Tag: Physical Examination

How Are Kidney Stones Diagnosed

Do you have kidney stones? You will never know until you are examined by a doctor because the symptoms associated with this problem are very similar to UTI or urinary tract infection.

So, you have to set an appointment with the doctor. While there, he or she will review your medical history and conduct a physical examination before running some tests.

If you are a regular patient of the doctor, it will be easy to pull your file out. However, if this is your first time, you will have to fill up the form and get your medical files.

Your medical history does not say much about kidney stones especially if you have never had this before which is why the next step is to conduct a physical examination. Here, the doctor will look at you physically and touch certain areas. This is hard for the doctor to do if the patient is in extreme pain.

So the best way to confirm initial findings is through laboratory tests. The doctor will either extract blood or ask a urine sample from you.

You may also have to be scanned and there are a variety of machines for that. These include a computed tomography (CT) scan, intravenous pyelogram (IVP), retrograde pyelogram, and the regular X-ray.

The CT scan is used for various examinations. A scanner and a computer are used to create images of the urinary system. The only problem is that it has difficulty detecting small stones if they are located near the bladder. If a stone is found, an x-ray follows to determine the orientation, shape and size of the kidney stone.

Intravenous Pyelogram or IVP is done after a contrasting agent is injected into the vein. Within minutes, the test will show if there is a kidney stone blocking the ureter. This is perhaps the best method to check if you have kidney stones even if there is a slight risk for an allergic reaction to the fluid that was injected into the vein.

If you think that the ultrasound is only used to see the baby growing inside the womb, think again because it can also be used to detect a dilated upper urinary tract and kidney if the stone is lodged in the ureter. Its limitation is that it cannot detect kidney stones that are no longer in the kidney area.

Another term for retrograde pyelogram is a cytoscopy. The test begins by inserting a telescopic instrument into the bladder. Then, similar to the IVP, a contrast agent is injected into this opening and an x-ray is done to find the kidney stone.

Some doctors say this is better than IVP because there is no way to get an allergic reaction from the contrasting agent. This is because you will first be injected with anesthesia so in essence, you dont feel anything.

Among the different tests done to detect kidney stones, this is only used when other tests have proven to be inadequate or unsuccessful.

It is only after careful diagnosis that doctors will be able to tell if you have kidney stones or not. From there, they can treat you by giving some medication or advising you to drink lots of water because you may be able to expel the stones on your own. But if this does not work, then surgery is the next option.

Do You have Kidney Stones

Is there blood when you urinate or do you feel pain coming from your back or pelvis? If your answer to these two questions is yes, then you may have kidney stones in your body and the only way to be sure is to have yourself examined by a doctor.

The two symptoms mentioned are just some of the symptoms that tell you if you have kidney stones. Other symptoms include fevers or chills, feeling or being sick, frequency urinating and feeling a burning sensation when you urinate.

It is hard to tell just by how you feel if you do have kidney stones because these symptoms are also felt by those who have UTI or urinary tract infection.

When you go to your doctor, he or she will have to do a system of checks. This will include reviewing your medical history, conducting a physical examination and doing some tests.

The best way to rule out UTI is to extract a sample of urine or blood and scanned using one or two machines that may be a computed tomography (CT) scan, intravenous pyelogram (IVP), retrograde pyelogram or X-ray.

To give you a better understanding of what these machines are;

The CT scan is used not only to tell if you have a kidney stone because it can be used for other purposes. In the case of kidney stones, the doctor will tell the technician to focus on your urinary system.

The only problem with the CT scan is that it cannot detect small stones when these are located near the bladder. TO be sure, an x-ray will be done to tell the doctor its orientation, shape and size.

The Intravenous Pyelogram or IVP is another option and this can only work after you have been injected with a contrasting agent. Once this is flowing through your kidney, it will be easy for the machine to see if you have a kidney stone blocking the ureter.

There are risks for conducting this test especially if you have a slight allergic reaction to the fluid that was used.

The ultrasound has other uses and letting you know the size of your baby is just one of them. The doctor may also use this device to check if you have kidney stones located in your upper urinary tract or in your ureter. Unfortunately, it cannot be used to check for kidney stones in other parts of the body.

Another test is called the retrograde pyelogram is a cytoscopy. This test is similar to the IVP because it also uses a contrasting agent. The only difference is that once you are injected, a slam telescopic instrument is sent it to check the bladder.

In most cases, patients who may have kidney stones do not need to undergo these tests because the others mentioned have already confirmed that.

When doctors are sure that you have kidney stones and determined the type this is in your body, only then will they be able to treat it. The doctor may or may not have to give you medication. In extreme cases, surgery may be the only option.

Kidney stones happen more often to men than women. If you feel something wrong down there, dont wait until things get worse to see your doctor.

Can You Get Spider Vein Treatment

Can you get spider vein treatment? That is one question that only your doctor can answer after conducting a thorough physical examination and reviewing your medical history.

The patients medical history is important because spider vein could be caused by age, heredity, medication or pregnancy. If you think that only females get it, men also do but it is rare for men to undergo treatment so this can be removed.

If you are considering spider vein treatment, you have to be physically fit because people who have circulatory problems, diabetes, heart condition or a blood born disease like hepatitis or AIDS cant undergo this procedure.

One issue that prevents some from undergoing spider vein treatment is the cost. It may be as low as $150 per leg but this could be much higher depending on how many veins have to be treated, how large are the veins, the experience of the doctor and where this will be done.

If you cant afford it, you may want to check if your insurance will be able to cover it. The bad news is that it is rarely covered by your provider because spider veins are considered to be a cosmetic problem, nothing else. If you are lucky, you will be required to present photographs or laboratory studies before your request is approved.

The procedure used by most doctors today is called sclerotherapy. Here, the doctor will inject needles into the affected veins. Studies have shown that the patients condition will improve by 50 to 90 percent but this takes months. The end result is that the spider veins will disappear but this does not prevent new ones from appearing later on.

Patients who choose to undergo sclerotherapy will be on an operating table for about 15 to 45 minutes. Again, this depends on how many veins need to be treated. Anesthesia is not used all throughout and you are awake the whole time. Since the needles are so thin, the only thing you will feel is a prick.

Once you have been injected with the fluid, the area will be bandaged and you will have to wear a prescribed tight fitting hose for 72 hours.

During this time, your legs will look like someone beat you up. To remove the sclerosing solution that was injected, your doctor will advise you to walk. Until the next session which is due in the following month, you should not carry heavy items, exercise, sit, stand or squat for a long period of time.

If money is not an issue and there is nothing in your medical history that is preventing you from undergoing sclerotherapy, the only thing you have to do now is look for a doctor.

Just be sure that the specialist is a member of the American Society of Plastic Surgeons (ASPS). These people are members of a bigger organization namely the American Board of Plastic Surgery (ABPS) and the Royal College of Physicians and Surgeons of Canada.

But can spider veins be prevented? Yes it can as long as you wear a support hose regularly as this helps prevent unwanted blood vessels from developing. You should also exercise regularly and maintain your weight. Lastly, you must avoid exposing yourself too much from the sun as its harmful rays can also do damage.

But some people still experience spider veins despite the measures mentioned and if you want to get rid of it, you have no choice but to undergo spider vein treatment.