Management of CA Bladder

Man 35 yo, hematuria repeated many times with many dilated subcutaneous veins on the abdomen wall. US of kidneys showed righ and left kidney looked like hydronephrosis. But could not detect the cause. plz help?

33 yr old female pt comes with h/o multiple joint pains & rash over the face, o/e no obvious joint deformities. systemic exam - normal. how to approach this case ?

8 Causes And 5 Remedies For High Creatinine Levels stylecraze.com Oct 23, 2017 12:00 PM  Do you want to know what causes creatinine levels to go up? Are you looking for remedies to help lower these levels? There are many people across the world looking for the same answers. And today, we give you just that! Read on to know how you can combat high creatinine levels in simple and inexpensive ways. Creatinine – A Brief: If you did not already know, creatinine is a chemical waste product that is present in everyone’s blood. It is produced from muscle metabolism and eliminated from the body through the kidneys (1). When the levels of this waste product persistently increase, it is an indication that your kidneys may not be working as they should. The symptoms of high creatinine levels include: Vomiting and nauseaLethargy or fatigueLoss of appetiteFrequent urination at nightLow urine outputUrine that is dark in colorItchy skinEdemaShortness of breathSwelling in the face, around the eyes, feet, etc.Waist or back painLow feverDisorientation or confusion Causes Of High Creatinine Levels: A high level of creatinine is more common in men than women as the substance increases with muscle mass. There are many factors that contribute to the increase of creatinine levels. From inadequate water intake to chronic diseases, these factors can vary. Here is a look at some of the causes of high creatinine levels: Lack of rest or excess fatigue can cause the levels of creatinine to elevate.If patients with renal dysfunction suffer from infections such as pneumonia, cold, urinary tract infection or intestinal infection, creatinine levels can increase in a short span of time.High creatinine levels can follow urine abnormalities like long-term proteinuria or hematuria(2).High blood pressure that is not controlled or treated properly can lead to elevation of creatinine levels (3).The consumption of certain drugs that have renal toxicity may increase creatinine levels, which may not be reversed again. Medications which include ACE inhibitors, drugs used in chemotherapy, NSAIDs such as Ibuprofen and Aspirin and others may play a role in raising the levels of creatinine.Patients with kidney disease with recurrent illness conditions can have high levels of creatinine.Chronic diseases like thyroid disease, diabetes, etc. can also cause creatinine levels to spike.Not drinking enough water, dehydration, sweating, high fever, diuresis, etc. can cause a decrease of blood flow in the kidneys as well as blood concentration. These in turn cause the levels of creatinine to increase. Other causes of high creatinine levels include muscle building, excessive blood loss, eating excessive amounts of meat and consumption of creatine, the dietary supplement. Remedies For High Creatinine Levels: Since high levels of creatinine may indicate kidney damage or kidney problems (4), you should visit your healthcare provider for proper diagnosis and treatment. You can also use home remedies to gain relief from this problem. There are also dietary tips that you should consider, such as drinking plenty of water. There are also certain herbs that are natural diuretics, providing you with some relief. You can try one of these herbal remedies every day for a couple of weeks or until there is a decrease in your creatinine levels. Here is a look at some of the best remedies for the treatment of high creatinine levels: 1. Chamomile Tea: According to a study, participants who drank chamomile tea on a regular basis had lowered levels of creatinine. All you need to do for this remedy is steep three teaspoons of the dried herb in one cup of hot water for 3 to 5 minutes. Strain and drink the tea. You can lower creatinine levels by drinking a few cups of chamomile tea every day. This amazing herb also acts as a relaxant and mild sedative. 2. Dandelion Root: This herbal remedy has great benefits. It acts as a natural diuretic that helps in flushing out toxins from your body and lowering creatinine levels. It also relieves edema, improves kidney function and swelling caused by water retention. All you need to do is add a teaspoon of powdered dandelion root in a cup of hot water and let it steep for 10 minutes. Strain and drink the tea. You can decrease your levels of creatinine by drinking 2 to 3 cups of this herbal tea every day for a few weeks. It is important to remember that dandelion may interfere with high blood pressure levels and diabetes medications, and hence, consult your doctor before using this remedy. 3. Cinnamon: This is considered a great natural remedy because cinnamon is a natural diuretic. It helps in treating kidney problems and lowering creatinine levels. It also helps in increasing kidney output and boosting renal filtration ability. You can add cinnamon to your daily diet to gain all its benefits. It is important to remember that excessive intake of cinnamon can lead to kidney and liver damage. Although there is no established dosage, the general recommendation is ½ to 1 teaspoon every day. 4. Corn Silk: This has diuretic and anti-inflammatory properties (5). It also helps in increasing urine output, thereby effectively removing excess creatinine. It also lowers high blood pressure and reduces edema. All you need to do is add two teaspoons of dried corn silk to a cup of boiling water. Cover the cup and let it steep for about 15 minutes. Next, strain it and drink this mixture 3 times every day. If you are allergic to corn, you obviously need to avoid this remedy. Also, do not use this remedy if you have a history of liver or kidney disease. It may also decrease potassium and blood sugar levels. 5. Diet Changes: Apart from these remedies, you can lower creatinine levels in your body by avoiding salt and eating foods that are low in protein. If you suffer from high creatinine levels, you should also eat more foods that are rich in Vitamins A, B2, and C. Before you use any herbal remedies, you should make it a point to consult your doctor as the herbs may interfere with any medication that you have been prescribed, or may not be suitable for your case. For example, if you have a history of kidney stones, some of these herbal remedies may not suit you. Once your doctor gives you the go-ahead, you can lower your creatinine levels with the help of safe and natural remedies. How has this post helped you? Tell us by commenting in the box below! Recommended Articles:

55yr male with hematuria. No comorbidities. Dre grade 1 prostate firm.PSA 1 ng/ml. Urine routine shows 30-40 rbcs /hpf. USG attached .diagnosis and treatment?

Interesting case. Today evening 27yr male presented to me in my ER with a/h/o electric shock while working on velding machine.(high voltage) -H/o LOC + for 5-10 mins. O/E -Concious but confused.. Occ responding to VR. Moving his eyes and head (with difficulty) -GCS E4M2V2-3,,, - B/L Pupil 3/3mm LR+ -BP 92/51mmhg -HR 78/min -SPO2 98% -NO external injuries,, no entry and exit wound. Muscle power -Right UL 1/5 Right LL 1/5 -left UL 1/5 Left LL 1/5 Complete sensory loss in all limbs. Kindly give ur opinion regarding approach to this patient.. And possibilities. (Electrolyte abnormalities has already been treated in my ICU)