HYDRONEPHROSIS किडनी में सूजन | सम्पूर्ण जानकारी || Dr. Raj Kumar Sharma - Urologist

Two severe complications
1. Infection & Pyonephrosis
2. Kidney failure
01. Pyonephrosis is a severe infection of the kidney , This condition is a medical emergency requiring prompt treatment to prevent serious complications.
Clinical Evaluation:
History and Physical Examination: Assess symptoms like fever, flank pain, urinary symptoms, and signs of sepsis.
Laboratory Tests: Complete blood count (CBC), blood cultures, urinalysis, and urine culture to identify the infecting organism.
Imaging Studies:
Ultrasound: To detect hydronephrosis (swelling of the kidney due to urine build-up) and presence of pus.
CT Scan: More detailed imaging to assess the extent of the infection and identify any obstruction.
Medical Treatment
Antibiotics:
Broad-Spectrum Antibiotics: Initiated empirically to cover a wide range of potential pathogens. Common choices include fluoroquinolones, aminoglycosides, or a combination of beta-lactam antibiotics with beta-lactamase inhibitors.
Culture-Specific Antibiotics: Once culture results are available, antibiotics are adjusted based on the sensitivity profile of the isolated organism.
Supportive Care:
Intravenous Fluids: To maintain hydration and support blood pressure.
Analgesics and Antipyretics: For pain and fever management.
Surgical Interventions
Drainage Procedures:
Percutaneous Nephrostomy: Insertion of a catheter through the skin into the kidney to drain pus and relieve obstruction.
Ureteral Stent Placement: Insertion of a stent to allow urine to bypass the obstruction and drain from the kidney to the bladder.
Definitive Surgery:
Nephrectomy: In severe cases where the kidney is extensively damaged and not salvageable, surgical removal of the kidney might be necessary.
Follow-Up and Long-Term Management
Regular Monitoring:
Treatment of Obstructions: Such as kidney stones, strictures, or tumors that may have led to pyonephrosis.
Chronic Condition Management: Managing conditions like diabetes or chronic urinary tract infections that predispose individuals to pyonephrosis.
02. Kidney failure, how to manage and treat kidney failure:
Medical Treatments
Medications:
Blood Pressure Medications: To control high blood pressure and slow further kidney damage.
Diuretics: To help the kidneys remove excess fluid.
Erythropoiesis-Stimulating Agents (ESAs): To treat anemia by stimulating bone marrow to produce more red blood cells.
Phosphate Binders: To reduce phosphate levels in the blood, as kidneys cannot filter phosphate well in kidney failure.
Dialysis:
Hemodialysis: A machine filters wastes and water from your blood.
Peritoneal Dialysis: The lining of your abdomen (peritoneum) filters your blood inside your body.
Kidney Transplant: Surgical procedure to place a healthy kidney from a donor into your body. This is often considered the best long-term solution for kidney failure.
Lifestyle Changes
Dietary Modifications:
Low Sodium: To control blood pressure and reduce fluid retention.
Low Potassium: To avoid hyperkalemia, which can be dangerous.
Low Phosphorus: To prevent bone disease.
Adequate Protein: Balance protein intake to prevent malnutrition and reduce kidney workload.
Fluid Management: Regulate fluid intake to prevent overload.
Exercise: Regular physical activity to maintain overall health and manage blood pressure.
Avoiding Alcohol and Tobacco: Both can exacerbate kidney problems and overall health.
Monitoring and Regular Check-Ups
Regular Blood Tests: To monitor kidney function (e.g., serum creatinine, glomerular filtration rate (GFR)).
Urine Tests: To check for protein and other abnormalities.
Blood Pressure Monitoring: To ensure it remains within a healthy range.
Preventive Measures
Managing Underlying Conditions: Such as diabetes and hypertension, which are the leading causes of kidney failure.
Hydration: Maintaining adequate hydration to help the kidneys function properly.
Avoiding Over-the-Counter Medications: Especially nonsteroidal anti-inflammatory drugs (NSAIDs), which can damage the kidneys.
Support and Education
Patient Education: Understanding the condition, treatment options, and lifestyle changes.
Support Groups and Counseling: For emotional and psychological support.
Advanced and Alternative Treatments
Stem Cell Therapy: An emerging treatment under research.
Complementary Therapies: Such as acupuncture, which some patients find helpful.
Emergency Situations
Acute Kidney Injury (AKI): Requires immediate medical attention to address the sudden loss of kidney function.
Communication with Healthcare Providers
Maintain open and regular communication with nephrologists and other healthcare professionals to adjust treatment plans as needed.
Managing kidney failure is a complex process that requires a comprehensive approach involving medical treatments, lifestyle changes, and regular monitoring. Working closely with healthcare providers can help manage the condition effectively and improve quality of life.

