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Dr. R B Patel

MBBS

Urologist, Ahmedabad

500 at clinic
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Dr. R B Patel MBBS Urologist, Ahmedabad
500 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. R B Patel
Dr. R B Patel is a trusted Urologist in Maninagar, Ahmedabad. Doctor has done MBBS . You can visit him/her at Parimal Hospital in Maninagar, Ahmedabad. Don’t wait in a queue, book an instant appointment online with Dr. R B Patel on Lybrate.com.

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MBBS - - -

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Parimal Hospital

Punit Marg,Near New Overbridge,Near LG Corner,Maninagar,Landmark:Behind Canara Bank.Ahmedabad Get Directions
500 at clinic
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5 Ways To Treat Renal Colic!

FMAS, M.Ch - Urology, MS - General Surgery, MBBS
Urologist, Ernakulam
5 Ways To Treat Renal Colic!

Our kidneys act as filters which constantly flushes out toxins and excess minerals with water in form of urine. Urine contains lots of minerals which may precipitate and form stones. Urine has lots of pro-precipitating agents and anti-precipitating agents. When their balance disturbs due to some disease, stones start forming. These stones may often lead to abdominal pain which is referred to as renal colic

What exactly is renal colic? 

Renal or ureteric colic is the term used for typical pain in one side of abdomen in flank region starting from back and radiating forward towards lower abdomen up to scrotum. This is usually associated with nausea, vomiting and urinary discomfort. There may be blood in urine

How kidney stones are related to renal colic? 

Kidney stones usually form inside kidney and lies there without causing any pain. But whenever they are dislodged and stuck at mouth of kidney (pelvis) or anywhere in ureter, they block the passage of urine of that kidney. This causes swelling in kidney termed as hydronephrosis. This swelling in kidney causes renal / ureteric colic. This colic is protective phenomenon and tries to push out the stones. Small stones do come out in urine by this natural process. This spontaneous expulsion of small stones is common and many local practitioners used to get credit of it feigning benefit of their medicine. However large stones need some form of intervention to come out. Otherwise, they do harm to kidneys in long term. 

Symptoms of kidney stones along with renal /ureteric colic - 

  1. Most stones which are lying in calyces of kidney are asymptomatic 
  2. Nausea & vomiting 
  3. Frequent urinary tract infections 
  4. Fever with chills 
  5. Foul smelling urine 
  6. Hesitency, frequency and burning in urination 
  7. Blood in urine (urine with a reddish, pink or brownish hue) 
  8. Passage of small stones in urine 

Treatment of renal colic 

Treatment of ureteric/renal stones involves control of symptoms and stone removal. 

  1. Expectant Treatment or Medical Expulsion Therapy: Small stones of less than 4 mm size usually pass on its own and some medicines like alpha-blockers and steroid hasten up their expulsion. Medium size stone (4-6 mm), sometimes passes with aid of these medications. But stones larger than 6 mm usually require intervention. 
  2. Lithotripsy: This method involves breaking of stones by shock waves into small dusty particles which pass through urine on its own. This is usually suitable for stones upto 1.5 cm and lying in kidneys. This is non-operative treatment which can be done on OPD or Daycare basis. 
  3. Ureteroscopy (URS): This method involves entry of very thin semirigid scope through urethra into ureter. Stone is broken by LASER and removed. This involves single day admission and spinal anaesthesia. 
  4. RIRS- Retrograde Intra Renal Surgery: In this method very thin flexible scope in maneuvered through urethra into the upper ureter and pelvi-calyceal system of kidney. Stones in kidney or upper ureter are broken by LASER and removed. This is also done under anaesthesia and requires a day admission. 
  5. Mini- PCNL: This method is suitable for large renal stones. In this technique, a small hole is made into the kidney through back and tiny scope is entered into the kidney. Stones are broken by LASER and removed. This is done under anaesthesia and require two to three days admission. If you wish to discuss about any specific problem, you can consult a Urologist.
1846 people found this helpful

I am 36 year old male from last two months just above my anus puss started to come. It comes in every few days I don't have any pain as such very little amount of puss comes and its not affecting my daily routine just when puss about to leak little pain or irritation I notice is that anal fissure or something else and suggest me treatment I don't wanna see doctor.

