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Uroloigist in Noida

How to detect kidney disease early

Chronic kidney disease (CKD) is nicknamed the silent killer because it usually does not cause any symptoms until it is in an advanced stage and is already irreversible. “It is a forgotten pathology, even by health policies, and it is only treated when there is no cure and the only thing that can be done is to alleviate the symptoms,” explains the best urologist in Noida.

In the terminal phase of this disease, the kidneys stop performing their function and survival is only possible with renal replacement therapy: dialysis or a kidney transplant. However, if it is detected when it is still very early, it is possible to stop its development by treating the pathologies that cause this renal deterioration (diabetes and hypertension, above all) and with a healthy lifestyle, explains the urologist in Noida.

Warning Signs

“There really isn’t a clear symptom because normally there is no pain,” says the urologist in Greater Noida. These are some of the warning signs that can warn of the existence of a kidney disease. But beware! These signs usually appear when the problem is already advanced, that is, in the first three phases of the 5 with which the progression of the disease is described:

  • Fluid retention that results, among other things, in swollen ankles.
  • Changes in how your urine looks and how often you pee.
  • Tiredness and fatigue.
  • Anemia.
  • Citrin color of the skin.
  • Rashes, itching.

In the initial phases (1, 2 and 3a) of chronic kidney disease, according to the urologist in Ghaziabad, some more subtle changes can be seen, such as the presence of foam in the urine, which could indicate (although not always because it can be something specific) the presence of protein in the urine. However, urologist in Ghaziabad clarifies that to detect this sign “it is necessary to look very closely, but the general population is not used to paying attention to aspects such as the amount of urine, the color, if it is very concentrated or diluted … We lack a lot of information and education about”.

Blood and urine tests

Blood tests that are routinely performed on the healthy population both in health centers and in company medical check-ups usually include a marker of kidney function, creatinine, which is an enzyme that is eliminated in the kidney and is produced by the metabolism of the muscles. “It has to be around 0.9 and 1.1, that is, around 1”, indicates the president of Alcer. “If it is a little higher, there is a kidney problem”, says the best urologist in Ghaziabad.

Despite the fact that it is a very good marker and “if you have it altered it is a sure indicator of kidney failure”, it only detects the existence of problems of a certain severity (from stages 3-4 of kidney disease), since in the incipient phases the creatinine levels are usually fine.

To evaluate the functioning of the kidneys in these early stages, it is necessary to resort to the gromerular filtration rate, which measures what the kidney is capable of filtering. It is calculated using a mathematical formula that compares a person’s height, age, gender, and race to their serum creatinine levels.

“If both the glomerular filtration rate and the 24-hour urine sample were included in the analyzes carried out in primary care, many more cases of chronic kidney disease would be detected and early detection would be made,” urologist in Vaishali highlights.

Prevention before it’s too late

But since it is not possible to carry out systematic tests on all people and against all pathologies, those that should pay more attention to their kidney function are those that present a higher risk of chronic kidney disease, which are:

  • Patients with hypertension.
  • Diabetic patients.
  • Patients with established cardiovascular disease.
  • Relatives of patients with chronic kidney disease.

In these groups, the estimation of the glomerular filtration rate in a blood sample and the determination of the albumin/creatinine ratio in a urine sample are recommended as a systematic screening or analysis method. It has been proven that early detection of those affected by this silent killer and its treatment decrease cardiovascular complications and the speed of progression of kidney disease, explains the best urologist in Noida.

As for the rest of the population, the essential thing is to keep in mind that advanced age, obesity, a diet with excess sodium, the abuse of medications, a sedentary lifestyle, the consumption of tobacco, alcohol and other drugs… factors that increase the probability of suffering kidney diseases. Therefore, the best way to prevent chronic kidney disease is a healthy lifestyle. It is advisable not to lower our guard because it is a very common problem: it is estimated that approximately 10% of the population suffers from some type of kidney disease.

Also Visit:

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urologist in Noida

In which situations should you urgently consult the urologist?

How many times have you consulted with a urologist?

It is recommended to carry out, from the beginning of sexual life, routine consultations with the best urologist in Noida once a year. This care makes it possible to identify diseases early, before they can cause complications.

But, in addition to routine consultations, there may be situations where urgent care is needed, either because of the pain caused by the disease or even the risk of serious complications and even death.

Diseases that require urgent consultation with the urologist

Acute urinary retention

The urinary retention can be defined as the inability to urinate, the bladder is full, but the patient can not empty it.

This can occur when there is obstruction of the urine channel, most commonly related to benign prostatic hyperplasia (enlarged prostate) or even failure of the bladder muscles to contract, which can occur from medication use or nervous system injuries.

The patient should be submitted, as soon as possible, to the placement of a probe in the urine channel, in order to avoid complications such as loss of kidney function.

Renal colic (kidney stone)

When the stones are located inside the kidneys, they do not usually cause pain. But when the stones travel through the urinary stream and reach the ureter, the canal that connects the kidney to the bladder, they cause obstruction of the drainage of urine, which accumulates, causing the ureter and kidney to dilate. This dilation is responsible for intense low back pain, known as renal colic l.

Kidney stone is a sharp, intense pain that cyclically increases and decreases, starting in the lower back and radiating (walking) to the lower abdomen.

It may be accompanied by sweating, nausea and vomiting.

Acute scrotum (sharp pain in the testicle)

There are several causes of testicular pain, but one in particular requires urgent care, testicular torsion.

Some patients have a failure to attach the testicle to the inner part of the scrotum, and there may be twisting of the testicle. This condition prevents the arrival of blood with oxygen to the testicle, causing very intense pain.

The condition must be corrected through surgery as soon as possible, in order to avoid the loss of this organ.

