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Familial Renal Glucosuria Health Feed

My mother suffering from second stage rectal cancer with rectal bleeding and also renal failure and diabetes doctor's advice operation but my family should not do. please suggest me what should I do. I am her daughter.

Dr.Sunil Kaul 90% (151ratings)
Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
My mother suffering from second stage rectal cancer with rectal bleeding and also renal failure and diabetes doctor's...
Treatment of rectal cancer is surgery. Well, patient has to be fit for it. If there are associated medical problems they need to be corrected/controlled before going ahead with surgery. So it is better for your mother to take treated at a multi-speciality / medical college hospital for a well coordinated management. Thanks.
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Hello all. Now a days H1N1 is spreading every where. . Just want to know that vaccination is safe and where can take this vaccination for my family and kid in bangalore. Is there any side effects of this vaccination?

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
Vaccination is available--but it has got its side effects. Vaccination is required for high risk people like All children 6 months to 4 years (59 months) of age All people 50 years of age and older Adults and children who have chronic pulmonary (including asthma) or cardiovascular (except isolated hypertension), renal, hepatic, neurological, hematologic, or metabolic disorders (including diabetes mellitus) vaccine may be available in any super speciality hospital

I am suffering from hypertension shall I see nephrologist before starting any medicine. It's my family history to have hypertension.

Dr.Paramjeet Singh 95% (1427ratings)
MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
I am suffering from hypertension shall I see nephrologist before starting any medicine. It's my family history to hav...
You need to understand about high blood pressure.  Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels 4) your lifestyle - smoking, drinking, exercise  You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. DASH stands for Dietary Approaches to Stop Hypertension. DASH lowers high blood pressure and improves levels of cholesterol. This reduces your risk of getting heart disease. The DASH Diet Emphasizes vegetables, fruits, and fat-free or low-fat dairy products. Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils. Limits sodium, sweets, sugary beverages, and red meats. Along with DASH, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking. My advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out cardiac / kidney issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH KFT  Renal doppler  Get back to me with a detailed history and  old / new records for a better individualized advice.
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Protect your family

Dr.Anamay Kamalakar Bidwai 90% (310ratings)
Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Chennai
Protect your family
Dengue is spreading in the city like wild fire. If you have body ache, headache, fever, vomiting, tiredness, fatigue, cold and cough, start taking paracetamol tablets and drink 2-3 litres of ORS everyday.
Since dengue is life threatening, please see a doctor immediately to get relevant tests and further treatment done.
Protect your family and yourself, early detection is the key to proper treatment of dengue.

i am suffering from Renal glycosuria I am having sugar in urine but no sugar in blood proteins 2+ loss whether it is dangerous?

Dr.Sajeev Kumar 92% (39574ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
i am suffering from Renal glycosuria I am having sugar in urine but no sugar in blood proteins 2+ loss whether it is ...
In general, renal glucosuria is a benign condition and does not require any specific therapy. Glucosuria may also be associated with tubular disorders
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What Should You Know About Renal Tubular Acidosis?

Fellowship- IPNA(Pediatric Nephrologist), Fellowship- ISPN, Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
What Should You Know About Renal Tubular Acidosis?

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 vitamins and supplements for 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.

2748 people found this helpful

I am 39 years old patient of schizoaffective bipolar disorder on medication for last 15 years. And now I have reduced renal activity like urinating only once during daytime. I have sideeffects of bipolardisorder medication like laziness throughout the day, excessive salivation, weightgain and lowmood. I belong to a military family with severe socio-economic issues. Please help.

Dr.Saul Pereira 93% (49250ratings)
Reparenting Technique, BA, BEd
Psychologist, Bangalore
You have been pumping your system with medication for so many years that that low level of urination is not at all healthy. Please increase the consumption of water to at least 2 liters every day. This will flush out all the toxins from synthetic medicines and cleanse your system regularly. Whether you like or not and even if it seems impossible, you must go for vigorous exercise every day. It is your life and it is up to you to put in all this effort. I do not know what kind of support you have at home but a lot will depend on your motivation. I know that that will be very low but you cannot be passive and expect any results. There are some neurological exercises that will help too. Now this is my biggest concern: have you been in therapy along with the medication? I am sure not. Get into counseling as quickly as you can, whatever your economic condition. You must seek this type of help for any improvement. It will also support the effects of medication. You must exercise vigorously, sleep only during the night, and eat a healthy diet of fiber like whole grains, fruits, and vegetables. At all times you must be responsible, be respectful and be functional. These three are cardinal rules to adhere to that will make some effective changes in your life.
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Know The Symptoms Of Renal Cancer!

