Dropdown Menu

Showing posts with label Urinary Tract Infection. Show all posts
Showing posts with label Urinary Tract Infection. Show all posts

Jul 16, 2014

A Case of Urinary Tract Infection Extended to Kidney



A Urinary Tract Infection extended upward to kidneys in a newly married woman.


© Dr Ravinder S Mann 2014

 A 19 yrs newly married girl presented on June 26, 2014 with severe pain at right renal angle (Kidney region). Pain was stitching in nature, originating in right kidney and extending downward to bladder, covering whole right side of abdomen. Pain was worse by walking and better by lying down. 

For last few days patient has burning pains in urethra after urinating and very severe at conclusion of urination. Pains are burning and scalding. Urination frequent and scanty. Urine contains pus cells on urine test report. 

These symptoms are persisting for last one month. Has taken a course of antibiotics but symptoms recurred again.

Repertorization



Prescription on June 26, 2014

Sarsaparilla  officinalis 200 CH , 3 doses prescribed on hourly interval with sac lac for 7 days.

July 2, 2014

Pain, scalding, burning and pains from kidney extending downward stopped in few hours after taking medicine on same day. Frequency of urination stopped in 3 days. Urine report shows pus cells in normal range.

No prescription is given and advised to consult again if symptoms recurs.

---------------------------------------------------------------------------------
Read Article on Urinary Tract Infection
Read Article on Homeopathic medicines for Urinary Tract Infection


Oct 15, 2011

Notes on Cystitis by F. E. McCurtain

This article originally published in "THE CRITIQUE" VOL. V. DENVER, COLO., JANUARY 15,1898. No. 1, on page no. 11 & 12. Still a very indicative and relevant article in diseases of acute and chronic bladder infections and Urinary Tract infections(UTI).



NOTES ON CYSTITIS.
F. E. McCurtain, M. D., Denver

1. Sudden violent urging to urinate-  Petroselinum.
2. Urine dropping from meatus instead of being ejected with force- Hepar.
3. High fever, restlessness, constant desire to urinate- Aconite.
4. Burning and pressure in the bladder- Nux Vom.
5. Bladder largely distended- Arsen Alb.
6. After irritating drugs- Camphor.
7. Stitching, recurring, crampy pain; thick mucus and bright red mealy sediment- Berberis Aqua.
8. Urine alkaline and ropy- Kali Bich.
9. Natrum Mur.- Has pain greatest after micturation.
10. Phos. Acid. -Urine looks like milk and quickly decomposes.
11. After exposure to cold the urine deposits a slimy sediment which sticks to the vessel- Pulsatilla.
12. A sensation as if a ball were rolling in the bladder- Lachesis.
13. Sensitiveness of Hypogastrium, tenesmus of bladder.Burning in region of kidneys- Terebinth.
14. Retention of urine; great thirst; dry tongue and delirium- Hyoscyamus.
15. In old people and chronic cases where the acute inflammation has subsided- Carbo Veg.
16. When in consequence of long retention of urine the muscular coat of the bladder becomes almost paralyzed- Causticum.
17. Persistent and violent urging to urinate with great tenesmus; urine seems like molten lead passing through the urethra- Cantharis.
18. Turbid urine and great difficulty in commencing to urinate- Chimaphila.
19. Enuresis, marked vesical irritation. Bladder sore and tender; pressure on bladder-  Equisetum.
20. Irritable bladder; dribbling of urine; high colored; ammoniacal odor, like that of the horse- Benzoic Acid. 



All the above written and listed medicines are helpful in Urinary Tract Infections when indicated.


Some more medicines which are useful in Urinary Tract Infection are listed here.





Feb 22, 2011

Homeopathic Medicines For Urinary Tract Infection

 © Dr.R.S.Mann 2010

Homeopathic medicines are very effective, safe and curative in cases of Urinary Tract Infections. Medicines in homeopathy are selected very carefully on basis of symptoms, signs and modalities of every individual case. Following medicines are just few most common homeopathic medicines used to treat UTI. 

Do not consume any medicine without consulting a Homeopath. Mental concomitant symptoms before, during and after urination are given on another page.


Few other medicines which are listed by F. E. McCurtain, published in 1898 in The Critique "Notes on Cystitis".
 
Cantharides:- Constant urging to urinate, passing but a few drops at a time, urine mixed with blood. Drinking even a small quantities of water increases pain in bladder. Intolerable urging, before, during and after urination; violent pains in bladder.
Burning, cutting pains in urethra during micturition; violent tenesmus and strangury.
Burning and urging to urinate continuous after urination.The urine does not pass freely or copiously but dribbles away in hot, scalding, sometimes bloody with burning, cutting pains.
Cantharides is indicated in acute cystitis more frequently than any other homeopathic medicine.

