Sasha Wainstein MD Urology
Maimonides Medical Center
I have some good news and some bad news. Well, I will start with the good news first.
Alera was a bit active today at the vet. The doc gave him the same antibiotic and vitamin. He was on drip too for 15 minutes with glucose. The urination also has shown some good sign, not as much blood as the first 2 days. He drank by himself too while came back from the vet.
Ok, now the bad news. If you have followed my ustream live streaming videos and you can see all the recorded videos here, Alera has bitten himself again! Yes, again, on the spot where the doc has shaved him. The wound is very red and large comparing to last time. I got to know only when came back from suppper around 11:30pm. I was in shock and without delay, cleaned his wound with clean water and applied the cream that the other vet gave me last time. I am not sure why he bitten himself but I am sure it must have been very itchy. This is very sad as he is on his way to recovery and another incident occured! I will bring him to vet tomorrow and see what the vet will say about this.
According to the doc, it might be the psychological effect that Alera has bitten himself. I hope I spelled that word correctly. Anyways, the doc has cleaned the wound with chlorhexidine (antiseptic solution) and applied Rowarolan (calcium carbonate) powder on Alera. He told me the powder will work better and faster than cream. I was told to wash the wound twice daily. Alera is getting better each day and this shows a good recovery process. I hope the blood test result turn up okay too. Will have to wait and see.
Usual medication was given to Alera today, a jab of antibiotic, vitamin B-complex and a pill. The urination is getting better, not that reddish anymore. However, when look closer under microscope, it still contain some blood cells which we can't see with out bare eyes. The wound has healed properly. The vet also said he is not dehydrated anymore.
When I left the vet, I was a bit hurry and left the collar cone there on the table. So tonight I have to let Alera by himself without the collar. I found one of Bobo's puppy shirt and put it on. It fits well on Alera but just doesn't covered Alera's wound fully. He looks pretty handsome on it. Hopefully he won't bite the wound tonight. His doesn't like the low pH dry food and I have to force feed him, but he did drink glucose and water by his own when I gave it to him. The vet said he has to be on low pH food, at least for this period of time.
ps : Alera still bit himself when I last cleaned him at 10:40 pm. I have no choice and had to make a cone that similar with the collar cone from cardboard and masking tapes. My fault for not bringing back the cone.
No more vet visits! Yay! Well, at least for this moment! I just shot the above video today to show you a better view of how Alera reacted to his new diet/food, which is wet can food. I have mixed the food with cranberry relief as usual. He was banging the door, lol, it was funny how excited he was. I noticed he love this type of food instead of dry kibbles. In the video I did mentioned that he urinated very little, but that's not the case, at the end of the video, the whole diaper was soaked with urine! Yellowish urine, fortunately!
The wound also has became stiffer and there was like an extra dried skin on top when you touch it. And because of this, he bitten himself again! Yes, again while I was chatting online with a friend (Melissa) on my ustream live feed. The video below was recorded with ustream built in recorder. You might want to check it out too. Anyway, I have cleaned the wound and applied again the rowarolan powder.
ustream live feed url below :
Juan Kupferman MD
Sasha Wainstein MD Urology
Maimonides Medical Center
Acute bacterial prostatitis generally presents with typical symptoms that include severe pain in and around the base of the penis and behind the scrotum. Men may also experience a variety of urinary symptoms similar to a urinary tract infection. These include bloody urine (hematuria), a strong sudden urge to urinate (urgency) and an urge to urinate frequently (frequency). It may also be difficult to pass more than a small amount of urine. There also may be a feeling of fullness in the rectum and a frequent urge to defecate.
Symptoms of acute bacterial prostatitis can also include lower back pain, fever, chills, and nausea.
Acute bacterial prostatitis is a medical emergency that can lead to serious complications. Complications include the development of a prostatic abscess and a serious infection of the blood called bacteremia. This can lead to life-threatening conditions that affect the whole body, called sepsis and septic shock, which can be fatal if not treated immediately.
Kidney disease often goes undetected in the general population, but children and adolescents are at an even greater risk due to the nature of the causes of the diseases and the ambiguity of the symptoms.
In adults, 90% of cases are related to glomerular based renal disease caused by diabetes, hypertension and glomerulonephritis, which cues physicians to suspect kidney disease.
In children, 70% of CKD is associated with tubulointerstitial disease and lack the obvious symptoms such as hematuria (red blood cells in the urine), hypertension (high blood pressure) or edema (swelling). (1)
Adding to this difficulty, children might not be aware of some of the changes that are impacting their body and will not always let their parents know of potential issues.
Common symptoms for children are:
Swelling (even mild) of the hands and feet and/or puffiness around the eyes caused by excess fluid build-up, to the point where the child’s ability to move around normally is compromised
After initial swelling, socks or a belt can leave an indentation in the skin that will persist
Lack of or decrease in appetite.
In children with ESRD it is especially important to keep their appetite up because transplant eligibility is based partially on growth.
What is a kidney stone?
A kidney stone is a hard, crystalline mineral material formed within the kidney or urinary tract. Kidney stones are a common cause of blood in the urine (hematuria) and often severe pain in the abdomen, flank, or groin. Kidney stones are sometimes called renal calculi.
The condition of having kidney stones is termed nephrolithiasis. Having stones at any location in the urinary tract is referred to as urolithiasis, and the term ureterolithiasis is used to refer to stones located in the ureters.
Kidney stones (renal lithiasis, nephrolithiasis) are hard deposits made of minerals and salts that form inside your kidneys.
Kidney stones have many causes and can affect any part of your urinary tract — from your kidneys to your bladder. Often, stones form when the urine becomes concentrated, allowing minerals to crystallize and stick together.
Passing kidney stones can be quite painful, but the stones usually cause no permanent damage if they're recognized in a timely fashion. Depending on your situation, you may need nothing more than to take pain medication and drink lots of water to pass a kidney stone. In other instances — for example, if stones become lodged in the urinary tract, are associated with a urinary infection or cause complications — surgery may be needed.
Your doctor may recommend preventive treatment to reduce your risk of recurrent kidney stones if you're at increased risk of developing them again.
Kidney stones are the result of an accumulation of dissolved minerals on the inner lining of the kidneys.
They are usually comprised of calcium oxalate but may be composed of several other compounds deposits.