Diagnosing Gilbert’s Disease

There are times when people go through a certain stage in their lives when they need to understand and adjust to certain changes in the way that they live. Some people are burdened with adjusting to getting married, losing a loved one or acquiring a disease or a medical condition. Of all the three, getting diagnosed with a medical condition can be the hardest to adjust to especially if you found out that you have been living with it for all your life. Hereditary diseases like Gilberts disease are one of those that we can acquire and not know about for a long time.

One of the reasons why we can live without knowing the presence of Gilberts disease is that the condition itself has no symptom or noticeable effect. Some people can even live through the rest of their lives without even knowing.

Just because it has no symptom it doesnt mean that it should not be consulted. People sometimes have the wrong notion of not going to a specialist if they suspect that they have Gilberts disease. So why is it important to have your condition diagnosed? Well there are several reasons but lets just look at one and that is for proper identification of the solution for the the problem, once we have the right diagnosis we can move on to taking care of the person who is sick.

Exclusion of other conditions

While this syndrome Gilberts disease is considered to be harmless by itself, it is clinically important to be diagnosed and identified correctly because it may be confused with much more dangerous liver conditions. However, these will show other indicators of liver dysfunction:

– Hemolysis can be excluded by a full blood count, haptoglobin, lactate dehydrogenase levels and the absence of reticulocytosis (elevated reticulocytes in the blood would usually be observed in haemolytic anaemia);

– Hepatitis can be excluded by negative blood samples for antigens specific to the different hepatitis vira;

– Cholestasis can be excluded by the absence of lactate dehydrogenase, low levels of conjugated bilirubin and ultrasound scan of the bile ducts;

– More severe types of glucoronyl transferase disorders like Crigler-Najjar syndrome (types I and II). These are much more severe and cause brain damage in infancy (type I) and teenage years (type II);

Other diseases of the liver can be exluded by the liver-enzymes ALAT, ASAT and albumin being within normal ranges.

Findings specific to Gilberts syndrome

Patients with Gilberts disease show predominantly elevated unconjugated bilirubin. While conjugated is usually within normal ranges and form less than 20 percent of the total. The level of total bilirubin is often increased if the blood sample is taken after fasting for two days, and a fast can therefore be useful diagnostically. If the total bilirubin does in fact increase while fasting, the patient can then be given low doses of phenobarbital when fasting has ended, and following samples should show a decrease in total bilirubin toward normal levels.

Once the findings have been reported, the patient with Gilberts disease should be more careful and should follow what the physician says. It will also be helpful for him or her to conduct a research so he or she can take care of themselves at home or if they cannot go to the doctor regularly. It is also best to watch diet carefully, conduct regular exercise, and take necessary medications or undergo treatments when needed.

How can Kidney Stones Affect your Life

Unknown to many people, kidney stones is the most common complication that involves the kidney, uterer, and bladder. They also dont realize the importance of the role that kidneys play in the person’s system. Most people dont realize it but kidneys are very important because they act as the ultimate “filter” for blood. When the kidney functions well, it can remove the waste products and substance from the body. This will help a person to regulate the proper level of chemicals and enables the body to function properly.

Today, more and more peoplebecause of unhealthy diet and laid back living and minimal physical movementssuffer from kidney stones and they have yet to realize how can it affect their overall health. Many experts agree that any person has great chances of encountering kidney stones in one point of his or her life.

But, with early diagnosis, healthy lifestyle, diet to prevent the condition, and regular exercise, one can recover from it. However, recovering might be easy but if people would not religiously follow the keys to avoiding kidney stones, chance are, they will have it again probably in the next 10 or 15 years of his or her life.

What you need to know

Many people tend to neglect kidney stones because they think that they can easily recover from it with all the medications and medical procedures available today. One thing that they dont realize is that if they continue to have their kidney stones unchecked or undiagnosed, they are more prone to develop related diseases which will make their health conditions more complicated.

To avoid further complications when it comes to kidney stones, it is best that you arm yourself with all the knowledge that you can getespecially if you think that you are prone to the condition.

The first thing that you need to know about kidney stones is what it really is. Kidney stones are made up of minerals and other excess substances in body. It is the product when these substances and minerals are formed in the person’s urine. The process of developing kidney stones involved the crystallization of minerals and other elated substances then form a “lumps” which can be hard as a real stone.

Experts say that people who have kidney stones don’t have to worry so much about its size but should more focus on where its is located. The location of the kidney stones matter that much because it can cause the kidney and other related organs not to function very well.

Doctors agree that kidney stones that sit in the kidney itself are not much of a problem. But if it’s located it the utererthe tube that connects to the bladderit is a very big problem. This is because the stoneregardless of its sizecan block the path where the urine should pass. When this happens, it will cause the person a great deal of pain because it will stretch the kidney so much.

Another thing that you should also pay attention to is the possible causes of the condition. Experts say that there are a number of factors that may cause the development of kidney stones.

These factors may include the Urinary Tract Infections (UTI) that the person has developed, kidney failure, diseases that may have been inherited that involves the kidney, foods that contain high levels of calcium, sodium, oxalates, and others, as well as lack of regular movement or exercise.

