Role of Management and Diet in Treating Renal Failure | Dr. Lubna Kamal - video Dailymotion

Dr. Lubna Kamal | Nano Homeopathy

🌿 Nano Homeopathy Institute provides homeopathic treatment and holistic care for patients with Chronic Kidney Disease (CKD / CRF), focusing on:  ✔ Personalized homeopathic treatment based on individual case ✔ Non-dialysis supportive care (where clinically appropriate) ✔ Lifestyle and diet guidance ✔ Regular follow-up and monitoring ✔ Improving overall health and quality of life  ✨ With proper guidance and individualized care, patients can achieve better health, improved energy levels, and a more balanced lifestyle.  🎯 This video discusses the important role of proper management and diet in renal failure, highlighting how lifestyle modifications, nutritional planning, regular monitoring, and patient compliance can contribute to better kidney health and overall well-being.  📚 Topics covered include: ✔ Importance of diet in kidney disease ✔ Fluid and salt management ✔ Lifestyle modifications ✔ Regular follow-up and monitoring ✔ Supportive care for better quality of life  📞 Call / WhatsApp: 7052991111 🕒 Timings: 10:00 AM – 8:00 PM 👉 We will reply as soon as possible  🌐 Follow Us On  Facebook: https://www.facebook.com/share/1AzC2oRcdi/  Instagram: https://www.instagram.com/drlubnakamal22  Google Profile: https://share.google/PfloTy4mnZqlHp6bp  YouTube: https://www.youtube.com/@NANOHOMEO  Dailymotion: https://www.dailymotion.com/user/Nano_Homeopathy  🌍 Websites  www.kidneyfailure.co.in  www.drlubnakamal.com  📢 Hashtags  #RenalFailure #KidneyDisease #KidneyDiet #CKD #CRF #KidneyCare #Homeopathy #NanoHomeopathy #DrLubnaKamal #HealthAwareness #RenalNutrition #HealthyLifestyle 🌿

Transcript

00:18good morning good afternoon and good evening welcome to the 565th day of continuous home

00:26session of IFDH today our guest is Dr. Lubna Kamal MD homeopathy MBA PhD homeopathy nephrology is

00:40treating renal failure and other patients suffering from other chronic illnesses since

00:45last two decades you all know that's a very important topic renal failure the cases are

00:51on the rise day by day the only solution as the allopathy says only the renal transplantation

00:59and always seeking for those who donate their kidneys so many social problems are all created

01:06by these these renal transplantations so very important topic role of management and dieting

01:15renal failure on behalf of IFDH i am welcoming you Dr. Lubna Kamal you can have a platform for next

01:2140

01:22minutes over to doctor hello everyone this is Dr. Lubna and we'll be talking about

01:30the importance of management in treating renal failure see what we do with homeopathy is we try to

01:42cure the patient or improve the symptoms but management is different from medication and

01:50management is auxiliary to that and it is equally important because we do not we as homeopaths do not

01:58fail in selecting the similimum or prescribing the right medicines what i have seen in my clinical practice

02:07is that the most homeopathic doctors do not know how to manage a chronic case and especially patients

02:16suffering from liver cirrhosis cancers and especially this renal failure so i'll be speaking about

02:24specifically about renal failure today and regarding the rest of the topics we'll discuss later on so the

02:32most important thing to uh for a patient of suffering from renal failure is the management of their blood

02:44pressure now in most of the cases actually the blood pressure is raised that is usually the first symptom

02:54we come to know of uh the patient usually reports with high blood pressure and then when we get it

03:02checked

03:02again and again we find that uh despite medication it is not reducing that is usually what happens

03:08with the patients of renal failure that without um despite medication it is difficult to bring down

03:15the blood pressure in normal range so uh when such patients uh go for their uh creatinine test uh then

03:26we find

03:27that uh it is raised so the most important thing is uh the management of blood pressure because without

03:35managing the blood pressure we cannot control or reduce the creatinine or improve the uh patient of

03:42suffering from renal failure in any way now what um how should we treat um this blood pressure uh first

03:52of all there should be regular monitoring and uh we should see um the trend of the blood pressure when

04:00is it increasing when it is uh decreasing it is uh continuously increasing what is the trend uh then uh

04:09the initial you see in the initial what i have uh found in my uh clinical practice is that initially

