The medical term sepsis refers to a pathology in which the organism has a very serious and inflammatory response to the presence of bacteria and other microorganisms. It is for this reason that is known as urinary sepsis to a urinary infection, however, that is defined as urinary sepsis and not as a simple infection, means what many people know as blood poisoning and, on several occasions, can be fatal for patients, mainly, if an adequate treatment is not performed quickly, says urologist in Delhi. According to urologist in Noida, Urinary tract infections do not usually lead a person to death, however, if sepsis takes control in response to the bacteria that are causing it and is not treated in time, it can cause the person to die. If you do not know much about this alteration, in the following article we explain everything about urinary sepsis: symptoms and treatment. Complications of a urinary infection According to urologist in Greater Noida, when a correct treatment is performed at the right time, urinary infections of the lower tract, that is, in the bladder and urethra, rarely have complications, however, if the treatment is not performed at the precise moment, the situation The general condition of the patient can be aggravated and lead to consequences such as:
Urinary sepsis: symptoms Sepsis can occur in any part of the body and can cause many symptoms; however, the first signs of this alteration is the presence of acceleration in breathing, changes in mental status and alertness, chronic confusion, among some others, says urologist in Ghaziabad. Also, other symptoms may appear such as:
Urinary sepsis: treatment Because urinary sepsis is a state of very advanced infection, its treatment is indicated urgently and is generally based on covering three objectives, which are to stop the microbial action, improve the symptoms and complications of urinary sepsis and remedy the cause of the infection, which can be through surgery, suggests best urologist in Noida. To eliminate and inhibit the growth of the pathogen, the urologist in Vaishali will choose the most recommended dose and drugs according to the result of the bacterial cultures, which will indicate the type of microorganism that has and in what quantities, in addition to Take into account the health conditions of the patient, for example, if you are diabetic or are pregnant. This pharmacological treatment can be administered orally or by injection and include the combination of drugs, depending on the degree of infection, suggests urologist in Sector 93 Noida. While for the treatment of symptoms and adjunct measures to increase the possibility of recovery, it is likely that oxygen will be required to keep the tissues functioning in case of difficulty in breathing or having a low level of oxygen in the blood and, in some cases more serious, mechanical ventilation may be necessary. It will also seek to control hydration, glucose level and blood pressure with the intravenous administration of fluids and medications, suggests urologist in Sector 108 Noida. On the other hand, by means of examinations the cause of the urinary infection can be determined that was complicated producing the sepsis and being able like this to correct the affection, which in turn can make improve the symptoms and the recovery faster. In some cases, it is possible that the cause can be solved with the consumption of specific medications, but in other alterations the most advisable thing could be the surgical intervention, for example, to remove a foreign body in the urinary tract, suggests best urologist in Ghaziabad.
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What is acute pyelonephritis? The acute pyelonephritis or kidney infection is infection of the parenchyma and renal pelvis. Acute pyelonephritis is caused by germs that have escalated through the ureters from the lower urinary tract (bladder and urethra). It is in short, a urinary infection that has reached the kidney, says Urologist in Noida. According to the Urologist in Greater Noida, Urinary tract infections are a frequent pathology in women and men from 50 years of age. The germ that produces acute pyelonephritis in the first place is E. coli, which is responsible for 80% of the cases. The other 20% of cases, on the other hand, are due to germs of the Enterobacteriaceae family (bacteria that are part of the microbiotic of the intestine) such as:
Causes of acute pyelonephritis When assessing the causes of upper urinary tract infection (ITUS), it is important to consider first: the age and sex of the patient, says Urologist in Sector 93 Noida. Pyelonephritis in children In children pyelonephritis are infrequent and therefore it is advisable to always rule out a congenital anomaly that favours its appearance. According to the Urologist in Ghaziabad, the congenital anomalies that most often produce pyelonephritis in children are the following:
Pyelonephritis in women In women, cystitis is very frequent and is therefore the leading cause of pyelonephritis in women. However, when pyelonephritis is repeated frequently, it is advisable to rule out:
Pyelonephritis in men In men, pyelonephritis is uncommon before age 50, but even so, it is advisable to rule out when they recur, the presence of:
Symptoms of acute pyelonephritis The three most common symptoms of acute pyelonephritis are:
According to the Best Urologist in Noida, Acute pyelonephritis can also present symptoms related to the gastrointestinal tract such as: abdominal pain. nausea and vomiting and sometimes diarrhoea. Previous situations that may aggravate pyelonephritis As per the Best Urologist in Ghaziabad, although the ITUS are solved with antibiotics without major problems. There are, however, circumstances that may favour the evolution towards serious conditions such as urinary sepsis or renal failure. These situations are the following:
Tests for the diagnosis of acute pyelonephritis Undoubtedly the clinical symptoms of high fever, chills and low back pain already suggest the possibility that we are facing acute pyelonephritis. Fortunately, we have several tests that also help us to diagnose:
What is the treatment of acute pyelonephritis? When dealing with the treatment of pyelonephritis, it is first necessary to modify the previous situations that may aggravate the infection, such as, for example, obstruction of the urinary tract (with stenting or percutaneous nephrostomy), says Urologist in Vaishali. Antibiotics remain the cornerstone of treatment. Follow-up of patients who have suffered acute pyelonephritis
