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HOMEOPATHIC TREATMENT, Nephrology, Urology

RENAL CALICULUS

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When solids and particulate metabolites or salts starts depositing at any level of urinary collecting system it forms renal stones or urolithiasis

An organic matrix of mucoprotien is present in all above types of stones which acts as an additional binding matrix and it makes up almost 2.5 % of weight in all stones.

Urolithiasis is more common in males than in females

Increased concentration in urine, of the constituents of stones is associated with stone formation.

COMPOSITION AND INCIDENCE OF DIFFERENT TYPES OF RENAL STONES

1) Calcium Oxalate/Phosphate Stones comprises 75% of every stones.

Its observed that almost 50 % of cases of Calcium Stones that have idiopathic hypercalciuria and doesn’t have hypercalcemia.

10 % of cases calcium stone cases have both hypercalcemia and hypercalciurea

5% have Enteric(4.5%) or Primary (0.5%) hyperoxaluria

20% have hyperuricosuria

15-20% have unknown metabolic anomaly

2) Struvite Stones (Magnesium, Ammonia, Calcium, Phosphate) usually due to renal infections comprises off 10-15% of all stones.

3) Uric Acid Stones comprises 6% of all stobe cases 50% of which are associated with hyperuricosuria and/or hyperuricemia and 50% are of idiopathic origin.

4) Cystine Stone comprises only of 1-2% of all the cases

5) Other and unknown types of stones comprises of upto 10% of all the cases

An organic matrix of mucoprotien is present in all above all types of stones which acts as an additional binding matrix and it makes up almost 2.5 % of weight of all stones.

Renal caliculus, while selecting homoeopathic remedy for Kidney stones it is important to make note of all accompanying symptoms, like type of pain , character of urine, and if there are gravels in urine then its colour shape size should be noted, also other miasmatic and constitutional background should be evaluated for proper similimum remedy selection.

14mm Renal Caliculus removed nonsurgically at Dr SHAH's Homoeopathy
14mm Renal Caliculus removed nonsurgically at Dr SHAH’s Homoeopathy
14mm Renal Caliculus removed nonsurgically at Dr SHAH's Homoeopathy
14mm Renal Caliculus removed nonsurgically at Dr SHAH’s Homoeopathy

Risk factors

Increases Risk:

Dehydration, Low water intake, excess grapefruit or apple juice intake soft drinks containing phosphoric acid especially areated drinks.

Excess red meat consumption increases concerntration of certain sulfurous amino acids like cystiene and  methionine which acidifies urine , decreases citrate excretion through urine and increases excretion of calcium and uric acid through urine thus increasing risk of renal stones.

Calcium suppliment tablets and VitaminD suppliment for long term may cause Calcium Stones

Studies show that low dietary calcium promotes calcium stones:- Unlike supplimental calcium , Natural dietary calcium actually protects you against renal stones. As it binds with ingested oxalate from food in gastro-intestinal tract to form calcium oxalate and thus reducing its absorption and inturn reducing oxalate concentration in urine. Oxalate is 15 times more potent in forming renal stones compared to increased levels of calcium in urine.

Sodium and fluoridated water increases urinary excretion of calcium thus increases risk of stone formation.

Low urinary excretion of citrate

Decreases Risk:

Unlike supplimental calcium , Natural dietary calcium actually protects you against renal stones. As it binds with ingested oxalate from food in gastro-intestinal tract to form calcium oxalate and thus reducing its absorption and inturn reducing oxalate concentration in urine. Oxalate is 15 times more potent in forming renal stones compared to increased levels of calcium in urine

Studies show that low dietary calcium promotes calcium stones.

Magnesium inhibits stone formation.

Patassium promotes urinary excretion of citrate and citrate inhibits crystallisation of calcium and thus reduces risk of urinary calcium stones

 

Commonly Used Homoeopathic Remedies For Renal Caliculus

BERBERRIES VULGARIS

Sensation of retention of urine and urge to pass it again soon after passing, patient is thirstless, bright red mealy sediments, bubbling sore sensation in renal region, pain in urinary bladder region, pain radiating from lumbar region to pelvis and down to lower limbs while passing urine, burning in urethra even when patient is not passing urine, feequent micturation, well indicated in patients with renal caliculus with gouty diathesis and elevated uric acid levels and urate crystals in urine. Works well in patients having  glomerulonephritis along with Renal Caliculus.