04:16uh the in the initial stages of blood pressure it is okay to give homeopathic medicines like

04:23robolfia cratagus strontia etc but when uh the blood pressure in itself is chronic it is persistently

04:32rising or it is persistently there or the blood pressure medications uh are needed uh to be increased or

04:42there um the salts need to be regularly changed then we should not try to give homeopathy uh in that

04:50then we should switch to uh allopathic or the modern medicines um and we can refer a patient to

04:57uh the nephrologist uh the nephrologist and they can prescribe uh the various uh medicines available

05:04uh amongst them whichever they feel is useful um now speaking of the blood pressure medication there are

05:11few i would like to discuss the first are the diuretics because see oh and a homeopathic doctor

05:18too needs to have a first-hand knowledge of all these uh allopathic medicines as well because

05:25in some cases the rise of creatinine is because of the uh the allopathic medicines that the patient is

05:34taking uh sometimes they take it indiscriminately uh sometimes they do not consult a nephrologist

05:41they are taking some medicines from some quacks so we have to guide the patient regarding that uh the

05:48first in line of the treatment available for blood pressure is the diuretics uh the diator and the

05:54diuretics uh which we commonly know and uh they are responsible to for the reduction of the blood

06:02volume they reduce the sodium and the uh fluid content uh from the they remove the excess of

06:11fluid and the sodium from the body but the overuse uh or indiscriminate use of diuretics is very

06:20harmful as it may lead to dehydration and ultimately it damages the kidney it harms the kidney and

06:28sometimes the rise of creatinine is because of this only uh then second are the beta blockers which

06:35act on the heart they reduce the heart rate and the blood volume which in turn uh leads to lowering

06:42of blood pressure the third are the ACE inhibitors um uh for that um i would like to discuss this

06:51um

06:52ras or uh renal angiotensin and aldosterone uh system uh so whenever there is um reduction in the

07:01renal blood flow when uh the renal blood flow the blood flowing into the kidneys is reduced uh due to

07:08this

07:08uh juxtaglomerular cells in the kidneys the pro renin is converted into the renin in the blood

07:15and the renin actually converts the angiotensinogen into angiotensin 1 and then angiotensin 1 is

07:24converted into angiotensin 2 and angiotensin 3 by ACE so uh these ACE inhibitors they reduce the renal

07:34function and then the fourth class of the blood pressure medication is the angiotensin 2 receptor

07:40blockers then fifth is the calcium channel blockers then there is the alpha blockers vasodilators

07:50alpha 2 receptor agonists and the central agonists now the most important thing to understand here is that

07:59sometimes in the end stage renal disease that is the when the gfr is really low and the patient is

08:06dependent on renal replacement therapy that is the dialysis or the transplant if the blood pressure is

08:14uncontrolled even by various medications i have patients who take uh numerous medicines for blood

08:21pressure at the same time six or seven pills just for blood pressure and still it is not controlled then

08:28is the last um this medication the central agonists are used which act on central nervous system and

08:35not the central um the cvs so it is best to give uh those medicines and which uh bring down

08:43the blood

08:44pressure uh it can be given two or three times a day but it has to be uh if the

08:52blood pressure is okay

08:53like later on in life if it becomes okay then these medications cannot be stopped at once they have to

09:01be gradually tapered off you take uh away uh one of the pill and then gradually reduce the dose and

09:10another important thing regarding blood pressure is that if you have selected the right similimum

09:18suppose you are giving um several medicines and if you have selected the right similimum

09:26then automatically the blood pressure would improve even if the creatinine level does not improve or if

09:33apparently the patient is not better and if the blood pressure is better then you can be sure

09:39that the selected similimum is uh the right one uh so this was all about uh the blood pressure uh

09:50the second

09:51thing the second most important thing is uh the control of blood sugar levels uh because uh most of the

09:59patients with diabetes mellitus with uncontrolled blood sugar they have uh they develop renal issues later or

10:09sooner so uh regarding uh this diabetes there is this type 1 diabetes which is absolutely

10:17insulin dependent and then there is type 2 diabetes again i would say that if the patient is in initial

10:26stages of diabetes it can be controlled with homeopathic medicines uh both uh there are tinctures

