Author Archives: Dr. Vaidya Karanvir Singh

INTRODUCTION-

Symptomatic presence of micro-organisms within the urinary tract i.e. your kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract – the bladder and the urethra. Infection limited to your bladder can be painful and annoying. Serious consequences can occur if a UTI spreads to your kidneys.Women are at greater risk of developing a UTI than are men.

CAUSES OF UTI-

• Main cause of UTI is bacteria which reside around anus during infection these bacteria can move to urethra further to bladder and spread into kidneys.
• Excessive use of spermicidal contraceptives like diaphragm and ointments.
• Sexual intercourse are also responsible for UTI.
• Unhygienic conditions increase the chances of urinary tract infections
• Hospitals are also major cause of urinary tract infections.
• Some complications such as spinal cord injury and early menopause are also associated with UTI

PATHOGENESIS-

Four routes of bacterial entry to urinary tract-

1. ASCENDING INFECTION-

• It is a most common route.
• Organisms ascend through urethra into bladder

2. HEMATOGENOUS SPREAD-

• Blood borne spread to kidney
• Occurs in bacteraemia mostly S.aureus

3. DIRECT EXTENSION FROM OTHER ORGANS-

• Pelvic inflammatory diseases
• Genito-urinary tract fistulas

4. LYMPHATOGENOUS SPREAD

• Men -Through rectal and colonic lymphatic vessels to prostrate and bladder.
• Women-through periuterinelymphatics to urinary tract.

SIGN AND SYMPTOMS-

• Urgent and strong need to urinate
• burning sensation during urination
• pressure in the lower pelvis
• increase frequency of urination
• passing small amounts of urine
• incomplete feeling after urination
• Painfull urination (dysuria)
• cloudy appearance of urine
•  blood in the  urine that appears red, bright pink or cola-colored 
• There is a Strong-smell in urine
• High grade fever and mental changes
• Pelvic pain, in women — especially in the center of the pelvis and around the area of the pubic bone

Types of urinary tract infection

Each type of UTI may result in more-specific signs and symptoms, depending on which part of your urinary tract is infection

Kidneys (acute pyelonephritis)

• Upper back and side (flank) pain
• High fever and chills
• Suprapubic tenderness
• White blood cell casts in urine 
• Shaking and chills 
• Nausea  and Vomiting

Bladder (cystitis)

• lower Pelvic pressure
• Lower abdomen discomfort 
• Frequent and painful urination
• Blood in urine

 Urethra (urethritis) 

• Burning sensation during urination
• vaginal Discharge

RISK FACTORS –

Aging 

• Diabetes mellitus
• Impaired urine system
• Urine retention

Females

• Shorter urethra
• Use of Contraceptives
• After menopause
• Incomplete bladder emptying with age
• Sexual intercourse

Males

• prostatic hypertrophy
• Bacterial prostatis

Other-

• Use of catheter
• Pelvic region surgery
• Suppressed immune system
• Blockage in urinary tract
• Urinary tract abnormalities

DIAGNOSTIC CRITERIA-

• Urine culture test
• Imaging techniques like CT scan and MRI
• Analyzing a urine sample
• Microscopic examination of urine
• Ultra sound

LINE OF TREATMENT-

IN MODERN SCIENCE-

Symptomatic UTI- give an antibiotic therapy-

• Trimethoprim/sulfamethoxazole (Bactrim, Septra, others)
• Fosfomycin (Monurol)
• penicillins and cephalosporins
• Nitrofurantoin (Macrodantin, Macrobid)
• Cephalexin (Keflex)
• Ceftriaxone

Asymptomatic UTI-

• No treatment required except in special situations

Frequent infections-

If you have frequent UTIs, your doctor may make certain treatment recommendations, such as:

• Take Low-dose antibiotics, initially for six months but sometimes longer
• Self-diagnosis and treatment, if you stay in touch with your doctor
• A single dose of antibiotic after sexual intercourse if your infections are related to sexual activity
• Vaginal estrogen therapy if you’re postmenopausal

Non specific therapy-

• More water intake
• Maintaining acidity of urine by fluids like canberryjuice

Anti microbial therapy-

• Elimination of infection
• Relief of acute symptoms
• Prevention of recurrence and long term complications.

