CREATININE


CREATININE  
Creatinine is a chemical waste molecule which is generated in blood  or created by normal breakdown from the muscle metabolism, a molecule of major importance for energy production in muscles. The process of filtration of creatinine  done by the kidney’s out of blood and put it in urine to leave from the body. Average 2% of the body’s creatine converted to creatinine every day and transported through the bloodstream to the kidneys.
Normally, the muscle mass in the body is relatively constant, the creatinine level in the blood remains essentially unchanged on  daily basis. The kidney’s maintain the blood creatinine in a normal range. Creatinine is chiefly filtered out of the blood by the kidneys, though a small amount is actively secreted by the kidneys into the urine. If the filtering of the kidney is deficient, blood levels then rise. Therefore, creatinine levels in blood and urine used to calculate the creatinine clearance(Cr Cl) which reflects the glomerular filtration rate(GFR), clinically an important aspect to measure the renal function.
However, in cases of severe renal dysfunction, the creatinine clearance rate will be “overestimated” because the active secretion of creatinine will account for a larger fraction of the total creatinine cleared.
A more complete estimation of renal function can be made when interpreting the blood(plasma) concentration of creatinine along with that of urea.
BUN-to-creatinine ratio (the ratio of urea to creatinine) can show other problems besides those intrinsic to the kidney; a urea level raised out of proportion to the creatinine may show a prerenal problem such as volume depletion. Normally, men tend to have higher levels of creatinine because they generally have more skeletal muscle mass than women. It has also been observed that vegetarians to have lower creatinine levels too.
When the kidneys become impaired for any reason, the creatinine level in the blood will rise due to poor clearance by the kidneys,means unable to filter it properly. Abnormally high levels of creatinine thus warn of possible malfunction or failure of the kidneys. It is for this reason that standard blood tests routinely check the amount of creatinine in the blood.
A more precise measure of the kidney function can be estimated by calculating how much creatinine cleared from the body by the kidneys and it is referred to creatinine clearance. Normal levels of creatinine in the blood are about 0.6 to 1.2 milligrams (mg) per deciliter(dl) in adult men and 0.5 to 1.1 milligrams per deciliter in adult women. In the metric system,a milligram is a unit of weight equal to one-thousandth of a gram,and a deciliter is a unit of volume equal to one-tenth of a liter. Whatever the condition that impairs the function of kidneys will probably increase the creatinine level in the blood. It is important to recognize whether the process leading to kidney dysfunction.
The liver is responsible for the urea and passed out-of-body through urine. If kidneys are not able to remove urea from the blood normally, BUN level rises. Heart failure,dehydration,or a diet high in protein can also make BUN level higher. (BUN)test  to:see if severe dehydration is present. Kidney disease or blockage of the flow of urine from kidney causes both BUN and creatinine levels to go up. High values BUN can mean kidney injury or disease is present. Kidney damage caused may be because of diabetes or high blood pressure that directly affects. High BUN levels can also be caused by blockage of the urinary tract (by kidney stone or tumor) or low blood flow to the kidneys caused by dehydration or heart failure.  A high BUN value is caused by a high-protein diet,or from bleeding in the gastrointestinal digestive tract or respiratory tract. Low values – A low BUN value is caused by a diet very low in protein, malnutrition, or severe liver damage. Drinking excessive amounts of liquid may cause dehydration and cause a low BUN value. A low BUN-to-creatinine ratio may be caused by a diet low in protein. Taking diuretics, which can cause dehydration.
Gastrointestinal bleeds – It is useful for the diagnosis of upper gastrointestinal bleeding in patients who do not present with overt vomiting of blood.
The most common causes of longstanding kidney disease are high blood pressure and diabetes mellitus. Certain drugs can sometimes cause abnormally elevated creatinine levels. Serum creatinine can also transiently rise after ingestion of large amount of dietary meat.
Why Do Kidneys Fail?  Most kidney diseases attack neurons,causing them to lose their filtering capacity. Damage to the nephrons may happen quickly,often as result of injury or poisoning. But most kidney diseases destroy neurons slowly and silently. It may take years or even decades for damage to become apparent.  The two most common causes of kidney disease are diabetes and high blood pressure.
Signs –  Early stages of kidney disease may not feel sick at all, first sign:one may be having feeling of tiredness or itchiness all over the body or frequent headaches. If disease gets worsen, need to urinate more often or less often. May lose your appetite, experience nausea and vomiting. Swelling of hands or feet or may feel numb. May get feeling of drowsiness or having trouble in concentrating, skin may darken and have muscle cramps. Some people may have an incidental finding of severe kidney disease and higher creatinine on routine blood work without having any symptoms at all. In others, depending on the cause of problem, many symptoms may be present including: feeling dehydrated, fatigue, shortness of breath, confusion, or many other nonspecific symptoms.
 Urine creatinine (UCr) Creatinine concentration is also checked during standard urine drug tests. High creatinine levels indicate a pure test while low amounts of creatinine in the urine show a manipulated test, either through the addition of water in the sample or by drinking excessive amounts of water.
 Acupuncture ‘SuJok’, itself is a powerful medicine, which aids in strengthening the immune system and serves to prevent diseases, control pain and enhance  both the ability and quality to act the lives. It has been shown to promote the health and improve the body’s immune function, also helped many people who were not successfully treated through conventional western medicine.  Several conditions can be dramatically improved or remedied in full including control of creatinine level or functioning of the kidney’s.
 Needless to say, to have positive effective results, one must opt for Acupuncture ‘SuJok’. The beauty of the concept is that each treatment is catered to the needs of an individual patient. SuJok’s energy concept of treatment is on the miniature form of hands and foot of the body. Undoubtedly, one may get positive effective results from the first few sessions. The course of treatment is definitely uneventful.
write; originsmile.wordpress.com ‘Dr.Dinesh kapur
 To your well-being, smile life. Enjoy!

