Kidney stones can cause severe pain and usually require prompt attention from urologist in Noida. Learn how to prevent or remedy this trouble. We are talking about a painful condition marked by the formation of pebbles that obstruct the urinary system. Popularly known as kidney stone, this hardened formation can arise in the kidneys and clog up another point in the urinary canal. Because the ureter, the channel that carries urine to the bladder, is very narrow, the particle becomes stuck. As a result of the expulsion attempt, intense pain arises. The kidneys function as two large blood filters. In addition to water to form urine, they retain various elements such as calcium, uric acid and oxalate. When these molecules appear in large quantities and there is little liquid to dissolve them, crystals or aggregates arise that turn up and turn the calculations. Their size varies greatly. There is also a fourth type of stone, rarer, struvite. Unlike the others, this one mainly affects women. Its origin is associated with an infection caused by the bacterium Proteus mirabillis, which changes the urine pH, facilitating the aggregation of magnesium, phosphate and ammonia particles. The formation can reach 11 centimeters, occupying the entire space of the kidney. As it is softer, the pee can get past it and so there is no pain. A danger, because the problem is not noticed and extends – and the kidney can end up seriously affected, warns the best urologist in Noida. Signals and symptoms
Risk factors
Prevention Diet is a major factor in controlling the problem, suggests urologist in Ghaziabad. To avoid crystallization of salts, the body needs water, so one of the first rules is to drink plenty of fluids. One way to check if the amount is sufficient is to pay attention to the color of the pee, which should be light – if it is yellowish, it means it is very concentrated and can lead to stone formation, says the best urologist in Ghaziabad. Handling salt, sausages, canned goods and instant noodles is another advisable measure. Foods that are high in oxalate (spinach, walnuts, pepper, and black tea, for example) also require moderation when there is already a propensity for such stones. People with a high blood uric acid concentration should further reduce their intake of beer, red meat and seafood as they raise rates even further, recommends urologist in Vaishali. The best urologist in Vaishali even recommend caution with calcium supplements. The mineral is important to the body, but supplementation can only be done with medical advice. Otherwise, overload can result in kidney problems. The diagnosis The intense pain caused by calculations is usually the starting point for detecting the problem. Very dense and dark or bloody urine is another warning sign. Pee laboratory tests analyze acidity and the presence of crystals or infection. To investigate the type of calculation and where you are parked, your doctor will order a CT scan. X-ray and ultrasound are other options. Because they are transparent, stones formed by uric acid do not appear in these tests. Helical tomography is a feature to catch this type of mass. More invasive procedures, excretory and intravenous urography are done with dye injection to map the area and detect smaller stones and other major urinary tract changes. The treatment When it is small, the stone is usually expelled naturally. Just increase the amount of fluid ingested or, if the urologist in Delhi finds it necessary, injected into the vein. Depending on size, procedures work to fragment the calculation and make it possible to eliminate it. One option for kidney stone treatment in Noida is extracorporeal lithotripsy, which is less aggressive to the body. In it, electromagnetic waves destroy the solid material. In the traditional percutaneous technique of kidney stone treatment in Ghaziabad, an incision is made in the patient’s back and a device penetrates the skin until it reaches the kidney to remove the stone. The procedure requires hospitalization of up to five days for recovery. Today a simpler technique of kidney stone treatment in Greater Noida, called flexible uretero-nephrolithotripsy, detonates hard formations with the laser of a device introduced through the urethra. In this method, however, sometimes an attempt is insufficient. So you need to repeat every two weeks for up to four sessions, always under general anesthesia. The postoperative period pays off because the person is discharged on the same day.
