Dubai: A man weighing 155 kilograms successfully underwent an operation to remove a kidney stone shaped like deer horns which was causing great pain, a senior urologist said.
Egyptian Esmail A.H., 58, went to various hospitals around the country and was told to lose weight before an operation could be done as his weight was a risk factor.
"Shock wave lithotripsy [sound waves to break kidney stones] was also not possible because of the fat content in his body," said Dr Fariborz Bagheri, urologist at Dubai Hospital, who took up the challenge to operate on Esmail.
The doctor's team had to keep Esmail flat on his stomach for two hours to get to the 6-cm large stone which is known as the ‘stag horn', because of its horn-like ends. "From the point of anaesthetists, keeping him in the prone position was very difficult," Dr Bagheri told Gulf News.
Esmail had undergone an operation some years ago to remove another kidney stone. "Two decades ago doctors had to make a large cut at the back and then slice open the kidney to get the stone inside the kidney," said Dr Bagheri, showing a picture of a massive incision in the patient's back.
The medical team decided to get to the cause of Esmail's agony by using a technique involving a telescopic device inserted through a small puncture made in a patient's back. The recovery time is very quick with this procedure, Dr Bagheri said. "Kidney stones are very common in the warmer climates," said the urologist, adding that drinking two litres of water every day was the best way to avoid the problem.
"People work very hard in Dubai and don't drink water to avoid taking a break to go to the toilet," the doctor said.
He said the incidence of kidney stones was particularly high among taxi drivers in Dubai because they went hours without drinking water. Kidney stones occur due to dehydration, eating certain foods like meats and those which have high calcium content, or due to infection, said the urologist. Some stones develop inside the kidney and then lodge themselves in the urinary tract and if it obstructs the passage of urine it is very painful, Dr Bagheri said. But sometimes the crystals develop without obstructing the flow of urine, giving no clue about their presence, he added, recommending periodic tests.
2011年12月19日星期一
2011年12月6日星期二
Missus won’t stop me hitting rivals
The WBA and IBF world light-welterweight champ has a date with destiny on Saturday night when he defends his titles against Lamont Peterson.
He also has a date with Faryal Makhdoom some time soon as they are planning to get married after Khan admitted she is the one for him.
Girlfriend Faryal has never been to a boxing match and Khan is not sure how the 20-year-old student from New York will react when he starts trading punches with Peterson at the Washington Convention Centre.
But Khan, who will be 24 tomorrow, is sure of one thing — that he will never change.
He said: "Getting married won't change me. I will still be the same way. Faryal knew what I did for a living when we met. My sport will always be important to me. The family are good in that kind of situation because they take the pressure off me.
"Fighting must still come first while I am trying to achieve my aim of becoming the best pound-for-pound fighter in the world.
"She understands that. My fiancee knows my sport will come first because it is what I do."
Khan is waiting to hear if his girlfriend will be ringside to watch him live for the first time or whether she will watch on TV with his mum Falak back at their hotel here in DC.
Mum Falak used to watch all her son's fights from ringside but, as the bouts have got tougher and Khan takes more punishment, she has sat back at the hotel. She also does not want to see another woman's son get hurt by her own.
Khan added: "My fiancee may be at the fight but, then again, she may stay at the hotel with my mum. That does not really bother me either way because I am always 100 per cent focused when I am in the ring.
"I think of nothing except the fight ahead. I cannot afford to be distracted by anything or anyone.
"But, yes, I am looking forward to seeing her. It seems as if I have been in training camp in Los Angeles for ages. I've missed her."
Khan splashed out recently on an engagement sparkler for Faryal but he admitted: "I haven't even given her the ring yet!"
Hilary Clinton is another woman who may be ringside and Khan reckons he has a lot to thank the US Secretary of State for.
Border officials always used to stop Khan for extensive questioning when he arrived in the United States. But after meeting Mrs Clinton at an awards dinner for Muslims in sport, he no longer gets detained quite as long.
Khan was held for around three hours in his early days travelling to America to train with Freddie Roach.
He added: "I'd get here and my name would be flagged as a potential terrorist.
"I always had problems getting into the United States even when some of the officers from Mexico or Philippines recognised me as a boxer. They had to obey rules and detain me.
"I only waited 30 minutes this time! On some occasions I have been straight through without any delay at all. It's nice when that happens. I think the problem has been solved now so hopefully I won't get put in a room and left to wait again.
"But I know it only happens because of the world we live in.
