Kidney Pain- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga

The kidneys are bean-shaped organs that are located against the back muscles in the upper abdominal area. They sit opposite to each other on both sides of the body; the right kidney, however, sits a little lower than the left to accommodate the size of the liver.

Kidneys are located inside the lower abdomen, on each side of your spine. Pain on the sides or middle to upper back could be coming from kidneys. However, having pain in your back or sides does not necessarily mean there is something wrong with your kidneys. It is possible to have pain on only one side if only one kidney has a problem, or both sides if both kidneys are affected.

Signs & Symptoms

fever
painful urination
flank pain
pain on the back and abdomen. (Kidney pain can be on the left, right, or both sides.)

Blood in urine
Nausea & vomiting
Dizziness
Constipation or diarrhoea
Rash
Fatigue
Kidney pain or flank pain which is acute, relatively constant, and sharp, called as “renal colic.” This happens due to a kidney stone.

If the kidney function is increasingly compromised, there will be:

Metallic taste in mouth,
Bad breath,
swelling and shortness of breath.

Causes

Urinary tract infections
trauma that can result in a “lacerated kidney.”

Urinary bladder infection(cystitis)
Kidney infections (pyelonephritis)
Hydronephrosis
Kidney stones (nephrolithiasis and/or ureterolithiasis)
Carcinoma of kidney
Anything that compresses the kidney (for example, a large tumour or cyst)
Glomerulonephritis
Blood clots in the kidneys (renal vein thrombosis)
Polycystic kidney disease (congenital)
Congenital malformations in the renal system
Drugs or toxins that harm kidney tissue (for example, pesticide exposure or chronic use of medications such as ibuprofen)

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Physiopathologie

Pathophysiology solely depends upon the cause of kidney pain.

Coming to kidney pain pathophysiology, obstruction happens first, most commonly from a stone. But blood clots can also be the cause.

Urine is unable to travel from kidney to the bladder and as a result builds up and stretches the proximal – closest to the kidney – ureter and renal collecting system. This stretch activates nociceptive nerve fibres within an entire neuronal network located submucosally in the renal pelvis, calyces, capsule and ureter.

These fibres then transmit afferent signals to the T11 – L1 spinal cord which the body interprets as pain at the corresponding level of neuronal activation. As the stone migrates from the kidney down the ureter and towards the bladder, pain usually shifts downward as well. It is commonly sensed as high as the upper flank when the stone is lodged in the proximal ureter and as low as the labia/testicle when down near the uretero-vesical junction at the entry to the bladder.

Patients passing stones may experience other symptoms in addition to pain. Many of the nerves involved in the process of obstruction are intimately linked to innervation of adjacent organs, for example the gastrointestinal tract. Cross activation of these associated nerve fibres has been proposed as an explanation for the nausea and vomiting which so often occurs in the setting of an acute episode of renal colic.

In rare instances patients may even have alternative symptoms without any pain at all. In some cases, particularly when the stone is at the uretero-vesical junction, urinary symptoms predominate and the only appreciable symptoms are urinary frequency, urgency and discomfort while voiding. These symptoms mimic urinary infection and often result in temporary mis-treatment with antibiotics until the correct diagnosis is made.

Diagnostic

Physical examination and history taking
Complete Blood Count (CBC),
Renal function test
Urine examination and cultures.
CT scan
Renal Ultrasound
Abdominal X-ray
MRI

Kidney pain itself is a symptom that may happen due to problems or diseases of the kidney or its associated structures, including the ureters or bladder. However, other diseases may mimic kidney pain, but are not actually due to the kidneys, for example,

muscle sprains, especially in the back,
spinal problems,
rib pain,
pleuritis
retroperitoneal fibrosis,
aortic abdominal aneurysm,
gynaecological problems like PCOD, endometriosis etc

Traitements

The treatment for kidney pain depends on the cause.

