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PILLAR TIMES 5March 8 - March 14, 2015 Throughout the world the incidences of kidney stone disease also increasing, mainly due climate and the dietary changes of the individuals.one of the main reason for kidney stones are not drinking enough water and eating more junk foods, majority of the time we may not be able to find the aetiology of the stone disease, less frequently we may find the calcium, Uric acid, and oxalate levels in our body will have an abnormal levels which may predisposes for stone disease. Symptoms and signs The patients with stone in the urinary tract present with severe pain in the flanks and they will be colicky in nature. The symptoms are due to the size or the site of the stone in the urinary tract. The sizes may vary from 2-3mm to 5-6cm and sometime the whole kidney may be replaced by the stones called stag horn calculus. The stones in the kidney can cause urinary tract infection,blood in the urine ,if it is not detected or treated may end up in kidney failure. How to detect Usually very common in middle age group present with sudden onset of colicky pain with or without blood in the urine .With the classic symptoms and doing tests like ultrasonogram and an simple X ray majority (60- 80%)of the stones in the kidney and the ureter can be detected. Sometimes the X-ray may not show the stones like Uric acid, cysteine.We may need CT scan to detect the stones. With good CT scan almost we can detect 99% of stones in the urinary tract. The advantage of CT scan is that it can give the exact location, size and density (Hounsfield unit) of the stone which is the main factors to decide the treatment options. How to treat? Once diagnosed as stones in the urinary tract, it has to be treated otherwise end up in renal damage by blocking the urinary tract or the source of recurrent urinary tract infection. As mentioned earlier the treatment options depends on the factors like site, size, density ,presence of obstruction and infection. In majority of times smaller stones of 4-6 mm will pass out from the urinary tract by nature with simple conservative treatments with medication(70-80%) Even the smaller stones will not come out and produce severe pain and infection needs surgical treatment. Treatment options are 1 observation 2 Extracorporeal lithotripsy(ESWL) 3 Intracorporeal lithotripsy (Rigid and Flexible Ureteroscopy with pneumatic or LASER energy) 4 Percutaneous lithotripsy (PCNL) 5 Laparoscopic stone removal 6 Open surgery Traditionally open surgery (pyelolithotomy or ureterolithotomy)has been considered a treatment for kidney stones (>3cm) ,with the advancement in technology in endoscopy and the lithotripsy technics the open surgery has been obsolete from the treatment options and almost all stones and any sizes can be treated endoscopically .since the stone disease are recurrent disease we cannot do open surgery every time,it has to be treated endoscopy methods without damage to the kidneys How to prevent? Stones in the kidneys are likely to recur and it needs regular attention otherwise end up in permanent kidney damage. If the person is producing stones again and again needs metabolic work up to analyse the blood for calcium, phosphorous, Uric acid and oxalates, citrates level in our body and if any abnormality detected can be corrected with medications. Another important factor in stone formation is not drinking enough water and taking too much junk food. By taking adequate water (3-4 litre) per day and avoiding or reducing certain foods contain more calcium and oxalates , regular visit to the urologist the recurrence of the stones in the kidney can be prevented there by reducing the damage to the kidney and prevent kidney failures. By Dr. Muthu Veeramani, Sr. Consultant, SIMS, Vadapalani , For More Details & Information please Contact: 96777 63231 Summer at its peak, kidney stone disease also in their peak Free Narayaneeyam class FreeNarayaneeyamclass at (T.nager) conducted by Bhamakrishnan seven days (sapthagam) Narayaneeyam classes starting Mar 16 in west mambalam time: 4 pm- 7pm for seven days all 1036 slokas taught in tamil meaning Interested group of ladies & gents enroll your name to Bhamakrishnan contact no. 97909 44800, with minimum 25 people RMD Academy for health RMD Pain and Palliative Care Trust has started RMD Academy for health on March 5 to provide health assistance training for under privileged persons and others. Dr. Republica Sridhar, Medical Director, RMD Academy for Health said that academy is also empanelled with Vocational Training Provider and various National Skilled Programs in health under State and Central governments. The academy will be provide training in Finishing School, Palliative care, Geriatric Care, Data Collection, Skilled Home Health Care, Skilled attendees, Psycho Social workers with modern technologies by medical experts. The 4 months course is suitable for the person above 18 years. She said that Trust running 4 centres in Chennai and Madurai, provides care in their hospices and community based home palliative care in association with Tamil Nadu State Health Society. They have also been providing training to nurses for home health, bed side assistants, psychosocial workers as a part of empowering girls and providing skilled training for the under privileged. The training gives them a job opportunity. The new facility will provide exclusive hands on training and create a platform to improve their livelihoods. She said that Corporate companies recruiting health assistants from her institute and he also appealed for corporate to support the women empowerment program conducted by the trust to help the under privileged persons. For More Details Please Contact: 93810 16588. Dharani Ramakrishna, Founder, Saraswathy Natalayal and her disciples were donated Rs 50,000 for the construction of temple for Bharatha Munnivar under taken by Bharata-Illango Foundation for Asian Culture during the Nrithya Samapanam Dance program held at Dakshna Moorthy Auditorium, Mandaveli recently. The donation cheque was given to Dr. Padma Subramanyam ,Managing Trustee, B h a r a t a - I l l a n g o Foundation for Asian Culture, in presence of eminent personalities. The construction of temple for Bharata Munnivar was the author of ‘Natya shastra’ started in 2010 which is nearing completion at Pattipulam Village off East Coast Road near Mamallapuram. The construction of temple cost of Rs. 15 crores and those who are interested may contribute for the project. Dharani Ramakrishna said that her students performing bharatanatyam dance programs in temples, sabhas and other traditional cultural programs. For more details please contact 9841739168. Saraswathy Natalayala Founder donated Rs 50,000 Contact: 9677763231 no. 9790944800, with Contact: 9381016588.

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