What do you think?
Rate this book
A Simple Guide to Hematuria, Related Diseases and Use in Disease Diagnosis
Just last week a male patient of 55 years complained of severe right upper back pain and hematuria. His urine showed presence of obvious blood which was confirmed by a multiple dip stick.
The most common cause for this is a ureteric stone which becomes stuck in the ureter and causes pain through the back pressure of urine blocked by the offending stone.
He was given pain killers of the morphine type and antispasmodic to relax the smooth muscle of the urinary system. He was then advised to go for a KUB (kidney-ureter-bladder) X-ray of the abdomen or an MRI of the abdomen to exclude firstly stones and cancers or tumors of the urinary tract.
It is important to note whether he is taking any anti coagulant as these drugs can cause bleeding from the thinning of the blood.
Happily the X-rays and MRI only showed the presence of the stone stuck in the upper part of the ureter and no evidence of cancer.
Unfortunately the stone is stuck at the upper part of the ureter and will take a longer time to it to come out by conservative treatment which consists of 3 liters of water daily and painkillers to relieve pain. An antibiotic may be given if there is possible urinary tract infection due to retention of urine behind the stone. Avoid the use sulphonamides, rifampicin and phenazopyrine.
Happily for him there is less pain with the treatment and the pain appears to have gone lower down the abdomen, a sign that the stone has moved downwards and the water therapy is helping to move the stone along.
If however the stone does not come out with this conservative treatment then it may be necessary
1. Surgically remove the stone through a laparoscope through the navel by cutting the ureter, removing the stone and stitching up the small wound
2. surgically removal of the stone using a flexible tube which enters the urethra via the penis, up into the bladder and then to the right ureter until it reaches the stone to catch it , crush it and remove it. This is not easy because the tube may not be so easily manipulated into the right ureter.
3. use ultrasound waves to blast the stone into small parts and let them passed out the ureter, bladder and urethra.
At the present moment the conservative method seems to be working so this method will be continued until the stone has passed out
It is preferable that the urine is collected daily so that any evidence of stone coming out can be seen and documented.
Another X-ray or MRI will be done to confirm the disappearance of the stone.
TABLE OF CONTENT
Chapter 1 Hematuria
Chapter 2 Disease Diagnosis
Chapter 3 Kidney Stone
Chapter 4 Cystitis
Chapter 5 Cancer of Kidney
Chapter 6 Cancer of Bladder
Chapter 7 Glomerulonephritis
Chapter 8 Polycystic Kidneys
Chapter 9 Hemophilia
Epilogue
The most common cause for this is a ureteric stone which becomes stuck in the ureter and causes pain through the back pressure of urine blocked by the offending stone.
He was given pain killers of the morphine type and antispasmodic to relax the smooth muscle of the urinary system. He was then advised to go for a KUB (kidney-ureter-bladder) X-ray of the abdomen or an MRI of the abdomen to exclude firstly stones and cancers or tumors of the urinary tract.
It is important to note whether he is taking any anti coagulant as these drugs can cause bleeding from the thinning of the blood.
Happily the X-rays and MRI only showed the presence of the stone stuck in the upper part of the ureter and no evidence of cancer.
Unfortunately the stone is stuck at the upper part of the ureter and will take a longer time to it to come out by conservative treatment which consists of 3 liters of water daily and painkillers to relieve pain. An antibiotic may be given if there is possible urinary tract infection due to retention of urine behind the stone. Avoid the use sulphonamides, rifampicin and phenazopyrine.
Happily for him there is less pain with the treatment and the pain appears to have gone lower down the abdomen, a sign that the stone has moved downwards and the water therapy is helping to move the stone along.
If however the stone does not come out with this conservative treatment then it may be necessary
1. Surgically remove the stone through a laparoscope through the navel by cutting the ureter, removing the stone and stitching up the small wound
2. surgically removal of the stone using a flexible tube which enters the urethra via the penis, up into the bladder and then to the right ureter until it reaches the stone to catch it , crush it and remove it. This is not easy because the tube may not be so easily manipulated into the right ureter.
3. use ultrasound waves to blast the stone into small parts and let them passed out the ureter, bladder and urethra.
At the present moment the conservative method seems to be working so this method will be continued until the stone has passed out
It is preferable that the urine is collected daily so that any evidence of stone coming out can be seen and documented.
Another X-ray or MRI will be done to confirm the disappearance of the stone.
TABLE OF CONTENT
Chapter 1 Hematuria
Chapter 2 Disease Diagnosis
Chapter 3 Kidney Stone
Chapter 4 Cystitis
Chapter 5 Cancer of Kidney
Chapter 6 Cancer of Bladder
Chapter 7 Glomerulonephritis
Chapter 8 Polycystic Kidneys
Chapter 9 Hemophilia
Epilogue
74 pages, Kindle Edition
Published December 8, 2012
1 person want to read
Ratings & Reviews
Friends & Following
Create a free account to discover what your friends think of this book!
Community Reviews
No one has reviewed this book yet.