Friday 26 April 2013

Peeing Blood


Peeing Blood 

Peeing blood may be associated with different causes such as kidney stones, urinary stone and urinary tract infection. Sometimes symptoms go away on their own, but in severe conditions proper medical consultation must be done to get adequate treatment of the underlying condition.

If you are peeing blood, you may be concerned about why it happens and what happens next. It can be a scary situation to see blood in the urine, because urine is normally light-colored and clear. However, although it may be caused by a variety of factors, it is rarely life threatening in itself.
Peeing blood is medically known as hematuria. This may occur as having pink, bright red, or brownish blood while urinating. In some people however, hematuria may be discovered only as a laboratory finding, when only very few blood cells are seen in the urine under microscopic examination. In any case, it is not normal to see blood in urine, so it is best to consult a doctor to get the proper diagnosis and treatment of its underlying cause.
Hematuria is usually not accompanied by other symptoms, although in some, depending on the underlying cause, pain may be present while urinating. Peeing blood with blood clots may be accompanied by pain during urination.

Causes and Treatments of Peeing Blood

Blood in urine may come from any part of the urinary tract, from the kidneys down to the urethra and external genitals. A number of conditions can cause blood cells to leak into one's urine, including:

1. Urinary Tract Infection

Bacterial invasion and multiplication in any part of the urinary tract can cause one to pee blood. This is often associated with symptoms like burning pain during urination, urgency, and foul-smelling urine. However, some people, especially the elderly are not aware of the presence of an infection and may not detect blood in the urine. Blood cells in these cases are often detected in a urine exam.
Treatment of urinary tract infections involve taking of appropriate antibiotics to kill the offending organisms. These may be taken for 3-14 days, depending on the type of infection.

2. Pyelonephritis

Infection of the kidney occurs when bacteria from the urinary bladder move upstream to the kidney, causing pus formation and bleeding. A kidney infection or pyelonephritis is often accompanied by fever and pain in the side (flank pain).
You will need antibiotics to eradicate the infection and antipyretics like acetaminophen to treat the fever.

3. Urinary Stone

Minerals in the urine may precipitate and form crystals in the kidney or bladder, which may later become hard urinary stones. These stones do not generally cause pain when they are small. However, when they grow large enough to cause obstruction to the passage of urine in any part of the urinary tract, they may cause one to pee blood and feel excruciating pain. Hematuria due to kidney stones or bladder stones may be seen as bloody urine, but in some, it is only detected by urine examination or urinalysis.
Stones in the urinary tract often pass in the urine undetected. However, when they cause symptoms such as hematuria and severe pain, they may have to be surgically removed through cystoscopy or extracorporeal shock wave lithotripsy. Drinking a lot of fluids throughout the day encourages passing of small stones in the urine and can also prevent further stone formation.

4. Enlargement of the Prostate

Benign prostatic hyperplasia (BPH) is a common condition among aging men, where the prostate gland (a small organ that lies below the urinary bladder) enlarges and presses on the urethra. This causes a partial obstruction to urine flow, leading to blood in the urine, trouble urinating, and urgency.
Diet modification and some medications can help shrink an enlarged prostate. In some, surgery is an option, especially when symptoms are severe.

5. Prostatitis

This condition is caused by infection and inflammation of the prostate which occurs in younger men. Symptoms are similar to BPH, but fever may be present.
Prostatitis is associated with sexual practices and antibiotic treatment may be needed. Modification of sexual practices can also help reduce one's risk for this condition.

6. Kidney Disease

Glomerulonephritis is a type of chronic kidney disease that may be a complication of another condition, such as diabetes. It may also occur independently, and may be triggered by bacterial or viral infection. It may also be associated with an immune system problem or a blood vessel disorder called vasculitis. Blood cells in the urine are often found under microscopic examination rather than by peeing blood.

7. Kidney Trauma

An injury such as a blow to the kidney, an accident, or a stab wound can cause one to pee blood. Immediate medical and surgical attention is required in these cases because one can lose a lot of blood. Blood replacement therapy may be needed in severe cases of bleeding.

8. Vigorous Exercise

Athletes who do strenuous exercises such as runners often pee blood, although the explanation is not very clear. Factors that may cause gross hematuria after exercise include dehydration, bladder trauma, and blood cell breakdown.
You must avoid doing strenuous exercise if you begin to see blood in your urine. Drink plenty of water to avoid dehydration. Refrain from engaging in contact sports that can cause kidney injury.