10:33uh cyzgem gemnema several other medicines um the insulin triturations the uranium nitricum and then

10:41the constitutional medicines but if the blood pressure uh if the blood sugar isn't going down

10:49then we cannot keep on experimenting with our medication the blood sugar has to be within the

10:56normal range the hb a1c uh within six so for that if the patient is required to take aloevitic medicines

11:05then we should not stop and um there are several uh medicines uh uh to control the diabetes i would

11:14name

11:14some the metformin is the first and the safest uh amongst oral hypoglycemic drugs it is relatively quite

11:22safe for renal patients and usually this is the first in the choice of medications but again uh if the

11:30blood sugar level is not um coming down and or if the patient is under a lot of stress or

11:36if they are not

11:36following the dietary precautions then ever increasing doses of even metformin would cause harm the second

11:44are the sulfonylureas uh dpp4 inhibitors uh glp1 receptor agonists uh then there is sgl t2 last of it is

11:58insulin which i have found to be most uh safe for kidney patients suppose you have a kidney patient and

12:08they don't want to go for allopathic uh medic medicines for um diabetes it's safe to say

12:16that if they switch to insulin they are the safest uh medicine uh i mean the insulin is the safest

12:26one

12:26because it has it is least harmful to the kidneys uh then uh these were the first two things which

12:35have to

12:36be thoroughly managed without which we cannot uh think of even uh controlling uh creatinine or

12:43the renal failure we cannot stop it from progressing the third important thing is the infection now this

12:51infection however slight it may seem even if there is slight car viral fever maybe some tooth um dental

13:01problem dental issue some gastrointestinal issue it will increase creatinine the renal function might not be

13:10lost the renal cells might not be lost but if there is slightest of infections it may lead to little

13:18rise

13:19of creatinine then if there is a severe infection like pneumonia or like urinary tract infection

13:29that is very tricky to treat uh the first thing and we should be very very careful because usually what

13:40happens is like there is slight uh uti and it uh blows out of proportion within no time

13:50and it leads to septicemia so the patient who came to you with chronic kidney disease uh he is um

14:01uh

14:01having now this uh uh urinary uh uti urinary tract infection it may blow it into uh uh acute

14:10on chronic kidney disease it it may cause it uh the creatinine to rise immensely like if the patient was

14:18at

14:19three or four uh three or four uh creatinine uh urinary tract infection may cause it to rise beyond

14:26eight or ten or maybe twelve which is when uh dialysis becomes essential so i have uh treated a lot

14:35of

14:35patients with these kind of uh infections and uh in most of the cases i i would say that uh

14:42they uh were

14:43improved but one should not uh experiment uh beyond uh like uh if the tlc is continuously rising and

14:51subsequent readings after three or four days we get it checked uh if it is subsequently even rising uh

14:58if it keeps on rising then we should ask the patient to switch on to antibiotics and

15:06taking the help of a specialist but there are few antibiotics which are uh very harmful like

15:13vancomycin and amino glycosides which uh lead to rise of creatinine and uh loss of renal function

15:24um then there are other medicines as well which are very very harmful to the kidneys because

15:30uh you are giving the simulamum to the patient uh you are expecting uh improvement or maybe cure and

15:39but the patient is not responding to your medicine so we have to be very sure that there is no

15:45other

15:45reason uh for the creatinine to rise so these non-steroidal anti-inflammatory drugs

15:52they are very very harmful to the kidneys then these proton pump inhibitors they have proven to be

16:00uh detrimental to the kidney health uh they are very harmful and it's long use one of my patients

16:08it was discovered that um his mother was taking these ppis for 10 or 12 years and that led to

16:16the

16:16uh renal failure then there are some laxatives which are very harmful some kind of at times patients

16:25are taking some kind of churan or some ayurvedic preparations so that has to be kept in mind while

16:31prescribing that uh they have to be stopped uh while treating because they may also lead to renal damage

16:38then there are few anti-obesity drugs in the markets uh nowadays which are again very harmful

16:46uh then uh the patient should not be taking uh protein supplements uh or these um herbal supplements

16:55uh to reduce weight because again uh they uh at times they too rise of creatinine uh then uh some

17:04of the

17:05antifungal medicines the modern medicines in the modern medicines antifungal medicines are very

17:10harmful uh so they have to be stopped because sometimes the patients come with uh skin uh troubles

