Monday, 2 February 2015

Kidney Stones


The kidneys are two bean-shaped organs that are roughly four inches in length. They are found towards the back of the abdomen on either side of the spine. The kidneys remove waste products from the blood. The clean blood is then transferred back into the body and the waste products are passed out of the body as urine.
Kidney stones 
“Kidney stones are stone-like lumps that can develop in one or both of the kidneys”.
The medical name for stones in the kidneys is nephrolithiasis. If the stones cause severe pain, this is known as renal colic.
Symptoms of kidney stones 
“If you have a kidney stone that is very small, it is unlikely to cause many symptoms. It may even go undetected and pass out painlessly when you urinate”.
Symptoms usually occur if the kidney stone:
·      Gets stuck in your kidney
·      Starts to travel down the ureter (the tube that attaches each kidney to the bladder) – the ureter is narrow, and the kidney stone causes pain as it tries to pass through
·      Causes an infection
 In these cases, common symptoms of kidney stones include:
·      Persistent ache in the lower back, which is sometimes also felt in the groin – men may have pain in the testicles and scrotum
·      Periods of intense pain in the back or side of your abdomen, or occasionally in your groin, which may last for minutes or hours
·      Feeling restless and unable to lie still
·      Nausea (feeling sick)
·      Needing to urinate more often than normal
·      Pain when you urinate
·      Blood in your urine – this may be caused by the stone scratching the kidney or ureter
 Blocked ureter and kidney infection
If a kidney stone causes a blocked ureter, this can lead to a kidney infection. This is because waste products cannot pass, which may cause a build-up of bacteria.
Symptoms of a kidney infection are similar to symptoms of kidney stones, but may also include:
·      A high temperature (fever) of 38°C (100.4°F) or over
·      Shivering
·      Chills
·      Feeling very weak or tired
·      Diarrhoea
·      Cloudy and bad-smelling urine
Read more information about kidney infections.

Types of kidney stones
There are four main types of kidney stones:
·      Calcium stones
·      Struvite stones – contain magnesium and ammonia; often horn-shaped and quite large
·      Uric acid stones – usually smooth, brown and softer than other forms of kidney stones
·      Cystine stones – often yellow and resemble crystals rather than stones
Kidney stones come in a variety of shapes, sizes and colours. Some resemble grains of sand, while in rare cases others can grow to the size of a golf ball.

Causes of kidney infection 
“A kidney infection happens when bacteria infects your kidneys. The bacteria are usually a type called E. coli, which live in your bowel”.
The bacteria get in through the opening of the urethra and move upwards through your urinary tract, first infecting your bladder and then your kidneys.
It's thought the bacteria can get into your urinary tract by accidentally spreading from your anus to your urethra. This can happen if you wipe your bottom after going to the toilet and the soiled toilet paper comes into contact with your genitals. It can also happen during sex.
In rare cases, a kidney infection can develop if bacteria or fungi infect the skin and the infection spreads through your bloodstream into your kidney. However, this type of infection usually only occurs in people with weakened immune systems.

Who's most likely to get a kidney infection?
Women and children are most at risk of developing a kidney infection, as well as other urinary tract infections (UTIs) such as cystitis.
In women, the urethra is closer to the anus than in men, making it easier for bacteria from the anus to enter the urethra accidentally. The female urethra is also much shorter than the male urethra (which runs through the penis). This makes it easier for bacteria to reach the bladder and move into the kidneys.
Other factors can also put you more at risk of developing a kidney infection, including:
·      Having a condition that blocks, or obstructs, your urinary tract, such as kidney stones or an enlarged prostate – children with constipation can also be at an increased risk
·      Being born with an abnormality in your urinary tract
·      Having a condition that prevents you emptying your bladder fully, such as an injury to your spinal cord – this can allow bacteria in your bladder to multiply and spread
·      Having a weakened immune system – for example, due to type 2 diabetes or as a side effect of chemotherap
·      Having an infection of the prostate gland called prostatitis – the infection can spread from the prostate gland into the kidneys
·      Having a urinary catheter (a thin, flexible tube inserted into your bladder to drain away urine)
·      Being female and sexually active – sexual intercourse can irritate the urethra and allow bacteria to travel into your bladder
·      Being a man who has anal sex – bacteria can travel up the urethra into the bladder
·      Being pregnant – this can cause physical changes that slow the flow of urine out of your body and make it easier for bacteria to spread to the kidneys
How common are kidney stones?
Kidney stones are quite common and usually affect people aged 30 to 60 years. They affect men more than women.

It is estimated that renal colic affects about 10-20% of men and 3-5% of women. 

Photo Credit: Google
Words Credit: NHS Choices
http://www.nhs.uk/Conditions/Kidney-infection/Pages/Introduction.aspx


Saturday, 31 January 2015

What is gastritis, causes, symptoms, diagnosed and treatment of gastritis


What causes gastritis?
Gastritis is inflammation of the lining of the stomach.
The stomach lining is usually strong enough to withstand acidic and spicy foods, alcohol and more. However, irritation may be caused by excessive alcohol use, chronic vomiting, stress or the use of certain medications such as aspirin or other anti-inflammatory drugs. Gastritis may also be brought on by:
·      Helicobacter pylori (H. pylori): A bacterium that lives in the mucous lining of the stomach. Without treatment, the infection can lead to ulcers and, in some people, to stomach cancer.
·      Pernicious anaemia: A form of anaemia that occurs when the stomach lacks a naturally occurring substance (intrinsic factor) needed to properly absorb and digest vitamin B12.
·      Bile reflux: A backflow of the contents of the duodenum up into the stomach, where bile in the intestinal fluids may irritate the stomach lining.
·      Infections caused by bacteria and viruses
If gastritis is left untreated, it can lead to severe loss of blood, or in some cases it can increase the risk of developing stomach cancer.

What are the symptoms of gastritis?
Symptoms of gastritis vary among individuals, and in many people there are no symptoms. However, the most common symptoms include:
   Nausea or recurrent upset stomach
   Vomiting
   Indigestion
   Burning or gnawing feeling in the stomach between meals or at night
   Hiccups
   Vomiting blood or coffee ground-like material
   Black, tarry stools

How is gastritis diagnosed?
To diagnose gastritis, your GP will review your personal and family medical history, will perform a thorough physical examination, and may recommend any of the following tests:
       Upper endoscopy. An endoscope, a thin tube containing a tiny camera, is inserted through your mouth and down into your stomach to look at the stomach lining. Your doctor will check for inflammation and may perform a biopsy, a procedure in which a tiny sample of tissue is removed and then sent to a laboratory for analysis.
       Blood tests. Your doctor may perform various blood tests, such as checking your red blood cell count to determine whether you have anaemia (meaning you do not have enough red blood cells). He or she can also screen for H. pylori infection and pernicious anaemia with blood tests.
       Faecal occult blood test (stool test). This test checks for the presence of hidden blood in your stool, a possible sign of gastritis.

What is the treatment for gastritis?
Treatment for gastritis usually involves:
       Taking antacids and other drugs to reduce stomach acid, which causes further irritation to inflamed areas
       Avoiding hot and spicy foods and cutting down on excess alcohol
       For gastritis caused by H. pylori infection, your doctor will prescribe a regimen of several antibiotics plus an acid-blocking drug (used for treating heartburn).
       If the gastritis is caused by pernicious anaemia, vitamin B12 will be given by injection (because it is not properly absorbed by mouth).

Once the underlying problem disappears, the gastritis usually does too. You should talk to your doctor before stopping any medicine or starting any gastritis treatment on your own.

Word Credit: