Advise to drink adequate quantity of water first Advise for Brisk Walking Review the Management what she is taking now...
Diet management, Regular exercise, maintain BSL SLOWLY withdraw Allopathic medicine with the help of Ayurvedic medicine.
Acid phos 200
Agree With@Dr. Narendra Misra Sir With.Running Treatment, Regular Exercise,Diet Management, maintaining B S L and Slowly Slowly Withdraw Allopathic Medicines With The Help Of Ayurvedic medicines .In The Guidance Of Yog acharya Practice Of Some yogasanas Which are helpful For Diabetes.
pitta pradhaan condition, pleased ask to intake of sraiva arka or combination ushira, amrutha, dhanyaka jala .use of Barley as food. Milk barly water. Takra can be used. Chandraprabha vati , chandanasava, can be advisable. If possible please collect mootra color
Do exercise regularly Diet control Drink plenty of water Punarnava tab Guduchi tab
Plenty of fluid intake Adv urine for ketone
Regular exercise yoga Diet management
Urinary tract infections (UTIs)
Acid phos 200 Syzium jamb Q
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42 year female complains of discoloration on the tongue. she dont have any other complains. no intraoral findings other than yellowish tongue. no systemic diseases no history of drug intake. she has a habit of smoking since 12 years 1 pack per day. whats your provisional diagnosisDr. Nazia Sayed8 Likes22 Answers
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DIABETIC NEUROPATHIES. Diabetic neuropathies are a family of nerve disorders caused by diabetes. WHAT CAUSES DIABETIC NEUROPATHY. Nerve damage is likely due to a combination of factors. 1.METABOLIC FACTORS. : hyperglycemia, long duration of diabetes, abnormal blood fat levels and low levels of insulin. 2.NEUROVASCULAR FACTORS : Neurovascular factors leading to damage of blood vessels that carry oxygen and nutrients to nerves. 3.AUTOIMMUNE FACTORS : Causes inflammation of nerves. 4.MECHANICAL FACTORS : Injury to nerves as in carpel tunnel syndrome. 5.INHERITED TRAITS : That increase susceptibility to nerve disease. 6.LIFESTYLE FACTORS : Smoking, alcohol. SYMPTOMS. Symptoms depends on the type of neuropathy and which nerves are affected.Symptoms involve sensory,motor and autonomic nervous system. 1.Tingling, numbness or pain in the toes,feet,legs,hands,arms and fingers. 2.Wasting of muscles of hand or feet. 3.Indigestion, nausea, vomiting, diarrhea,c constipation. 4. Dizziness or fainting due to a drop in blood pressure after standing or sitting up. 5.Problems with urination. 6.Erectile dysfunction. 7.Weakness. TYPES OF NEUROPATHY. Diabetic neuropathy can be classified as 1.Peripheral neuropathy. 2.Autonomic neuropathy. 3.Proximal neuropathy. 4.Focal neuropathy. PERIPHERAL NEUROPATHY. Peripheral neuropathy,also called distal symmetric neuropathy or sensorimotor neuropathy ,is nerve damage in arms and legs.Symptoms are *Numbness or insensitivity to pain or temperature. *A tingling,burning or prickling sensation. *Sharp pains or cramps. *Extreme Sensitivity to touch. *Loss of balance and coordination. Peripheral neuropathy also causes muscle weakness and loss of refle guyxes.Blisters and sites may appear on the numb areas of the foot because pressure or injury goes unnoticed.I f an infection occurs and is not treated promptly,the infection may spread to the bone and the foot may need amputation.Many amputations can be prevented if minor problems are treated in time. AUTONOMIC NEUROPATHY. Autonomic neuropathy affects the nerves that control the heart,blood pressure and blood glucose levels.Autonomic neuropathy also affects internal organs causing problems with digestion,respiration. urination,sexual response and vision. 1.HYPOGLYCEMIA UNAWARENESS. Normally,symptoms such as shakiness,sweating and palpitations occurs when the blood glucose levels drop below <<70 mg/dl.In people with autonomic neuropathy,symptoms may not occur making hypoglycemia to be recognized. 2.HEART & BLOOD VESSELS. Damage to the nerves in the cardiovascular system interferes with the body's ability to adjust blood pressure and heart rate. Due to this,blood pressuremay drop sharply after standing or sitting,causing a person to feel light headed or faint. Damage to nerves that control heart rate makes the heart rate to stay high , instead of rising and falling in response to normal body functions and physical activity. 3.DIGESTIVE SYSTEM. Nerve damage to the digestive system most commonly causes constipation. Damage can also cause the stomach to empty slowly,a condition called GASTROPARESIS. Gastroparesis can lead to persistent nausea and vomiting,bloating and loss of appetite. Gastroparesis also makes blood glucose levels to fluctuate widely ,due to abnormal food digestion. Nerve damage to the OESOPHAGUS MAKES SWALLOWING DIFFICULT. Nerve damage to bowels can cause constipation alternating with uncontrolled diarrhea, 3.URINARY TRACT & SEX ORGANS. Autonomic neuropathy often affects the organs that control urination and sexual functions. Nerve damage can prevent the bladder from emptying completely , allowing the bacteria to grow in bladder and kidneys causing urinary tract infections. When the nerves of the bladder are damaged,urinary incontinence may result because a person may not be able to sense when the bladder is full or control the muscles that release urine. Autonomic neuropathy also leads to decreased sexual response in men and women. A man may have erectile dysfunction or may reach sexual climax without ejaculating normally. A woman may have difficulty in arousal,lubrication or orgasm. 5.SWEAT GLANDS. Nerve damage may cause improper working of sweat glands.It can also result in profuse sweating at night or while eating. 6.EYES. Due to autonomic neuropathy,pupils become less responsive to changes in light.A s a result,a person may not be able to see well when light is turned on In a dark room or have trouble driving at night. PROXIMAL NEUROPATHY. Proximal neuropathy//lumbosacral plexus neuropathy //femoral neuropathy //diabetic amyotrophy causes pain in the thighs,buttocks,hips or legs,usually on one side of the body. FOCAL NEUROPATHY. Focal neuropathy appears suddenly and affects specific nerves,most often in the head,torso or leg. Focal neuropathy is painful and unpredictable.and occurs most often in older adults with diabetes. However,it tends to improve itself over weeks or months and does not cause long term damage. Focal neuropathy can cause *Inability to focus the eye. *Diplopia. *Aching behind the eye. *Bell's palsy. *Severe pain in the lower back and pelvis. *Pain in the front of the thigh. *Pain in the chest and stomach. *Pain on the outside of the shin or inside of the foot. *Chest pain and abdominal pain is mistaken for heart attack or appendicitis. CAN DIABETIC NEUROPATHIES BE PREVENTED. THE BEST WAY TO PREVENT NEUROPATHY IS TO KEEP BLOOD GLUCOSE LEVELS AS CLOSE TO THE NORMAL RANGE AS POSSIBLE.MAINTAINING SAFE BLOOD GLUCOSE LEVELS PROTECTS NERVES THROUGH OUT THE BODY.Dr. Suvarchala Pratap11 Likes21 Answers
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A 40 year Female with Recurrent UTI...present with only Dysuria ...no fever abd pain ...choice of Antibiotics in this case???Dr. Suneel Patil2 Likes30 Answers
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Friends today I am discussing about the Kidney Stones. Patient having renal stone have very severe pain along with many complications. What are kidney stones? Kidney stones, or renal calculi, are solid masses made of crystals. Kidney stones usually originate in your kidneys. However, they can develop anywhere along your urinary tract, which consists of these parts: kidneys ureters bladder urethra Kidney stones are one of the most painful medical conditions. The causes of kidney stones vary according to the type of stone. Types of kidney stones Not all kidney stones are made up of the same crystals. The different types of kidney stones include: Calcium Calcium stones are the most common. They’re often made of calcium oxalate (though they can consist of calcium phosphate or maleate). Eating fewer oxalate-rich foods can reduce your risk of developing this type of stone. High-oxalate foods include: potato chips peanuts chocolate beets spinach However, even though some kidney stones are made of calcium, getting enough calcium in your diet can prevent stones from forming. Uric acid This type of kidney stone is more common in men than in women. They can occur in people with gout or those going through chemotherapy. This type of stone develops when urine is too acidic. A diet rich in purines can increase urine’s acidic level. Purine is a colorless substance in animal proteins, such as fish, shellfish, and meats. Struvite This type of stone is found mostly in women with urinary tract infections (UTIs). These stones can be large and cause urinary obstruction. They result from a kidney infection. Treating an underlying infection can prevent the development of struvite stones. Cystine Cystine stones are rare. They occur in both men and women who have the genetic disorder cystinuria. With this type of stone, cystine — an acid that occurs naturally in the body — leaks from the kidneys into the urine. Risk factors for kidney stones The greatest risk factor for kidney stones is making less than one liter of urine per day. This is why kidney stones are common in premature infants who have kidney problems. However, kidney stones are most likely to occur in people between the ages of 20 and 50. Different factors can increase your risk of developing a stone. Typically, Caucasians are more likely to have kidney stones than those of African descent. Sex also plays a role. More men than women develop kidney stones, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). A history of kidney stones can increase your risk. So does a family history of kidney stones. Other risk factors include: dehydration obesity a diet with high levels of protein, salt, or glucose hyperparathyroid condition gastric bypass surgery inflammatory bowel diseases that increase calcium absorption taking medications such as diuretics, antiseizure drugs, and calcium-based antacids Recognizing the symptoms and signs of a kidney stone Kidney stones are known to cause severe pain. Symptoms of kidney stones may not occur until the stone begins to move down the ureters. This severe pain is called renal colic. You may have pain on one side of your back or abdomen. In men, pain may radiate to the groin area. The pain of renal colic comes and goes, but can be intense. People with renal colic tend to be restless. Other symptoms of kidney stones can include: blood in the urine (red, pink, or brown urine) vomiting nausea discolored or foul-smelling urine chills fever frequent need to urinate urinating small amounts of urine In the case of a small kidney stone, you may not have any pain or symptoms as the stone passes through your urinary tract. Why kidney stones can be a problem Stones don’t always stay in the kidney. Sometimes they pass from the kidney into the ureters. Ureters are small and delicate, and the stones may be too large to pass smoothly down the ureter to the bladder. Passage of stones down the ureter can cause spasms and irritation of the ureters as they pass. This causes blood to appear in the urine. Sometimes stones block the flow of urine. This is called a urinary obstruction. Urinary obstructions can lead to kidney infection and kidney damage. Testing for and diagnosing kidney stones Diagnosis of kidney stones requires a complete health history assessment and a physical exam. Other tests include: blood tests for calcium, phosphorus, uric acid, and electrolytes blood urea nitrogen (BUN) and creatinine to assess kidney functioning urinalysis to check for crystals, bacteria, blood, and white cells examination of passed stones to determine their type The following tests can rule out obstruction: abdominal X-rays intravenous pyelogram (IVP) retrograde pyelogram ultrasound of the kidney (the preferred study) MRI scan of the abdomen and kidneys abdominal CT scan The contrast dye used in the CT scan and the IVP can affect kidney function. However, in people with normal kidney function, this isn’t a concern. There are some medications that can increase the potential for kidney damage in conjunction with the dye. Make sure your radiologist knows about any medications you’re taking. How kidney stones are treated Treatment is tailored according to the type of stone. Urine can be strained and stones collected for evaluation. Drinking six to eight glasses of water a day increases urine flow. People who are dehydrated or have severe nausea and vomiting may need intravenous fluids. Other treatment options include: Medication Pain relief may require narcotic medications. The presence of infection requires treatment with antibiotics. Other medications include: allopurinol (Zyloprim) for uric acid stones diuretics sodium bicarbonate or sodium citrate phosphorus solutions ibuprofen (Advil) acetaminophen (Tylenol) naproxen sodium (Aleve) Lithotripsy Extracorporeal shock wave lithotripsy uses sound waves to break up large stones so they can more easily pass down the ureters into your bladder. This procedure can be uncomfortable and may require light anesthesia. It can cause bruising on the abdomen and back and bleeding around the kidney and nearby organs. Tunnel surgery (percutaneous nephrolithotomy) Stones are removed through a small incision in your back. This procedure and may be needed when: the stone causes obstruction and infection or is damaging the kidneys the stone has grown too large to pass pain can’t be controlled Ureteroscopy When a stone is stuck in the ureter or bladder, your doctor may use an instrument called a ureteroscope to remove it. A small wire with a camera attached is inserted into the urethra and passed into the bladder. The doctor then uses a small cage to snag the stone and remove it. The stone is then sent to the laboratory for analysis. You can substitute ginger ale, lemon-lime soda, and fruit juice for water to help you increase your fluid intake. If the stones are related to low citrate levels, citrate juices could help prevent the formation of stones. Eating oxalate-rich foods in moderation and reducing your intake of salt and animal proteins can also lower your risk of kidney stones. Your doctor may prescribe medications to help prevent the formation of calcium and uric acid stones. If you’ve had a kidney stone or you’re at risk for a kidney stone, speak with your doctor and discuss the best methods of prevention. Homeopathic medicines for kidney stone are dual action remedies which are natural and safe. First, they help remove the stones present in the urinary tract either by crushing them into fine sand-like particles or in a few cases, in the intact state. Secondly, they hold the promise of completing removing the tendency towards stone formation in the future. While selecting the appropriate Homeopathic medicine for kidney stone, the side affected is considered along with the pain and associated symptoms. The colour of sand particles in urine helps to further refine the search. Although kidney stones can be safely handled with properly selected Homeopathic medicines, care should be taken