How to cure kidney stones

As in any sickness, the key to the formation of kidney stones is in prevention especially since a person who had more than one kidney stone in her life will most likely develop kidney stones in the future. Regular check-up to the doctor is one way to ensure that all kinds of sickness are prevention. Paying extra for a regular set of tests like sugar, urine and blood tests will even better your chances of preventing certain conditions from developing. Think how less expensive that would be than when you actually become sick and you have to buy expensive medicines and pay a lot more for certain procedures.

Most kidney stones pass through the urinary system easily so drink lots and lots of water and do not mind going to the bathroom to urinate every now and then. Often times, people with kidney stones are only told to take lots of fluids and maybe some medication. Although the actual kidney stones are important in assessing the actual status so the patient may also be tasked to preserve their kidney stones and submit it for testing. Depending on the diagnosis, patients urine may also have to be analyzed for a whole day. Another day after initial medication or treatments are taken and done will also be set aside for another 24 hour urine analysis.

A change in lifestyle is also a very effective treatment. If you are not the type who drinks lots of fluids then it is high time that you learn to drink enough liquids in a day so that you will be able to produce at least 2 quarts of urine. While certain food are believed to contribute tot eh formation of kidney stones, moderation is really the key.

In the past, food high in calcium are shunned but recent studies have proven that calcium high foods including dairy products like milk can actually prevent formation of calcium stones. What should be watched out is the intake of calcium pills, food added with vitamin D and certain types of antacids that have a calcium base. A person who has a relatively high presence of acid in his urine is also advised to eat less meat, fish and poultry because eating these will further increase acid in urine.

There are medicines that maybe prescribed by doctors to somehow control the production of acid and alkali in urine. This is vital because acid or alkali are key factors in the forming of crystals. Allopurinol can be useful for cases of hyperuricosuria.

Hydrochlorothiazide favors calcium retention hence reducing the amount of calcium released by the kidneys which is in turn results to low or no formation of calcium tones. Sodium cellulose phosphate, on the other hand, secretes calcium in the intestines to prevent it from leaking to the urine.

As for surgical procedures in taking out kidney stones, the very popular procedure is Extracorporeal Shock Wave Lithotripsy or ESWL. This most frequently used procedure works when shock waves that are created outside the body travel into the skin and body tissues until they reach the denser stones. The shock causes the tones to break down in smaller particles so that they can easily pass through the urinary tract.

This sounds simple but potential risks and complications that may arise should always be discussed with the doctor before agreeing to go through the procedure.

The Importance of Early Diagnosis in Kidney Stones

Those people who are prone to kidney stones must familiarize themselves with the different types as early as possible so they would know what to adjust. Aside from setting lifestyles changes, knowing what type of kidney stones develop in the body is also important because it will help you do the things that will prevent their existence in your body system.

Many people are not aware of it but there are actually different types of kidney stones that some individuals suffer from. Among those types, the most common that most people develop is called “calcium oxalate stone.” While others are called “struvite stones,” “uric acid stones,” and “cystine stones.” These types vary depending on what cause them and their characteristics.

Medical alerts for kidney stones

To be able to address the condition properly, it a must for people who are prone to having kidney stones to familiarize themselves with the condition. In order to determine if one is suffering from kidney stones, here are some medical alerts or symptoms to be noted:

– pain in varying levels. As vague as it is, pain in varying levels is one of the major medical alerts of kidney stones. Considered as a common symptom for kidney stones, pain may vary depending on the size of the kidney stone and the length of time that it remains undiagnosed. Experts say that painwhich can be mild or extremeis normal for people who suffer from kidney stones. This is because as the stone increases in size and weight, the more discomfort it brings especially during urination. Another form of pain that can be experienced due to kidney stones is from renal colic, which brings waves of severe pain that lasts for more than 10 minutes and can even last for an hour depending on the location of the kidney stone.

– presence of blood in the urine or the condition called “hematuria.” The presence of blood in the urine is quite disturbing but this is one of the most common medical alerts of kidney stones.

Immediate diagnosis is a must

Most people dont know it but almost 50 percent of the people who suffer from kidney stones would likely have them again in the next 10 years or so? This is because many of the sufferers do not continue medication and they cease from maintaining healthy diet and lifestyle.

People who are likely to suffer from kidney stones can go to any hospital’s Emergency Room or “ER”. Here, you can ask the attending physician or the hospital clerk on duty to undergo testing. It is advantageous for you to go straight in the ER because hospital people will attend to you directly. In most cases, it would take a long time before one can actually set at check up with a specialist. So it would be best if you go directly to the ER and get the prompt attention that you need.

Diagnosis can be done through an assessment of the person’s clinical history, a physical examination, laboratory evaluation, and x-ray for follow up. Having early diagnosis can definitely help you determine which type of kidney stone is present and would lead to faster and reliable treatments.

Once you feel pain in different extent along with nausea or vomiting, pain with urination, and at times, the urgent need to urinate which are usually characterized among children and adults, then you should have yourself checked by the doctor because you might be suffering from kidney stones.