I do to avoid this.
I have thyroid that's why I can not do work Long time and I can not walk more. My body weight is increasing so what can l do?
we bring you the mistakes that women make when it comes to sex.
For some women, whenever their sex lives become dull or a bit less exciting, they come up with a mental catalogue of all the ways their partner isn’t quite measuring up. While men tend to get a bad rap when it comes to understanding women’s bodies and what turns us on, making them easy targets in the blame game when sexual satisfaction starts to wane.
Little do they know that they also make their fair share of bedroom errors because it takes two to tango. Top sex and relationship experts are of the belief that women make plenty of sex mistakes of their own, only that they do not realise this neither do they admit it.
we highlight the six most common mistakes women make in the bedroom and what they can do to get the satisfaction back in their sex lives.
1: Not initiating sex with your partner
In the olden days, our parents pumped into our brains that it is unladylike for a woman to come out openly and initiate sex with her man. They felt that if a woman does that, she is seen as being pushy and aggressive but those times are long gone and men see women who allow them to do all the work as being prude.
Generally, men want to be pursued by their partners just as much as women do. Most guys feel like they are always the initiator and that sets up disequilibrium on the passion scale in the relationship.
Holding onto outdated ideas about sex roles also inhibits sexual satisfaction. Women are as much interested in sex as men, so why hold back when you want it?
Show your interest by taking the first step from time to time. Your partner will likely appreciate it, and you may find a new level of satisfaction in taking responsibility for your sexual experience.
2: Worrying about your looks during sex
Many women lose sleep thinking what they look like during sex and this stops them from enjoying sex as much as they would want. This could even ruin their chances of achieving an orgasm.
If you spend the whole time thinking how fat you are, or how big your tummy is, you will not only inhibit your pleasure but that of your man as well.
Instead, concentrate on the pleasure of the act and give yourself permission to have an orgasm.
Men want their wives to abandon themselves in sex play, and that’s not likely if she is anxious about her physical concerns.
It is amazing what men don’t notice if you’re enthusiastic, energetic, interested in them, and flexible minded.
3: Assuming sex is casual for a man
Some women still hold to the old belief that sex is just sex for men while women are not sexual at all but modern research has shown that sex is a very important act for men and should not be minimized in any way.
Some researches even supports the idea that both men and women find sexual intimacy in the context of a committed relationship to be more satisfying and it is very clear that the people who have the best quality and most frequent sex are married couples.
Never assume that a man is not romantic. Two huge mistakes in this culture are that women are not sexual and that men are not as romantic as women, and this is a very wrong assumption held by many.
4: Believing he’s always up for sex
Another big mistake women make with sex is believing that men are always ready for it at anytime. Sure, most teenage boys are ready and willing just about any time you ask, but this is not true for men. The pressures of everyday life, - family, work, bills - can zap a man’s libido. This comes as a big surprise to many women, and often his lack of interest in sex is something they take personal.
They know themselves that they are not always interested in sex but they still love the man. But when they discover he doesn’t want to have sex, they think, ‘he doesn’t love me.’ This is not true. He just doesn’t want to have sex at that time and that does not mean he loves you less.
5: Not giving him guidance
Talking very directly about sex, what we like and don’t like can make us feel uncomfortable, even with a partner we’ve been with for a long time and otherwise feel close to. But it’s the only way to achieve a satisfying sexual relationship.
A woman must take responsibility for her sexual encounter. No man can bring a woman to orgasm if she doesn’t take responsibility for her sexual experience. Even the best lover can’t know what she needs without her letting him know. Do not assume that your man knows every part of your body and thus, knows what to do at every point in time.
If you can tell him in a way that doesn’t kill his ego, he will appreciate it.
6: Getting upset when he suggests something new
After a couple has been together for a while, it’s natural to want to spice things up with a little variety. Just because your man wants to try something new doesn’t mean he’s unhappy with you or your sex life. In short: Don’t take it personally, though it is important that you tune into your comfort zone.
Nobody should ever feel obligated to do something they don’t want to do in the personal and intimate area of sexuality, so if your man asks you about trying something that’s outside of your morals, make it clear that it’s off limits for you and explain why.
Of course, do this in a loving way as best you can. If it is something that is not really a moral issue for you but you still don’t want to, again explain why. If it is a simply a startling request and you’re initially uneasy about it, try not to overreact.
Instead, let him know you need some time to think about it.