17:16as well they have uh renal failure and then they have skin troubles and they are taking antifungals so

17:22they you have to ask them to stop those and be on homeopathy and it is best to advise them

17:30to apply

17:31uh coconut oil uh on the skin which may give relief then statins which are used to uh control uh

17:40cholesterol or triglycerides they are also extremely harmful and they may be the sole reasons uh

17:48they may be the sole reason uh to for the rise of creatinine in some patients so all the medication

17:55that

17:56the patient is taking they have to be uh very thoroughly examined and again and again they have

18:03to be reviewed like uh if the patient is consulting a nephrologist a cardiologist then a homeopathic doctor

18:10should go through the prescriptions and the medicines uh again i would like to quote a patient uh his he

18:17was

18:18working with oriental bank of commerce he was a manager over there and his creatinine uh was pretty

18:24stable with homeopathic medicines it was initially it was four or five and then it came down to um

18:31two or three and the patient was absolutely all right and then what happened was that um all of a

18:37sudden his creatinine was uh start started to rise it came to be six and then seven and then eight

18:46and it

18:46was just rising like anything and we could not do anything at all so uh i just asked him

18:54what have you done in the last one or two months uh the patient was also clueless about it

19:02so um then um once he told that oh i had an angina once and um i went to this

19:11king george medical

19:12college and there's this lari cardiology uh they took my ecg and all and they found something and they

19:20gave me a few medications so i asked him to take a give me the prescription which he did later

19:27and i

19:28found out that he was like taking um at least eight or ten medicines uh for that so i and

19:36i checked the

19:37dates and it was both of the things coincided that the moment he uh the week he started taking those

19:45medicines uh it was from that moment onwards his creatinine started to rise so i requested him to

19:54stop uh those medic medications uh gradually and automatically the creatinine started to come down

20:03so all the medications i will request again all of you uh who are suffering from uh renal disorders

20:11listening to this program and all the homeopathic doctors watching this please be very careful of

20:17all the medications you are taking uh now the next thing is uh obstruction in the urinary tract or the

20:27urinary passage which is very very important because if there is any obstruction to the outflow of urine

20:35it will create back pressure on the kidneys and again it will lead to loss of renal function and rise

20:43of

20:43creatinine now there can be obstruction uh due to various reasons uh in men uh elderly like men it is

20:52uh

20:53benign hypertrophy of prostate is very very important

20:57um then the renal stones especially the staghorn calculi are very important because if you are treating

21:06a patient with high creatinine and if you're not doing anything for the stone obviously you'll not be

21:13successful the creatinine will not reduce then if there is cancer if there is ca of any part

21:22uh which is leading to obstructed uh urine obstruction in the uh urinary tract or there is some impedance to

21:32the flow of the urine again that would uh cause the rise of creatinine uh the other thing is that

21:41the stricture is very common so without treating uh we can uh the homeopathic doctors can uh bring about a

21:49little relief in the stricture cases with the cinnamon and the sthuja i have found them to be extremely

21:57useful uh like um there was a case uh with the stricture i think uh he developed it later in

22:07life somehow

22:08maybe because of um some catheter insertion or whatever may be the reason uh so uh there was this stricture

22:17uh and uh the urine was not able to flow uh properly and uh we started with this medication the

22:23thugja and the cinnamon and uh the gradually it loosened and the urine could flow more easily and the

22:32pressure uh of over the kidneys it got reduced and the size of the kidneys the hydronephrosis that was

22:39there uh that had also improved so this uh uh the obstruction to the urine uh it has to be

22:49uh something

22:50to be dealt with uh for um a bhp there are a lot of medications like acid phos then sabal

22:58serulita

22:58duja conium there are a number of medicines which are very useful for uh bhp treating bhp then stone

23:05um even for uh huge stones like 20 mm or uh maybe uh over the size i have found berberis

23:14vulgaris

23:15and sarsapalida tinctures to be extremely useful and if there is nausea and vomiting associated with that

23:23pain nux vomica in high potencies become very useful it uh just simply acts like a stone cutter

23:31or stone breaker so there was a patient with a large stone and he was having this nausea constantly

23:39i gave him a nux vomica uh every night and the stone uh he got rid of the stone i

