Ayurvedic treatment for Proteinuria

Proteinuria

Know More on Kidney Diseases

  • Definition
  • Causes
  • Symptoms
  • Diagnosis
  • Management
  • FAQS
  • References

Definition

Proteinuria Ayurvedic treatment

WHAT IS PROTEINURIA?

Proteinuria simply means the presence of ‘protein’ in the urine. This is mostly indicative of poor functioning of the kidneys whereby the proteins get leaked into the urine and get thrown out of the body. While some amount of protein is generally found in urine, in case of kidney damage, the quantity increases.1

The concept of Prameha (literally means ‘passing through’), in which a group of disorders relating to abnormal constituents passing through urine are described. These can be considered the nearest description of proteinuria in Ayurveda. The symptoms explained in Prameha group are similar to that of proteinuria. Both in modern medicine and Ayurveda, proteinuria shows up as a common symptom for diabetes.2

Causes

Proteinuria

PROTEINURIA CAUSES

The causes of proteinuria are generally temporary and may be due to some other underlying conditions.1

Temporary causes include:1

  • Strenuous exercise
  • Excess protein supplementation
  • Exposure to very cold climate
  • Stress
  • Febrile conditions

Pathological causes include:1

  • Certain medications
  • Chronic kidney disease
  • Diabetes
  • Inflammation of the kidneys
  • Heart failure
  • High blood pressure
  • Certain cancers/tumors
  • Severe kidney infection

Symptoms

Proteinuria

PROTEINURIA SYMPTOMS

The cardinal symptom of proteinuria is cloudy or milky appearance of urine. This may not happen immediately but as proteinuria progresses, urine becomes more milky.1

Diagnosis

Proteinuria

PROTEINURIA DIAGNOSIS

Diagnosis of a Proteinuria is fairly simple and can be done by a simple urine test checking for albumin levels in urine. Your doctor may recommend additional blood tests to understand the cause behind your condition.1

Management

Proteinuria

PROTEINURIA AYURVEDIC TREATMENT

According to Ayurveda, understanding the cause and treating the underlying condition causing proteinuria is required to effectively manage the condition.1 Ayurveda suggests following the principles of Diabetes (Prameha) management for managing Proteinuria/Ojomeha.2

The treatment for diabetes begins with bio-cleansing procedures or panchakarma, which are aimed at fat-reduction (apatarpana chikitsa) to ensure there is no further complication caused.3  This is followed by treatment with a combination of herbal medicines (aushadhi), diet changes (ahar), and lifestyle changes (vihar).4 

Diet Recommendations (Aahar)

  • Increase intake of barley in diet helps in drying up of excess fat / meda.
  • Turmeric and cinnamon combination is beneficial in early stages of diabetes.
  • Have Ayurvedic Plants like gokshura, gudmar, triphala, musta, cardamom, fenugreek, or coriander, mixed with honey.
  • Include other cereals such as wheat, kodo millet and rice, which crops within 60 days to add fibre to diet.
  • Pulses such as adhaki (arahar), horse gram (kulattha), and green gram (mudga) are beneficial.
  • Vegetables such as green banana, chaulee, dwarf copperleaf (matsyakhshi), methi (fenugreek leaves), bitter gourd, Parawal, Kunduru, Lauki  along with bitter and astringent leafy vegetables may be taken.
  • Include fruits such as orange, watermelon, apple, jambu, kapitha, amla, papaya  and other fruits with low sugar content.
  • Soyabean, groundnut, and mustard oil may be beneficial.
  • Karela juice or white pumpkin 20-30 ml on an empty stomach may be beneficial.
  • Regularly have methi seeds soaked overnight in water.
  • Avoid sugar, sugar products, rice, potato, ghee, butter, fat, regular oil, fermented food items, alcohol, urad (blackgram), rajma (kidney beans) and other heavy items.

Lifestyle changes (Vihar)

  • Start exercising regularly. Walking, swimming, running or yogasanas are highly beneficial.
  • Regular dry massage or udvartan may be beneficial.
  • Taking regular steam bath may help reduce fat in obese diabetics.
  • Taking sitz or waist bath (warm shallow bath to cleanse the genital area) also helps.
  • Include pranayama (breathing exercise) in your daily routine.

FAQS

Proteinuria
  1. How does stones form in our kidneys?

Many a times, kidney stones will not have a single cause, and there could be several factors that increase its risk. Higher concentration of crystal-forming substances in the urine — such as calcium, oxalate and uric acid can cause crystallization of these salts. Additionally, lack of substances in urine which will prevent crystal formation end up creating the perfect environment for formation of kidney stones.

  1. What is pyelonephritis?

The infection of the kidney is medically termed as pyelonephritis. It is a type of urinary tract infection (UTI) that usually starts from the lower organs such as the urethra or urinary bladder and gradually moves up to the kidneys. Such infections need immediate medical attention as if left untreated they can cause  permanent damage to the kidneys.

