Wednesday, December 29, 2010

CHRONIC RENAL FAILURE


Chronic renal failure is a gradual and progressive loss of the ability of the kidneys to excrete wastes, concentrated urine and conserve electrolytes.

CAUSE
Chronic renal failure is slowly progressive failure of kidney function. It can range from mild dysfunction to severe kidney failure.

Chronic renal failure usually occurs over a number of years as the internal structures of the kidneys are slowly damaged. In the early stage there may be no symptoms.
causes are:-
Diabetes and hypertension
Glomerulonephritis of any type
Polycystic kidney
Alport syndrome
Reflux nephropathy
Obstructive uropathy
Kidney stones
Infections
Analgesic nephropathy

SYMPTOMS
Nausea, Vomiting, General ill feeling, Fatigue, Headache, Frequent hiccough, Generalized itching, Need to urinate at night, Cramps, Seizures.

SIGNS
Blood pressure may be high; with mild or severe hypertension. A neurological examination may show polyneuropathy. Abnormal heart and lung sounds may be heard with a stethoscope. A urine analysis may show protein or other abnormalities.

Creatinine levels progressively increased.
BUN is progressively increased.
Creatinine clearance progressively decreased.
 Potassium may elevate.

COMPLICATIONS:-
Congestive heart failure.
Hypertension. 
Anemia
Liver failure.
Seizures.
Skin dryness, itching.

HOMOEOPATHIC MEDICINES:-
Betula alba, Borago off, Cucurbita pepo, Equsitum arvenses, Erodium cicutarium, Hypericum pilosella, Hyndrangea, Sarsaparilla, Solidago virga, Taraxacum off, Uva ursi, Vitis vinifera, Zea mays, Apis mel, Berb vulg, Brachyglottis, Cantharis, Kali chlor, Merc cor, Phosphorus, terebianth.

CASE
This is the case of a man (Mr. Gopal) aged 46 years. He was a known case of C.R.F. He was under allopathic treatment since last two years. His s. urea level was 90 and s. creatinine Level was 4.1.His urea and creatinine was progressively increasing. No improvement since last six months. He has nausea, weakness, cramps, swelling in legs, appetite decreased. On 25/09/08 He was prescribed following medicines. R-1, R-18, UREA 200, MERC SOL 200, PLB MET200, KALI CHLOR 200, APIS30, PYROGENUM 1M and he called after fifteen days.

On 08/10/08 He was advised for urine C/E, HB, TLC, DLC, ESR, S. UREA.

S.  UREA                   60.35
S. CREAT                   1.32
Hb                               13
TLC                             7600
ESR                             10
ALBUMIN                 ++++
PUS CELLS               15-20
EPITH CELLS           ++
RBC                            2-4
BECT.                         +
MUCUS                      PRESENT

0n 11/10/08 repeated same medicines for fifteen days.
On 18/10/08 advised for URINE C/E

ALBUMIN                 ++
RBC                            2-4
WBC                           8-10
EPITH CELLS             +
CAST GRANULAR    +
BACT                          +

On 27/10/08 prescribed following medicines. R-1, R-18, UREA 200, and KALI CHLOR 200
He was called after fifteen days.
On 13/11/08 he reported with no nausea, no weakness, general health improved. Repeated medicines as 27/10/08 and R-64
Hb                              13.9
PUS CELLS               2-3
RBC                           8-10
MUCUS                     PRESENT
UREA                         36.6
CREATININE           1
ESR                            5

On 08/12/08 repeated medicines and advised for Hb TLC DLC ESR UREA CREATININE URINE C/E
He was called after two months.
Patient reported on 18/05/ 09
Hb                               13.8
TLC                             7100
ESR                             8
UREA                         34
CREATININE           0.9
ALBUMIN                 TRACE
PUS CELLS               1-2
EPITH CELLS           +
RBC                            NIL
BACT                         +

He was CURED

Dr. G. S. Bhatnagar
D.H.M.S.  B.H.M.S.
Research officer
Sewa Mandir
Mobile 9829978284
E-Mail: sewamandir@usa.netdrgsbhatnagar@gmail.com  

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