Cannabis Sativa:- Urethra very sensitive to touch or pressure; cannot walk with legs close together, it hurts the urethra.
Pain extending from orifice of urethra backward, burning – biting, posteriorly more sticking while urinating.Tearing pain along urethra in a zigzag direction.
Cannabis sativa is very similar to cantharides in its urethral phenomena. It has same yellow, purulent discharge from the urethra but is more important when the discharge is thin and there is smarting and burning on urination. There seems to be more burning and smarting under cannabis sativa, while there is more tenesmus and cutting under cantharides. The glans penis is dark red and swollen. Chordee may be present. Cannabis sativa has drawing pain in the region of kidneys extending into the inguinal glands with anxious nauseous sensation in the epigastrium.

Equisetum Hyemale:- Severe dull pain in the bladder, as from distension , not ameliorate after urination.
Frequent and intolerable urging to urinate, with severe pain at close of urination.
Constant desire to urinate; large quantity of clear, watery urine but without amelioration.
Sharp, Cutting, Burning pain in urethra while urinating.
Equisetum acts very similarly to Cantharides on the kidneys and bladder. In Equisetum less escape of blood and less tenesmus of bladder than may be found under Cantharides. Urine is less scalding in Equisetum but there is an excess of mucus. The bladder is tender and sore with severe dull pain which is worse after urination.

Petroselinum:- Frequent, sudden and irresistible urging to urinate. Cannabis sativa, Cantharides and Mercurius all have the sudden urging to urinate but it is strongest under Petroselinum.
In the case of a child, he will be suddenly seized with the desire to urinate; if he cannot be gratified at once, he will jump up and down with pain.
Burning , tingling from perineum throughout whole urethra.
Intense biting, itching deep in urethra, must rub it with some rough article in urethra to ameliorate. Pain at root of penis or neck of bladder.

Capsicum:- Constriction, Burning and Smarting Sensation. Burning in bladder. Burning, Smarting after urination.
Strangury: tenesmus neck of bladder,urging to frequent and almost ineffectual urination.
Needle- stitches in forepart of urethra, when not urinating. Burning at the orifice of urethra before,during and after urination. 

Mercurius Sol. and Mercurius Corrosivus:- Tenesmus of baldder with intense burning in urethra. Urine hot, burning, scanty or suppressed, in drops with great pain; bloody, brown, brick-dust sediment; albuminous.
Great tenesmus of bladder and rectum at the same time. When the discharge becomes worse at night, green and purulent. More violent tenesmus, burning and swelling hence it is similar to Cantharides. Urethral meatus is very red.
Constant desire to urinate; indeed every ten minutes; but only a little passed.
Urine immediately after being passed very turbid and depositing a sediment; He passes much more urine then the liquid he has drunk.
Too frequent and too profuse urination.



Apis Mellifica:- Incontinence of urine, with great irritation of the parts; can scarcely retain the urine a moment and when passed scalds severely; frequent, painful, scanty, bloody urine.
Urine scanty, dark sediment like coffee grounds. Scanty urination with absence of thirst. 

Terebinthina:- The urine has the odor of violets.
Haematuria- blood thoroughly mixed with the urine; sediment like coffee grounds; cloudy, smoky, albuminous; profuse, dark or black, painless.
Violent burning and drawing pains in kidney, bladder and urethra.
Violent burning and cutting in bladder; tenesmus; sensitive hypogastrium; cystitis and retention from atony of fundus.
Strangury; spasmodic retention of urine. Urine rich in albumin and blood.

Sarsaparilla:- Severe almost unbearable pain at conclusion of urination.
Urine, bright and clear but irritating; scanty, slimy, flaky, sandy, copious, passed without sensation; deposits white sand.
Painful distension and tenderness in bladder; urine dribbles while sitting, standing, passes freely; air passes from urethra.
Sand in urine or on diaper; child screams before and while passing it.
Excruciating pains from right kidney downwards.

Staphisagria:- Urging to urinate, has to sit at urinal for hours; in young married women; after coition; after difficult labor; burning in urethra when not urinating; urging and pain after urinating in prostatic troubles of old men.
Burning or smarting in urethra when not micturating ; ceases while urine is passing.This is the most indicating medicine for Honeymoon Cystitis.

Ocimum Can :- May be employed in renal colic when there is considerable hemorrhage; when the urine not only has a brick red sediment as under Pareira brava, but contains considerable blood. It favors the right side.

Aconitum:- Frequently suits the incipiency of renal and cystic affections, which, unmodified, progress into Cantharides condition. The urging to urinate, the dysuria and hematuria are accompanied by an anxious restlessness and high fever altogether different from expression of Cantharides.