9. Cancer

Early stages of cancer in the urinary tract may not be detectable, but in advanced cases, seeing blood in the urine may be characteristic of prostate, kidney, or bladder cancer. Early consultation and treatment will help treat the early stages of cancer.

10. Hereditary Conditions

Inherited disorders like sickle cell anemia (a defect in the blood hemoglobin) and Alport syndrome (a defect in the kidney glomeruli) can cause visible or microscopic blood in urine. Consult an expert for proper treatment of the disorder.

11. Drugs

Some medications can cause visible bleeding in the urine, and these include penicillin, aspirin, blood thinner, and anti-cancer drugs like cyclophosphamide (Cytoxan). Consult your doctor when you see blood in the urine when taking any of these drugs.

When to See a Doctor

Sometimes symptoms go away on their own, but often times, peeing blood may need medical attention. While some underlying conditions may be treated by a general practitioner, others need expert advice from a specialist. You need a specialist's advice when:
  • You are peeing blood with no pain, and lab tests show you have no infection.
  • You are 40 years of age or older and experience frequent urinary tract infections with blood in urine.
  • You are 50 years of age or older and you have unexplained microscopic blood.
  • Your doctor detects a tumor in your abdomen.

Foamy Urine


While urine is normally clear and light-colored, foamy urine may or may not be associated with an abnormal medical condition. If it occurs frequently, chances are that there is an underlying abnormality which needs proper diagnosis and medical treatment.

Waste products of metabolism are excreted from the body by the kidneys through the urine. The urine contains wastes that have been filtered from the blood by the kidneys, and the resulting solution is a pale, straw yellow, or amber-colored liquid that comes out of the body through the urethra. Urine contains water, uric acid, urea, inorganic salts, ammonia, and blood pigments that have been broken down.

Symptoms and Signs of Foamy Urine

Normally, urine does not appear foamy. However, sometimes some foam develops depending on the speed of urinating. Occasionally, it may also be a sign of dehydration, and foamy urine indicates that it is concentrated. However, if you pass foamy urine frequently, it may be a sign of an underlying disease or condition which needs medical evaluation.
Foamy urine can be turbid or cloudy in color. Some people may have blood or pus in the urine. If there is an infection, urination may be accompanied by some pain. In women who have an active vaginal infection, vaginal discharge may appear in the urine, making it cloudy and frothy in appearance.

Causes and Treatments Foamy Urine

Urinating Rapidly/Dehydration

Rapid urination can cause foaming in the urine. Some people postpone going to the bathroom and collect a large amount of urine in their bladder. This leads to forceful urination, and results in fast emptying of the bladder. The stream of urine that follows hits the toilet rapidly and causes foam to develop. In other people, taking too little water or fluids causes some dehydration which leads the kidneys to produce concentrated urine. This also results in production of foamy urine.
If the foam in the urine is caused by either dehydration or rapid urination then there is no need to worry. One must simple try to empty the bladder regularly to avoid forceful and fast urination. It is also recommended to maintain adequate hydration by drinking plenty of water daily to avoid having concentrated and foamy urine. However, if you notice that your urine is frequently foamy in spite of improving your habits, you must consider seeking medical consultation for proper diagnosis and treatment.

Protein in the Urine

The presence of a substantial amount of protein in one's urine is a common factor that results in foamy urine. Small amounts of protein may be naturally expelled in the urine. When protein is excreted in large amounts, however, the abnormal condition is known as proteinuria.
Proteins in the blood do not usually come out in the urine because they are regulated by the kidney glomeruli. However, some conditions may cause proteins to be filtered out into the urine, and these include:
  • Kidney infection
  • Kidney damage
  • Excess dietary intake of proteins (from high protein foods like meat, chicken or fish, or from dietary supplements)
Foamy urine is characteristic of having an excessive amount of protein in the urine. Proteinuria may be detected in a urinalysis. In these cases, experts recommend reducing the intake of protein supplements or excess amounts of high-protein foods. Medical consultation is advised for appropriate diagnosis and treatment.

Infection

An infection in the urinary tract caused by bacteria or fungi can result in cloudy and foamy urine. This is usually accompanied by a burning pain during urination, which is characteristic of a UTI or urinary tract infection. The microorganisms causing the infection produce foam in one's urine.
UTI is usually detected in a urine examination and may be treated with antibiotics. Patients are also advised to increase their fluid intake to flush out the microorganisms.

