Renal Health & Intervention
Centre for Renal Health and Intervention The department of Nephrology at the Centre for Renal Health and Intervention (CRHI), Meitra Hospital, Kozhikode aims to provide comprehensive clinical care integrated with transparent, ethical practices and cutting edge research. Our endeavour is to facilitate an exceptional experience for patients tethered to the best possible clinical outcomes, in tune with the larger Meitra Hospital vision. The department in phase one of inception is manned by two consultants and assisted by a dedicated team of Dialysis nurses, Technicians and other support staff. Comprehensive Nephrology care is offered; comprising of outpatient services including multidisciplinary speciality clinics, in patient renal care including consultation service and ICU dialysis, maintenance hemodialysis, peritoneal dialysis, treatment of poisoning, renal biopsy and management of Glomerular disease, Plasmapheresis and Plasma Exchange, The centre is equipped to provide the full range of transplantation services both living donor and deceased donor kidney transplantation. The hemodialysis unit and outpatient clinics of the CRHI are located on the first floor in the main outpatient area adjacent to the day care space. The outpatient department will function daily 9.30 AM to 5.00 PM. Maintenance hemodialysis unit will be operational Monday to Saturday 7.30 AM to 5.30 PM. Emergency hemodialysis will be provided round the clock. Inpatient services are available throughout the day.

Hematuria

Presence of blood in the urine is termed as hematuria. There are two types of hematuria – gross hematuria and microscopic hematuria. When there is enough blood in the urine that is visible to the naked eye, the condition is termed as visible or gross hematuria. When the blood in urine cannot be seen with naked eye and becomes visible only under a microscope, the condition is termed as microscopic hematuria.

Causes

There are numerous causes for blood in urine or hematuria. Some of the conditions that causes hematuria are:

  • Urinary infections
  • Kidney stones
  • Pyelonephritis
  • Kidney disease
  • Kidney cancer
  • Injury to the urinary tract
  • Cancer in urinary tract
  • Enlarged prostate
  • Periods in women
  • Prostate infection
  • Certain medications
  • Heavy workouts
Symptoms

Hematuria may not be significant always. It can be harmless but there are instances where it can be a warning sign for other serious conditions. Hematuria often occurs without any other symptoms. Seek medical help immediately if you experience the following along with hematuria:

  • Nausea
  • Vomiting
  • Frequent urination
  • Pain in the abdomen
  • Painful urination
  • Fever
Diagnosis

The cause of blood in urine can be identified by the following procedures:

  • Physical exam
  • Medical history
  • Urinalysis
  • Cystoscopy
  • CT – computerized tomography scan
  • MRI- magnetic resonance imaging
Prevention

Prevention involves preventing the conditions that may cause hematuria like urinary tract infections, kidney stones and bladder cancers. Preventive measures include:

  • Drink plenty of water
  • Stay away from infections
  • Avoid smoking and alcohol
  • Avoid use of medications that causes hematuria
  • Avoid strenuous exercise
  • Avoid exposure to toxic chemicals and radiation.
Treatment

Treatment for hematuria depends on the cause of the condition. Some cases, treatment may not be necessary. If blood is present in urine as a result of urinary tract infection, then medications like antibiotics is the treatment. If it is caused by kidney stones then drinking plenty of water or extracorporeal shock wave lithotripsy can be the method used for treating in which shock waves are used to break down the kidney stones. Similarly treatment methods differ depending on the cause of hematuria.

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