  1. How does CKD develop?

CKD happens due to any secondary condition that impairs the functioning of the kidneys over a period of time. Some of these secondary conditions are-

  • Diabetes
  • High blood pressure
  • Inflammation of kidneys
  • Polycystic kidney disease
  • Enlarged prostate problems, kidney stones
  • Some cancers
  • Recurrent kidney infection
  1. Do children suffer from kidney disease? How?

Children can get affected with many kidney related diseases. The commonest of these are either an acute kidney disease or chronic long term disease.1 Having a kidney disease can mean treatable disorders without long-term consequences to life-threatening conditions in children. 

As in adults, the causes of kidney disease in children are various secondary conditions of situations, which will impair the functioning of the kidneys over a period of time. Some of these secondary conditions are -

  • Developmental defects of birth
  • Any serious infection
  • Any hereditary condition
  • Any serious major diseases
  • Trauma
  • Blockage of urine
  1. What is acute kidney failure? How is it different form chronic failure?

Acute kidney failure means that the kidneys are unable to filter any waste products from the body and this condition develops rather quickly. Due to the failure of the kidneys to filter blood, dangerous levels of waste accumulates in the body causing severe toxic conditions.Chronic kidney failure on the other hand develops gradually over a few weeks, months or even years.

  1. How does a high BP affect the kidneys?

The condition of having a high blood pressure over a long period of time is known to cause damage to the blood vessels of the kidneys. This damage results in a reduced ability of the kidneys to perform their functions. This is because a high blood pressure requires the blood vessels inside the kidneys to stretch more than usual. Over a period of time the tiny blood vessels of the kidneys start showing scars due to stretching, leading to various kidney diseases. 

  1. What is proteinuria how is it caused?

Proteinuria simply means the presence of ‘protein’ in the urine. This is mostly indicative of poor functioning of the kidneys whereby the proteins are being leaked in to the urine and thrown out of the body. While some amount of protein is found in urine, the quantity increase in kidney damage.

The causes of proteinuria are physiological (meaning temporary), such as after exercise, cold climate, fevers etc; as well as pathological (due to an underlying condition) such as diabetes, kidney tumors, heart disease, liver failure etc.

  1. Why do we have anemia in a kidney disease?

Kidneys perform many important functions apart from filtering he blood. One such vital activity is production of a substance called EPO (Erythropoeitin) which is essential for manufacture of new red blood cells. As the functions of kidneys are hampered in kidney disease, the production of EPO gets affected and results in low RBC production and hence anemia. In advanced stage of kidney disease, where hemodialysis is required, blood loss during hemodialysis also results in anemia.

  1. What is hydronephrosis?

Hydronephrosis refers to the swelling of a kidney that occurs due to accumulation of urine in them. For some reasons, due to a blockage or obstruction of the ureters, the urine being formed in the kidneys cannot move out and gets retained inside the kidneys leading to swelling of the kidneys. This can happen either in any one or both of the kidneys. 

  1. Why are women more prone to getting a UTI?

Women are more likely than men to get an UTI. This is because of the shorter length or the urethra - that allows infections to travel upwards quickly. Additionally, in women, due to close proximity of the anal opening  and the urethral opening, many GI tract infections (Such as those caused by E. coli) spread to the urinary tract.

References

Proteinuria
  1. Mayo Clinic. Protein in urine. Available at http://www.mayoclinic.org/symptoms/protein-in-urine/basics/definition/sym-20050656 accessed Sept 12th 2016
  2. Kumar S et al. A clinical study on the Naimittika Rasayana effect of Silajatu and Mamajjaka in type-2 Diabetes Mellitus. AYU 2014;35:404-10
  3. Srikanth S. Diabetes Mellitus (Madhumeha) and AYurvedic Management: An Evidence Based Approach. World Journal of Pharmacy and Pharmaceutical Sciences. 4:8 (881-892)
  4. Mishra LC. Scientific Basis for Ayurvedic Therapies. 2004: MA; CRC Press
  5. Ayurvedic approach to some selected diseases. Central Council for Research in Ayurveda and Siddha Department of Ayurveda, Yoga & Naturopathy. Ministry of Health and Family Welfare. 2009.
  6. Tirtha SS. The Ayurveda Encyclopaedia: Natural secrets to healing, prevention and logetivity. 2005;USA:Ayurveda Holistic Center Press
  7. Lee MS, et al. Turmeric improves post-prandial working memory in pre-diabetes independent of insulin. Asia Pac J Clin Nutr. 2014;23(4):581-91.
  8. Soni ND, et al. To study the effect of diet supplementation with coconut oil, mustard oil and sunflower oil on blood lipids in rabbit. Indian J Clin Biochem. 2010 Oct;25(4):441-2.

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