beat the heat-PREVENTION OF URINARY STONES.pptx

TIS, AWARENESS TO PREVENT URINARY STONES

1. Dr C Nivedita Beat the Heat Dr Muthu Veeramani INSTITUTE OF RENAL SCIENCES AND TRANSPLANTATION SRM Institute for Medical Sciences

2. Urinary System

3. Water courseway

4. Beat the Heat Urinary stones Urinary tract Infection

5. Why kidney stones? Too little water Too much salt

6. How will you know ? Pain, vomiting Blood in urine Fever urinary irritation No symptoms

7. Effects of stones Infection Spread of infection Kidney damage

8. Laser

9. Stag horn calculus

10. STAGHORN STONE IN KIDNEY

11. Effects of stones Infection Spread of infection Kidney damage

12. Treatment Size 4-6mm Others- infection, kidney damage No treatment Lithotripsy Endoscopy Open surgery

13. URSL

14. Instruments

15. PCNL

16. SCAR OPEN SURGERY PCNL

17. Dietary Advice High refined CHO Obesity Proteins (animal) Organ Meat Water 3-4.5 litres Caffeine Alcohol Fruits Salt Vitamins supplements ( Vit D &C)

18. Magnitude of Problem UTI can involve any part of the urinary tract - kidneys, ureters, bladder and urethra All age groups can be affected

19. In Women 30% of women will have UTI by age 24, and almost half of all women experience a UTI during their lifetime 20-30% recurrent UTI in women Urine Physician Representation in Egyptian Hieroglypics

20. SYMPTOMS Burning micturition increased frequency pain fever lower abdomen pain

21. Risk Factors Vesico ureteric Reflux Diabetes Mellitus Sexual Activity Pregnancy Menopause Renal Diseases (Obstruction)

22. Diagnosis Urine Examination Imaging

23. Why UTI should be treated? Financial Impact Resistant organism Recurrence Sepsis Loss of pregnancy

24. Causes Viral Bacterial Fungal

25. Treatment Medications for bacterial infection Prophylactic medication for infection Cranberry Juice ( fruit, dried fruit, Juice, capsules, syrup) Procedure to correct the disease( surgery for stones, meatal narrowing, uterine prolapse etc)

26. Estrogen cream for post menopausal women Adequate Water Intake Personal Hygiene Regular Bowel movements The Pomegranate: Effects on Bacteria and Viruses That Influence Human Health Amy B. Howell, Doris H. D'Souza Evid Based Complement Alternat Med. 2013; 2013: 606212. Published online 2013 May 20. doi: 10.1155/2013/606212 PMCID: PMC3671682

27. Pomegranate fruit,green tea,tea tree oil,turmeric and garlic Anti-Bacterial Effects of Essential Oils against Uropathogenic Bacteria Maria Loose, Emmelie Pilger, Florian Wagenlehner Antibiotics (Basel) 2020 Jun; 9(6): 358. Published online 2020 Jun 25. doi: 10.3390/antibiotics9060358 PMCID: PMC7344393 Green tea as an effective antimicrobial for urinary tract infections caused by Escherichia coli Wanda Reygaert, Ilir Jusufi Front Microbiol. 2013; 4: 162. Published online 2013 Jun 18. doi: 10.3389/fmicb.2013.00162 PMCID: PMC3684790 Home Remedies

28. Take Home Tips Adequate water intake Regular voiding - to avoid postponement Regular bowel movement - to avoid constipation Diabetic control