23:48think within 15 or 20

23:49days so homeopathy has a lot of smoke over there uh now moving uh to the next part uh

23:59um the things in the blood uh we have to manage or we have to keep an eye on um

24:06there's this serum

24:07uric acid um its level uh usually should be within um six or 6.5 uh but in um in

24:19patients suffering

24:20from renal failure it may rise up to 10 or even 11 and then it crystallizes in the kidneys and

24:28it

24:29leads to so many problems but the medicine available uh the binder uh the allopathic

24:35binder that is available for this uric acid is again harmful for the kidneys the xyloric which we

24:42fabric or the xyloric which we usually use or our patients are already taking uh that is actually very

24:49harmful for the kidneys in the long run the patient cannot be kept on that medicine for a very long

24:54time so for that in order to maintain the uric acid levels in the blood uh if it is very

25:01high obviously

25:03it is okay to give allopathic medicines um the one the nephrologist have um might have prescribed it is

25:11okay for the patient uh but once it comes down um to six or maybe seven or within the normal

25:17range

25:18then we should try to treat it with homeopathy and there's a patient of mine in usa he is like

25:2675

25:27years old and he had terrible pains uh because of this gout so i um asked him to get those

25:37tests which

25:38in us it takes very long to get all the tests done and all um for the reports to arrive

25:44so initially i

25:45prescribed him this this rustox and magfoss and his pain was okay but it was found that

25:52his uric acid is high and the doctors were very honest over there they said that we do not want

25:58you uh to give um allopathic we do not want you to keep on uh allopathic medicines and you can

26:06explore

26:06other options so he asked me and i prescribed him uric acid in 30 and till date he never had

26:15that

26:15episode again it was such a big relief to the patient that he never had to go for any painkillers

26:24any kind of that uh gout episode he would uh just adjust his diet and uh keep on taking uric

26:32acid 30 off and

26:33on which give give give him immense relief so even we can do uh that with um to uh the

26:43renal failure

26:43patients if it is if there's tendency to be uh for the uric acid to be very high even acid

26:48bends is very

26:49useful it is acid bends in 30 i found it to be very useful to control uric acid levels um

26:56then there is

26:57this calcium and phosphorus levels in the blood of the renal failure patients so calcium level

27:05actually um usually what happens is the calcium level uh drops below the normal or uh and the

27:13phosphorus level rises and there is this whole uh parathormone or the parathormone

27:20hormone and the vitamin d there is this whole cycle um when there is this reduction in the

27:28ionic calcium levels then this this whole cycle gets activated and there's resorption from the

27:34bones and then the phosphorus level rises so for calcium uh if it is too low like if it is

27:42around if the

27:43serum calcium is around eight we can give um calcarea force otherwise if it is lower then we should not

27:53experiment further because um the um good amount of calcium is required uh around 500 mcg per day so

28:03usually we recommend um this um um shell gallon all but along with that i mean um we cannot just

28:12see

28:13look at the calcium levels we have to look at the phosphorus levels also and to reduce uh phosphorus

28:21there are the phosphorus binders uh which are very effective and um uh one thing with the phosphorus binders

28:29is that it has to be the the tablets have to be uh crushed and they have to be had

28:36together with meals

28:38it is uh the it gives the best result when uh in between uh the phosphorus binder is taken in

28:45between

28:46the meal so that is the trick sometimes the patient is taking like three medicines uh three uh the the

28:52phosphorus binder three times a day but the phosphorus uh level is not uh reducing and the patient is might

29:00be

29:00having bone pains or itching all over the body because of high phosphorus levels so uh it is a good

29:08practice to give uh to crush the uh phosphorus binder and to give it with the food in between the

29:15meal right

29:15in between and uh uh for this fight uh now calcium has to be given with vitamin d and the

29:24vitamin d

29:25level has also to be checked uh and if it is lower it has to be supplemented uh from outside

29:34like it

29:35there has to be um uh supplement has to be uh provided uh now uh iron or the hp hemoglobin

29:44level this is

29:45a major problem anemia is a very severe problem especially in end stage renal diseases i've seen

29:54patients sometimes they come with the hemoglobin as low as three or four uh so that has to be uh

30:01taken

30:02care of immediately and erythropoietin injections are um given to the patient but i would uh say that um

