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Cheatography

Renal system disorders Cheat Sheet (DRAFT) by

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This is a draft cheat sheet. It is a work in progress and is not finished yet.

Urinary stones ttt

Ca Oxalate
Ca phosphate
Uric acid
Avoid oxalate rich foods such as tomatoes, spinach, mango, nuts or chocolate.
Acidify urine by eating cranbe­rries.
Alkalize urine using cherries, strawb­erries, apple juice
   
Avoid purine rich foods (red meat, fish)
According to stone types.

Early stage BPH.

Saw palmetto fruits
A.I.: lipophilic extract with unsatu­rated FA & plant sterols.
MOA: inhibits 5-a-re­ductase--> testos­terone is not converted into 5-a-di­hyd­rot­est­osteron which enlarges the prostate.
Safety: safe on men. Unknown safety for women & children.
Differ­ential diagnosis is needed between BPH & prostate cancer. It's done through PSA measur­ements.

Free, high PSA level: BPH
Comple PSA: prostate cancer
 

Herbal urinary anti-s­eptics

1. Uva Ursi "­bea­rbe­rry­" leaves
A.I: phenolic glycoside arbutin hydrolyzed into phenolic anti-s­eptic hydroq­uinone.
Gallot­annins: astringent compound that shrinks inflamed tissue (diuretic effect) .
Only effective in alkaline urine, so not combined with cranberry juice.
A.E: N/V
CI: 1. Pregnant, 2. Lactation, 3. Children <12
Standa­rdized to 20% arbutin extract and consumed for max 1 week to avoid liver damage (hydro­qui­none).
Uva-Ursi + dandel­ions= reduced cystitis in elderly women.

Herbal urinary anti-s­eptics

2. Cranberry juice
Only a preven­tative measure. Shows 75% improv­ement in recurrent UTI after daily drinking for 3 weeks.
A.I.: acids, anthoc­yan­idins pigment, Pro-an­tho­cya­nidins (PAC), fructose.
MOA:
- PAC (tannin polymers) block bacterial adherence to UTI lining.
- Acids render urine acidic.
Standa­rdized extract of 36 mg PAC. Dose is 300-400 mg caps twice daily.

Herbal urinary anti-s­eptics

3. Buchu leaves
A.I.: flavonoids (rutin­-di­osm­eti­n-d­iosmin) V.O. (limon­ene­-di­osp­henol)
Uses: diuretic, antiba­cte­rial, anti-i­nflamm.
To note: causes burning sensation & minor bleeding.