 

 

 

 

DIZZINESS


DIZZINESS
 A sensation of light-headedness and unsteadiness, is often caused by a decrease in blood supply to the brain, while vertigo is caused by disturbances in the inner ear and the balance centers of the brain. It is necessary to understand the specific symptoms a patient is experiencing in order to make the correct approach;
Common causes of dizziness –
Low blood pressure – Dizziness, light headedness, and the feeling of passing out is a common complaints who have low blood pressure. When the blood pressure is too low, not enough oxygen-rich blood is being delivered to the brain, and its function can be affected.
•sweating,
•nausea and vomiting,
•shortness of breath, and
•chest pain. 
 •anemia (decreased red blood cell count)
•bleeding
•dehydration (loss of water in the body) often occurs with infections that cause vomiting and diarrhea.
Most attacks of dizziness are brief and harmless and are caused by a momentary reduction of the blood supply to the brian,such as may occur when getting up suddenly after sitting or lying down. However, dizziness may be a symptom of ear or brain disorders, cardiovascular disease, anaemia or Hypo or Hyper – glycemic or it may be a side effect of certain drugs – especially those used to treat high blood pressure.
•endocrine disease.
•addison’s disease: it occurs when the adrenal glands do not produce enough cortisol to meet the needs of the body, it’s a naturally occurring steroid produced by the body and is part of the stress response (fight or flight). If cortisol levels are low, a patient may experience weakness, fatigue, dizziness, light-headedness, low blood sugar, and low blood pressure.
Vertigo – Vertigo is often described as feeling dizzy, or a sensation of spinning. The patient may specifically mention that the room seems to be spinning around them. Sometimes the complaint is loss of balance or loss of equilibrium. This often occurs because of irritation in the inner ear (the part of the ear that involves balance, not hearing).
 The inner ear has two parts that help the body determine its position in space relative to gravity; 1) the semicircular canals and, 2) the vestibule.
 There are three semicircular canals that are aligned at right angles to each other. These canals are filled with fluid and are lined with a nerve-filled, crystal-encrusted membrane that transmits information to the cerebellum (the part of the brain that controls balance and coordination). The cerebellum collects information from visual stimuli and the nerve endings in muscles associated with proprioception (the perception of movement), to assist the brain in assessing where the body is in relationship to gravity and its surroundings.
Normally, when the head moves, fluid in the semicircular canals shift, and that information is relayed to the brain. When the head stops moving, the fluid stops as well, and that information is relayed to the brain.
In some cases there may be a short delay in the transmission of this information to the brain. For example, when a person rides on go-round or spins quickly around in circles, the fluid in the canals develop momentum and even though the body stops spinning, the fluid in the semicircular canals may continue to move. This causes vertigo, or a sensation of spinning, and may cause the person to fall or stumble. It also may be associated with vomiting.
•Acoustic neuroma: This is a benign tumor of the ear that can present with vertigo.
•Vertigo is the sensation of spinning and may present without warning and be associated with nausea and vomiting. Patients with inner ear problems may be unable to move without generating symptoms.
The mild case can be relieved by closing one’s eyes, while the serious case has an illusion of bodily movement with rotatory sensation like sitting in a sailing boat or moving car, and even accompanied by nausea, vomiting and sweating.
Pathogenesis ;
Hyperactivity of the liver ;