"The officers are only doing their job and try to make sure only the right people get into the country."
World heavyweight champ WLADIMIR KLITSCHKO revealed he suffered the worst pain of his life — from kidney stones.
He also has a date with Faryal Makhdoom some time soon as they are planning to get married after Khan admitted she is the one for him.
Girlfriend Faryal has never been to a boxing match and Khan is not sure how the 20-year-old student from New York will react when he starts trading punches with Peterson at the Washington Convention Centre.
But Khan, who will be 24 tomorrow, is sure of one thing — that he will never change.
He said: "Getting married won't change me. I will still be the same way. Faryal knew what I did for a living when we met. My sport will always be important to me. The family are good in that kind of situation because they take the pressure off me.
"Fighting must still come first while I am trying to achieve my aim of becoming the best pound-for-pound fighter in the world.
"She understands that. My fiancee knows my sport will come first because it is what I do."
Khan is waiting to hear if his girlfriend will be ringside to watch him live for the first time or whether she will watch on TV with his mum Falak back at their hotel here in DC.
Mum Falak used to watch all her son's fights from ringside but, as the bouts have got tougher and Khan takes more punishment, she has sat back at the hotel. She also does not want to see another woman's son get hurt by her own.
Khan added: "My fiancee may be at the fight but, then again, she may stay at the hotel with my mum. That does not really bother me either way because I am always 100 per cent focused when I am in the ring.
"I think of nothing except the fight ahead. I cannot afford to be distracted by anything or anyone.
"But, yes, I am looking forward to seeing her. It seems as if I have been in training camp in Los Angeles for ages. I've missed her."
Khan splashed out recently on an engagement sparkler for Faryal but he admitted: "I haven't even given her the ring yet!"
Hilary Clinton is another woman who may be ringside and Khan reckons he has a lot to thank the US Secretary of State for.
Border officials always used to stop Khan for extensive questioning when he arrived in the United States. But after meeting Mrs Clinton at an awards dinner for Muslims in sport, he no longer gets detained quite as long.
Khan was held for around three hours in his early days travelling to America to train with Freddie Roach.
He added: "I'd get here and my name would be flagged as a potential terrorist.
"I always had problems getting into the United States even when some of the officers from Mexico or Philippines recognised me as a boxer. They had to obey rules and detain me.
"I only waited 30 minutes this time! On some occasions I have been straight through without any delay at all. It's nice when that happens. I think the problem has been solved now so hopefully I won't get put in a room and left to wait again.
"But I know it only happens because of the world we live in.
"The officers are only doing their job and try to make sure only the right people get into the country."
World heavyweight champ WLADIMIR KLITSCHKO revealed he suffered the worst pain of his life — from kidney stones.
2011年11月23日星期三
Zumba helped me overcome my anorexia demons says Sophie Winter
SOPHIE Winter always enjoyed staying fit with regular visits to the gym. But what started as a passion became an obsession which saw the teenager walking 20 miles a day while eating only mints and iced drinks.
Now, after discovering Zumba Sophie, who at her lowest weighed less than six stones, has turned her life around.
“It’s true. Zumba really has helped save my life,” she smiles.
“I realised that to run a successful business, to get the most out of every day and to realise my dreams, I couldn’t afford to be ill. I had to buck my ideas up and that meant starting to eat again.
“Now I run 12 Zumba classes and have big plans for the future.”
Sophie, who is now 20 and lives in Scarisbrick, says that as a young teenager she regularly helped out at local beauty pageants.
“I never took part but I’d help the photographer and hand out the prizes and I think a lot of my issues stem from that time.
“I was probably a size eight or so but I knew I’d never look like one of those pageant models; they were so glamorous and thin and I just didn’t see myself like that.”
As she grew a little older her weight fluctuated slightly but, she says, it was never a problem and although she wasn’t sporty at school she enjoyed keeping fit at the gym.
“But I was exercising on my own. I’d be in there for ages and wouldn’t see or have to speak to anyone. It wasn’t a very social way to stay fit.”
Having left school at 16 and determined to build up her savings she found herself holding down three jobs.
“I worked in a pub and I also cleaned in a school. Then I got a job in a bistro and ended up running that as well.”
Soon she found herself walking up to 20 miles a day between jobs. Coupled with her exercise regime – she would often cycle for miles – the weight began to drop away.
“Sometimes I’d walk from my home to Southport and back on a Sunday just for the hell of it and I could spend hours on the cross trainer in the gym, too.