Urinary tract infection is also treated by the urologist in Noida

Urinary tract infection can occur in both women and men. In females, the most commonly affected organ is the bladder, causing local inflammation, which we call cystitis. When this occurs, symptoms such as burning when urinating, the urge to go to the bathroom very often, cloudy and foul-smelling urine appear.

In males, the most commonly affected organ is the prostate. Infection of the prostate causes symptoms similar to those described above, in addition to pelvic pain.

Although the diagnosis and treatment of urinary tract infection is relatively simple, proper evaluation by a urologist in Ghaziabad is necessary, who should examine the patient in addition to ordering urine and blood tests.

If not treated properly, a urinary tract infection can cause serious complications. Cystitis, for example, can progress to kidney infection, which we call pyelonephritis.

Some of the most common symptoms associated with this condition are fever, chills and lower back pain.

There are many other conditions that also require prompt care, including trauma, penile fracture, Fournier’s paraphimosis gangrene.

Therefore, if you have symptoms of any of these diseases, urgently seek the best urologist in Ghaziabad.

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Female Urinary Incontinence

TREATMENT OF FEMALE URINARY INCONTINENCE

The urinary incontinence in female is a common problem, especially in young women and may have an impact significant and important in the quality of life of the patient. Female urinary incontinence involves an involuntary leakage of urine, which can lead to a number of symptoms, which include urinary urgency (sudden need to urinate and the difficulty or inability to avoid it), urinary frequency (urinating more than 8 times during a 24-hour period) and nocturia, explains the urologist in Noida.

Female urinary incontinence can be classified in different ways. Depending on what causes it, it can be:

  • Stress urinary incontinence: It is related to the actions that generate increased pressure within the abdominal cavity and the bladder (laughing, coughing, sneezing, climbing stairs, among others)
  • Urge urinary incontinence: It presents as involuntary urine leakage that is accompanied by the sudden need to urinate.
  • Functional urinary incontinence: It is related to the inability to retain urine within the bladder due to neurological injuries and / or existing injuries in the urinary tract (delirium, psychiatric disorders, urinary infections, among others).
  • Mixed urinary incontinence: It is presented as the combination of stress urinary incontinence and urge urinary incontinence, which is why it is characterized by both involuntary urine leakage and various actions (laughing, sneezing, climbing stairs, among others).

Although urinary incontinence tends to occur more frequently in women who are going through menopause, anyone can be affected. It is difficult to determine the exact number of patients who suffer from urinary incontinence, says the best urologist in Noida.

It is estimated that female urinary incontinence affects 20-30% of young women, 30-40% of middle-aged women, and 30-50% of elderly women.

What is the treatment for female urinary incontinence?

Currently there are multiple ways to manage and treat female urinary incontinence. The treatment to be used will largely depend on the type of urinary incontinence that the patient presents:

  • Stress urinary incontinence: It can be managed through surgery, exercises that strengthen the pelvic floor, as well as anti-incontinence devices and medications.
  • Urge urinary incontinence: It can be managed with changes in lifestyle, which include modifications in diet, exercises are also used to strengthen the pelvic floor, medications and in some cases, surgery can be used.
  • Functional urinary incontinence: It is due to the underlying condition that causes urinary incontinence.
  • Mixed urinary incontinence: It can be managed with medications (anticholinergics) and sometimes surgery.

Although, in many cases surgery can be used as a treatment option, it is preferable to use medical treatment (pelvic floor exercises, medications, among others) before submitting the patient to surgery, says the urologist in Greater Noida.

In cases of severe urinary incontinence, it is advisable to use surgery as the first-line treatment, unlike mild or moderate cases.

Treatment of conditions that may cause or accentuate female urinary incontinence is widely recommended by the urologist in Greater Noida and necessary to minimize symptoms of urinary incontinence.

Absorbent devices as a treatment for female urinary incontinence

Absorbent devices are products (pads or garments) designed to absorb urine and thereby protect both the patient’s skin and clothing. Because they reduce the odour and moisture of absorbed urine, they help maintain a certain comfort and facilitate the performance of daily activities, says the urologist in Ghaziabad.

While absorbent devices help control the symptoms of urinary incontinence, they are not a cure for the problem. Patients who benefit from the use of these devices are those who meet the following criteria:

  • Persistent urinary incontinence despite having used the appropriate treatments.
  • Lack of ability to participate in behavioural programs due to various illnesses or disabilities.
  • Presence of urinary incontinence disorder that cannot be improved with the use of medications.
  • Presence of urinary incontinence disorder that cannot be improved with the use of surgery.

Surgical treatment for female urinary incontinence

Surgical treatment for urinary incontinence is offered by the urologist in Vaishali when patients have already undergone drug treatment as well as pelvic floor exercises and there is no improvement.

There are different types of surgeries that can be performed as treatment; however, it will depend on what type of urinary incontinence is present, states the best urologist in Greater Noida.

For patients with stress urinary incontinence, surgeries are recommended to strengthen the urethral sphincter (suspension of the bladder neck, among others).

For patients with urge urinary incontinence, surgeries are recommended by the best urologist in Ghaziabad that increase the elongation of the bladder, as well as the amount of urine it can retain (sacral nerve modulation, injection of neurotoxins such as botulinum toxin, bladder enlargement).

Pharmacological treatment for female urinary incontinence

The purpose of drug treatment is to reduce the frequency of symptoms of urinary incontinence. The medications used are anticholinergics, antispasmodics, and tricyclic antidepressants.

Depending on the type of urinary incontinence that the patient presents, the drugs that are going to be administered will be administered.

It has been observed that when drug treatment is combined with pelvic floor exercises the results are even better and the symptoms decrease is greater.

If you or any of your family members have symptoms such as those mentioned, do not hesitate to contact urologist in Delhi to treat these types of problems.

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