HYDRANGEA ARBORESCENS

white amorphous salt in urine giving urine a turbid colour,  white amorphous salt in urine deposits in form of gravel. Sharp pain in loins especially in left side with unquenchable thirst for large quantity  water, unlike berberries vulgaris which has thirstlessness. Well indicated in patients with enlarged prostate and also having Renal caliculus.

CANTHERIS

In patients with bleeding due to renal stones, heamaturia and Nephritis, Intolerable constant urge to pass urine with paroxysmal acute cutting and burning from lumbar region to pelvis in front, urinary tract infection due to stone initially causing membranous scales giving appearance of bran in water when passed profuse urine and later on urine mixed with blood passes drop by drop  jelly like shreddy urine , membranous scales giving appearance of bran in water, infection of urethra due to damage by renal stone causing irritation in urethra increasing sexual desire.

SARSAPARILLA

Scanty slimy flaky sandy and bloody urine, gravels in urine that passes in thin stream, this medicine should be thought of when  sand-like gravels seen on daiper of children and they are cranky before and during passing urine, Kidney stones on right side.

PAREIRA BRAVA / CONDODENDRON TORMENTOSUM

great tenesmus while passing urine, constant urge to pass urine but has to strain much while passing has to bend down on his knees and press head on floor in front to pass urine causing pain to radiating till his thighs, Urine dribbles after micturating, pain in glans penis, renal stones in patient with gonorrhoeal urinary tract affections.

BORAX

Small red particles in urine and on daiper of child who cries while passing urine, hot smarting pain in urethra.

SOLIDAGO

Redish brown thick sediment gravels with offensive albuminuria , pain in renal angle radiating forward and downwards towards abdomen and pelvis.

SILICEA

its a wonderful homoeopathy know for its ability to expel foreign particle from body, for which it is also termed as surgeons knife, Red or Yellow sedimentation prostorrhoea due to tenesmus in patients with retention of urine due to renal caliculus

LYCOPODIUM CLAVATUM

Heavy Red Sand Particle in urine, pain in right hypochondrium and right lumbar region , renal stones in old men with slow feeble urine with stangury, tenesmus and retention of urine.

CALCAREA CARBONICA

Calcium oxalate crystals in urine, sour fetid smelling urine with dark brown colour and white sediments and haematuria.

Dermatology, HOMEOPATHIC TREATMENT

LICHEN PLANUS

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Lichen Planus (LP) is believed to be autoimmune condition with an unknown causative and triggering factor. It presents itself with skin lesions characterize by 6 P’s i.e. Planar [flat topped], Purple, Polygonal, Pruritic, Papules and Plaques;
Although it may present itself with variety of other lesions as well.

The Lesions typically shows interspersed lacy white lines which are called Wicham’s Striae

It can affect anywhere on Skin Nails and Mucous membranes of any region.

The lesion may show any of the following pattern Annular, Linear, Hypertrophic, Atrophic, Bullous, Ulcerative, Pigmented.

Etiopathology

What are the causes?

It is non contagious condition and is not related to any known pathogen; it is believed to be T-cell driven autoimmune reaction which triggers apoptosis of the epithelial cells; It is believed that this process is in response to some unidentified antigenic change in oral mucosa

What is Lichenified Reaction?

There are certain conditions where the skin lesions shows similarity with Lichen Planus lesions , in both clinical appearance to naked eye as well as histopathology under microscope but unlike Lichen Planus there are known underlying causative factors such conditions are termed lichenfied reactions.

Few examples which may cause Lichenified Reaction
  • In certatin drug reactions esp. due to beta blockers quinine thiazide diuretics furosemide spironolactone metformin and penicillin
  • Reactions to metal alloy fillings
  • Graft Versus-Host disease typically presents with chronic lichenified skin lesions on palms soles upper trunk and face after several months
  • Hepatitis ; esp due to Hepatitis B virus infection ; Hepatitis C virus infection ; primary biliary cirrhosis
  • stress and lifestyle as major impact on lichen planus it may trigger erruptions
  • lichen planus may be an accompanying symptom of Grinspan’s Syndrome

Diagnosis

LP can be diagnosed clinically with brief history and character of skin lesions characterize by 6 P’s i.e. Planar [flat topped], Purple, Polygonal, Pruritic, Papules and Plaques; it typically has Lichen-like appearance; always Biopsy is Gold Standard to establish diagnosis.