Dr.Ravi Bansal 92% (175ratings)
DM - Nephrology, MD-Medicine, MBBS
Nephrologist, Delhi
Know The Symptoms Of Renal Cancer!

Renal cancer is also known as hypernephroma, renal cell carcinoma (RCC), kidney cancer or renal adenocarcinoma. The kidneys are organs in your body that dispose off waste, while additionally regulating fluid balance. There are small tubes in the kidneys called tubules. These filter the blood, help in discharging waste, and make urine. RCC happens when cancer cells start to grow out of control in the lining of the tubules of the kidney. Renal cancer is a progressive disease that spreads to the lungs and the organs around it.

Medical experts do not know the exact cause behind renal cancer. It is most commonly found in men between the ages of 50 and 70. There are some risk factors and signs that indicate one’s possibility of having renal cancer and these are as follows-

  1. Family history of renal cancer
  2. Dialysis treatment
  3. Hypertension or high blood pressure
  4. Obesity
  5. Smoking cigarettes
  6. Polycystic kidney disease (a condition that causes cyst formation in the kidneys)


At a point when renal cancer is in its initial stages, patients might not see any symptoms. The symptoms are mainly seen in the later stages. Some of the most common symptoms are as follows:

  1. Blood in urineBlood in urine is called hematuria. As indicated by the Renal Cancer Association, hematuria is the most widely recognized indication of kidney cancer. In case you have blood in your urine, you may see pink, rust or even a red staining.
  2. Lower back painThe vast majority does not encounter pain until cancer is in later stages. Pain from renal cancer is felt on one side of the flank, the region over the pelvis, and beneath the ribs in the abdomen. This pain can go from a dull yearn to a sharp wound, frequently leaving the area blue. In case you have any sudden pain that continues for more than a couple of days, you need to see a specialist.
  3. A mass or lump: A mass or protuberance in the abdomen can be an indication of renal cancer. Kidney knots might be hard to feel since they are somewhere down in the abdomen. Once a bump is found, your specialist may arrange symptomatic tests such as an ultrasound or a CT scan. These tests may diagnose what your knot might be.
  4. Iron deficiency and fatigueWeakness and a fall in your iron levels are the most common symptoms of any type of cancer. Cancer exhaustion is not quite the same as simply feeling tired.
  5. Weight reduction, loss of appetite and feverAnother normal side effect of cancer is sudden and startling weight reduction. This happens quickly without any excessive workouts or dieting. A person diagnosed with cancer can also face a loss of appetite. In fact, even their most loved food items can get to be unappealing. Frequent fever is yet another common symptoms among most cancer patients.

In case your specialist suspects that you may have renal cancer, they will take some information about your and family’s medical history. They will then do a physical exam. Discoveries that can show renal cancer include swelling or irregularities in the stomach area. In case of men, augmented veins in the scrotal sac (varicocele) may be found.

1983 people found this helpful

5 Possible Signs Of Renal Cancer!

MBBS, DM - Nephrology, DNB Nephrology, MRCP - Nephrology
Nephrologist, Hyderabad
5 Possible Signs Of Renal Cancer!

Renal cancer is also known as hypernephroma, renal cell carcinoma (RCC), kidney cancer or renal adenocarcinoma. The kidneys are organs in your body that dispose off waste, while additionally regulating fluid balance. There are small tubes in the kidneys called tubules. These filter the blood, help in discharging waste, and make urine. RCC happens when cancer cells start to grow out of control in the lining of the tubules of the kidney. Renal cancer is a progressive disease that spreads to the lungs and the organs around it.