Chimaphila Umbellate:- Acute and chronic catarrh of urinary tract. Scanty urine and loaded with ropy, muco-purulent sediment. UTI  cases with prostatic enlargement.
Urging to urinate. Urine turbid, offensive, containing ropy or bloody mucus and depositing a copious sediment. Burning and scalding during micturition and straining afterward. Must strain before flow comes. Scanty urine. Acute prostatitis ,retention and feeling of a ball in perineum. Fluttering in region of kidney. Sugar in urine. Unable to urinate without standing with feet wide apart and body inclined forward.

Coccus Cacti:- Urging to urinate; brick red sediment. Urinary calculi, hematuria, urates and uric acid; lancinating pains from kidney to bladder. Deep colored, thick urine. Dysuria.

Uva Ursi:- Cystitis with bloody urine. Burning after the discharge of slimy urine. Pyelitis.
Frequent urging with severe spasms of bladder; burning and tearing pain. Urine contains blood, pus and much tenacious mucus with clots in large masses. Involuntary; green urine.
For Mental concomitant symptoms before, during and after urination click here .

Bibliography:-
1. Homeopathic Drug Pictures - M.L.Tyler
2. Allen’s Keynotes - H.C.Allen
3.Regional Leaders - E. B. Nash
4. Clinical Materia medica - E.A.Farrington
5. Leaders in Homeopathic Therapeutics- E.B.Nash
6. Homeopathic Materia Medica and Repertory- W. Boericke
 

Feb 11, 2011

Mental Symptoms Before, During and After Urination

Urinary Tract Infection is a very common disorder in all ages.Homeopathic medicines are prescribed on basis of similarity of symptoms and signs. Following are some mental concomitant symptoms with urination. Symptoms and indicated medicines directly related with urinary complaints are given on page "Homeopathic Medicines For Urinary Tract Infection".

Everything looks brighter after urination : Jambos.

Burning after urinating, causing ill humor and despondency: Alumina

Anxiety and restlessness before urinating : Phosphoric Acid

Anxiety during urination : Chamomilla

Anxiety during urination and pressure in the bladder with scanty urine : Sepia

Great depression and anxiety before and after urination : Digitalis

Impatience before urinating : Sulphur

Before, during and after urination violent cutting pains in the urethra , has to bend double and scream : Cantharides

Is kind of frightened when going to urinate: Alumina


Bibliography:

Analytical Repertory of the Symptoms of the Mind – C. Hering

Jan 17, 2008

Urinary Tract Infections (UTI)

 © Dr.R.S.Mann 2010

UTI includes Pylopnephritis (Infection of Kidneys), Cystitis (Infection of Urinary Bladder) and Urethritis (Infection of Urethra)


a


Urinary tract is make up of kidney,Ureter,Urinary Bladder and Urethra. 

It is divided in Upper and Lower Urinary Tract:

Upper Urinary Tract include kidneys and Ureters.
Lower Urinary Tract include Urinary Bladder and Urethra.

Infections in upper urinary tract infect Kidneys(pyleonephritis) and in lower urinary tract can infect bladder(Cystitis) and Urethra(urethritis).

One kidney is in each side of body. Urine is filtered from blood by kidneys and then ureters drain urine from both kidneys into Bladder. Bladder is a sac like structure which expand with urine but when it get full, muscles in wall of bladder contracts and urine pass through urethra to outside of body.
Infection can occur in any of these parts either in Urethra and Bladder means either in Lower Urinary Tract or infection can go upward in Upper urinary tract in kidneys and ureters.


A Case Of Urinary Tract Infection Extending to Kidneys by Dr. R. Mann

Facts About UTI

1. Infections of Upper urinary tract are more serious but less common as compare to infections of Lower Urinary tract.
2. Most of the infections in Urinary Tract are of ascending nature, means infections get entry from urethra and travel upward towards kidneys.
3. Infections are much common in Adults than in children, but infections in children are much more of serious nature than in Adults and it should not be ignored.
4. Infection of Urinary Tract are more common in females than in males, but infections in males are of more serious nature and reluctant than females.
5. Infections are much more common in females of young age who are sexually active, and infections are more common also in menopausal women due to vaginal bacterias grow rapidly after menopause.
6. 40% women and more than 10% men sometimes in their life face Urinary Tract infections.

Causes Of Urinary Tract Infections

1. Poor hygienic practices is most common cause of UTI.
2. Sexual intercourse is also the common cause in women because woman's vaginal and urethral openings are very near to each other.So infections from vagina can get into urethra easily. Females occupied in frequent sexual intercourse are more vulnerable to get UTI.
3. When women wipe from behind to forward,anal infections can enter into vagina and urethra.
4. Any condition which block the flow of urine,e.g.stones, it increase the chances of UTI.
5. Medical conditions that cause incomplete bladder emptying (as spinal cord injury or bladder decompensation after menopause or prostatic enlargement in males).
6. Men with enlarge prostate,fail to empty there bladder completely , and residual urine may promote the UTI. It is very common cause in Older men.
7. Uncircumcised males have more chances to get UTI then circumcised males.
8. Catheterization(putting Catheter in Bladder through Urethra) in pre and post operative care may injure Urethra, and injured urethra can be easily infected. Catheterization is very common cause of lower urinary tract infections.

