Harnröhre (Urethra)
Vergleich: Siehe: Organen + Krankheiten
[Robert Medhurst]
Urinary tract infections or UTIs are one of
the more common conditions we see in clinical practice. The lifetime incidence
rate for this illness for women is 50%, and 5% for men. Babies and the elderly
form two of the high risk groups for UTIs. The more
specific groups at higher risk of developing this disorder are sexually active
women, diabetics, men with pre-existing prostate disease, those with urinary
catheters, and babies born with anatomical disorders of the urinary tract that
result in vesico-ureteric reflux.
UTI is a general term encompassing urethritis,
cystitis and pyelonephritis. The disease is usually
associated with a bacterial infection (E.coli),
although infection with mycoplasma or Chlamydia
<: cases of urethritis, may be involved.
The symptoms commonly include chills, fever, dysuria,
haematuria, urinary frequency, a feeling of fullness
in the bladder after voiding urine and suprapubic,
back or loin pain.
Failure to successfully manage UTIs may result
in the progression to a more severe infection, and the development of
hypertension as well as kidney failure. Medically,
UTIs are frequently treated with antibiotics, but
the rates of resistance to these drugs, particularly the older antibiotics, are
rising significantly, leading to increased levels of UTI recurrence that become
harder and harder to manage. From a naturopathic perspective, berberine-containing herbs, Cranberry, Buchul
and Olive leaf are often helpful,
but patient compliance with regimes employing these herbs can often be
problematic. Prevention using things such as super-hydration (while avoiding electrolyte
deficiency), Cranberry and probiotics can be
successful, but often fail to halt an active UTI.
In my experience and that of several noted authorities in this area1-9,
there are a number of homeopathic medicines that have been found to be very effective
in the management of urinary tract infections. Brief discussions on these
medicines follow, and it should be noted that these appear here for educational
purposes only, and are not intended to replace the advice of a competent and
qualified healthcare practitioner.
Canth.:
One of the most commonly used homeopathic medicines in UTIs. The primary symptom is intense scalding or burning
pain, either with or without urination. Urine is passed
by drops and each drop of urine passed is often described as being like
passing burning acid. There may also be anxiety, restlessness, urinary tenesmus, haematuria, the urine
may appear jelly like or contain substances with the appearance of scales.
Severe urging to urinate and cramping around the urinary bladder may be
reported.
<: drinking coffee/drinking or hearing running water; >: cold
applications/rubbing/ completely voided the bladder;
Ars.:
Burning pain. The sufferer may appear thirsty, anxious and restless.
There’s often frequent urging that produces very little urine, and the urine
that is produced may be scanty, burning and albuminous.
White cells, red cells, and epithelial cells may be present in the urine. Other
indicators are diarrhoea, chilliness, as well as weakness or exhaustion.
<: after midnight/cold (drinks); >: heat/warm drinks;
Equis.:
History of urinary and faecal incontinence with dull pain in the area of
the bladder or right-sided lumbar pain, and a feeling of fullness or incomplete
emptying of the bladder that is not relieved by urination. The urine is
normally albuminous and is only produced drop by
drop. There is often frequent urging to urinate with strong burning urethral
pain (end of urination). The UTI may coincide with pregnancy or may occur
post-partum. <: r./motion/sitting/pressure; >: afternoon/lying down;
Benz-ac.:
The common guides are the colour and smell of their urine (dark brown/a
strong and offensive ammoniacal odour). History of
depression, asthma, enuresis, cystitis, gout, cracking joints and renal
insufficiency. Sufferers may also have an odour about them like urine. <:
cold/motion; >: heat/profuse urination;
Sep.:
Often weakness, depression, nocturnal enuresis or enuresis from coughing
or sneezing, excessive perspiration, a yellowish skin and a history of
recurrent cystitis. The urine may appear thick and offensive and there may be haematuria. Fine gravel may be present in the urine.
Urination may be slow + a suprapubic bearing down
sensation and may be preceded by a cutting sensation in the bladder. <:
afternoon/evening/coitus/before a thunderstorm and after sweating. >:
exercise/warmth/drawing the limbs up/after sleep;
Nephritis and urethritis (with haematuria). The urine may have a characteristic odour of
violets, it may be scanty or suppressed and have a muddy sediment if allowed to
settle. Tenesmus and strangury
may be reported here with location of the pain bladder # umbilicus. <:
pressure; >: motion (walking);
Sars.:
Consider with renal colic and produces urine in a thin weak stream of
bloody urine. A descending burning pain in the region of the right kidney may
be reported. Severe pain may be felt (meatus), before
and while urinating, but more commonly when passing the last few drops. There
may be a slight dribbling enuresis while sitting. Urinary tenesmus
may be present and a chill may spread from the bladder when urinating. <:
cold/motion/pressure/sitting; >: warmth/standing;
Merc-c.:
Constant urging to urinate and an intense burning sensation on urination
followed by perspiration. Haematuria, urinary tenesmus, diarrhoea and general irritation of most mucus
membranes may also guide this prescription. There may be a stabbing pain
ascending up the urethra into the bladder. The urine is characteristically albuminous, cloudy and bloody, scanty, hot and burning and
is passed drop by drop. A greenish urethral discharge may also be noted. <:
t night; >: rest;
Staph.:
Sensitive, nervous and irritable and have a history of recurring
cystitis or prostatitis, and often it’s triggered by
internalised anger, emotional upset or while convalescing.
There may be urinary urgency, frequent but ineffectual urging to
urinate, a feeling of pressure in the bladder as well “As if feeling as if a
drop of urine is rolling continuously along the urethra”. The pain in this
instance may be burning in character and occur during or long after urination
has ceased. Commonly develop after sexual intercourse, giving rise to what’s
often referred to as honeymoon cystitis. Foreign bodies such as catheters, cystoscopes and surgical procedures may also be implicated
as the cause of the infection. <: anger/touching affected parts/sexual
excess; >: warmth/rest at night/lying curled up on the side;
Acon.:
Often come on very suddenly (exposure to dry cold weather or very hot
weather, and may + fever. Fear and anxiety, as well as physical and mental restlessness
may be observed. The urine may be scanty and blood stained and the sufferer may
complain of sensitivity in the kidney areas, urinary tenesmus
and severe burning pain on urination. Urinary retention may cause severe pain
and increased restlessness. <: r./pressure/lying on the affected
side/evening/night; >: rest;
This can be particularly useful in cases where the UTI is associated
with prostatitis. There may be urinary urgency
inhibited by a restriction to urine flow, requiring straining to pass the
urine, as well as burning on urination. The urine in this instance is often
scanty and cloudy and contains a stringy mucoid
sediment. The sufferer may complain of swelling of the prostate, as if he’s
sitting on a ball. Symptoms are worse on the left side, from sitting on a cold
surface and during cold, damp weather, and > walking.
Puls.:
Chronic recurrent UTIs (associated with
hormonal changes related to pregnancy, menopause or menses). Weepiness, a
clingy disposition, a lack of thirst and appetite for food as well as a dislike
of warm, stuffy rooms may be noted, These features, along with a paroxysmal
burning dysuria, urgency worse on lying down and
urinary incontinence, particularly from
coughing or sneezing, often guide the prescriber to the remedy. <: before
menses/lying on the back/walking/cold, wet weather/getting the feet wet)
>: in open air/consolation.
Vorwort/Suchen Zeichen/Abkürzungen Impressum