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Dr. chennakeshva

MBBS, DM

Nephrologist, Bangalore

23 Years Experience
Dr. chennakeshva MBBS, DM Nephrologist, Bangalore
23 Years Experience
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. chennakeshva
Dr. chennakeshva is one of the best Nephrologists in Shivaji Nagar, Bangalore. She has had many happy patients in her 23 years of journey as a Nephrologist. She has done MBBS, DM . You can visit her at Prerana Diagnostic Centre in Shivaji Nagar, Bangalore. Book an appointment online with Dr. chennakeshva and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Nephrologists in India. You will find Nephrologists with more than 28 years of experience on Lybrate.com. You can find Nephrologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Bangalore Medical College and Research Institute, Bangalore - 1994
DM - Belgaum Medical College - 1999
Languages spoken
English

Location

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No.25/1 Sr Plaza Opp To SBM Bank Lady Curzon Road Shivaji Nagar Bangalore - 560001Bangalore Get Directions
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I am suffering from urine infection, last 3 days a severe pain occur in some parts of body also I have kidney stone what should I do to get rid from this diseases?

MD - Alternate Medicine, BHMS
Homeopath, Surat
I am suffering from urine infection, last 3 days a severe pain occur in some parts of body also I have kidney stone w...
Please consult a homeopathic doctor for this. Your condition requires a proper consultation. It will take time but you will definitely get permanent cure. You can either find a local doctor or you can consult me online.
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My brother have kidney stone problem. Latest sonography size of this is 15.8 MM. Please suggest for medicine or any other treatment.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
My brother have kidney stone problem. Latest sonography size of this is 15.8 MM. Please suggest for medicine or any o...
Renal calculi are not just the stone found in the kidney, but it is tendency of stone formation which has to be addressed and the cause behind it is metabolism. Whatever metabolism is disturbed tendency of stone is form of uric acid, oxalic acid and calcium. Homoeopathy towards correcting this metabolism their by curing the tendency of stone formation. IT also works on dissolving the stones, manage acute colic of stone, so if you want a customized treatment strategy then you can contact
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I am suffering from kidney stone pain for the last 4 year. After taking medicine long time old stone remove but after some time again new stone come .Not taking more liquid. Suggest me what to do. Homeopathy medicine can help me or not.

LCPS
General Physician, Mumbai
I am suffering from kidney stone pain for the last 4 year. After taking medicine long time old stone remove but after...
You may be having tendency of stone formation Drink large amount of water There are good ayurvedic medicines like Neeri.
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Is second urine is preferable for prega news test. And it gives cent percent result. And it is true. And apollo hospital kits are treatable or not.

MBBS
General Physician, Chandigarh
Is second urine is preferable for prega news test. And it gives cent percent result. And it is true. And apollo hospi...
You can test any sample of the urine 95%of times result are correct some times if there is any particular defect in the test strip then it can give false reports apollo hospital kits are ok.
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How to remove kidney stones and which food can I eat please advise.

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist,
How to remove kidney stones and which food can I eat please advise.
Increase water intake to about 3litres daily. Stop consuming soft drinks, excessive coffee, tea, chocolates, bakery items.
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When I go to run for fast then after I come it is painful in my kidneys why it happen ⁉

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Hi dear because of weak body and musculature -do not run very fast -increase stamina slowly over many days, not at once. -take healthy food diet/ ghee/ fruits/ vegetables.
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I am 28 year old married female. Diagnosed with small kidney stones, which comes & go on itself, but I am facing frequent urine urge problem from last 8 year.

Advanced Aesthetics
Ayurveda, Gulbarga
I am 28 year old married female.
Diagnosed with small kidney stones, which comes & go on itself, but I am facing ...
Kidneys clear impurities from blood and remove the waste in form of urine ? There are two types of stones: o Uric acid stones o Calcium stones (90% of the stones) Urine turns brown or red in colour due to presence of blood ? Uncontrollable urge to urinate ? Nausea ? Vomiting ? As stones grow, they cause unbearable pain ? Crystallisation of chemicals and minerals present in urine leads to kidney stones Natural home remedy using kidney beans: 1. Take 60 gm kidney beans 2. Add 4 L of water 3. Heat for 4-5 hr 4. Strain the liquid through a fine muslin cloth 5. Allow the liquid to cool 6. Drink 1 glass of this liquid once every 2 hr in a day 7. Do this for a week 8. Do not use the liquid or the beans again 24 hr after the 1st preparation Tips: ? Drink a glass of apple juice every day
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What is treatment of polyuria sugar level is normal symptoms start at a birthurin test report rbcs 00-0.2pus cell 0000 colour pale yellow paint name

MBBS
General Physician, Mumbai
What is treatment of polyuria sugar level is normal symptoms start at a birthurin test report rbcs 00-0.2pus cell 000...
Nothing to be done as far as medication are concerned and you need to just urinate whenever you feel it
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This is my 3rd month in pregnancy. During pregnancy still bleeding comes out when ever I do work hard. Please givE me a suggestion. Even I am suffer with pain in kidney areA.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
This is my 3rd month in pregnancy. During pregnancy still bleeding comes out when ever I do work hard. Please givE me...
I hope and pray that you are under care of a Gynecologist. If not that would be the first thing to do, to consult a gynecologist. Usually in pregnancy there is NO bleeding. If bleeding occurs, it becomes a threatened abortion case and in such instances, ultrasound scan is done to ascertain the pregnancy growth and fetal heart rate. So please get a consultation and scan ASAP
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Tips on Treating Urinary Incontinence:

Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.