[@user-uo1oc3vl1j]

Thanks

[@drrajkumarsharma9409]

Welcome

[@fit_kid4220]

Sir recently I'm recoverd from hydronephrosis due to kidney stones when should I start my strength training and gym

[@drrajkumarsharma9409]

Then stone should be removed

[@ABCDZ-uw8wq]

Hello sir kiya apse kidney problem ko discuss kar sakte h

[@drrajkumarsharma9409]

Yes

[@a.gaffarmandal8275]

Sir ,age29 ,mera vuj 9mm hidroneprosis . medicine se niklega sir.

[@drrajkumarsharma9409]

Try medicine for 3 week agar nahi nikla to nikalwa Lijiyega

[@fit_kid4220]

Sir does kidney stones decrease lymphocytes

[@drrajkumarsharma9409]

Not necessarily

[@fit_kid4220]

Sir recently im recover from hydronephrosis when should i start strength training in gym

[@drrajkumarsharma9409]

Try to find out the cause of Hydronephrosis

[@fit_kid4220]

@@drrajkumarsharma9409 due to kidney stones sir

[@shubhambharsakhale9596]

Sir kidney infection ka test urea Creatine test mey pata chalega exactly?

[@drrajkumarsharma9409]

CBC and urine culture mein

[@user-lj1kg3vu3m]

Sar aap kaha se ho

[@drrajkumarsharma9409]

Ranchi

[@roshannayak5339]

Sir mera 6days hogaye urs hue and DJ stent dala hua but while doing urine baht pain ho ta hai , toilet ke baad pura thak jata hun aur pura abdomen dard ho jata hai pura ea continue hota hai bass pain killer thoda sambhal raha hai nhi to dard ho raha hai please suggest

[@drrajkumarsharma9409]

Contact your doctor for medicine

[@prashantsingh3681]

sir aapne jo pipe lgaaya h pet m wo khujli kr rha h ... kya mujhe aake cheakup krwaane ki jarurt h

[@drrajkumarsharma9409]

Agar jada problem ho to jarur mile

[@MadhuKumari-wf8vz]

Sir aapne hi mera operation kiya hai kidney ke nali ka 2 month ho gya hai pr mera strich pk gya kya kre kr btaiye please

[@drrajkumarsharma9409]

Please visit clinic

[@MadhuKumari-wf8vz]

Okk sir

[@fit_kid4220]

Sir mild right hydronephrosis and hydroureter due to calculus 5.3 in right vuj and 7.5mm seen in upper pole can we cure with medicine

[@drrajkumarsharma9409]

Probably yes,

[@kanchanmala5111]

Bhai kya hua nikla ya nhi

[@fit_kid4220]

@@kanchanmala5111 Haa bhai

[@shubhambharsakhale9596]

@@fit_kid4220bhai kaise nikla

[@niranjankumarkumar6917]

Hello Sir aaj ki date mein out off Ranchi mein ho kya Agar ho to kab tak aaoge sir patient ka date tha Sir senior citizen hai emergency patient hai 😢 👉 Aur jo aap video mein Bata rahe hain sem problem hai sir ....please reply me sir

[@drrajkumarsharma9409]

Monday se

[@kanchanmala5111]

Sir i am rishabh, Sir apne hi mera treatment kia h medicines se, 5.5mm ka stone tha, sir wo peshab ke raste se 3mm ka stone nikla h Dawa ka 15 days ka dose bacha hua h, wo lu ya band krdu,

[@drrajkumarsharma9409]

Le lijiye

[@kanchanmala5111]

@@drrajkumarsharma9409 okay sir thank you so much for your valuable time 🙏🏼

[@user-lj1kg3vu3m]

Sar main aap ke saath practice karna chahta hu

[@drrajkumarsharma9409]

Ok , send CV to [e-mail]

[@ukumbhakar1933]

Sir mera papa ka urine ka sath whate sel, pus sel araha

[@drrajkumarsharma9409]

evaluation karna chahiye

[@user-lj1kg3vu3m]

Meri age 20 + hai

[@drrajkumarsharma9409]

Ok

[@user-lj1kg3vu3m]

Sar aap kaha se ho

[@drrajkumarsharma9409]

Ranchi