0 Comments
What is dysuria? Pain to urinate, also known as dysuria, is one of the most common symptoms in patients with urinary tract inflammation/infection, states urologist in Delhi. We consider dysuria any discomfort that arises at the time of urination, be it pain, burning, heaviness, burning or stinging. In women, the main cause of dysuria is urinary tract infection, more specifically cystitis, which is the name we give to bladder infection. In men, however, the story is different, at least for those between the ages of 15 and 50, since in this group cystitis is not a common situation. In men, urethritis (inflammation of the urethra) caused by sexually transmitted diseases is a much more frequent cause of urination pain than urinary tract infection. In this article, the best urologist in Noida will talk about the main causes of discomfort or pain during urination among men. Main causes of dysuria in men Dysuria usually arises when there is inflammation, whether infectious or not, somewhere in the lower genitourinary tract, which in men is composed of the prostate, bladder, testis, and urethra, explains urologist in Noida. It is very important to know the main causes of dysuria so as not to fall into the trap of thinking that every pain when urinating is caused by a urinary tract infection. In women, this reasoning may even lead you to make the diagnosis right in most cases, but in young men it is completely wrong. Next, let’s briefly talk about the 6 most common situations that can cause pain during urination. They are:
Urethritis We call urethritis the inflammation of the urethra, which is the channel that goes inside the penis and drains the bladder urine. According to urologist in Greater Noida, urethritis is the most common cause of dysuria in young and sexually active men. The main causes of urethritis are gonorrhea and chlamydia, two sexually transmitted bacterial infections. In both infections, in addition to dysuria, the patient also usually has a purulent urethral discharge, which may arise spontaneously or only when the patient “milks” the penis. This symptom is the key point that helps differentiate urethritis from urinary tract infection, as cystitis patients do not usually have urethral discharge. In addition to gonorrhea and chlamydia, urethritis can also be caused by other germs such as Mycoplasma genitalium, Ureaplasma urealyticum, adenovirus and herpes simplex virus. Inflammation of the urethra may also have non-infectious origin, as in cases of trauma, such as when passing a bladder tube, or irritation by chemicals such as antiseptics or spermicides. Excessive masturbation may also cause trauma to the urethra and temporary dysuria. Prostatitis Prostatitis, which is inflammation of the prostate gland, is another common cause of dysuria in men. Unlike benign prostate hyperplasia and prostate cancer, which are two complications that occur almost exclusively in the elderly, prostatitis can appear in young adults, says urologist in Vaishali. Prostatitis can be acute or chronic. Acute prostatitis is a condition that is usually caused by a bacterium, such as Escherichia coli, Proteus or Klebsiella. The most common symptoms of acute prostatitis are pain to urinate, fever, chills, urge to urinate all the time, difficulty urinating, pelvic pain, weakness and general malaise. Conical prostatitis, which is also called chronic pelvic pain syndrome, is a condition of unknown cause that can last for months. In addition to dysuria, chronic prostatitis can also cause testicular pain, ejaculating pain, difficulty urinating and blood in the sperm. Urinary infection As noted earlier in the text, urinary tract infection is the leading cause of dysuria in women, but is uncommon in young men. Urinary tract infection in men usually only occurs in those who have an abnormality of the urinary system, such as urethral stricture, vesicoureteral reflux, or prostate abnormalities that cause urinary flow obstruction. Therefore, in healthy young men complaining of pain to urinate, cystitis should not be the first or second hypothesis to be considered, suggests the best urologist in Ghaziabad. On the other hand, if the patient is already over 50 years old and has a history of benign prostate hyperplasia, the urinary tract infection may be home to dysuria. Urinary Calculus The passage of a urinary stone through the urethra can cause injury to the urethra, leading to the onset of dysuria. Depending on the size of the stone, it can be impacted on the urethra, also causing symptoms such as blood in the urine, difficulty urinating, weak urinary jet and pain in the penis region. Often the patient can see the moment when the stone passes through the urethra as it comes out in the urine and falls into the toilet. If the stone passage has been very traumatic, the pain to urinate may persist for a few more days, says urologist in Ghaziabad. Epididymitis The epididymis is a structure that is located above the testicles and its function is to store the sperm produced. Epididymitis is a condition of inflammation of the epididymis, usually caused by infection with the bacterium Chlamydia trachomatis. Epididymitis may cause pain when urinating, but its most common symptoms are testicular pain and scrotum swelling. Benign Prostate Hyperplasia As men get older, their prostate tends to swell, a condition called benign prostate hyperplasia (BPH). About half of patients over 50 have BPH. Already in the age group above 80 years, the rate is greater than 80%. As the urethra passes inside the prostate, it may become compressed in cases of benign prostate hyperplasia. This compression makes it difficult to pass urine, causing obstruction of urinary flow. Obstruction can cause pain when urinating because of the patient’s own difficulty passing urine through the urethra, but also because it favors the proliferation of bacteria in the urine, which increases the risk of urinary infection, explains urologist in Sector 93 Noida. In addition to dysuria, the most common symptoms of BPH are weak urinary jet, difficulty initiating urination, urge to urinate all the time, even with low urine volume, urge to urinate, and frequent urination