Organism that cause UTI

1. In 90% cases Escherichia coli ( E.coli) is cause of UTI, usually this bacteria lives in and around anus.
2. Gonococcus,Chlamydia,Trichomonas,Candida Albicans, Streptococci, Staphylococci and some viruses can cause UTI.
3. Tuberculosis of Kidneys .
4. There are many other organism may cause UTI.

Symptoms and Signs of UTI

Symptoms of Lower Urinary tract( Bladder and Urethra) are different from Upper Urinary Tract(Kidney).

Symptoms and signs of Lower Urinary Tract                (Urinary Bladder and Urethera)

a. Dysuria- it is pain and scalding, burning during Urination.
b. Urgency- It means Unable to hold urine.
c. Frequency- It means frequent urination or awakening from sleep to urinate.
d. Hesitancy- It means sensation of not being urinate easily, or you passes few drops only and experiences "Does not finished" sensation.
e. Pain in lower abdomen, in supra pubic region or it may be feeling of discomfort.
f. Urine may be bloody,turbid and foul smelling.
g. Fever, chills(rigors) and just not feeling well(malaise) --these are mild in Lower tract infection.
h. In Females, presence of vaginal discharge suggests cause is vaginitis(inflammation of Vagina), cervicits(inflammation of cervix) or PID(pelvic inflammatory disease).
I. Supra pubic Tenderness on examination.

Symptoms and Signs of Upper Urinary Tract Infection       (
Kidney and Ureter)

a. High Grade Fever.
b. Shaking chills.
c. Nausea.
d. Vomiting.
e. Pain in flank- pain in sides of abdomen,either in one side or both.
  

Some times infection of Bladder may coexist with kidney infection then symptoms of Lower Urinary tract may be present with these symptoms.

In cases of Pregnant women, children, infants and older persons these typical symptoms of UTI may not be present, so there cases should be evaluated accordingly.


Tests and Diagnosis of UTI

1. Urine Analysis.
2. Urine culture.
3. Complete Blood count is needed in severe cases and in infections of Upper urinary tract infections.
4. Examination of pelvis in young woman's is necessary to rule out pelvic infections and Rectal examinations in male necessary to rule out Prostatic enlargement.
5. Sometimes Imaging Techniques as Ultrasound, IntraVenousUrogram(IVU), CT Scan, Cystoscopy may be needed as indicated in case.

Prevention

1.Use Hygienic practices.
2. Take plenty of water at least 2 liter a day.
3. Women should wipe from front to behind after stool to prevent anal infection to get lodged in vagina and urethra.
4. Make habit of emptying bladder after sexual intercourse it stops entry of organisms in urethra.
5. Avoid coffee, alcohol and spicy foods, all of which irritate the bladder.
6. Quit smoking- Smoking irritates the bladder and is known to cause bladder cancer.
7.If u are on Antibiotic medicines always complete them according to prescription, missing doses may increase resistance of bacterias.

Treatment Of UTI

Conventional Treatment

1. Antibiotics- according the symptoms and severity of the case. Length of course depends on part, either Urethra, bladder or Kidneys, involved. And according the age and sex of patients.

 2. Analgesics -Pain killers are prescribed according the case.
3. Hot fomentation is advised to relieve the pain.
4. If nausea,vomiting and fever present - medicines accordingly prescribed.
5. Rest and avoid sexual activity.
6. Drink plenty of water and never retain urine.

Homeopathic Treatment

1. Homeopathy has more than 225 medicines for different disorders of Urinary tract infections. A historical article on cystitis is very useful on UTI.
2.Medicine are prescribed according the symptoms of the patient and their severity.
3. Homeopathy is safe to prescribe in cases of Kidney infection where use of antibiotics can be comparatively hazardous due to less functioning of kidney and toxicity of medicine. Safe for children, infants and pregnant women.
4. Very effective in recurrent cases of UTI where bacterial infections becomes resistant to Antibiotics, homeopathic medicines remove them permanently.
5. In acute cases 2-4 weeks medications is sufficient for permanent cure but in chronic and recurrent cases it takes longer time.
6.Homeopathy remove the tendency to get infections again and again.It improves immunity of a person.

7.Mental symptoms associated with urination and their indicated homeopathic medicines are given on "Mental Symptoms Before, During and After Urination" page.
8. A Case of Urinary Tract Infection Extending to Kidneys presented here.
.