30:12if the constitution again if the constitutional medicine is correct hemoglobin starts to rise

30:19it may rise by 0.2 0.5 or maybe just by one unit but the hemoglobin uh levels start

30:27to rise now

30:28with the perfect um this similar amount but otherwise the iron supplementation has to be

30:35done with the along with the folic acid and if it is really low then erythropoietin has to be given

30:42and if it does not rise because at times even with the best supplication supplementation even with the

30:50best of injections even with the frequent uh doses still the hemoglobin level does not rise

30:56then the patient has to be transfused blood has to be transfused because if it is uh lower than five

31:04it leads to several uh other complications and but we have to be very careful uh while transfusing a

31:12patient um or um asking the patient to get uh blood transfusion because it might increase the blood volume

31:21and that might uh land the patient into another trouble so usually what it's done is in end-stage

31:28renal disease such situation usually occurs in the end-stage renal disease only and then what we

31:36suggest to the patient is to get the blood transfused along with dialysis now so that there is the balance

31:44uh so as to maintain that balance uh then the bicarbonate ions they have also uh they are also

31:55checked because um it leads to metabolic um acidosis or alkalosis and they are balanced by the kidneys

32:03itself so if the kidneys are not working properly there will be um this um imbalance of this and it

32:14will

32:14lead to several other problems along with this there are several other electrolytes like sodium

32:21potassium and chloride they have to be uh kept within the range uh

32:29and uh the most important in all of these things uh the most important i would say is the potassium

32:38uh especially in elderlies because if the potassium is high i have seen in cases like even the potassium

32:46was just six usually it is five or 5.5 is the normal range and it touched six and the

32:52patient landed into

32:53atrial fibrillation so potassium is something which one has to be really really careful about because that

33:02is what which causes uh the emergency in a renal failure case uh the creatinine uh the rise of

33:10creatinine might not uh land you into a hospital even the urea levels unless and until the patient is very

33:17weak and the urea is very high like above 300 then only we need to take the patient to hospital

33:24for that but

33:26any rise of potassium may lead the patient may cause the patient uh to go to a hospital or to

33:33get

33:33dialyzed immediately because at times the potassium even we when we give potassium binders even if the

33:40patient is taking potassium binders then to the uh potassium levels do not come down and it leads to palpitation

33:49um uh disturbance and blood pressure several other things they might be so potassium is one thing uh

33:57which one should be the doctor should be very very careful about there was a child um he was eight

34:04years old and um he was having this renal failure his creatinine was around four or five and he took

34:11uh

34:12just a tetra pack of fruity he asked his parents and since he was improving he was all right he

34:18was he

34:19took uh that fruity he uh asked for that and he took that and the patient collapsed and he had

34:27to be

34:28rushed to emergency and he could not be saved so a tetra pack of 20 rupees of fruity took his

34:36life

34:37this is the role of potassium and uh as homeopathic doctors we should be very very careful regarding

34:45that um some other time in some of the webinar when we'll be discussing uh the diet and the rest

34:52of

34:52the parts we'll discuss in detail about it why the potassium rich foods cannot be given at all

35:00um then again the sodium also obviously um if the patient is taking excess salt we have to ask the

35:08patient how much of salt are you taking and what kind of salt are you taking because sometimes the

35:14patient takes lona salt it leads to rise of potassium in the blood sometimes patient um takes this rock

35:21salt sandha namak or the pink salt different different kinds of salts are available fancy salts

35:26um so but we cannot ask the patient to take them the patient has to stick to common table salt

35:33that is

35:34available in the market that is uh what is normally being used so the potassium again now the sodium levels

35:42again have to be managed because it is indirectly it leads to high blood pressure uh apart from that uh

35:51uh the urea level obviously it is as important as creatinine uh rather more important because uh creatinine

35:59uh does not cause symptoms usually it does not cause symptom in itself unless it's

36:06it's uh the level is very high but the creatinine is non-toxic

36:10it causes symptoms only in some patients who are hypersensitive i have seen patients with creatinine

36:19as high as 20 or 23 and they had no symptoms at all while at times the patients come where

36:30the creatinine uh is four or five and the moment it reaches seven the patients start to feel nauseatic or

36:39they do not have appetite and all so uh urea is as important as creatinine and uh urea is obviously