Medical experts do not know the exact cause behind renal cancer. It is most commonly found in men between the ages of 50 and 70. There are some risk factors and signs that indicate one’s possibility of having renal cancer and these are as follows

  1. Family history of renal cancer
  2. Dialysis treatment
  3. Hypertension or high blood pressure
  4. Obesity
  5. Smoking cigarettes
  6. Polycystic kidney disease (a condition that causes cyst formation in the kidneys)


At a point when renal cancer is in its initial stages, patients might not see any symptoms. The symptoms are mainly seen in the later stages. Some of the most common symptoms are as follows:

  1. Blood in urineBlood in urine is called hematuria. As indicated by the Renal Cancer Association, hematuria is the most widely recognized indication of kidney cancer. In case you have blood in your urine, you may see pink, rust or even a red staining.
  2. Lower back painThe vast majority does not encounter pain until cancer is in later stages. Pain from renal cancer is felt on one side of the flank, the region over the pelvis, and beneath the ribs in the abdomen. This pain can go from a dull yearn to a sharp wound, frequently leaving the area blue. In case you have any sudden pain that continues for more than a couple of days, you need to see a specialist.
  3. A mass or lump: A mass or protuberance in the abdomen can be an indication of renal cancer. Kidney knots might be hard to feel since they are somewhere down in the abdomen. Once a bump is found, your specialist may arrange symptomatic tests such as an ultrasound or a CT scan. These tests may diagnose what your knot might be.
  4. Iron deficiency and fatigueWeakness and a fall in your iron levels are the most common symptoms of any type of cancer. Cancer exhaustion is not quite the same as simply feeling tired.
  5. Weight reduction, loss of appetite and feverAnother normal side effect of cancer is sudden and startling weight reduction. This happens quickly without any excessive workouts or dieting. A person diagnosed with cancer can also face a loss of appetite. In fact, even their most loved food items can get to be unappealing. Frequent fever is yet another common symptoms among most cancer patients.

In case your specialist suspects that you may have renal cancer, they will take some information about your and family’s medical history. They will then do a physical exam. Discoveries that can show renal cancer include swelling or irregularities in the stomach area. In case of men, augmented veins in the scrotal sac (varicocele) may be found. In case you have a concern or query you can always consult an expert & get answers to your questions!

1982 people found this helpful

Renal Transplant - How Safe Is It?

MCh - Urology & Kidney Transplant, MS - General Surgery, MBBS
Urologist, Jaipur
Renal Transplant - How Safe Is It?

The kidneys are primarily responsible for filtering blood and removing waste from the body. They also regulate fluid and electrolyte balance. If the kidneys stop functioning, a patient may need to undergo dialysis or have a renal transplant. Many patients prefer undergoing a transplant as it offers a better quality of life in the long run.

A kidney transplant can be described as a procedure to replace one’s own kidneys with a donor's kidney. In the case of a kidney transplant, there are two types of donors. The human body can function with one healthy kidney and hence family members and friends of the patient may choose to donate a kidney. Else, a kidney may be sourced from recently deceased donors who have chosen to donate their organs after death. In both cases, it is important that the donor kidney match the patient’s blood and tissue type.

Renal transplant surgery usually takes about 3 hours. The donor kidney is placed in the abdominal cavity and connected to the patient’s arteries, veins and bladder. Usually, the donor's kidney begins functioning immediately. The patient’s own damaged or diseased kidneys may not be removed unless there is a severe infection, cancer or a diagnosis of large polycystic kidneys.

The patient will need to be hospitalized for a few days after the surgery. In some cases, dialysis may be needed if the kidneys are unable to produce urine. In addition diuretics and other medication may be needed to remove excess water and salt from the body. Medication will also be prescribed to suppress the immune system so that the patient’s body does not reject the donor kidney. These medications typically need to be taken for the rest of the patient’s life.

A renal transplant is considered a relatively safe procedure. Less than 20 out of 100 people reject a donor kidney. However, there are a few other risks involved. These include:
Bleeding
• Severe infection
• Failure of the donor kidney
• Reaction to anesthesia
• Increased risk of infections due to the suppressed immune system

Kidney transplant is not advised for people suffering from diseases such as cancer or any significant lung or heart disease. If the patient is suffering from an infection, he or she may be advised to wait until the infection subsides before undergoing a renal transplant. A renal transplant may seem to be an expensive procedure but in the long run, this can work out to be more budget-friendly than dialysis.

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