The liver is analogize as wind and wood, characterized by movement and ascending. Over contemplation, anxiety, depression or anger can damage the liver yin, resulting in hyperactivity of liver yang. Dizziness occurs in case the liver yang moves as the wind and ascends to attack the brain. Or the kidney water, generally in deficiency, fails to nourish the liver. Dizziness occurs in case the liver is lack of nourishment, which leads to hyperactivity of liver yang. In both situations there is deficiency in the lower but excess in the upper part of the body.
Main manifestations : Dizziness aggravated by anger, irritability, flushed face, red eyes, tinnitus, bitter taste in the mouth, dream-disturbed sleep, red tongue proper with yellow coating, string taut, rapid pulse.
Analysis : Anger damages the liver yin causing hyperactivity of the liver yang which transforms into fire. When the fire flares up, flushed face, red eyes and irritability appear. The spirit stored in the liver is upset by disorders of the liver, then dream disturbed sleep occurs. The red tongue proper with yellow coating, bitter taste in the mouth, string-taut, rapid pulse are the signs of yin deficiency resulting in fire hyperactivity.
Deficiency of blood ;
the heart and spleen are damaged by overwork and over contemplation in case of a weak constitution after a disease. The damaged spleen fails to produce qi and blood, leading to deficiency. In case the brain in poorly nourished by blood, dizziness occurs.
Main manifestations : dizziness accompanied by pallor and lustreless complexion, weakness, palpitation, insomnia, pale lips and nails, lassitude, pale tongue proper, thready and weak pulse. Dizziness occurs mostly after a serious disease or loss of blood and is aggravated by overwork. Loss of consciousness happens in sever cases.
Analysis : Dizziness is inevitable because deficiency of qi and blood fails to nourish the brain. The heart dominates the blood and is manifested in the complexion. The spleen dominates the transportation and transformation to manufacturer qi and blood. If the heart and spleen are injured, the blood will be insufficient, thereby the complexion is lustreless and the lips and the nails are pale. Deficiency of blood leads to palpitation and insomnia. Deficiency of qi gives rise to weakness, lassitude, anorexia and is aggravated by overwork. Pale tongue and thready, weak pulse are the signs of deficiency of blood.
Interior retention of phlegm dampness ;
In a person with generally abundant phlegm dampness, irregular food intake and overwork damage the stomach and the spleen, impairing their function in transportation and transformation and leading to production of dampness and phlegm. Then the stagnant phlegm and qi may impede the ascending clear yang and the descending of the turbid yin, and thus dizziness occurs.
Main manifestations : Dizziness with a heavy feeling of the head and suffocating sensation in the chest, nausea, profuse, sputum, anorexia, somnolence, white, sticky tongue coating, soft, rolling pulse.
Analysis : Dizziness with a heavy feeling of the head is the sign of the pure yang disturbed by phlegm dampness. Suffocating sensation in the chest and nausea are caused by qi obstructed in the middle jiao. anorexia and somnolence are due to the spleen yang deficiency. White sticky tongue coating soft and soiling pulse are the signs of phlegm dampness.
SuJok therapy stands as a highly efficient method of non medicamentous treatment of dizziness patients. The SuJok therapy approach has the capacity to remedy health disorders at a variety of levels, including emotional, mental, at the somatic (intersystemic) level, the afflicted system and cellular levels. SuJok therapy will emerge useful both as a tactical therapeutic modality in order to relieve an exacerbated condition, and as a strategic treatment aimed at dealing with first-order factors of the dizziness pathogenesis.
SuJok therapy has proved to be in tune with the therapeutic methods advised by the International Su Jok acupuncture by the points corresponding to the ear, and also by Six ki energy therapy.
write; originsmile.wordpress.com Dr.Dinesh kapur
 To your well-being, Enjoy yourself!