AYURVEDA APPROACH-

In Ayurveda it is believed that there are three energies vata, pitta and kapha in the body which are responsible for the good health. UTIs are due to the imbalance of tridoshas. As per Ayurveda UTI comes under “mutravaha srotas’’ roga. These infections cause inflammation, itching and pain in urinary tract. There are various herbs present in Ayurveda which helps in UTI.

 Examples-

• Tribulusterestris (Gokshura)
• Boerhaaviadiffusa ( Punarnnava) 
• Asparagus racemosus (Shathavari)

CHIKITSHA SUTRA-

1. Internal use of medicated ghees and oils –

• This procedure has ability to transport therapeutically effective components to different tissues   of Urinary Tract. 
• Herbal /medicated oil and ghees are also helps in achieving tone and neurological control of bladder musculature.

2. Vamana Karma–

• This procedure done only in kapha predominant conditions.

3. Virechana /purgation therapy–

• Virechna karma is a cleansing procedure. 
• This is a most significant step of UTI treatment.
• It is performed by giving some purgative herbs.
• It helps to eliminate pathways of Vatha humor and alleviates Pitta predominant symptoms.

4. Steaming /heating procedures-

• In Pitta predominant conditions, steaming is not required.

5. Basti/ Medicated enema-

• This procedure is useful in cleaning the urinary tract.
• It is most effective in Ayurvedic treatment bringing cleansing of channels or srothas spread all over the body. 
• This is very effective in aggravated Vatha through removal of blockage in pathways of vatha humor thus enable us to calm Vatha aggravation. 

6. Uttara basti-

• This is different from common vasthi in the way of administration, quantity and in ingredients.
• Medicine is applied to urinary bladder through urethral route. 
• Uttarbasti is more effective treatment in chronic UTI.

YOGA-

• Bhujangasana
• Surya namaskar
• Dhanurasana

HOME REMIDIES FOR UTI–

• Drinking sufficient quantities of water should become a habit. 
• Take vitamin-C enrich diet.
• Wear cotton and loose fitting innerwear and clothing.
• Applying a heat pad to the bladder or pubic area can help to relieve pain and discomfort temporarily.
• Use dry clothes after bath.
• Women should follow good personal hygiene practices especially during menses.
• Take probiotics
• Urinate when needs arries.
• Consume cranberry juice
• Change menstrul pads, tampons and menstrual cups frequqntly.

Epistaxis likewise called intense discharge or nose drain is an ailment wherein draining happens from the nasal depression of the nostril. Nose drain can happen because of an injury to the nose, because of mishap, or injury to the inside of the nose from pricking. Nosebleed or epistaxis can be ordered by their site of start as front and back.

Raktapitta is a draining issue where in the blood vitiated by Pitta streams out of the hole of the body. Raktapitta is a specific sickness brought about by Raktava srotodusti. 

This drain may happen from urdvajatrugata angas like nose, mukha, karna or from descending Adhoangas, gudmarg, mutra marg, yonimarg and so forth.

Samprapti of Nasagata Raktapitta (Epistaxis)

Pitta aggrivated by the above said nidanas and leaves its site and reaches Rakta (blood).

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Being a mala (side-effect) of Rakta, the Pitta on getting blended in with Rakta accomplishes quantitative increment.

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The Pitta thusly vitiates the Rakta. Because of the warmth of Pitta, the drava dhatu or the fluid part (liquid) of different tissues like Mamsa (muscles) Meda (fat) and so on, overflows out of their individual tissues and gets blended in with Rakta.

