Management of albuminuria and dysuria through Ayurveda interventions in a patient with crossed renal ectopia

Abstract

Albuminuria is one of the most typical symptoms when there are derangements in the kidney functions, which may damage the kidney’s functional units, that is, nephrons. This study presents a case of a patient suffering from albuminuria who was diagnosed with crossed renal ectopia, that is, fused right kidney to the left side. A 61-year-old male patients suffered from generalized body weakness, proteinuria, disturbed sleep, and dysuria. Because of dysuria, the patient needed catheterization every fortnight. The patient had no history of addiction to smoking and alcohol. The patient had no history of diabetes mellitus, hypertension, or systemic disease except pulmonary tuberculosis 30 years back. The kidney function test, urine routine, and microscopy examination revealed albuminuria, the presence of bacteria, and elevated serum uric acid level. Crossed renal ectopia was diagnosed through a computed tomography examination. From an Ayurveda perspective, the diagnosis of Kaphaja Meha was based on the patient’s complaints, such as increased frequency of micturition and hazy/turbid urine. The treatment plan was made according to the management of Kaphaja Meha. Chandraprabha Vati, Punarnava Asava, Punarnava capsule, and SG syrup—an Ayurvedic formulation, were prescribed along with the dietary regimen. Follow-up was done seven times within 9 months. The medications and dose were altered according to the patient’s condition. The patient’s condition improved symptomatically. After the Ayurvedic intervention for 9 months and 23 days, albumin was absent in urine; serum uric acid became 4.90 mg/dL, and the glomerular filtration rate increased to 88/mL/min/1.73 m2. The patient had normal urination without needing catheterization. The case study results indicate that Ayurveda interventions can manage albuminuria and dysuria in patients with crossed renal ectopia.