when the size of the stone is very large and it gets impacted in the ureter leading to hydronephrosis that calls for surgical intervention to prevent kidney damage. Here is a list of the most effective homeopathic medicines for treating kidney stones: Argentum nit: This medicine is used when a patient experiences nephralgia due to kidney congestion or from the passage of calculi. Dull aching is experienced at the back of the bladder and the urine is dark, containing blood and deposits of renal epithelium and uric acid. Urine passes little at a time, usually in drops. The patient’s face becomes dark and dry. The urine burns during passage and the urethra feels like it is swollen. Belladonna: It is used when the kidney stones are accompanied by sharp and shooting pains. Sudden cramps and strains along the ureter during the passing of urine are likely. The patient may feel feverish and excited. Irritation, clutching and cramps are likely to occur as well. Benzoic acid: This homeopathic medicine is used in case of nephritic colic with offensive urine. The urine is deep red in color and has a strong odor. It may smell cadaverous and putrid. The urine is thick and water like clear in an alternative way. The patient usually feels better when the urine is thick and profuse. Berberis: This is another effective homeopathic medicine for kidney stones. It is used when there is shooting pain radiating from a point. The patient may be unable to move or even sit on his painful side. The pain may run up to the kidneys or down to the bladder as well. Little calculi with pin heads may develop in the pelvis. Berberis is efficient in giving relief to such pain. The patient may also experience burning and soreness in the kidney along with severe distress. The urine is dark and turbid in nature with copious sediment and urine flow becomes slow. There is an increased urge for urinationDr. Rajesh Gupta17 Likes18 Answers
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Friends today I am discussing about a very common problem facing by the patients having diabetes. Most of the patient complaint about sexual weakness having Type 2 diabetes. Type 2 Diabetes and Sexual Health Sexuality issues for both men and women With chronic illness, sex often gets put on the back burner. But sexuality and sexual expression are at the top of the list when it comes to quality of life, no matter what problems a person may face. People with type 2 diabetes are no different. It’s important to recognize and address sexuality issues that affect people with diabetes. Type 2 diabetes can cause sexual complications for both genders, and can also cause gender-specific issues. Sexuality issues for both men and women A common sexuality problem in people with type 2 diabetes is a decrease in libido, or loss of a sex drive. This can be frustrating if someone had a thriving libido and satisfying sex life prior to a type 2 diabetes diagnosis. Causes of a low libido associated with type 2 diabetes include: side effects of medications for high blood pressure or depression extreme fatigue lack of energy depression hormonal changes stress, anxiety, and relationship issues Diabetic neuropathy, a type of nerve damage associated with diabetes, can cause issues. Numbness, pain, or lack of feeling can also occur in the genitals. This can lead to erectile dysfunction. It may also inhibit orgasm or make it difficult to feel sexual stimulation. These side effects can make sex painful or unenjoyable. Communication between partners about sexual issues is important. A lack of communication can impact the sexual and intimate side of a relationship. An illness can make it easy for couples to “check out” of the relationship sexually. Sometimes it may seem easier to avoid talking about this issue rather than seeking a solution. If one partner becomes the primary caregiver of the other, it can also change how each person views the other. It’s easy to get caught up in the roles of “patient” and “caregiver” and let the romance can slip away. Sexuality issues for men The most widely reported problem men face is erectile dysfunction (ED). Some cases of diabetes are first diagnosed when a man seeks treatment for erection dysfunction. Failure to achieve or maintain an erection until ejaculation can be caused by damage to: nerves muscles vascular structures About half of men with diabetes will experience ED at some point. Side effects of certain medications can alter testosterone levels, also causing erectile dysfunction. Other conditions that accompany diabetes can also contribute to ED, including: obesity high blood pressure depression, low self-esteem, and anxiety not enough exercise Retrograde ejaculation is also another sexual issue men may experience as a complication of type 2 diabetes. This is when semen is ejaculated into the bladder instead of out of the penis. It’s caused by your internal sphincter muscles not working property. These muscles are responsible for opening and closing passages in the body. Abnormally high glucose levels can result in nerve damage to the sphincter