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
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TINNITUS


TINNITUS
 Tinnitus is characterised by continual noise or ringing, buzzing, crackling, clicking,  roaring, whistling or hissing sound heard inside one or both ears. Sufferers of tinnitus can experience a wide variety of noise, the severity of which ranges from minor annoyance to debilitating pain. In some cases, it signals problem, such as an ear injury, loss of hearing, or blood vessel disorder. The excess type is caused by fury or fright with upward rush of wind fire of the liver and gall bladder that obstructs the qi circulation in the meridian or caused by invasion of pathogenic wind blocking the orifice. The deficiency type is due to deficiency of the kidney qi and failure of essential qi to ascend to the ear.
Causes;
Tinnitus is sometimes caused by exposure to loud noises. It can also occur as a side effect to certain medications(including some antibiotics, cancer drugs, and diuretics or as the result of earwax blockage.
In other cases, tinnitus results from an underlying condition, such as: •age-related hearing loss •allergies •low or high blood pressure(blood circulation problems) •disorders of the circulatory system •Meniere’s disease (an inner-ear disorder) •acoustic neuroma (a noncancerous tumor on the cranial nerve) •a tumor •diabetes •thyroid problems •injury to the head or neck, as well as a variety of medications including anti-inflammatory medicines, antibiotics, sedatives, antidepressants, and aspirin, colds and flu, noisy environments, allergy flare-ups can increase the intensity of tinnitus noise. Other tinnitus irritants include high salt intake, sugar, artificial sweeteners, alcohol, various medications, tobacco, and caffeine.
Excess Type;
Main manifestations: Sudden deafness, distension sensation and constant ringing in the ear that can not be eliminated by pressing. In the case of upward perversion of pathogenic wind fire of the liver and gall bladder, there are flushed face, dry mouth, irritability and hot temper, forceful and string taut pulse. In the case of invasion by exogenous pathogenic wind, there appear headache and superficial pulse.
Analysis: The pathogenic fire of the liver and gall bladder that flames up along the related meridians results in deafness, tinnitus, headache, flushed face, bitter taste in the mouth and dryness of the throat. Hyper function of the liver causes hot temper and irritability is brought about the pathogenic heat disturbing the mind. Forceful and string taut pulse indicates the excess condition of the liver and gall bladder. When the pathogenic wind attacks the exterior of the body and obstructs the orifices, deafness, tinnitus and headache occur. Superficial pulse is a sign of invasion of the exogenous pathogenic wind.
Deficiency Type;
Main manifestation: Protracted deafness, intermittent tinnitus aggravated by strain and eliminated by pressing, dizziness, soreness and aching of the lower back, seminal emission, excessive leukorrhea, thready and weak pulse.
Analysis: Hypo function of the kidney makes essential qi fail to ascend and fill up the orifices, so there are deafness, tinnitus and dizziness. The loin is the house of the kidney, so hypo function of the kidney causes soreness and aching of the lower back. Deficiency of the kidney qi with impaired restraining function or deficiency of yin with flaming up of the asthenic fire that stimulates the seminal organs causes emission. Since the kidney loses its function of restricting the meridian. Thready and weak pulse are signs of deficiency condition.
Treatment for Tinnitus – It may be quite difficult to eliminate the noise completely according to western medicine. Strategies that may relieve symptoms include: •use of noise-suppressing devices (such as white noise machines)
 •earwax removal
 •avoiding irritants (including loud noises and nicotine).  If tinnitus occurs suddenly and/or is accompanied by hearing loss or dizziness, consult as quickly as possible.
Each sufferer of tinnitus has a personal experience with the condition. What brings relief for one person may not work for another.
According to Encyclopedia of Natural Remedies, deficiencies in magnesium and potassium have been linked with tinnitus.
BUT, with the energy concept of SuJok ACUPUNCTURE, one may overcome the tinnitus problem. SuJok Therapy – Unique and unparalleled in the world, with no drugs,  authored by Prof.Park Jae Woo from Seoul. Method in Russia licensed, approved and endorsed by the Scientific Council of the Ministry of Health of Russia. In 2001, the Ministry of Health of Russia were published guidance on the application Onnuri Su-Jok therapy in clinical practice, physicians of all specialties. SuJok therapy is officially considered a form of acupuncture.
Needless to say, if the tinnitus in your life is throwing you off balance, consider coming in for a treatment through SuJok to regain peace of mind and stay healthy
write smile views; originsmile.wordpress.com ‘Dr.Dinesh Kapur’
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LIVER


LIVER 
The liver function is to promote the free flow of vital energy, dominates the tendons and open into the eye.  Liver’s vital energy stagnation and emotions – according to energy concept of Onnuri Medicine, emotional disorders may be associated with a number of different patterns of disharmony; however, anger, irritability, and frustration are all signs that the energy is not flowing smoothly, properly. The liver is responsible for the smooth flow of energy (life force) throughout the body and for smoothing our emotions too. When the liver’s function of moving energy considered to be as wind and with new research it is considered to be as coldness is disrupted,can become stuck,referred as liver energy stagnation. Stagnation is one of the most common patterns of disharmony observed in patients. In addition to irritability and moodiness, changes of the liver mainly manifest themselves in dysfunctions of the liver in storing blood and in promoting the free flow of energy, and in disorders of the tendons.