HOMEOPATHIC Treatment Approach and Homeopathic Medicines for Lichen Planus.

Can LP be Cured?

Allopathy System has no cure the condition it can only relieve symptoms temporarily and does have side effects

Homeopathy is known system of medicines which can cure lichen planus without having any side effects

HOMEOPATHIC TREATMENT FOR LICHEN PLANUS WITH INDICATIONS OF COMMON HOMEOPATHIC MEDICINES.

LICHEN PLANUS

Explanation of indicated remedies on website are as follows.

THUJA OCCIDENTALIS

Thuja has main sphere of action on the skin. Acting on the skin thuja causes painful sensitiveness of skin. Very useful remedy in case of Lichen planus. Thuja is very beneficial for inverterate skin troubles and chronic or stubborn skin conditions like lichen planus, psoriasis eczema, warts. Erruptions occur only on the covered parts of the body. The erruptions burn violently after scratching. Dry sensitive skin with hyperpigmented brown spots. Skin sensitive to touch. The skin usually looks unhealthy all over body. Aggravation of complaints usually at night from heat of bed.

ANTIMONIUM CRUDUM

Antimonium crudum is one of the indicated remedies in case of Lichen planus. Acting on the skin, causes ulcerations and has a tendency to grow warts, callosities, bad nails. Hard horny excrescences grow under the nails and is extremely painful. Pustular erruptions with inflammation. Itching especially on the neck, chest, back and limbs. Erruptions chiefly appear in the evening which itch in the heat of bed and disturb sleep. Formation of thick, hard scabs with oozing. Deformed nails. Degeneration of skin. Burning and itching worse scratching at night.

CALCAREA FLOURICA

Calcarea flour is a powerful tissue remedy. Indicated in case of lichen planus. Patient usually presents with marked whiteness of skin. Cracks and fissures in the palms of hand. The skin seems hard. Useful in hard elevated edges of ulcer, surrounding skin is purple and swollen. Worse during change of weather and better by warmth.

SILICEA

Silicea is one of the frequently indicated remedy in case of lichen planus, psoriasis etc. Suited to complaints that develop slowly. Acting on the skin Silicea causes inflammation. Most scaly erruptions alternating with dry erruptions. There is hyperpigmentation of spots, coppery spots. Erruptions usually itch only in the day time. Silicea usually hastens formation of abscess. There is imperfect assimilation and defective nutrition.

SULPHUR

Sulphur is one of the widely used medicine to treat various kind of skin disorders. It is a very valuable remedy in treatment of lichen planus. Papules and erruptions with extreme dryness of skin. Intense itching of skin. Scratching of skin leads to intense burning of affected parts which is a marked indication of sulphur. Complaints are usually worse at night from warmth of bed. Burning in palms and soles is stricking feature of sulphur. Sulphur is a gneral antipsoric for almost every kind of itch. Unhealthy, dirty filthy individuals are prone to skin infections.

ARSENIC IODATUM

Ars iod is efficient remedy in case of lichen planus. Ars iod is a very good remedy for skin conditions like lichen planus, psoriasis, eczema. Marked exfoliation of skin in large scales, leaving raw exuding surface beneath. The skin is cold touch, dryness of skin. It cures all syphilitic erruptions where the symptoms agree, where erruptions have been suppressed by local treatments. There is marked excoriation, itching, burning and stinging pain with rough skin.

BORAX

Borax is often indicated in case of Oral lichen planus. Presents with ulcers inside the cheeks And on tongue. Excessive heat in the mouth. Dry hot, tender apthous ulcers usually bleed on eating or by touch. Mouth remains extremely dry. Ulcers in mouth extend to throat, even to stomach. Difficult healing of skin. Unhealthy skin, every little injury tends to ulcerate. Itching on back of finger joints. Erruptions on fingers and hands.

MERCURIOUS SOLUBILIS

Every organ or tissue of the body is more or less affected by this powerful remedy. Very often indicated in case of oral lichen planus. Presents with irregular ulcerd inside cheeks. The cheeks give a very unhealthy and dirty appearance. Salivary secretions are greatly increased. Painful raged swollen bleeding gums. Highly offenseive odour from mouth with metallic taste in mouth. Skin is almost constantly moist. Vesicular erruptions with severe itching worse from warmth of bed.