Herbal Remedies for Klebsiella Urinary tract infection

Abstract

Urinary tract infection is the condition associated with lower urinary tract. The urinary tract, like respiratory and digestive tracts, ends on the body surface and therefore can never be sterile throughout its length. However, when the tract is anatomically and physiologically normal, and local and systemic defense mechanisms intact, organisms are confined to the lower end of the urethra. Urinary tract infection is associated with multiplication of organisms in the urinary tract, and is defined by the presence of more than 100000 organisms per ml in a midstream sample of urine (MSU). In this article we will discuss particularly about the urinary tract infection caused by klebsiella, its causes, symptoms, Ayurvedic aspect and also its detailed ayurvedic management.

Introduction

Urinary tract infections are much common in women and the possible cause is short length of urethra. Many community surveys suggest that the prevalence of urinary tract infection in women is about 3% at the age of 20 and increases by about 1% in each subsequent decade. About 50% of the women suffer symptoms of urinary tract infection sometime during their adult lives. In males such infections are uncommon except in the first year of life and in those over 60 years of age.

In domiciliary practice E.coli derived from the faecal reservoir being due to proteus, pseudomonas species, streptococcus or staphylococcus epidermidis. In hospitals this infection is usually the result of klebsiella but still the predominance of E.coli persists. In ayurveda urine tract infection is understood as mutra krich and klebsiella urinary tract infection can be understood as abhigataj mutra krich.

Causes

The cause in this condition is klebsiella bacteria itself.  It is responsible for complicated urinary tract infections and makes the condition really painful and disturbing. After E.coli it is the commonest cause of UTI. If talked in ayurvedic terms then following are the nidaan or causes of abhighataj mutra krich

1. Ativayayam (excessive exercise)
2. Tikshan aushadh sevan (intake of astringent medication)
3. Excessive alcohol intake
4. Long drives without passing urine or controlling urge to urinate
5. Abhigat (trauma)
6. Indigestion (ajeerna)

Clinical features or lakshan of Urinary tract infection

1. Patients often notice an abrupt onset of frequency of micturition.
2. Dysuria (Mutarasya krichen mehta dukhen pravritaha- mutra krich is a condition in which painful urination is really common)
3. Scalding pain felt in urethra during micturation
4. After the bladder is empty, patients usually have more desire to urinate. This is generally the result of spasm  due to the inflamed wall of the bladder.
5. Systemic symptoms like fever and fatigue are usually associated.
6. On palpation suprapubic tenderness is generally present.
7. Urine passed will have unusual color (cloudy color) and unpleasant odour.
8. In case of klebsiella involvement haematuria (blood in urine) is frequently present.
9. Pyuria is also a very common symptom (presence of pus cells in urine)

On the other hand abhighataj mutra krich can be the result of abhyantar shalya (klebsiella in this case). It represents acute pain in the bladder, distention in bladder and heaviness in bladder. Associated symptoms may include acute pain in the lower abdomen and penis, increased frequency and decreased quantity of urine along with applying pressure on basti (bladder), vrishan and shishin provides relief to patients.

Investigation

1. Quantitative culture of MSU (Micturating cystourethrography) or urine  obtained by supra pubic aspiration.
2. Microscopic examination of urine for red blood cells, white blood cells and casts.
3. Examination of urine for blood, protein and glucose.
4. Blood culture for white blood cell count and ESR (values are generally raised). Patients with klebsiella infection usually land in septicemia.
5. Pelvic examination in women with recurrent Klebsiella UTI.
6. Rectal examination of men for prostate enlargement.

Management

The management of klebsiella UTI is done in the same manner as the management of common UTI is done. But some key points are to be kept in mind like changing the range of antibiotics, diagnosing any associated (kidney stone, prostate enlargement etc.) condition and prescribing accurate drugs if a patient suffers from haematuria.
In such cases treatment is done according to severity of symptoms.

1. If the symptoms are mild then the patient may get relief from little lifestyle modifications like keeping body hydrated, avoid drinking excessive alcohol, avoiding food that contains a lot of spices and few others. Along with this antibiotics are prescribed for 3-5 days. Oral rehydration solution is also given.
2. If the symptoms are moderate then continues administration of oral rehydration solution for 7-10 days along with antibiotics for the same duration is prescribed. If a patient has any systemic symptoms that are also considered while giving prescription.
3. In presence of severe symptoms like haematuria, high fever, dehydration etc. indoor admission of patients is done. Intravenous fluid and antibiotics are prescribed. Along with administration of antipyretic drugs and blood coagulation drugs.
4. In ayurveda, classical formulations that are prescribed includes shveta parpati rasa, chandrakala rasa, chandraprabha vati with ikshu rasa (sugarcane juice) and uttar basti of sugarcane juice if needed.

For the management of Klebsiella UTI Planet Ayurveda offers some of its potent products that can effectively manage this condition.

These products are

1. Chandanadi vati
2. Punarnava capsules
3. Curcumin capsules
4. Chanderprabha vati

Products Description

1. Chandanadi vati

The chandanadi vati is a classical choice of formulation in urinary tract infections. It has shveta chandana (Santalum album), amalaki (Emblica officinalis), maricha (Piper cubera) and many other effective herbs as its ingredients. Chandanadi vati is very effective in urinary tract infections as it reduces inflammation, makes the mucosa of urethra smooth and soft and along with that provides a cooling effect that reduces the burning micturation.

Dose: Two tablets twice a day after meals.

2. Punarnava capsules

Punarnava capsules are manufactured using standardized extract of Boerhavia diffusa. This herb behaves as a diuretic and reduces retention of urine due to inflammation. It also helps in reducing the pus cells in urine.

Dose: One capsules twice a day after meals.

3. Curcumin capsules

It is also a choice of formulation in classics, that helps in protecting urethral mucosa from any other inflammation. This vati is formulated using  guggul resin (Commiphora mukul), amalaki (Emblica officinalis), Haridra (Curcuma longa) and few other efficient herbs. It detoxifies the body and has efficiency to reduce microorganisms with increased passage of urine.

Dose: Two tablets twice a day after meals.

4. Chanderprabha vati

It is also a choice of formulation in classics, that helps in protecting urethral mucosa from any other inflammation. This vati is formulated using guggul resin (Commiphora mukul), amalaki (Emblica officinalis), Haridra (Curcuma longa) and few other efficient herbs. It detoxifies the body and has efficiency to reduce microorganisms with increased passage of urine.

Contact Planet Ayurveda to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or call at +91-172-5214030 Or Check Website – www.PlanetAyurveda.com

Conclusion

Klebsiella urinary tract infection is not much common as the commonest remains of UTI due to E. coli. All the above-mentioned herbal formulations are capable of reducing symptoms that appear in klebsiella induced urinary tract infections. The products offered by Planet Ayurveda are totally vegetarian and do not cause any side effects. In case of any query kindly visit www.planetayurveda.com .