36:50toxic it's high levels uh may lead to encephalopathy uh which again is an emergency um so this was all

37:00about

37:00um few things about um another important thing is um the uh blood albumin levels because if there is the

37:10patient which usually happens in uh diabetes that the patient starts to having an albuminuria and they

37:18start to pass protein or albumin in the urine and the blood albumin levels they decrease so what happens

37:26is if the blood albumin is decreased and it is not supplemented the there is water retention in the

37:34body the urine becomes um the urine output becomes uh lower and there is immense swelling in the body

37:42and the moment you uh supplement the albumin by means of albumin transfusion or usually we go for

37:51uh this um egg white and the patient is asked to take egg white in moderate uh in moderation uh

37:59the if

37:59the albumin level starts to rise automatically the urine output increases and there is reduction in the

38:08swelling another important thing is the tsh the thyroid stimulating hormone it is not um it is like

38:17not connected to kidneys directly but uh the rise of tsh uh or if the patient is in hypothyroidism all

38:28the

38:28functions they start to decrease and so there is reduction in the filtration of creatinine as well

38:38uh that happens um with gross hypothyroidism when the tsh is really very high but

38:46if the tsh is high and we are not controlling it if we are not taking care of this hypothyroidism

38:53uh then the lipids the lipid metabolism it gets disturbed and the triglycerides and the cholesterol

39:01it accumulates in the body and again it can lead to several cardiac complications as well as high blood

39:08pressure so there are a lot of real lot of things which have to be taken care of while treating

39:16a

39:16patient for um suffering from renal failure um now moving on to the next thing is the urine

39:26uh urine has to be checked regularly uh it can be checked uh more regularly than the blood uh because

39:33blood has to be taken out every now and then it becomes very problematic to the for the patient uh

39:39but

39:40urine can be checked uh more uh with more regularity and urine has to be assessed for these few things

39:48that um the urinary albumin uh which is denoted as uh plus or two plus or three plus like that

39:56then there is the past cells uh usually uh past cells less than five are taken to be normal but

40:06any value of past cells i mean if even if it is six or eight or ten or twelve

40:12it the homeopathic doctor has to um pay attention to that because it may be starting off a uti and

40:21if

40:21it is not taken care of i mean there's no need to give antibiotic uh right there and then but

40:28we have

40:29a lot of homeopathic medicines like cancerous apis parera and then cephasigrea there are a lot of other

40:36medicines as well so they can be taken uh they can be given and the uh urinary tract infection which

40:43is

40:43in very initial stage it can be taken care of uh then that very moment then there is this specific

40:51gravity which in renal failure patients it is low and fixed so if uh if you get uh are getting

40:59uh this

41:00specific gravity its value is low and it is continuously like that it is not fluctuating

41:05it is always low then um it can be an indicator of uh loss of renal function then this ph

41:16is very

41:16important the urinary ph uh because um again dehydration excessive use of diuretics it may cause

41:24disturbance in the ph of the urine and uh the most important thing is the rbc uh in the urine

41:31if again

41:33i would say that if the rbcs are little even a little higher than normal it should ring the alarm

41:41bells because it might be um an indication of several uh things and especially sometimes what

41:49happens is if the patient is drugged if the patient has already taken a lot of antibiotics and then they

41:55come to you then they might not be rice or puss cells at all you they might not be they

42:02might be urine

42:02infection but they might not be puss cells there might be few just few rbcs so then is uh when

42:10we

42:10usually go for culture and uh it should be taken care of uh then another important thing is uh the

42:20total

42:20fluid intake and the measurement of the urinary output now if the patient is not on dialysis uh then uh

42:31the urinary output can be measured the patient is asked to pass urine in a one liter bottle if they

42:38don't have a measuring clasp or something and uh they have uh they are asked to keep on checking it

42:45every 15 or maybe 20 or 30 days and uh if you're giving homeopathic medicines like um epocyanum or

42:54or apis and all uh then there is uh increase in if there is an increase in urinary output or

43:01if there

43:02is any improvement in the flow of the urine then that can be assessed only when the patient is measuring

43:07it

43:07if the patient is keeping an eye on that so um once in a while definitely you have to tell

43:14your

43:15patients that it needs to be uh checked and the total fluid intake also needs to be checked like um