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Due to the pressing factor of the blood and warmth of Pitta, the dividers of the blood vessels get harmed and the blood begins coursing through different openings of the body.

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Bleeding happens through mouth, nose.

Causes of Nasagat Raktapitta

Ahara:- 

• Rasa – Excessive utilization of Diet that is Amla (harsh), Katu (sharp), Lavana (saline). 
• Guna – Intake of inordinate Vidahi (Improper assimilation prompting consuming vibe of food), Tikshna (Sharp),Ushna (Hot), Kshara (Alkalis) 

Vihara:- 

• Aatapa – Excessive openness to warm of sun 
• Vaayama – Excessive actual exercise 
• Vyavaaya – Excessive extravagance in 
• sexual exercises 
• Adhwa – Excessive strolling 

Manas:- 

• Shoka – Excessive distress 
• Kopa – Anger 

Other:- 

• Excessive of Virechana.

Symptoms of Epistaxis

There are going with side effects and signs that demonstrate a fundamental issue. These include: 

• Diligent dry nose 
• Regular nasal contaminations 
• Stodgy nose and shaded seepage 
• Itchy, watery eyes 
• Failure to smell and loss of taste 
• Troublesome breathing through the nose 
• Mouth breathing, particularly around evening time

Management of Epistaxis

• Santarpana/Apatarpana Chikitsa Mrudu, Sheetala, guna Ahara 
• Madhura, Tikta, Kashaya Rasa Ahara Pradeha, Parisheka, Avagaha, Samsparshana and so on, outside coolants
• Pratimargaharana Chikitsa 
• For Urdhvaga RaktapittaKashaaya and Tikta Rasa are criteria.
• Virechana ought to be given (us-ing Nishottara, Haritaki, Aragvadha, Indrayana etc.
• In Urdhvaga Raktapitta – Tarpana ought to be given to start with.

Preventions

• Try not to pick the nose. 
• Apply greasing up ointment, for example, petrol jam (Vaseline), inside the nose; particularly in youngsters whose nosebleeds are most usually ascribed to crusting inside the nostrils. 
• Try not to clean out the nose excessively hard, or too much of the time. 
• Utilize a humidifier at high heights or in dry environments. 
• To forestall repeating nosebleeds, keep away from effort or exhausting action for at least multi week after the past nosebleed.

Tinnitus is the clinical term for “hearing” commotions in our ears. It happens when there is no external wellspring of the sounds. 

Tinnitus is regularly called “ringing in the ears.” It might likewise seem as though blowing, thundering, humming, murmuring, murmuring, whistling, or sizzling. The clamors heard can be delicate or boisterous. The individual may even believe they’re hearing air getting away, water running, within a shell, or melodic notes.

In Ayurveda, Tinnitus is called as “Karnanada”. The main Dosa are involved in Karnanada is Vata Dosa. The term Karnanada is essentially gotten from two root words Karna and Nada. 

Karna -Means ear or organ of hearing. 

Nada – Sound or ringing in the ear.

Causes of Tinnitus

• Wax in ear waterway 
• Keeps Hearing to noisy clamors 
• Reccuring sinus contaminations center ear diseases 
• Stress and long haul Insomnia 
• Jaw mis-alingment 
• Cardio vascular issue It is normally throbbing tinnitus however regularly with heart beat 
• Because of Tomour on or compacting Auditory or Vestibular Nerve 
• Head and neck wounds 
• Long haul Migraines 
• Long haul prescriptions like Antibiotics, anti-inflamatory pills (Damage Inner ear) 
• Epilepsy 
• Vascular tumors of center ear (Glomus tumor) 
• Aneurysm and arterio-venous shunt around the ear
• Live bugs in the ear

Symptoms of Tinnitus

Tinnitus is regularly portrayed as a ringing in the ears, despite the fact that no outside solid is available. In any case, tinnitus can likewise cause different kinds of apparition commotions in your ears, including: 

