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Dr K K Aggarwal

10 ways to keep the kidneys healthy

By Dr K K Aggarwal
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  1. Monitor blood pressure and cholesterol.
  2. Control weight.
  3. Dont overuse over-the-counter painkillers.
  4. Monitor blood glucose.
  5. Get an annual physical examination.
  6. Know if you have a family history of chronic kidney disease (CKD), diabetes or heart disease. If so, you may be at risk.
  7. Dont smoke.
  8. Exercise regularly.
  9. Follow a healthy diet.
  10. Get tested for chronic kidney disease if youre at risk.

Every arthritis is not same

By Dr K K Aggarwal
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Every arthritis is not the same. While osteoarthritis, also called as green arthritis, may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis, if not treated early and aggressively can end up with serious deforming complications

Any arthritis in young women of child-bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease-modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1-2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of age 50+ and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight-bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis.

Another form of joint disorder is gout, which is never seen in children and in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease.

Typical wear and tear of osteoarthritis is caused by sitting cross legged, doing Padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push ups, going up and down on stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.

Pain Management

By Dr K K Aggarwal
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  • Pain is a common occurrence in day to day life and should be managed well.
  • Remember the word ‘ICE’ which means putting ice pack on the injured painful area, ‘C’ stands for compression and ‘E’ stands for elevation.
  • The mantra, therefore, is to use cold compression and elevation for any injury.
  • Alternate hot and cold packs are used for chronic pain.
  • Painkillers should not be taken without a doctor’s advice.
  • If a painkiller has to be taken, it should one tablet of paracetamol.
  • People who take alcohol should not consume paracetamol without asking their doctor.
  • In patients with kidney disease, even one tablet of painkiller can precipitate kidney failure.
  • In patients with acid peptic disease, one tablet of painkiller can precipitate gastric bleeding.
  • Instead of taking a painkiller, look for alternative methods to relieve pain.
  • Pain relieving ointments are better than oral painkillers.
  • In hospital setting, intravenous and intramuscular injectable painkillers are available.
  • Always tell your doctor that you are taking painkillers.
  • There are effective pain management therapies available in homeopathy and Ayurveda.
  • Always contact your doctor if the pain is uneasy, unexplainable or appears for the first time in life.

 

 

Sangat and smoking

Sewa, Simran and Sangat are the three principles of life as per the most Vedic literature. Even Adi Shankracharya described Sangat as the main force for living a spiritual life.

Sangat is the company of people you live with. Living in the company of good people makes one good and the reverse is also true.

The same is now being proved in the allopathic context. A new research published in the New England Journal of Medicine has shown that when one person quits smoking, than others are likely to follow. One person quitting can cause a ripple effect, making others more likely to kick the habit.

1. If your spouse stops smoking, you’re 67 percent less likely to continue smoking.

2. If your friend kicks the habit, it’s about 36 percent less likely that you’ll be smoking.

3. When a sibling gives up cigarettes, your risk of smoking decreases by 25 percent.

4. It drops by 34 percent if a co-worker in a small office quits smoking. It’s sort of like watching dominoes. If one falls, it very quickly causes others to fall.

People are not quitting on their own; they’re quitting in droves.

We should treat people in groups, rather than as individuals. Friends and family need to be involved. If you want to quit, try to get close friends and family to quit as well.

Quitting smoking may have the side benefit of improving social well-being, just as it improves physical health.

 

OTC drug does not mean it can be taken without a doctor’s advice

By Dr K K Aggarwal
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An over–the–counter antacid is often used to relieve mild cases of heartburn or acid reflux. Though they are available without a doctor’s prescription they should be taken only under a doctor’s advice.

As per American Academy of Family Physicians

  • There are different types of antacids that work in different ways.
  • One should talk to the doctor before taking an antacid.
  • To manage an ulcer, an antacid may need to be taken in conjunction with an antibiotic.
  • If one needs more calcium to help strengthen bones, one should prefer an antacid that contains calcium carbonate.
  • In some, antacids may have minor side effects such as nausea, headache, diarrhea or constipation.
  • One should read the label carefully to make sure that one is not allergic to any of the ingredients.
  • People with kidney disease may not be able to take all types of antacids.
  • An antacid may interact with other medications.

Controlling diabetes and high blood pressure can prevent kidney disease

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Uncontrolled high blood pressure and diabetes are the 2 main cause of silent kidney damage.

Presence of proteins in the urine, persistently high uric acid levels in the blood and a low estimated kidney filtration rate can be the early markers of kidney damage.

The cheapest screening test is to get the urine tested for presence of proteins or a blood Creatinine levels done. One can calculate the estimated kidney filtration by the following formula: (140 minus age multiplied by weight in kg) and divided by (72 multiplied by the serum craetinine level). The value will be O.85 times in women. Normal filtration is more than 100.

Patients with kidney disease may present with different clinical presentations. Some may present with blood in the urine, flank pain and others with edema and high blood pressure.

Many patients may remain asymptomatic and are detected on routine examination to have an elevated plasma craetinine concentration or an abnormal urinalysis.