Signs and symptoms may include ;
 – Distending pain in the area below the ribs
 – Pain or discomfort anywhere along the sides of the body
 – Stuffiness of the chest
 – Distending or wandering pain in coastal and hypochondriac regions, in prolonged cases pricking pain or palpable mass may be present
 – Sighing
 – Abdominal distention and discomfort
 – Stomachache that improves after massage or Stomachache that worsens with anger
 – Nausea
 – Sour regurgitation
 – Belching
 – Diarrhea or constipation
 – Feeling of a lump in the throat or possibly a foreign body sensation in the throat
 – Irregular woman’s cycle, painful periods and distention of the breasts prior to periods
 – Liver qi stagnation is commonly associated with PMS.
 – Depression. Mood swings. Sighing. Hiccups. Frustration. Inappropriate anger. Sensation of a lump in throat. Difficulty swallowing.
 – Bitter taste in mouth
 – Poor appetite
 – Churning sensation in stomach.
The tongue may be purplish dark in color or there are purplish spots on the tongue.
Move Livers vital energy! The liver is responsible for the smooth flowing of energy (life force) throughout the body. When the liver functions smoothly, physical and  emotional activity throughout the body also runs smoothly. So, for optimum health, move your energy!
Stretch – The liver controls the tendons, it stores blood during periods of rest and then releases it to the tendons in times of activity, maintaining tendon health and flexibility. Incorporate a morning stretch into your routine. Try yoga or tai chi.
Eye Exercises – The liver opens into the eyes. Although all the organs have some connection to the health of the eyes, the liver is connected to proper eye function. Remember to take breaks when looking at a computer monitor for extended periods of time and do eye exercises.
Eat Green – Green is the color of the liver. Eating young plants – fresh, leafy greens, sprouts, and immature cereal grasses – can improve the liver’s overall functions and aid in the movement of energy.
Try Something Sour – Foods and drinks with sour tastes are thought to stimulate the liver’s vital energy. Put lemon slices in your drinking water, use vinegar and olive oil for your salad dressing and garnish your sandwich with a slice of dill pickle.
Do More Outdoor Activities – Outside air helps liver qi flow. If you have been feeling irritable, find an outdoor activity to smooth out that liver energy stagnation. Try hiking or take up golf.
Enjoy Milk Thistle Tea – Milk thistle helps protect liver cells from incoming toxins and encourages the liver to cleanse itself of damaging substances, such as alcohol, medications, pesticides, environmental toxins, and even heavy metals such as mercury.
The syndrome is often due to mental irritation which impairs the function of the liver in promoting the free flow of qi and results in stagnation of the liver energy, leading to retardation of the energy circulation thus presenting mental depression, irritability, distending pain in the coastal and hypochondriac regions, breasts, stuffiness in the chest and sighing. Transverse invasion of the spleen and stomach by the liver energy produces epigastric and abdominal distension and pain, poor appetite, belching.  Retardation of the energy circulation allows damp to collect and phlegm may be formed; the phlegm and energy may accumulate in the throat. Affected by the dysfunction of energy, the circulation of both energy and blood is retarded and disharmony of the conception vessel meridians may result. This can cause irregular menstruation and dysmenorrhea.  Long standing obstruction of the liver energy, leading to stagnation of energy and blood, may elicit palpable masses, accompanied by pricking pain in the coastal and hypochondriac regions, a purple tongue or a tongue with purplish spots and a string taunt pulse.
The blood circulation relies upon the propelling function of energy. Although the heart and lung play the main role in the circulation of energy and blood, the function of the liver in maintaining the free flow of energy is also needed to prevent stagnation’s of energy and blood. The liver stores blood and its meridian ascends to connect with the eyes. The liver energy is in communication with the eyes. Whether the liver function is normal or not often reflects on the eye. Deficiency of the yin and blood of of the liver may lead to dryness of the eyes, blurred vision or even night blindness. Wind heat in the liver meridian may give rise to redness, swelling and pain in the eyes.
AS, SuJok is a component of Onnuri Medicine, and involves inserting of very thin, fine, metal needles into the specific ‘correspondence points’ or ‘triorigin joints’ or meridians located on the miniature form of hands or foot, connecting the surface of the body energetically with the internal organs. The theory is that inserting the needles stimulates these ‘energy points’ and unblocks the natural flow of light energy (qi or chi) through meridians, six ki or eight ki. Blocked qi is thought to cause disease. Unblocking qi allows  body to heal itself.  Scientific evidence=One theory suggests the needling encourages the release of endorphins natural pain killers produced by the brain) and sets off an inflammatory response that allows the body to heal itself. Another theory is that acupuncture has a powerful effect on the mind, which may also help to activate the body’s pain-relieving mechanisms.  The remission of the disease of LIVER can be achieved and medicamentous therapy simultaneously can be reduced or eliminated altogether.  The course of treatment is defenietly uneventful.  It [acupuncture] provides maximum benefits without the dangerous side effects associated with many of the approaches of conventional medicine. Try effectiveness results with smile.
write smile feedback ; originsmile.wordpress.com<Dr.Dinesh Kapur>                                 
 To your well being, smile life. Enjoy!