A few months ago many people probably heard that the singer Selena Gómez had a kidney transplant because of lupus nephritis, but how much do we know of this disease that damages the kidneys, which is more frequent in women and much more aggressive and deadly in males? Probably, almost nothing or nothing. Therefore, Urologist in Noida, explains that the first thing to know is that “lupus nephritis is one of the most frequent and severe complications of a disease autoimmune, chronic, incurable and complex called Systemic Lupus Erythematosus, and this also affects other organs such as heart, skin, brain, etc. causing generalized inflammation and tissue damage of affected organs. In the case of the kidney, lupus produces a severe inflammation called glomerulonephritis and the symptoms are sometimes only detected in blood or urine tests carried out routinely in patients with this autoimmune disease, being able to find microbial and high levels of protein in the urine, says Urologist in Greater Noida. In other cases it is manifested by the nephrotic syndrome that usually causes generalized swelling of the body (feet, ankles, legs, hands and face) and very frothy urine by the elimination of large amounts of proteins in the urine, which can acquire a colour reddish or dark like loaded tea. “Many times the Lupus debuts in this way and in severe situations causes Acute and Chronic Renal Failure which can lead to need dialysis or kidney transplant,” said Urologist in Sector 93 Noida. Urologist in Ghaziabad also reported that this complication to the kidney occurs more frequently in the first five years after the onset of symptoms of Lupus and that this disease usually affects people between 20 and 40 years of age. Lupus affects women more, but when it occurs in males and children the disease is usually more serious and fatal. What are the treatment options? Because Lupus often makes its debut due to kidney damage, lupus nephritis cannot always be prevented, but in those who have this disease and there is no renal complication, timely treatment can reduce the risk of damage to the kidney, says Best Urologist in Noida. So far, there is no cure for Lupus. However, through the use of medications and changes in lifestyle it is possible to control their progression. According to Best Urologist in Ghaziabad, if Lupus Nephritis progresses despite the treatment of the terminal Chronic Kidney Disease, it should be evaluated which is the best option for renal replacement therapy and the most opportune time to receive a kidney transplant. When to suspect Lupus? The symptoms of Systemic Lupus Erythematosus are many and usually vary from one person to another, however, there are some who could suggest us having this disease and, therefore, we must go to the doctor for a discard and also, to have a diagnosis positive, undergo an evaluation of renal function to detect early lupus nephritis, recommends Urologist in Vaishali. Among the symptoms that may occur are:
What is it Renal lithiasis, also called urolithiasis or nephrolithiasis, is a disease caused by the presence of stones or stones inside the kidneys or the urinary tract (ureters or bladder). The kidney stones are made up of normal substances in the urine, but for different reasons, have concentrated and solidified into fragments of larger or smaller. Depending on the place where a stone is formed (kidney or bladder), it can be called a kidney stone or bladder stone, respectively. Causes Urologist in Noida says that kidney stones can form if the urine is saturated with salts that can produce them, or because the urine lacks the natural inhibitors of this process. This may be related to other factors:
The forms of clinical presentation in renal lithiasis are variable depending on the size, composition and location of the stones in the urinary system. Urologist in Ghaziabad warns that some may go unnoticed.
One of the ways to prevent this condition is the correction of any excess calcium, phosphate, oxalate and purines. In addition, several general dietary measures suggested by urologist in Vaishali may allow better control of the disease, such as increased fluid intake, preferably water (the first and simplest of measures to prevent disease). It is essential to follow a diet low in calories, with little salt, limiting animal proteins, sugars and alcohol. Nor are foods such as cocoa, coffee, tea, nuts, etc. recommended by the best urologist in Greater Noida. Types There are different types of kidney stones depending on the composition of the substances that cause them. These are the most common:
The calculations that do not produce symptom but can be discovered during a routine urine microscopic analysis. On the contrary, the calculations that produce pain, in general, are diagnosed by the symptoms of renal colic, together with pain in the lower back and groin or pain in the genital area, without an apparent reason. The microscopic urine analysis can reveal the presence of blood or pus, as well as small crystals in the calculation. Other diagnostic tests that are performed are: abdominal radiography, intravenous urography, retrograde urography, abdominal ultrasound and computerized tomography. Treatments 95 percent of the stones located in the ureter are spontaneously expelled in three or four weeks, depending on their size and position. Any calculation not expelled in two months requires a kidney stone treatment in Noida. Based on an assessment of some factors, such as the frequency of episodes of colic, repercussion on the urinary tract, etc., the specialist will determine the most indicated treatment, which may include a conservative attitude with pain treatment or an interventionist attitude. Currently, between 90 and 95 percent of the kidney stone treatment in Ghaziabad by non-aggressive procedures, such as extracorporeal shock wave lithotripsy, which consists of breaking the stones into small fragments that can be expelled more easily (with an efficacy of 90%). Endoscopic is also a procedure for kidney stone treatment in Greater Noida which removes the stones by ureteroscopy (through the urinary ducts, urethra, bladder, etc.) is also common. Sometimes the uric acid stones dissolve gradually making the urine less concentrated (for example, with potassium citrate), but the other types of stones cannot be eliminated with