The Perils Of Privatisation - Part X
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steroids
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i had a steroid injection in my ankle joint today and have gone to the loo several times already to pass water,are steroids a diruetic?
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wow, sqad you are very knowledgeable! the running to the loo has now stopped thankfully. i thought i would be up all night!
ive had one of these injections before in my knee and was never affected before. by the way, i almost shot through the roof that time. this time i said i didnt like needles etc and so the doc said he would make the area numb. i stupidly thought with a freeze spray or something! it was another needle, local anaesthetic, couldnt believe it. the steriod injection is then made up of an anesthetic and the steroid, 2 needles in one, whats the point of that if you feel the pain before its taken!! this time the extra numbing needle did work a bit but i could still feel the needle go into the bone joint not pleasant and i saw an xray of it too, it seemed very deep, i will not make you puke further you squeamish lot! if this doesnt work for my ankle that keeps giving way, nb i fell downstairs last sept and badly sprained it, i will need to have a scrape, say no more, yak!
ive had one of these injections before in my knee and was never affected before. by the way, i almost shot through the roof that time. this time i said i didnt like needles etc and so the doc said he would make the area numb. i stupidly thought with a freeze spray or something! it was another needle, local anaesthetic, couldnt believe it. the steriod injection is then made up of an anesthetic and the steroid, 2 needles in one, whats the point of that if you feel the pain before its taken!! this time the extra numbing needle did work a bit but i could still feel the needle go into the bone joint not pleasant and i saw an xray of it too, it seemed very deep, i will not make you puke further you squeamish lot! if this doesnt work for my ankle that keeps giving way, nb i fell downstairs last sept and badly sprained it, i will need to have a scrape, say no more, yak!
Yes, in simple terms, glucocorticoids ( aka corticosteroids and "steroids") have major impact on electrolyte and water balance, mainly in the kidney. Polyuria ( passage of excessive volume of urine) sometimes along with polydipsia (excessive thirst) results from inhibition of ADH (Antidiuretic hormone) secretion along with drug induced decreased renal sensitivity to ADH. Effectively, this causes temporary diabetes insipidus (not to be confused with diabetes mellitus, a totally different condition).
Sodium is retained by the body under these circumstances, whilst potassium is excreted at greater quantities than normal. Calcium levels in the body are compromised due to decreased intestinal absorption, which in turn causes potential problems with bone.
As far as the addition of local anaesthetic is concerned, there are two main reasons why it's added to the steroid component. The first is that where the steroid needs to localised in situations like trigger finger, a straight steroid injection is used. In other situations where soft tissue needs to be infiltrated as well, a local anaesthetic is added. However, that's not the whole story. A good, experienced physician will often be able to inject the steroid in a single jab just where it's needed painlessly; the less proficient often add the anaesthetic to minimise the pain caused by their inexperience!
Sodium is retained by the body under these circumstances, whilst potassium is excreted at greater quantities than normal. Calcium levels in the body are compromised due to decreased intestinal absorption, which in turn causes potential problems with bone.
As far as the addition of local anaesthetic is concerned, there are two main reasons why it's added to the steroid component. The first is that where the steroid needs to localised in situations like trigger finger, a straight steroid injection is used. In other situations where soft tissue needs to be infiltrated as well, a local anaesthetic is added. However, that's not the whole story. A good, experienced physician will often be able to inject the steroid in a single jab just where it's needed painlessly; the less proficient often add the anaesthetic to minimise the pain caused by their inexperience!
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