• Humming 
• Thundering 
• Clicking 
• Murmuring 
• Hissing

Complications of Tinnitus

Tinnitus influences individuals in an unexpected way. For certain individuals, tinnitus can essentially influence personal satisfaction. On the off chance that you have tinnitus, you may likewise insight: 

• Weariness 
• Stress 
• Rest issues 
• Inconvenience concentrating 
• Memory issues 
• Sorrow 
• Uneasiness and peevishness 
• Cerebral pains 
• Issues with work and everyday life

Ayurvedic Management of Tinnitus

As tinnitus is a vata issue the Vata adjusting treatments and spices are valuable. 

Diet for Tinnitus 

• Vata impacts the development of contemplations, sentiments, prana streams, nerve driving forces, and liquids in the body. Consequently Vata adjusting Food Plan is suggested. 
• Breakfast is normally desirable.Use hot oats like cream of rice or wheat or whatever other breakfast that is warm, smooth, and sweet. 
• Take warm food, reasonably hefty in surface, add margarine and fat. prepared preferences are diserable. 
• Decrease dry food varieties and harsh preferences. Utilize warm or high temp water and beverages. Crude nuts and nut margarines. 
• Helpful Spices: cinnamon, cardamom, cumin, ginger, cloves with some restraint. 
• Green Gram Khichri is the best adjusted food during supper, and has effectively edible proteins likewise carbodydrates and filaments. This will deal with acid reflux and obstruction. 
• Utilization of caffeine, nicotine, or cocaine can upset the prana vayu prompting tinnitus thus stay away from it. 

Panchakarma for Tinnitus 

Nasya: Vacha (Acorus calamus) oil nasya, has an amazing impact in quieting and adjusting the Prana vayu. A readiness of sesame oil cured with calamus root is taken nasally, five drops for every nostril, around evening time and toward the beginning of the day. The nasya ought to be warmed to blood heat before organization. 

Abhyanga: (Massage) Shiroabhyanga (head back rub) and padabhyanga (Foot knead), wherein the bottoms of the feet are rubbed with warm sesame oil, has a particular impact in quieting the prana vayu. At sleep time, comfortable sesame oil ought to be applied to the bottoms of the feet and furthermore to the scalp. This treatment quickly standardizes the prana vayu. 

Karnapooran :(Ear drops)To quiet the vata in the ears, ten drops of warm sesame oil is applied every day to every ear. The oil is permitted to stay in the main ear for five or ten minutes, at that point that ear is cleaned, and a similar method is followed with the other ear, with the patient lying on the opposite side. Ordinarily, this treatment ought to mitigate tinnitus, and most different side effects of prana vayu aggravation, inside eight to ten days.Bilwadi tail,Apamargkshar tail,Dashmool tail can be utilized for Karnpooran. 

Kawala and Gandush: Gargling of sedated oils or certain fluids/Kwath is Kawala.It reinforces the nerves of eyes and ears and furthermore placates exasperated vata.Gandush is Withholding cured oils or certain fluids in the mouth for a specific timeframe

Tonsillitis is irritation of the tonsils, two oval-molded stack of tissue at the rear of the throat — one tonsil on each side. Signs and side effects of tonsillitis incorporate swollen tonsils, sore throat, trouble gulping and delicate lymph hubs on the sides of the neck.

In Ayurveda, Tonsillitis is called as Tundikeri. Tundikeri is one of the Mukharoga which goes under Kanthagata as per distinctive Acharyas. The indications of Tundikeri like Shofa (aggravation), Toda (Pain), and Daha (Sore Throat), Prapaka (Suppurative irritation) are more similiar to Tonsillitis.

Samprapti of Tundikeri

Involvement of Mamsa dhatu could be at the degree of poshaka mamsa dhatu level.

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Rakta dhatu Marghavarodha brought about by the either sotha (brought about by Bacteria, infection, allergens) or Kapha dosha prakopa by Nidhana.