muscles, causing retrograde ejaculation. Sexuality issues for women For women, the most common sexual issue that comes with type 2 diabetes is vaginal dryness. This can be caused by hormonal changes or from reduced blood flow to the genitals. Women who have diabetes have increased rates of vaginal infections and inflammation, both of which can make sex painful. Nerve damage to the bladder can cause incontinence and make sex embarrassing. Women with diabetes are also more likely to have more frequent urinary tract infections. This can make sex painful and uncomfortable. How to prevent type 2 diabetes from hijacking your sex life Sexual problems that occur with type 2 diabetes can be frustrating, embarrassing, and cause anxiety. You may feel that giving up on sexual expression is easier than finding ways to cope or adjust. Here are some tips you can try to maintain an active sex life despite having type 2 diabetes: Fight low energy and fatigue If low energy and fatigue are a problem, try having sex at a different time of day, when your energy is at its peak. Nighttime may not always be the right time. After a long day, and with the added fatigue that comes with diabetes, the last thing you may have energy for is sex. Try sex in the mornings or afternoons. Experiment to see what works best for you. Use lubricants to overcome dryness Use lubricant liberally to deal with vaginal dryness. Water-based lubricants are best and there is a plethora of brands available. Don’t be afraid to stop during sex to add more lubricant. Improve libido through medication Hormonal replacement therapy can help both men and women with issues such as: decreased libido vaginal dryness erectile dysfunction Ask your doctor if this is a possibility for you. Hormone replacement can come in the form of: Maintain good overall health for a healthy sex life. For people with diabetes, this includes maintaining proper blood sugar levels. Sex is exercise in the sense that is uses energy, so be aware of your glucose levels. If you’re on medications that increase the amount of insulin in your body, hypoglycemia can also occur during sex. Consider checking your blood sugar levels before engaging in sexual activity. Also keep in mind that what’s good for your heart is good for your genitals. Sexual arousal, vaginal lubrication, and erection all have a lot to do with blood flow. Engage in a lifestyle that promotes good heart health and proper blood circulation. This includes participating in regular exercise. This can also have the added benefits of improving your energy level, mood, and body image. Don’t let incontinence be a barrier Many type 2 diabetes patients experience incontinence. Embarrassed? Don’t be. Everyone urinates. If you experience urine leaks and are uncomfortable sharing your body with someone sexually, you should feel free to talk about it. Padding the bed can go a long way to help. Lay down a couple of towels or purchase urine pads from a medical supply company to help ease the situation. Talk about it Discuss sexuality issues with your doctor. Sexual dysfunctions can be an indicator of disease progression or a sign that the disease isn’t under control. Don’t be afraid to discuss sexual side effects of medications. Ask if there are different medications that don’t have the same side effects. Also, feel free to ask about erectile dysfunction drugs. Some men are candidates for ED drugs and some aren’t. Penile pumps may also be an option. Pay close attention to your relationship. Find other ways to express intimacy when desire isn’t at its peak. You can express intimacy that doesn’t involve intercourse with: massages baths cuddling Make time for each other to be a couple that is not focused on caregiving. Have a date night where the topic of diabetes is off limits. Communicate with your partner about your feelings and possible sexual issues that may occur. Consider support groups or counseling to help with the emotional issues associated with illness or sex. Homoeopathic medicines Agnus Castus: Homeopathic medicine Agnus Castus is used in cases where there is complete inability to attain penile erection during the sexual act. Homeopathic medicine Agnus Castus can be used in cases of erectile dysfunction and sexual weakness where the male has a mental aversion to indulge in sex, along with decreased physical strength. Caladium: Homeopathic medicine Caladium is of great help for treatment of erectile dysfunction when the male is unable to have an erection despite having a sexual desire or urge. Lycopodium: Homeopathic medicine Lycopodium is of great help for both young people and elderly people suffering from erectile dysfunction. Tribulus Terrestris: The main indication for using Homeopathic medicine Tribulus Terrestris is the presence of urinary troubles along with erectile Dysfunction. Nuphar Luteum: Homeopathic medicine Nuphar Luteum can be beneficial for all those males with erectile Dysfunction in whom the desire to indulge in sexual activity is totally absent. There is no sexual desire with relaxed genitalia.Dr. Rajesh Gupta11 Likes18 Answers