“I knew there was a problem but I’d look at myself in the mirror and still see myself as fat.”
She began to suffer kidney problems. Pale skinned anyway she developed dark rings beneath her eyes and her hair started to fall out. Anorexia had her in its grip.
“I lived alone although my parents were nearby and of course they noticed my changed appearance, as did my friends and colleagues. I became known as ‘the girl who spent hours in the gym’.
“But the more people commented on my appearance the more I’d think ‘I don’t care what they think’ and carry on.”
Distraught, her mum tried to force her to eat but to no avail. Her GP also referred to Fazakerley Hospital but Sophie was unwilling to take it further.
“I hated the idea of people touching me and I’d wear baggy clothes all the time to disguise my body shape. I remember weighing myself and I was six stones 1lb but I’m sure I lost more weight after that.
Now, after discovering Zumba Sophie, who at her lowest weighed less than six stones, has turned her life around.
“It’s true. Zumba really has helped save my life,” she smiles.
“I realised that to run a successful business, to get the most out of every day and to realise my dreams, I couldn’t afford to be ill. I had to buck my ideas up and that meant starting to eat again.
“Now I run 12 Zumba classes and have big plans for the future.”
Sophie, who is now 20 and lives in Scarisbrick, says that as a young teenager she regularly helped out at local beauty pageants.
“I never took part but I’d help the photographer and hand out the prizes and I think a lot of my issues stem from that time.
“I was probably a size eight or so but I knew I’d never look like one of those pageant models; they were so glamorous and thin and I just didn’t see myself like that.”
As she grew a little older her weight fluctuated slightly but, she says, it was never a problem and although she wasn’t sporty at school she enjoyed keeping fit at the gym.
“But I was exercising on my own. I’d be in there for ages and wouldn’t see or have to speak to anyone. It wasn’t a very social way to stay fit.”
Having left school at 16 and determined to build up her savings she found herself holding down three jobs.
“I worked in a pub and I also cleaned in a school. Then I got a job in a bistro and ended up running that as well.”
Soon she found herself walking up to 20 miles a day between jobs. Coupled with her exercise regime – she would often cycle for miles – the weight began to drop away.
“Sometimes I’d walk from my home to Southport and back on a Sunday just for the hell of it and I could spend hours on the cross trainer in the gym, too.
“I knew there was a problem but I’d look at myself in the mirror and still see myself as fat.”
She began to suffer kidney problems. Pale skinned anyway she developed dark rings beneath her eyes and her hair started to fall out. Anorexia had her in its grip.
“I lived alone although my parents were nearby and of course they noticed my changed appearance, as did my friends and colleagues. I became known as ‘the girl who spent hours in the gym’.
“But the more people commented on my appearance the more I’d think ‘I don’t care what they think’ and carry on.”
Distraught, her mum tried to force her to eat but to no avail. Her GP also referred to Fazakerley Hospital but Sophie was unwilling to take it further.
“I hated the idea of people touching me and I’d wear baggy clothes all the time to disguise my body shape. I remember weighing myself and I was six stones 1lb but I’m sure I lost more weight after that.
2011年9月1日星期四
Obesity not behind kidney stones in kids: study
The finding seems "counterintuitive," say researchers who have noticed an increasing number of both adult and kid patients with kidney stones as obesity levels have been on the rise.
"I think everyone would agree that there's an increasing incidence of stone disease," said Dr. Brian Matlaga, a urologist at the Johns Hopkins University School of Medicine in Baltimore who was not involved in the new study.
Whether overweight and obesity trends are behind that or not, "I think it's something in the modern American diet, a high-sodium diet that may be associated with this increased risk," he told Reuters Health.
Too much calcium in the urine is known to cause kidney stones, as is dehydration -- both conditions influenced by sodium. Studies of adults have found that those who are obese, or who have high blood pressure or diabetes, are at an increased risk of getting stones.
Nationwide numbers are generally lacking, but the rise in kidney stones among kids can be glimpsed in records from individual hospitals, medical practices and databases. One recent study using a pediatrics database as a sample identified 125 kids admitted to hospitals for kidney stone treatment in 1999, compared to 1,389 kids admitted in 2008. Adjusted for other factors, the change represented a 10 percent annual increase in cases.
But it's been unclear if weight is also driving kidney stone rates in kids. To get at that question, researchers led by Dr. Steve Kim from Children's Hospital Los Angeles consulted electronic health records from kids treated at Philadelphia-area doctors' offices.