Kidney infections and kidney stones that cause pain are often treated with ibuprofen, ketorolac (Toradol), acetaminophen (Tylenol and others), or occasionally with small amounts of morphine (in severe cases). However, these agents do only pain management and do not address the cause(s) of pain.
If small kidney stones (usually less than about 6 mm in diameter) are passed in the flow of urine, and pain will be relieved.
Infections like urinary tract infections and pyelonephritis usually require antibiotic treatments in addition to pain medications.
Kidney stones more than 6mm diameter, need surg.
Other underlying causes of flank pain may need similar pain management and concurrent treatments. However, patients with known kidney problems (kidney disease) should not be treated with pain medications that are either filtered (removed) through the kidneys and/or may cause further renal damage.

Pronostic

The prognosis of kidney pain depends upon the cause, and the majority of patients can have a good outcome when treated quickly and appropriately.

Complications

Formation d'abcès
Serious infection of the kidney that diminishes renal function
Urinary fistula formation
Ureteral scarring and stenosis
Ureteral perforation
Extravasation
Urosepsis
Renal loss due to long-standing obstruction
Complete ureteral obstruction

Infected hydronephrosis is the deadliest complication with chance of rapidly progressive sepsis and death.

A ureteral stone associated with obstruction and upper UTI is a true urologic emergency.

Maladies et Ayurveda

Kidney pain -Pakwasayagata vaata/Mootraghata

Nidana

Diet and behaviour causing Vaata vitiation

Purvaaroopa

Non mentionné

Samprapti

Due to the causative factors including obstruction by a calculi, Vitiated vaata gets obstructed & goes into abnormal pathways causing pain.

Lakshana

Soola – abdominal pain
Aanaha – Distension of abdomen
Antrakujana – Abnormal pesristaltic sounds
Malarodha – Constipation
Asma – Calculi in kidney/ureter/urinary bladder
Varddha – Cysts or growths in lower abdomen, especially excretory/reproductive organs
Arsas – Piles
Thrika-Prishtha-Kateegraha – Pain & stiffness in coccygeal region, Lower back and hip area.

Divisions

Non mentionné

Pronostic

Kricchrasadhya/Yaapya
Chikithsa
Samana
Abhyangam
Pichu
Kateevasti
Sodhana
Avapeedakasnehapanam
Vastikarma

Médicaments couramment utilisés

Marques disponibles

AVS Kottakal
AVP Coimbatore
Vaidyaratnam oushadhasala
SNA Oushadhasala

Remèdes maison

For some people who have had many kidney stones, home care may be appropriate. When passing a kidney stone, drinking lots of fluid is important. In fact, this is the most important home care measure. Medications may help control the pain temporarily.

Régime alimentaire

À éviter

Hot, spicy and pungent food items

Pickles, processed and tinned masala items.

Les repas lourds et les aliments difficiles à digérer provoquent des indigestions.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Boissons gazeuses - rendent l'estomac plus acide et perturbent la digestion

Aliments réfrigérés et congelés - provoquent une digestion faible et paresseuse en affaiblissant Agni (le feu digestif).

Caillé - provoque le vidaaha et, par conséquent, de nombreuses autres maladies

A ajouter

Des repas légers et des aliments faciles à digérer

Green gram, soups, fresh juices, Indian sarsaparilla, tender coconut water, sugar cane, and arrowroot.

Freshly cooked and warm food processed with coriander seeds, cumin seeds, ginger, ajwain etc

Comportement :

Drink enough water and void urine frequently.

Maintain personal hygiene, especially private parts. Avoid using public toilets, using wet undergarments etc.

Protect yourself from dehydration and exposure to heat.

Better to avoid exposure to excessive sunlight, wind, rain or dust.

Maintenir une alimentation et un sommeil réguliers.

Évitez de retenir ou de forcer les envies comme l'urine, les selles, la toux, les éternuements, etc.

postures de Yoga

In persons with fever, severe pain and severe urinary tract infections, physical exercises are not recommended.

Regular exercise after regaining normal health helps improve bioavailability of the food ingested and leads to positive health.

Nadisudhi pranayama

Tous les exercices et les efforts physiques doivent être décidés et effectués uniquement sous la supervision d'un expert médical.

Research Articles

https://www.ncbi.nlm.nih.gov/books/NBK292/