43:21if they are drinking from a bottle um it should be like measured uh how many cups of tea they

43:28are taking

43:29how many um bowls of dal they are taking so all these needs to be recorded and uh accordingly they

43:36have

43:37to be uh counsel uh regarding that uh if the patient is on dialysis then there is a watch to

43:44be kept on

43:45the ultra filtration that is the amount of fluid that is being um taking out from the body uh during

43:52dialysis so if the patient is improving if uh your medicine is working if homeopathy is working and the

43:59patient um the nephrons are being revived so what happens is that the ultra filtration the fluid

44:07removed during dialysis becomes lower and lower and lower and the urinary in uh output it increases

44:15so but you will be able to uh you will be able to come to know of that only when

44:20you are keeping an

44:21eye on that so the patient usually they keep a diary or a record or something but you have to

44:27keep on

44:27asking the patient that how much of ultra filtration was done today how much more fluid um that was removed

44:34today uh during dialysis or what was the difference in the weight before and after dialysis

44:43so if it was initially if it was uh one liter and now it is just 500 ml then it

44:51means improvement and

44:52then uh the frequency of dialysis may be reduced uh another important thing is uh smoking and alcohol and

45:01all the all the addictions that the patient is dependent on uh they have to be the patient has

45:06to be counseled to stop using all of that because it is now we all really know that smoking and

45:14um alcohol

45:15how um detrimental they are to health uh then the patient uh no matter how much they are suffering even

45:24if

45:24the patient is on end state renal disease still they have to be counseled to um um do some light

45:33exercises and some sort of breathing exercises even if they are bedridden uh because it improves the

45:40circulation and there are several hormones which are secreted uh which bring about healing and which are

45:47secreted when a patient is um into exercise and all uh then uh stress uh is something which needs to

45:56this

45:57that pressure the diabetes it is the stress is the main cause of all uh these kind of diseases and

46:04uh

46:04obviously uh it leads to uh the stress is only leading to this renal failure in most of the cases

46:10so the patient needs to be counseled for meditation and good sleep because

46:18um the regeneration of the cells will only take place yes if the patient is getting good amount of

46:27sleep and uh definitely meal is uh the meals of the patient the food the patient is taking uh is

46:36as

46:36important as medicine or as the rest of the management which we'll discuss sometime later okay right uh i

46:43want to ask you the lower potencies and higher potencies we can use uh but which one is more

46:52useful and more convenient i think that it is safe because uh while we are using uh higher potencies we

47:02can

47:02we know that and now we are thinking about nanotechnology and everything but our medicines

47:07are very nanoparticles are very small and we can use it uh properly so what is your opinion about it

47:15see i have found lm potencies to be the best that is the first thing but if sometimes if i

47:22don't have

47:23lm potency of some medicine and i have to give like there is a patient of nephrotic syndrome

47:28so the first time i saw him he was just like a balloon he was swollen from everywhere his eyes

47:35you know but but very barely visible his limbs his tummy everything was just like you know swollen

47:44like a balloon so i started with hipersal 30 and just now i'm giving him in cm

47:51yes in the process i've given him uh so he is uh much better there hasn't been an episode of

47:59uh an

48:00nephrotic syndrome i mean that that way uh his creatinine is coming down gradually uh he's much

48:07better but in you know they cannot be just one type of potency the decimal or the centisimal or the

48:14lm

48:14uh which can be all the tinctures which uh can be used there are different potencies but i have

48:21found the lm potencies uh to be working really well thank you thank you thank you yes that's an

48:27important words of wisdom and experiment experience now dr kairi sir sir one second service investor

48:37yes sir one of my doubt is that one of my doubt is see dr manaj is very uh said

48:45that see it is a

48:47myosmetic disturbance i think it is a it is a an artificial disease i think it's a certain kidney

48:54disease because during uh due to intake of this allopathic drugs see a dreadful disease is happening

49:02yes and it is affecting the kidney see lifestyle is more important uh lifestyle is more important

49:09than uh allopathic drugs actually so it is you are very right that it is an artificial disease

49:15but the lifestyle is uh our lifestyle is leading to that lifestyle is more responsible uh for that

49:22for that creating that artificial disease okay

Role of Management and Diet in Treating Renal Failure | Dr. Lubna Kamal

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