The medical experts of All India Institute of Medical Sciences (AIIMS) Rishikesh have warned that ignoring the kidney stone pain can damage other parts of the body, which can be life threatening. They point out that one of the most commonly ignored ailments in people is renal stone disease (nephrolithiasis).

The Head, Department of Urology, Dr Ankur Mittal said that renal stones affect all ages from infancy to the elderly population and they are formed due to the super saturation of the urine with substances such as calcium, uric acid, cystine and oxalate. “In the initial phase these substances form crystals and around them there is further deposition and eventually a kidney stone is formed. Stones can either pass through the urinary passage and be extruded in the urine or lie asymptomatically in the kidney. It is when they get obstructed in any part of the kidney or urinary tract that symptoms develop,’’ he said.

The symptoms of renal stone disease include fluctuating and excruciating pain in the abdomen, groin and flank region that can lead to urinary tract infection with fever and chills, burning micturition and even passage of blood in urine. “An expert should be immediately contacted in case of excessive unbearable pain in the flank or in the groin,’’ the doctor suggested.

Dr Mittal said that one should drink more fluids to produce at least two litres of urine per day and various dietary modifications are advised in the form of a salt restricted diet, cutting back on the consumption of meat with avoidance of caffeinated drinks, nuts, foods that contain fructose corn syrup to combat the disease.

The Director of AIIMS Rishikesh Ravikant said that soon an ‘Advanced Urology Centre’ which is in its final stage of completion would start functioning in the institute. The centre would have a world class ‘Dornier lithotripsy machine’, and a radiology suite for urological interventions, he added.

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Bhubaneswar/Sambalpur: Odisha Health Minister N K Das has said that a probe has been ordered into the alleged violation of protocol in the surgery of an HIV positive infected patient by the dental wing of VIMSAR in Burla.

The Veer Surendra Sai Institute of Medical Sciences and Research (VIMSAR), Burla has set up a committee to be headed by the HoD of the Tuberculosis and Chest department, to probe into the alleged violation of protocol in the surgery of an HIV positive infected patient by the dental wing of the hospital.

“Action will be taken against the person if there is any violation in the protocol for the HIV patients,” the minister said on Wednesday.

Superintendent of VIMSAR, Lalmohan Nayak on Wednesday said life of no other patient was put to any risk in the process, though the committee will find out if there were any lapses by the operating surgeon. “The Head of the Department (HOD) of Tuberculosis and Chest, Prabhati Dutta will head the probe team and would submit the report to the government,” said Nayak.

Nayak also said that the Department of Dentistry which was closed for fumigation after the alleged violation of protocol in surgery of an HIV positive patient was reopened on Wednesday.

Meanwhile, the assistant professor of Department Dentistry, VIMSAR, PK Swain, who performed the surgery on the HIV positive patient on October 28, said that he did the surgery on “humanitarian ground” and did not put “any life at risk” in the process.

Swain said the patient was admitted in the surgery ward of the hospital on October 13 and he had finalised October 28 for his Inter Maxillary Fixation (IMF). The patient came for the surgery to the Department of Dentistry on October 28.

“I checked all his report but did not find the HIV screening report. Subsequently, I asked him for HIV screening. He also underwent screening and brought the report, from which I could know that he was HIV positive. I immediately informed the authority about the patient. They told me to send the patient after prescribing some medicines,” Swain said.

“But my conscience prevented me from sending back the patient without surgery. Had I sent back the patient without surgery, the problem of the patient would have aggravated.

Hence, I performed the surgery on him”, he said. Swain claimed that he followed all the precaution while performing the surgery on the HIV positive patient. Swain denied the allegation that he used the same instruments, which were used for the surgery of the HIV positive patient, for surgical procedures of other patients.

He said dental extraction of two other patients was conducted after the operation on the HIV positive patient was performed.

“These two operations were conducted at separate chairs and separate cabins. There is no risk for the patients, who were operated after the HIV positive patient,” he said.

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