FELLOWSHIP IN ADVANCED LIVER SURGERY AND LIVER TRANSPLANTATION, FELLOWSHIP IN HEPATOBILIARY AND LIVER TRANSPLANT SURGERY, MASTER OF SURGERY, MBBS
Gastroenterologist, Ahmedabad
You need to see the doctor and get your self examined. This disease can not be treated online without examination. And you should not ignore it.
1 person found this helpful
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I want to ask ayurvedic doctor. Whether kidney stone of size 1.2 cm can be expelled out by "nerunji mull" juice? I want to avoid operation.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kolkata
I want to ask ayurvedic doctor. Whether kidney stone of size 1.2 cm can be expelled out by "nerunji mull" juice? I wa...
Possible less as the diamiter of stone is >greater than ureteric diameter. But it depends on which type of stone compound is in it. Some ayurvedic drug can dissolve it. Take tab chandrapravha and cystone tab of Himalaya. 2 tab each together bdpc. If symptoms persist after 15 days. Then need cystoscopy and lessure removal of stone.
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Hi doctor. I'm 26 years old last month I got a report that I have kidney stone and now its very paining if I do more hard work. What shall I do now please help.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Hi doctor. I'm 26 years old last month I got a report that I have kidney stone and now its very paining if I do more ...
what are the size of the stones? stones treatment depends on the types and size of stone, most kidney stones won't require invasive procedures. You may be able to pass a small stone by: drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless doctor tells you otherwise, drink enough fluid mostly water to produce clear or nearly clear urine. Passing a small stone can cause some discomfort. To relieve mild pain, according to your medical history I may prescribe pain relievers. I am a doctor and renal (kidney) registered dietitian who will also prescribe a customized diet plan and medications to help pass your kidney stone quickly and with less pain. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I am 68 years man, with controlled BP and sugar as of now. I am taking Urimax F for prostate enlargement but is not much help, should it be used for long time, if it worsen should I go for surgery or more powerful medicine. please advise. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 68 years man, with controlled BP and sugar as of now. I am taking Urimax F for prostate enlargement but is not m...
Mr. lybrate-user Reddy, Thanks for the query. The drugs used in BPH are moderately helpful. But if symptoms do not get well controlled, then surgery is the better option. It is good to know that your diabetes and hypertension are in good control. Because prior to surgery exceptional blood glucose control is essential. Thanks.
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My brother Sam is suffering from ACUTE FISSURE in ANO. Whenever he passes stole heavy the fissure opens and gets bleed with severe pain. We consulted the hospital and from DNC they identified it is ulcer in anal with fissure. Medicine provided are Liquid Paraffin, steroid 2%gel ointment, Ranitidine, dolcolux, and requested to take hot water salt bed. Please help me how to get smoothly.

General Surgeon, Pune
My brother Sam is suffering from ACUTE FISSURE in ANO. Whenever he passes stole heavy the fissure opens and gets blee...
The treatment advised to you seems reasonable. You can add high fibre diet like green leafy vegetables and fruits, lots of water intake and increase in physical activities. Use the liquid paraffin before going for defecation. It's job is to lubricate the anus. Please don't expect immediate relief. Regards.
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I am having stones in kidneys. Doctors say that I have to undergo surgery but I don't want surgery. I am also getting rashes on my body.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Khagaria
I am having stones in kidneys. Doctors say that I have to undergo surgery but I don't want surgery. I am also getting...
If stone size is larger than 5 mm then you should go for surgery. And please follow advice of doctors.
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38 years old woman ckd patient needs to know what is best diet for her. Whether almond are good? Can you please provide diet chart.

DM - Nephrology, DNB (Nephrology), MBBS , MD - Medicine
Nephrologist, Mumbai
38 years old woman ckd patient needs to know what is best diet for her. Whether almond are good? Can you please provi...
Patient with ckd Require low protien diet (low animal protien) Low salt diet And low phosphorus diet Avoid coconut water, fruit juices And avoid pain killer tablets.
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Hello doctor, I am suffering anal fissure since 2 yrs. It is coming every 4-5 months .when stool coming it is very pain .I took some mediation but no use. It's getting sensitivity .and cracked one side. Is there any permanent solution for this anal fissure. Please give suggestion Best regards.

Doctor of Medicine
Internal Medicine Specialist, Raipur
You should take good amount of liquids and diet containing lots roughage so as to pass soft stools. Can apply local anaesthetic creams to reduce the pain. You may take some mild laxatives too.
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