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They block the progression of Rasa Rakta dhatu and repress the further dhatu posana (digestion).

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The supplement parts of Mamsa dhatu held in the blood and steadily amass in Tonsils. The aggrevated mamsa dhatu produces a Granthi

Causes of Tonsillitis

Aaharaja : Excessive utilization of Matsya (fish), Mahisa Mams a (wild ox’s meat), Varaha (pig’s meat), Amalaka 

Mulam (crude radish), Masa (urad dal), Dadhi (curds), Ksira (milk), Sukta, Iksurasa (sugarcane juice), and Phanitha. Large numbers of these Aharas are having Madhura Rasa or are of Amla Rasa. So these reason the vitiation of Kapha what’s more, Pitta which brings about the vitiation of Rakta and thus the event of the sickness. 

Viharaja : Excessive extravagance in Avaksayya (resting in inclined position), Dwishato Dantadhavana (ill-advised dental cleanliness), Dhuma (ill-advised Dhumpana), Cardana (ill-advised vomitting), Gandusa (ill-advised washing), Siravyadha (ill-advised vinesection). Evasion of appropriate oral cleanliness prompts the amassing and Prakopa of Kaphapradhana. Dosa and results in the event of numerous problem of the mouth (Mukharoga)

An infection or microscopic organisms causes tonsillitis. The two sorts of tonsillitis are: 

Viral tonsillitis: Most cases (up to 70 percent) of tonsillitis are brought about by an infection like cold or influenza (flu). 

Bacterial tonsillitis (strep throat): Other instances of tonsillitis are brought about by bunch A Streptococcus microscopic organisms. Bacterial tonsillitis is normally called strep throat.

Symptoms of Tonsilitis

Tonsillitis most ordinarily influences kids between preschool ages and the midteenage years. Regular signs and manifestations of tonsillitis include: 

• Red, swollen tonsils 
• White or yellow covering or fixes on the tonsils 
• Sore throat 
• Troublesome or agonizing gulping 
• Fever 
• Amplified, delicate organs (lymph hubs) in the neck 
• A scratchy, stifled or guttural voice 
• Terrible breath 
• Stomachache 
• Neck agony or solid neck 
• Cerebral pain

Management of Tonsillitis

Nidan parivarjan 

Intends to keep away from the causative variables of the disease . It is the principal line of treatment of any sickness. Tonsillitis shows because of Kapha prakopa, Agnimandya, Rakta dushti. So all the Kapha Rakta pakopaka and Agnimandya karak aahar vihar ought to be kept away from in Tonsillitis. Ayurveda has diverse treatment modalities for the administration of sicknesses like: Antah parimarjan chikitsa, Bahi parimarjan chikitsa, Shastra pranidhan chikitsa

Diet Recommendations (Aahar) 

• Stay away from dairy items, sugar and creature items for seven days 
• Stay away from fiery food as that may bother your throat. 
• Stay away from harsh food sources like curds, buttermilk, and singed food sources 
• Drink a lot of water 
• Burn-through hot lemon with nectar, nectar with cidar vinegar, home grown teas, ginger juice, carrot juice, squeezed apple, elderberry juice, and blackcurrant tea or juice, as they are compelling during disease and help improve invulnerability and soothe sore throat 
• Day by day enhancements of teaspoon of cod liver oil, 100 mg nutrient C tablets each 2-3 hours or 2 garlic containers at regular intervals can be taken until you feel great once more 

Way of life changes (Vihar) 

• Give a lot of rest to your throat and do whatever it takes not to talk 
• Keep away from day rest since it might prompt Kapha develop 
• Stay away from openness to cold breeze and water 
• Keep a decent oral cleanliness 
• Rinse at regular intervals utilizing an answer of quarter teaspoonful of normal salt or yavakshaara broke up down the middle a glass of warm water or thought alcohol arranged from the bark of Acacia (Babul) tree 
• Stay away from successive head showers and downpour showers