1. Stress incontinence

Non-medical treatment

• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Biofeedback
• Electrical stimulation

Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.

Surgical treatment

• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters

Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.

The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.

Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.

An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.

Surgical treatment

Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.

Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.

3. Overflow incontinence

Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.

4. Total incontinence

Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.

Treating faecal incontinence

Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.

Let’s look at some of the treatment options available for FI:

Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.

Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.

Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.

Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.

Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
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2-3 puscell in urine. How long chronic postatitis cure and treated?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist,
Dear , 2-3 pus cells in urine are ont indicative of anything not even infection especially when you do not have any symptoms. Chronic prostatitis may need 3-3 courses of antibiotics at intervals and regular prostatic massage or you need to sexually active and ejaculation regularly will wash out the bacteria in due course of time.
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My son go to urine on the bed every night. He is 9 years old. What's problem can occur.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My son go to urine on the bed every night. He is 9 years old. What's problem can occur.
Hello, bed wetting can often occur when the child is seeing nightmares. Please get him a paediatrician's opinion.
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I am going to frequently urination. I 've type. 2 diabetes. And I am feeling tight in my pelvis. Pls help me.

MD, DYA, PGDCR
Ayurveda, Nashik
I am going to frequently urination. I 've type. 2 diabetes. And I am feeling tight in my pelvis. Pls help me.
Shiva Gulika and Madhumeha Kusumakar are choices of medicines for u.kindly message me personally for d details of these medicines and other simple home remedies which I can tell after a bit of questioning. We pray for your speedy recovery.
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I am 27 year old. I faced stone issue in kidney. Again and again. How can I remove it completely.

BAMS
Ayurveda, Sonipat
I am 27 year old. I faced stone issue in kidney. Again and again. How can I remove it completely.
u use soda water or ENO with lemon juice long time and mooli ras with hibscuss flower powder7-8 days
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I am experiencing frequent urination problem. I don't feel normal there is a feeling of urination most of the time I feel. Also the flow of urine is slowed down sometimes the dribbling and weak and thin flow makes me think what is wrong with me now. All reports of ultrasound, urine culture, CT scan are normal. I also had kidney stone that flushed out and this problem started also feel some sensation in urethra and on the tip of penis.

MCh - Urology, Visiting Fellow Andrology and Men's Health, Visiting Physician Urology and Andrology, Fellowship in Minimal Access Surgery, Master of Surgery, MBBS, EUREP USI Fellowship
Urologist, Gurgaon
I am experiencing frequent urination problem. I don't feel normal there is a feeling of urination most of the time I ...
Dear lybrate-user, the passage of stone may bring along certain problems like injury to the urethra while passing or residual infection in the urinary tract. Since you report that most of your tests are normal, you may need to undergo a uroflowmetry examination to see if you are voiding well. Eventually some medications that reduce bladder irritability and edema can be initiated.
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Sir / mam I have a stone of 7 mm in my left kidney and I go to gym regularly can I continue my gym or gym have Any side effect?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Sir / mam I have a stone of 7 mm in my left kidney and I go to gym regularly can I continue my gym or gym have Any si...
Gm lybrate-user you continue your gym regularly Drink plenty of water if you have possible consult with me for Ayurvedic medicine.
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Hi, I am 29 years old. I am suffering from kidney stone issue since few month. I am taking some homeopathic medicine. I just wanted to know is there any diet chart for such patient. I am what I can eat in my daily meals that can help me better to get rid of the diseases.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi, I am 29 years old. I am suffering from kidney stone issue since few month. I am taking some homeopathic medicine....
Take shool gaj kesari ras twice a day..take gokshuradi guggul & punarnavadi mandoor 1-1 tab twice a day...pranacharya U through capsule and syrup twice a day...drink lots of water....avoid spinach...tea and coffee..tomato...lady finger etc....
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My urine was very bad smell it's annoying. But one problem is I didn't drink water properly, like 1 litre per day.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My urine was very bad smell it's annoying. But one problem is I didn't drink water properly, like 1 litre per day.
You should take chandraprabha vati 1-1 tab with milk twice a day. And pranacharya dhatupaushtik churna with milk twice a day. Avoid tea and coffee.
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