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what would be treatment for raise creatinine? sr. creat is 7
As stated by Dr Rohit sir in absence of clear guidelines and research backed results it is best to not promise much in this case. But in general I would like to share my basic concept of CKD management which we can use for our patients. In CKD the severity or prognosis of disease is measured by checRead more
As stated by Dr Rohit sir in absence of clear guidelines and research backed results it is best to not promise much in this case. But in general I would like to share my basic concept of CKD management which we can use for our patients.
In CKD the severity or prognosis of disease is measured by checking Sr creat and GFR of the patient. Oversimplifying the subject, creat ( by product of muscle damage/wear and tear) is something that has to be filtered out through kidneys and excreted by urine. When that doesn’t happen it usually indicates failing kidney function and shows up in form of Raised creat. In Ayurveda mutra is responsible for Kleda (vikrut/again related to mansa and meda dhatu) vahan , so if mutra utpatti is hindered Kleda sanchiti will occur.. even though Kleda and creat cannot be one and the same. I have treated patient on same principle. So Kledapachak and Kleda sodhak medicines should be used. In traditional formulations Arogyavardhini, Chandraprabha and Punarnava mandoor help. In Madhavbaug we can definetly use our medicines like Sothagni , punura in combination with Pachanvati or goodilax for good improvment. Keeping in mind most of Severe CKD paitent exhibit vaat prakop lakshna (karshya, karshnya etc) too, using Siddha ghrit is also advised in those cases.. more so because Vrukka is referred to be medo moola.
Lastly USG grading of Kidney disease is also very important in prognistic prediction. A case with very poor corticomedulary diffentiation will show poor/slow response to any treatment.
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Medicine
Hello doctor, As rightly said by Omkar sir Balya Kalpa is among the first choice of drug for managing asymptomatic HIV +ve Patient. Many studies point to positive impact of ayurvedic herbs like ashwagandha, shatavari but also of Amla, Guduchi. So consider adding Madhavprash and goodilax as boRead more
Hello doctor,
As rightly said by Omkar sir Balya Kalpa is among the first choice of drug for managing asymptomatic HIV +ve Patient. Many studies point to positive impact of ayurvedic herbs like ashwagandha, shatavari but also of Amla, Guduchi. So consider adding Madhavprash and goodilax as both Rasayan and immunomodulator. Even a combo of Amalaki ,Haridra and Guduchi should be beneficial which is available in Endogaurd.
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Chelation therapy
Absolutely Agreed with Dr Rohit Sir, article published in BMC journal in 2005 is suggesting that Chelation therapy is not having therapeutic benefit in CVDs. This article is Metaanlysis of 7 RCTs
Absolutely Agreed with Dr Rohit Sir,
article published in BMC journal in 2005 is suggesting that Chelation therapy is not having therapeutic benefit in CVDs. This article is Metaanlysis of 7 RCTs
See lessChelation therapy
Hello Doc, Chelation is a chemical process in which a substance is used to bind metals or minerals so they can be excreted from the body. Chelation therapy is a procedure in which EDTA { Ethyline Diamaine tetra acetic acid } is injected through a saline bottle. This EDTA is a chelating agent. A chemRead more
Hello Doc,
Chelation is a chemical process in which a substance is used to bind metals or minerals so they can be excreted from the body.
Chelation therapy is a procedure in which EDTA { Ethyline Diamaine tetra acetic acid } is injected through a saline bottle. This EDTA is a chelating agent. A chemical that binds certain metal ions, such as calcium, magnesium, lead, and iron. It is used in pathology labs to prevent blood samples from clotting and to remove calcium and lead from the body.
Though this agent is used in pathology labs to prevent clotting, when injected in blood it has high chances to lead to platelet agglutination and thrombocytopenia also.
Can Chelation therapy have adverse effects?
Does Chelation therapy improve Ischemia?
Click on the below link to read the RCT research which says that improvement post 27 weeks of 27 sittings of Chelation in IHD patients improved the ischemia time by 63 seconds only, while placebo improved by 54 seconds.
RCT to assess effect of Chelation therapy on IHD
Does Chelation therapy help in reversing blockages?
Some health professionals also suspect that EDTA may act as an antioxidant by removing metals that combine with LDL which can damage arteries. The theory is that when you remove metals that flow freely through arteries (such as copper or calcium), you may slow down diseases such as atherosclerosis. Research has not proved this theory. Some experts believe that EDTA could remove calcium from healthy bones, muscles, and other tissues, as well as from diseased arteries. If you ask about reversal of plaque by this therapy, answer is NO. Average Coronary artery calcium reduction by this therapy is about 14%.
If the patient wants to simultaneously continue Chelation therapy along with your therapy, you can allow the patient for the same.
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Do you want to know the Concept of Knee Joint Pain Management?
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How to get YES from Patient – Part 2?
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