Genitourinary tract infection and its treatment in homoeopathy

March 3, 2020 admin Practice of Medicine 0

Dr Deeraj Fernandes 

Abstract-This article is an attempt of explaining the urinary tract infection which is commonly seen in India and indications of some of the commonly prescribed Homoeopathic remedies.

Keywords- Genitourinary tract infection, Homoeopathy 

INTRODUCTION-A Genitourinary tract infection (UTI) is an infection in any part of the urinary system — involving kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract, the bladder and the urethra. Women are at greater risk of developing a UTI than are men. Infection limited to your bladder can be painful and annoying. Urinary tract infection can be defined as the presence or multiplication of bacteria or other microorganisms in the urine or genitourinary tissue2. The entry of uropathogens into the urinary tract is usually from periurethral colonization in females or often from prepucial colonization in uncircumcised males 5 .If complicated it can cause several renal diseases including end-stage renal failure. It is also a common source of life-threatening Gram negative septicaemia.3 

Types of genitourinary tract infection

  • Acute Cystitis
  • Acute pyelonephritis
  • Acute bacterial prostatitis
  • Chronic bacterial prostatitis
  • Non bacterial prostatitis.
  • Acute epididymitis1

Symptoms that are commonly seen in urinary tract infection

  • Persistent ,strong urge to urinate
  • Irritative voiding symptoms
  • Patient is usually afebrile
  • Burning sensation when urinating
  • Frequent, scanty urine1
  • Cloudy appearance of urine
  • Haematuria
  • Strong-smelling urine
  • Pain or pressure In the back and lower abdomen

Common causes for Genito Urinary tract infection

  1. It is very common in diabetics since glycosuria predisposes to recurrent urinary infection2.
  2. Certain strains of Escheria coli have some characteristics which offer them colonization and infection of urinary tract in 80-85% of cases.2
  3. Klebsiella, Enterococcus and Group B streptococci are also responsible for 5-10% of cases.

Diagnosis
This is based on quantitative culture of a clean catch mid stream specimen of urine and the presence and absence of pyuria. Dipsticks test positive for both nitrite and esterase are highly predictive of acute infection. Recurrent UTI requires radiological evaluation3.

Significant bacteriuria –presence of 1,00,000(105) or more colony forming units of bacteria per milliliter of midstream urine is seen4.

Homoeopathic management for Genito urinary tract infection

Homoeopathy has a good scope in treating Genito urinary tract infection.

There are a number of well proved Homoeopathic remedies which has a tremendous action on genitourinary tract. Homoeopathy can provide a quick recovery when urinary tract infection is associated with the symptoms like fever, pain, fowl smelling urine, discomfort etc. It is one of the safe systems which can provide relief to a patient whop is suffering from long lasting recurrent urinary tract infection.

Some of the very important indicated Homoeopathic remedies

CANTHARIS- Irritation best expresses the totality of the cantharis effects. It irritates and inflames the mucous membrane generally. Its great action is on Genito urinary system, especially on kidneys and bladder. Burning runs through cantharis pathogeneses in a very sticking way6.

SARSAPARILLA – A valuable remedy in renal and vesicular affection. There is severe strangury with discharge of white, acrid, turbid matter. The most characteristic symptom of sarsaparilla is much pain at the conclusion of passing urine, almost unbearable6.

APIS MELLIFICA- sensation of burning and stinging pain like the sting of the bee. Retarded to too frequent urination and when passed scalds severely. Incontinence of urine in old men as well as in cystitis6.

BERBERIS VULGARIS- Marked affects on the kidneys, liver, lumbar region. Lacinating, tearing, bubbling pain in the region of kidneys extending into spermatic cord. Burning and soreness in the region of the kidneys. Urine is greenish, blood coloured, with thick slimy mucus, transparent, reddish or jelly like sediment6.

ACONITUM NAPELLUS- scanty, hot, red, painful urine. Tenesmus and burning at the neck of bladder. Burning in urethra. Urine suppressed bloody. Anxiety always on beginning to urinate. Retention with screaming and restlessness7.

BELLADONA- Acute urinary infections. Urine scanty with tenesmus, dark and dropping. Haematuria when no pathological condition can be found. Prostatic hypertrophy7.

NUX VOMICA- Irritable bladder, from spasmodic sphincter. Frequent, often calls for micturation and will pass little. Haematuria.Renal colic extending to genitals with , with dribbling urine. While urinating , itching in urethra and pain in neck of bladder7.

BORAX- This remedy can be helpful for cystitis with smarting pain in the urinary opening and aching in the bladder, with the feeling that the urine is retained. Hot smarting pain in orifice. Child afraid to urinate screams before urinating. Small red particles on diaper are seen7.

SEPIA- Red offensive sand in urine. Involuntary urination, during first sleep. Chronic cystitis, slow micturation with bearing down sensation6. Bearing down sensation in females as every thing would escape through vulva7.

LYCOPODIUM-Pain in back before urinating, ceases after flow, slow in coming must strain. Retention. Heavy red sedimentation, child cries before urinating7.right sided renal colic8.

SULPHUR- frequent micturation especially at night. Enuresis especially in scrofulous, untidy children. Burning in urethra during micturation lasts long after. Mucus and pus in urine. Parts sore over which it passes, must hurry, sudden call to urinate. Great quantities of colorless urine7.

NITRIC ACID- Scanty dark offensive urine. Smells like horse urine. Cold on passing, burning and stinging. Urine bloody and aluminous. Alternation of cloudy, phophatic urine with profuse urinary secretion  in old prostatic cases.

EQUISETUM- Principle action on the bladder. A remedy for enuresis and dysuria. Severe dullness of pain and fullness of the bladder. Frequent urging with severe pain at the close of micturation. Urine flows only drop by drop. Sharp, cutting , burning pain in urethra while urinating7.

References

  1. Papadakis M, Mcphee S. Current Medical Diagnosis & Treatment. 54th ed. United states of America: Mc Grawhill Education; 2015.
  2. Das K. Text Book of Medicine. 6th ed. New Delhi: jaypee Brothers Medical Publisher (P) Ltd; 2017.
  3. Kumar P, Clark M. Kumar & Clarks Clinical Medicine. 7th ed. london: Saunders Elsevier; 2011.
  4. Allagappan R. Medicine for AYUYSH students. 1st ed. New Delhi: jaypee; 2017.
  5. Shah S. API Text book of Medicine. 8th ed. Mumbai: Th Association of Physicians of India; 2011.
  6. Jain j. Highlights of Homoeopathic Materia Medica. 2nd ed. New Delhi: B.jain publishesr; 2006.
  7. Boericke W. Pocket manual of Homoeopathic materia medica. 13th ed. New Delhi: B. Jain publishers; 2013.
  8. Allen H. Allens Keynotes. 10th ed. New Delhi: B.Jain publishesr; 2016.
  9. Murphy R. Homoeopathic medical repertory. 3rd ed. New Delhi: B.Jain
  10. Kent j. Repertory of the Homoeopathic Materia Medica. 6th ed. New Delhi: B.Jain publishers; 2015.

Dr Deeraj Fernandes
PGT Organon
Fr Muller Homoeopathy Medical College