at night., during sleep. It is a non-contagious infection of the prostate. The bacteria that produces it can enter the prostate from infected urine. Both acute and chronic prostatitis can be treated with antibiotics, however, non-infectious prostatitis is not treated with antibiotics, but the treatment is performed with muscle relaxants, sitz baths and prostate massages, explains urologist in Noida. The prostate is a gland that only the man has and that is in front of the rectum (final part of the digestive tract) and just below the bladder (where urine is stored). The normal prostate is the size of a nut and its weight is 20 grams. The urethra passes through this gland (a tube that carries urine from the bladder to the tip of the penis). The prostate is made up of glands and muscular stroma. Its function is to produce liquids that bind to semen (fluid that carries sperm produced in the testis). During orgasm (final part of the sexual act) the muscular stroma contracts and expels sperm. Prostatitis is not contagious and is not considered a sexually transmitted disease. It is not known with certainty what is the cause for which prostatitis occurs. Bacteria can ascend from the outside through the walls of the urethra and infect the prostate tissue. THERE ARE THREE TYPES OF PROSTATITIS: Acute prostatitis It is produced by bacteria and as its name indicates it appears sharply and manifests itself by fever, chills, difficulty and pain when urinating. It is a severe condition that sometimes requires immediate admission to inject antibiotics directly into a vein, says urologist in Greater Noida. Chronic prostatitis It is also produced by bacteria but does not occur abruptly and the symptoms are less intense characterized by discomfort under the testicles or below the navel. It is associated with repeated urinary infections. The patient does not need to be admitted. It is treated with antibiotics by mouth. Non-infectious prostatitis (prostatedynia) These are caused by bacteria and their cause is unknown. Antibiotics are not effective, says urologist in Ghaziabad. There are certain conditions or procedures that increase the risk of getting a prostatitis:
According to the best urologist in Noida, the symptoms of prostatitis will depend on the type of illness you have. You may not feel anything or have symptoms so abrupt and severe that they force you to go to an emergency service. When there are symptoms, they can be any of the following: fever, chills (shivering), urinating very frequently during the day or night, difficulty urinating, burning when passing urine, pain between the testicles and anus (perineum), blood in the urine (hematuria) or pain during ejaculation. The symptoms of prostastitis can simulate the symptoms presented by other prostate diseases such as benign prostatic hyperplasia or urethritis (inflammation and infection of the urethra). DIAGNOSIS OF PROSTATITIS To facilitate the diagnosis of prostatitis the doctor will perform a rectal examination (put a finger in the rectum to find out about the size of the prostate, the consistency, the presence of pain, hard nodules suspected of tumor, inflammation or accumulation of pus). If your doctor suspects that you have a prostatitis, he will send you to a urologist in Sector 93 Noida to confirm the diagnosis. When a prostatitis is suspected, a prostate massage should be performed to collect fluid produced in the gland and study it with the microscope to find bacteria or leukocytes (indirect sign of the presence of infection) TREATMENT TO FOLLOW The treatment is different depending on the type of prostatitis you present. If you have acute prostatitis, you will probably need to be admitted to administer antibiotics directly into a vein for 2 or 3 days and upon discharge you should continue with antibiotics by mouth for 2-3 weeks. Chronic prostatitis will need antibiotics for a longer period of time and ranges between 4 and 12 weeks, which results in the disappearance of the condition in approximately 60% of cases. For cases that do not respond to this treatment, low dose treatment will be needed for a longer time. If you have a prostatodynia, you do not need to receive antibiotics and, depending on the symptoms you present, you will need other medications such as alpha blockers (substances that relax the muscle in the prostate, which reduces the difficulty in urinating). Sitz baths and diet can help you improve your symptoms. UROLOGICAL CONTROL Although prostatitis does not favor the onset of cancer, remember that after 50 years of age you should be checked annually by a urologist in Vaishali to detect early onset of prostate cancer. In case you have family members who have had prostate cancer (father, siblings, grandfather, uncles), the control should begin at 40 years of age as recommended by the best urologist in Ghaziabad. What is the prostate? The prostate is a gland located near the rectum that weighs about 20 grams. It’s part of the male reproductive system and looks like a chestnut. It is below the bladder and its main function is to produce seminal fluid. 70% of semen is produced in the prostate, making it an indispensable fertility gland. Because the prostate gland is between the bladder and the pelvis of the man and is in front of the rectum, which is the final portion of the intestine, the urologist in Noida can easily palpate it with a rectal examination. How is prostate cancer diagnosed? A prostate cancer diagnosis is usually made through 2 simple exams:
Both tests together (touch and PSA) can diagnose 80% of prostate cancer cases. About 20% of prostate cancer patients are diagnosed by rectal examination alone. If prostate cancer is suspected other tests may be ordered, such as biopsies. Benign Prostatic Hyperplasia and Prostate Cancer. What is the relationship? The prostate is a gland that continues to grow throughout man’s life. From age 45, the enlarged prostate can begin to press the urethra, reducing urine jet pressure. With this, the bladder does not empty completely and the man feels the need to urinate more often. This is a fairly common picture, especially from the age of 60. When asked about this and the need to urinate so often, the answer to many men is simply “I drink a lot of water, you know.” But this is a dangerous thought. The Benign prostatic hyperplasia is not cancer. But considering that difficulty urinating is a common symptom of both diseases, there is no way to differentiate them without proper examination by the urologist in Vaishali. This underscores the importance of men over the age of 45 regularly approaching their urologist in Ghaziabad for tests that may detect not only Benign Prostatic Hyperplasia, but also the presence of prostate cancer. What are the risk factors for prostate cancer? Maintaining physical activity and eating a healthy, vegetable-rich, low-fat diet, maintaining weight control, lowering alcohol and smoking (tobacco) help prevent cancer. Below are some of the risk factors that increase the propensity to develop prostate cancer. Prostate Cancer – Risk Factors – family history of prostate cancer: father, brothers, and uncles – obesity – hormonal dysfunctions What are the symptoms of a possible prostate cancer? Prostate cancer is a disease that has no symptoms in the early stages, in most cases. The apparent absence of symptoms does not guarantee that everything is fine in the man’s prostate. Therefore, prevention is fundamental. Most tumors grow so slowly that it takes about 15 years to reach 1cm³. Usually, when the first evidence begins to appear, the tumors may already be at an advanced stage, making healing difficult. Prostate Cancer Symptoms – constant urge to urinate and difficulty emptying the bladder – difficulty in starting and stopping urine flow – urine in successive drops or jets – painful urination – bone pain – presence of blood in the urine and/or semen – lower back pain (low back pain) or pelvis (below the testicles) – pain when ejaculating – renal insufficiency How is the Prostate Cancer Treatment in Noida? Treatment for early-stage prostate cancer has good success rates and cure is achieved in many cases. Once prostate cancer is diagnosed, it can be treated with surgery to remove the tumor (in some cases total prostate removal is required). Other forms of treatment may also be employed in conjunction with surgery, such as radiation therapy, hormone treatment, and the use of drugs to shrink the tumor and reduce the risk of the disease returning. The treatment is defined by the urologist in Sector 93 Noida always according to each case, taking into account the age of the patient, the severity of the disease, associated diseases, and life expectancy. Considering these factors is important because, after all, treatments may have some complications, which in some cases may be reversed at the end of treatment, such as urinary incontinence, erectile dysfunction or infertility. Overcoming prejudice and machismo is the best prevention. Prejudice and chauvinism are probably the biggest enemies in preventing prostate cancer. A survey found that 21% of the male population considered that the rectal exam “is not a man’s thing”. Of the total respondents, 76% say they know that digital rectal examination is an important diagnostic test and 48% say they believe machismo is the main reason why men do not have the exam. Among men at higher risk, over 60 years, 27% never underwent the exam. And more than 1/3 of respondents say they know no symptoms of prostate cancer. It is important to keep in mind that the best way to promote prostate cancer cure is an early diagnosis. Even in the absence of symptoms, men over 45 with risk factors, or 50 years without these factors, should go to the urologist in Noida regularly. Masculinity has nothing to do with simple, painless and quick exams. It’s a few seconds that can extend life for years. If you are over 45, visit your urologist in Vaishali or encourage your relative, brother or friend to do so. Health is too important to be neglected by mere prejudice. Going to the urologist in Noida periodically is a key aspect when it comes to preventing and detecting diseases in men. Even so, there is a lot of misinformation about when and in what situations you should go to a review. We’ll tell you then. When to go to the urologist for the first time? According to the best urologist in Noida, a first revision is advised at 40 years, especially if there is a family history of prostate problems, although many men come with less age if they experience any abnormality in the testicles or urine. The visit to the urologist in Greater Noida would have to be a “duty” from the age of 50, at which stage most problems begin to appear(benign prostatic hyperplasia, fluid retention, changes in urination…). The main reason for reviews at this age is the possible presence of prostate cancer. At the first visit, the patient’s history will be established, based on the clinical data provided, lifestyle, type of urination and if there is any discomfort, problem with erection or sexual intercourse. In addition, a physical examination will be carried out and additional tests may be requested to check hormonal levels and other parameters, or to check for any abnormality found during the physical examination, explains best urologist in Ghaziabad. How often to make revisions? As a general rule, the frequency of the review will be marked by the patient’s health status, as well as the data provided by the complementary tests or the symptoms that occur. To get an idea, those men over 50 years with symptoms of prostate enlargement, a history of prostate cancer or abnormalities when urinating or maintaining relationships, an annual visit to the urologist in Sector 93 Noida will be established to monitor the treatment and prevent more serious conditions. Why go to the urologist? Periodic visits aside, there are some reasons why a man should go to the urologist in Vaishali, regardless of his age or background.
Reasons to go to the urologist In conclusion, the visit to the urologist in Ghaziabad periodically will allow us to:
|
AuthorDr Shailendra Goel is consultant urologist at Max Hospital, Noida. He is one of the leading urologist in Noida. He performs all type of uro-onco surgery including kidney cancer, kidney transplant in Delhi, Noida. Archives
November 2020
Categories |