Between 2002 and 2009, they found 110 cases of kidney stones in kids and adolescents 21 and younger. For each of those cases, the researchers picked out four kids of the same age and treated at the same practice who didn't have a kidney stone.
According to their health records, two percent of kids with kidney stones were overweight, and about four percent were obese. That compared to four percent of the non-kidney-stone group that was overweight, and close to five percent that was obese.
Girls and boys were equally likely to get kidney stones, whereas white kids were more likely than black kids to have a stone, according to the findings published in The Journal of Urology.
Experts suggest that the diet of adults who are overweight and the metabolic changes in the body caused by extra weight affect the contents and chemistry of the urine -- possibly leading to a higher risk of kidney stones.
Because "children are not little adults," weight might affect them differently, Matlaga said. But diet could still be behind the increase in childhood stones, he added.
Kim agreed. "We know that sodium is associated with calcium metabolism in the urine," he said. "Certainly a higher-salt diet would likely contribute to more kidney stones." But, he cautioned, "we don't have any good proof of that yet."
Kids are also getting fewer dairy products in their diet, he said, and that could be related to urine chemistry and kidney stone risk. Or, dehydration may be to blame. "In general, a lot of kids drink less water than they should, or less fluid in general than they should. They don't stay as well-hydrated," he told Reuters Health.
Clearly, Kim said, more studies are needed to nail down what is behind the "dramatic shift" in kidney stone cases that pediatricians have noticed in the past few years.
Once doctors have the answer to that question, they'll be more prepared to counsel kids at risk and their families about kidney stones and other conditions that might go hand in hand with stones, Matlaga added.
"I think everyone would agree that there's an increasing incidence of stone disease," said Dr. Brian Matlaga, a urologist at the Johns Hopkins University School of Medicine in Baltimore who was not involved in the new study.
Whether overweight and obesity trends are behind that or not, "I think it's something in the modern American diet, a high-sodium diet that may be associated with this increased risk," he told Reuters Health.
Too much calcium in the urine is known to cause kidney stones, as is dehydration -- both conditions influenced by sodium. Studies of adults have found that those who are obese, or who have high blood pressure or diabetes, are at an increased risk of getting stones.
Nationwide numbers are generally lacking, but the rise in kidney stones among kids can be glimpsed in records from individual hospitals, medical practices and databases. One recent study using a pediatrics database as a sample identified 125 kids admitted to hospitals for kidney stone treatment in 1999, compared to 1,389 kids admitted in 2008. Adjusted for other factors, the change represented a 10 percent annual increase in cases.
But it's been unclear if weight is also driving kidney stone rates in kids. To get at that question, researchers led by Dr. Steve Kim from Children's Hospital Los Angeles consulted electronic health records from kids treated at Philadelphia-area doctors' offices.
Between 2002 and 2009, they found 110 cases of kidney stones in kids and adolescents 21 and younger. For each of those cases, the researchers picked out four kids of the same age and treated at the same practice who didn't have a kidney stone.
According to their health records, two percent of kids with kidney stones were overweight, and about four percent were obese. That compared to four percent of the non-kidney-stone group that was overweight, and close to five percent that was obese.
Girls and boys were equally likely to get kidney stones, whereas white kids were more likely than black kids to have a stone, according to the findings published in The Journal of Urology.
Experts suggest that the diet of adults who are overweight and the metabolic changes in the body caused by extra weight affect the contents and chemistry of the urine -- possibly leading to a higher risk of kidney stones.
Because "children are not little adults," weight might affect them differently, Matlaga said. But diet could still be behind the increase in childhood stones, he added.
Kim agreed. "We know that sodium is associated with calcium metabolism in the urine," he said. "Certainly a higher-salt diet would likely contribute to more kidney stones." But, he cautioned, "we don't have any good proof of that yet."
Kids are also getting fewer dairy products in their diet, he said, and that could be related to urine chemistry and kidney stone risk. Or, dehydration may be to blame. "In general, a lot of kids drink less water than they should, or less fluid in general than they should. They don't stay as well-hydrated," he told Reuters Health.
Clearly, Kim said, more studies are needed to nail down what is behind the "dramatic shift" in kidney stone cases that pediatricians have noticed in the past few years.
Once doctors have the answer to that question, they'll be more prepared to counsel kids at risk and their families about kidney stones and other conditions that might go hand in hand with stones, Matlaga added.
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