this method. In special circumstances, larger calculations that cause an obstruction may require surgical intervention for kidney stone treatment in Vaishali. Other data Kidney stones are painful, but in most cases, they can be eliminated from the body without causing damage to it. But these calculations reappear quite frequently, especially if the cause that led to their appearance is not addressed, says urologist in Greater Noida. In these cases, in which the appropriate kidney stone treatment in Noida is not received, the patient may have the risk of suffering from urinary tract infections or damage to the kidney, in the most serious cases. Urinating with urgency and pain are the main symptoms of interstitial cystitis, a disorder that affects mostly middle-aged women, a sector of the population that faces significant ignorance about this disease. According to urologist in Noida, Interstitial cystitis (IC) is a chronic, rare and especially female disease (80% of cases are women), although men can be affected by a very similar pathology, prostatodynia. Although a good part of the population is aware of the problems that affect many men due to the prostate, the same is not true for women who suffer from this type of cystitis. With a peremptory and very frequent need to urinate, its problem is unknown even by the doctors themselves. And it is still having not been able to find out what are the causes that trigger it. At this time, one of the main hypotheses that is defended is that bad voiding habits, such as holding too much urine, may favour its appearance. When cystitis is mentioned, it is almost always associated with bacterial bladder inflammation, in which the germ Escherichia coli is the most frequent cause. But other causes of bladder irritation that are not bacterial also coexist, but respond to factors such as irradiation, chemotherapy or obstruction. A separate mention deserves the chronic cystopathies, which are that cystitis without known cause. This group includes interstitial cystitis, which in the US affects more than 700,000 people, according to data from the Interstitial Cystitis Association., however, there is no epidemiological data on its incidence, explains urologist in Greater Noida. Cystitis, colloquial name for which this disease is known, refers to a chronic inflammation of the bladder wall. On the other hand, the interstitial surname is related to the network of cells that form collagen fibres and, in turn, to the intercellular space called interstitium, which is the part that becomes inflamed and irritated. This is because certain chemical components of urine, such as potassium, can pass through the layer that lines the inside of the bladder (the urothelium) and irritate the interstitium. Consequently, affected people suffer pain every time the bladder filling occurs, explains urologist in Sector 93 Noida. It must also be borne in mind that interstitial cystitis is included within the so-called "painful bladder syndrome", referring to any pathology related to pain of the organ in question. All ICs are painful bladders, but not all painful bladders are IC. For this reason, before a painful bladder picture, interstitial cystitis is diagnosed when no organic cause is seen, such as a bladder tumour, stones (or stones) in the urinary tract or a urinary infection that justifies that pain. After discarding these organic causes and carrying out a series of tests, and provided that the patients meet certain clinical criteria, the professionals in urology reach the conclusion that they are facing a specific clinical picture: IC. Discomfort The symptoms that lead to seeing the urologist in Ghaziabad focus on the urgency to urinate and a frequency that results in going to the bathroom every 10 to 15 minutes, very strong bladder pain in the perineal area and much stinging in the form of burning continued. The suffering is such that as soon as the first symptoms appear, the affected women decide to consult a specialist, although they often miss the professional to go to. Since the discomforts are in the area of the genitals, they go to the gynaecologist, or, because they can be confused with a urine infection, they also turn to the general practitioner. Then start a pilgrimage to find the specialist who can diagnose and treat this problem properly: the urologist, says best urologist in Noida. The diagnosis is made to wait At first, the symptoms of IC can be confused with those of a cystitis of bacterial origin, so it is usually treated with antibiotics. When it is observed that they do not respond to the treatment, other analytics are practiced verifying that the infection is not caused by bacteria. The same happens with men, since prostatidynia can be confused with an infectious prostatitis, says best urologist in Ghaziabad. In order to arrive at the diagnosis, the most important thing, in either case, is for the urologist in Vaishali to interpret and create what the patient is explaining to him, since the symptomatology of the IC is very varied and subjective; each person feels the pain with different intensity. Until it is concluded that it is an interstitial cystitis, those affected have had to undergo several tests:
It is common for those affected to encounter long waiting lists for the first visit to the urologist. For this reason, since this specialist receives them at the first visit until the diagnosis is established, a one-year period may elapse in the best of cases. In others, due to the initial confusion of the symptoms with those of an infection, both they and they can live for some years with an incorrect diagnosis. Treatment without cure Currently, the IC has no cure and those affected cannot find another option but to learn to live with it for the rest of their lives, explains best urologist in Vaishali. However, there are several therapeutic routes that, prescribed and applied by an expert urologist in this pathology, allow controlling symptoms in 70% of patients, although they must be aware of the chronic nature of the disease and maintain realistic expectations.
According to urologist in Sector 108 Noida, the daily life of a person diagnosed with Interstitial Cystitis takes a 180 degree turn in many cases, since it affects daily, work and couple life in several aspects:
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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
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