Fistula Formation

In some people, a fistula or unnatural connection may develop between the urinary bladder and the colon (large intestine), and this is called a vesicocolic fistula. The bladder becomes swollen and fluid accumulates beneath the skin. Foam is formed, and on urination, the urine becomes foamy. Because of the connection to the colon, the urine may also have an offensive odor and may contain some feces. This is not a normal condition and may be a sign of another underlying condition such as Crohn's disease or a tumor. Medical consultation must be sought deal with this condition.

Semen in Urine

After sexual intercourse, some semen may be left in one's urethra, which may come out in the urine. However, small amounts of semen do not usually lead to foam in the urine. Another condition called retrograde ejaculation may result in large amounts of semen going back to the bladder if the sphincter (a muscle that prevents retrograde flow) is not properly functioning. This is usually associated with foamy urine and medical advice is recommended.

Kidney Disease

People with kidney disease as a complication of diabetes or kidney stones can also have foamy urine. To diagnose kidney disease a simple urinalysis may be done, followed by other relevant tests such as the dipstick test and other blood tests. A 24-hour urine collection may also be requested for better evaluation of kidney function.

Thursday 25 April 2013

BLOODY URINE



Blood in urine - known medically as hematuria - is usually not a reason for major alarm.
Because blood in urine can be a sign of a serious medical condition, however, it shouldn't be ignored. All cases of hematuria should be evaluated by a doctor who can order tests to confirm or rule out an underlying cause.
There is no specific treatment for hematuria since it's a symptom and not a specific condition. Instead, treatment is aimed at the underlying cause if one can be found. In many cases, no treatment is necessary.
Where Blood in Urine Might Come From
Blood in urine can come from the kidneys, where urine is made. It also can come from other structures in the urinary tract, such as:
  • Ureters (the tubes from the kidneys to the bladder
  • Bladder (where urine is stored).
  • Urethra (the tube from the bladder to the outside of the body).

Symptoms That May Accompany Hematuria
If there is blood in urine, the symptom is obvious. Instead of its normal pale yellow color, your urine may be pink, red, brownish-red, or tea-colored. This is what doctors call gross hematuria.
Sometimes, blood in urine is not visible to the naked eye and the presence of red blood cells can only be detected by the lab. This is what doctors call microscopic hematuria. It's usually only discovered when a urine sample is tested with a dipstick and the results are confirmed with a microscopic examination.
Hematuria may occur without any other symptoms. Some underlying causes, however, are associated with additional symptoms that can be moderate to severe. These include:
  • Bladder infections (acute cystitis). In adults, bladder infections usually cause burning or pain with urination. Infants with bladder infections may have fever, be irritable, and feed poorly. Older children may have fever, pain and burning while urinating, urgency, and lower belly pain.
  • Kidney infections (pyelonephritis). Symptoms may include fever, chills, and flank pain, which refers to pain in the lower back.
  • Kidney stones. Symptoms may include severe abdominal or pelvic pain.
  • Kidney diseases. Symptoms may include weakness, high blood pressure, and body swelling, including puffiness around the eyes.

Causes of Hematuria
Common causes of blood in urine include:
  • Bladder or kidney infections.
  • Bladder or kidney stones.
  • Certain kidney diseases, such as inflammation in the filtering system of the kidneys (glomerulonephritis).
  • Enlarged prostate (benign prostatic hyperplasia) or prostate cancer.
  • Inherited diseases such as sickle cell anemia and cystic kidney disease.
  • Certain medications such as aspirin, penicillin, heparin, ncyclophospamide, and phenazopyridine.
  • A tumor in the bladder, kidney, or prostate.
  • Kidney injury from an accident or sports.
  • Vigorous exercise.
Sometimes, what appears to be blood in urine is actually red pigment from other sources such as food dyes, medications, or an excessive amount of beets. Doctors refer to this latter cause as "beeturia."
Assessment of Hematuria
Your doctor will start by taking a medical history and asking what may have caused the appearance of blood in your urine. This will be followed by a test called urinalysis. In this test a urine sample is analyzed.
Urine tests may include urine cytology, which uses a microscope to look for abnormal cells in the urine. Blood tests may also be ordered. If blood contains high levels of wastes that kidneys are supposed to remove, it could be a sign of kidney disease.
In addition to urine and blood tests, you may need additional imaging tests. These may include:
  • Computed tomography (CT) scan. A CT, which is a special X-ray scan, can help identify bladder or kidney stones, tumors, and other abnormalities of the bladder, kidneys, and ureters.
  • Kidney ultrasound. An ultrasound uses sound waves to create a picture of the kidney's structure.
  • Intravenous pyelogram (IVP). This is an X-ray of the urinary tract that requires dye.
  • Cystoscopy. This test involves the insertion of a small tube with a camera into the bladder through the urethra. Tissue samples (biopsy) may be obtained to check for the presence of abnormal or cancerous cells.
  • Kidney (renal) biopsy. A small tissue sample is removed from the kidney and examined under a microscope for signs of kidney disease.

Treatment of Hematuria
Treatment is aimed at the underlying cause. After treatment, your doctor will recheck your urine to see if the blood is gone. If you still have blood in your urine, you may need additional tests, or you may be referred to a urologist.
Usually, no treatment is necessary unless a serious condition is causing the hematuria.
If no underlying cause is found during the initial evaluation, you may be advised to have follow-up urine testing and blood pressure monitoring every three to six months, especially if you have risk factors for bladder cancer, such as being age 50 or older, smoking cigarettes, or exposure to certain industrial chemicals.

Sexual Problems: Questions About Your Sexual History - Topic Overview

Women often begin the process of diagnosing sexual dysfunction by noticing an absence of sexual desire or satisfaction. Your health professional will work with you to identify your symptoms and the history of those symptoms. The answers to the following questions may be helpful to you and your health professional in determining the cause of your sexual problem and designing a treatment plan.
  • Are you currently sexually active?
  • If so, are you sexually active with men, women, or both?
  • Are you or your partner experiencing sexual difficulties?
  • Have you noticed a change in your sexual activity?
  • Are you satisfied with the quality and frequency of sexual activity?
  • Have you ever experienced any unwanted touching or sexual activity?
  • What are your expectations and goals for treatment?
Other questions that may be helpful in your diagnosis include the following:
  • Are you having difficulty initiating sexual activity?
  • Are you having difficulty becoming aroused when you want to be sexual?
  • Do you experience as much arousal as you expect or would like?
  • Do you experience dryness in your vagina  during intercourse?
  • Do you have pain during intercourse?
If answering these questions leads you to identify a sexual problem, the following questions may provide helpful additional information.
  • Is this a new problem, or has it always been present?
  • Have you had this problem with all of your partners?
  • Is the problem always there?
  • Does anything make it better or worse?
  • How much of a concern is this for you and your partner?
  • Do you have any idea what may have caused your sexual problem?
  • Have you received any treatment for this problem?

Sexual Problems in Women - Prevention

Women have varied and interrelated reasons for desiring sexual activity and feeling sexually fulfilled. A woman's sexuality is influenced by her physical, psychological, and emotional states. Some causes of sexual problems such as medical conditions, may not be within your control. But your emotional and psychological states are as important as your physical state in influencing your sexuality. You can take the following steps to help your sexual well-being.
  • Look after your overall health-both your physical health and your emotional health.
  • Practice communicating your needs and desires to your partner.
  • Become familiar with your own patterns and methods of sexual arousal, perhaps through foreplay
  • Try to separate your sexual life from the stresses of daily life, such as economic, career, and partner tensions.
  • Understand that many women do not always have orgasms during sex and that mutual pleasure can be a satisfying focus of sexual intimacy
  • Use plentiful lubrication for your vagina to avoid the most common cause of painful intercourse.
  • Enjoy tenderness and closeness, and avoid expectations of reaching goals such as great sexual performances.
BY  CHARLES
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Sexual Problems in Women - Symptoms



Symptoms of sexual problems can include:

  • A decrease in the level of desire, which might be expressed by fewer sexual fantasies or thoughts and a reluctance to engage in sexual activity.
  • A decrease in the level of arousal. A woman may notice that she feels unreceptive to sexual suggestions and is not able to feel or maintain sexual excitement.
  • An inability to reach orgasm after sexual stimulation. (For most women, the clitoris is the main site of orgasm. Not all women have vaginal orgasms.)
  • Pain during intercourse.
By definition, sexual problems are symptoms that are distressing for you and/or your relationship with a partner. If you have a symptom that you are not troubled by and that isn't causing a relationship problem, then it is not considered to be a sexual problem.
Most women have a sexual problem at one time or another. For some women, the problem is long-term. Surveys of the general population in the United States found that many women occasionally have sexual problems and worries, including:
  • Concerns about sexuality (6 out of 10 women).
  • Lack of interest in sex (3 out of 10 women).
  • Sex not always being pleasurable (2 out of 10 women).
  • Pain with intercourse (1 to 2 out of 10 women).
  • Difficulty becoming aroused (5 out of 10 women).
  • Difficulty reaching orgasm (5 out of 10 women).
  • Not being able to have an orgasm (2 to 3 out of 10 women).
BY  CHARLES
+2348140339005
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Sexual Problems in Women - CAUSES



A woman's sexuality is a complex mix of mental, emotional, and physical signals. A problem in one area can grow to involve others. For example, a physical problem can lead to fear of pain, and the fear can lead to guilt about its effect on your partner. So the causes of sexual problems in women are often interrelated.
Psychological causes may be related to past or current physical or emotional problems. These mental and emotional causes include:
  • stress, depression, or anxiety
  • Marital or relationship discord.
  • Fears that illnesses, such as cancer, or surgery, such as a mastectomy or hysterectomy will make sexual activity unpleasant for the woman or her partner.
  • Unhappiness with body image
  • Fear of spreading a sexually transmitted disease, such as genital herpes.
Physical causes can be normal hormonal changes, injuries, medical procedures, or other medical problems. Physical causes include:
  • Hormonal changes such as those related to the menstrual circle, use of birth control pills or hormone therapy, pregnancy, recovery from pregnancy, perimenopause, and post-menopause.
  • Pain during intercourse. This may result from:
    • Vaginal dryness. Lack of lubrication in the vagina is the most common cause of pain with sex.
    • Vaginismus (say "vadj-uh-NIZ-mus"). This involves painful spasms of the vaginal muscles. Vaginismus may be linked to a fear that stems from losing control or from trauma such as rape or sexual abuse. But sometimes there is a medical cause, such as:
      • Scars in the vaginal opening from injury, surgery, or childbirth.
      • Pelvic infections, such as vaginitis or Bartholin's glands infections.
      • Chronic pain conditions, such as vulvodynia.
      • Skin conditions, such as lichen sclerosus or lichen planus.
      • Irritation from douches, spermicides, or latex condoms.
    • Dyspareunia (say "dis-puh-ROO-nee-uh"). This is physical pain that occurs during entry into the vagina, during deep thrusting, or pain after sexual intercourse.
  • A physical abnormality.
  • One or more of many medical conditions. This includes diseases that affect blood circulation, like diabetes, or problems with your thyroid, like hypothyroidism. Other medical problems, like endometriosis or arthritis, may cause pain during sex.
  • Medical treatments. Sometimes treatments cause changes that result in pain during intercourse or other sexual problems. These include previous surgeries,  treatments for infertility, and cancer treatments.
Aging may cause a decrease in sexual desire and changes in the vagina. These changes include:
  • Thinner vaginal walls, so that the vagina may be easily bruised or chafed.
  • Narrowing, shortening, and/or stiffening of the vagina, causing pain during intercourse (dyspareunia).
  • A reduction in lubrication and a lengthening of the time needed to lubricate the vagina.
  • More time needed to feel sexually aroused.
  • Orgasms that do not last as long they once did.
Medicine use can sometimes decrease sexual desire and arousal. Such medicines include:
  • Blood pressure and diabetes medicines, such as diuretics, alpha-blockers, and calcium channel blockers.
  • Antidepressants These include tricyclics and selective serotonin reuptake inhibitors (SSRIs).
  • Antihistamines, which are allergy medicines.
Losing a partner is a common life event that can lead a woman to be less sexually active and satisfied. This is not a "sexual problem." But it can leave you with unmet needs for intimacy.
Cultural and societal factors may play a role in a woman's sexual health. Inadequate health services and/or a lack of sex education may result in a woman's lack of knowledge about sexual behavior.
Drinking alcohol and using illegal recreational drugs in small amounts may reduce sexual inhibitions at first. But continually using drugs, such as cocaine or  amphetamine, or drinking too much alcohol will cause problems with orgasm for a woman. Also, illegal drugs as well as many medicines may cause a woman to have less sexual desire.


BY  CHARLES
 +2348140339005
lovehealthsociety@gmail.com
follow on facebook via the email address above