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Dr. Manjunath

MBBS

Nephrologist, Bangalore

0 - 350 at clinic
Dr. Manjunath MBBS Nephrologist, Bangalore
0 - 350 at clinic  ·  ₹ online
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Manjunath
Dr. Manjunath is a trusted Nephrologist in Nagarbhavi, Bangalore. He is a qualified MBBS. You can meet Dr. Manjunath personally at Panacea Hospital - Nagarabhavi in Nagarbhavi, Bangalore. Book an appointment online with Dr. Manjunath on Lybrate.com.

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MBBS - - -

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# 611 /612, Nagarabhavi Main Road 2nd Stage Vinayaka Layout, Nagarabhavi. Landmark: Near Bharath Petrol PumpBangalore Get Directions
350 at clinic
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# 611 /612, Nagarabhavi Main Road 2nd Stage Vinayaka Layout, Nagarabhavi. Landmark: Near Bharath Petrol Pump.Bangalore Get Directions
350 at clinic
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#42, 7th Block, 2nd Stage, Ring Road, Nagarbhavi, Landmark: Near Bda Complex, BangaloreBangalore Get Directions
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General Physician (AM)
Alternative Medicine Specialist
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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.
13 people found this helpful

I'm 19, female I've in a very stressful situation from the past 5-6 months as I'm away from my family and boyfriend and my family refuses to leave hostel and come back I'm experiencing frequent headaches which are very disturbing from the past 2-3 months. I cry a lot due to my situation, my heart beat always rises when I think or concentrate. I got my eyesight checked and I got the new specks 1 month back. I experienced anal bleeding twice in last month and I've problem controlling my urine every time, even during normal conditions when I'm not stressed or in panic mode I can't control it. I've this problem from about 4-5 months.

MD, DGO, MBBS
Gynaecologist
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I'm 19, female I've in a very stressful situation from the past 5-6 months as I'm away from my family and boyfriend a...
Headache can be due to stress, improper sleep, constipation, improper food and so many reasons. At the movement you are psychologically disturbed, so your heart rate is rising. Try to be mentally strong. Do meditation. Find best solution for your unhappiness by consulting your family. Anal bleeding is commonly due to piles. Urinary problem is due to increased fluid intake late at night, improper sleep, diabetes, some other local pathology. All the best.
7 people found this helpful

I am 37 year old married male. I am a teacher. Since last six months I have to get up in night for urinate daily. With some pain in bladder. I avoided liquids during evening times to get rid of this problem. But could not success. I have high bp140/90 from last 2 years I am taking amlip 5mg medicine. Please help me.

DNHE, MD - Alternate Medicine, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am 37 year old married male. I am a teacher. Since last six months I have to get up in night for urinate daily. Wit...
Dear lybrate user, first of all check blood glucose level in blood and urine. In diabetes urine frequency is high in night time. So check it. And then inform for more suggestion, consult me.

I am72 plus. I experience a burning sensation in my anal as well the urinary passage. Occasionally I get bouts of nausea also What will be the remedy?

MBBS
General Physician
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I am72 plus. I experience a burning sensation in my anal as well the urinary passage. Occasionally I get bouts of nau...
Avoid spicy food in your diet and eat only curd rice or khichdi for few days and drink only boiled water and take only one tablet of albendazole at night and if necessary apply siloderm ointment

I faced problem in between abdomen to urinary part, burning pain.Please help

M.B.B.S
General Physician
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Urinary tract infection. Drink loads of water. Maintain hygiene over genital areas. Are u running fever? I shall prescribe antibiotics in relation to symptoms.

I am a overflow incontinence patient and I want to build muscle can I take protein and protein supplements and last 4 months ago my kidneys swelling but now doctor told me swelling is gone please help me.

DNB, MS - General Surgery, MBBS
Urologist
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I am a overflow incontinence patient and I want to build muscle can I take protein and protein supplements and last 4...
Mr Ayyaz, overflow incontinence is a condition of faulty bladder emptying, which leads to bladder being overfilled and it overflows(leaks). This needs catheter insertion and later treatment of the underlying condition. Please be clear of what problem you have. If kidney swelling has disappeared, thats great, but just confirm with a followup scan. None of this has anything to do with protein intake or building muscle.
5 people found this helpful

Hi I am facing too much stomach pain due to stone problem. Please tell me what should I do for getting overcome this pain?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Hi I am facing too much stomach pain due to stone problem. Please tell me what should I do for getting overcome this ...
1. Avoid tea, coffee, alcohol, cold drinks, pickles, fish, poultry, meat, spinach, and chocolate. 2. Avoid sour, heavy, and dry food. 3. Increase intake of liquids like water, juice, soup, lime water lemon soda etc. 4. Be sure to drink enough water each day. Usually 1 to 2 liters of water per day is adequate. 5. Drink more if you are perspiring heavily, working outdoors, the weather is hot, etc. 6. Increase the use of barley, horse gram (a type of bean), ginger, and brown rice or parboiled rice. 7. Avoid suppressing urges to urinate and defecate. 9. Boil 10-12 basil leaves in 1 cup of water for 15 minutes. Mix 1 teaspoon of honey in it and take twice a day. Pls send your usg report becoz medication for stones depends upon size number and location of stones and can be given after usg.

I found blood coming from my urethra after urination. I felt pulling pain too after urination. 3-4 hrs later I didn't feel any pain. What might be the reason Doctor.

BHMS
Homeopath
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I found blood coming from my urethra after urination. I felt pulling pain too after urination. 3-4 hrs later I didn't...
Please note that it could be an injury/infection/rupture of veins please do a urine test r/e & culture first. Take rest. If you are undergoing any treatment -- the medicines needs to be revised.
1 person found this helpful

I am suffering from stone in liver and sometime pain in my abdominal out of labour for 2-3 days after that I use medicine and fine for 3-4 month. What I should operation or use medicine for stone.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am suffering from stone in liver and sometime pain in my abdominal out of labour for 2-3 days after that I use medi...
If you are getting repeated pains and if the size of your stone has not decreased despite using the medications, then it is best you go for surgery.

My urine has been very yellowish for the last four days. What are symptoms of jaundice and why my urine yellow. And also I am suffering from cold and cough.

MBBS
General Physician
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My urine has been very yellowish for the last four days. What are symptoms of jaundice and why my urine yellow. And a...
Undice is a yellowish discoloration of the skin, mucous membranes and of the white of the eyes caused by elevated levels of the chemical bilirubin in the blood (hyperbilirubinemia). The term jaundice is derived from the french word jaune, which means yellow. Jaundice is not a disease per se, but rather a visible sign of an underlying disease process. Jaundice is typically seen when the level of bilirubin in the blood exceeds 2.5-3 mg/dl (milligrams per deciliter).
3 people found this helpful

My age 21. Am male and pain through pass urine after three days to start puss. Am go to doctor he suggest the culture and senstivity test result is negative, so suggest how to solve the problem.

MBBS, cc USG
General Physician
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My age 21. Am male and pain through pass urine after three days to start puss. Am go to doctor he suggest the culture...
Frequent urination/Fever with chills/burning or pain while urination suggest Urinary tract infection follow advises given below: 1.drink lot of water 2. Maintain hygiene 3.Avoid synthetic undergarment and prefer cotton consult physician/me for further management as we need to start antibiotic after personal consultation.

What should be diet for CKD patient. I am taking simple sabji with jau (barley) roti occasionally taking idli or sattu or dhokla or dalia or some time sweet and rice also. Is This ok for me. You are requested to pl suggest a suitable diet plan.

PDDM, MHA, MBBS
General Physician
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What should be diet for CKD patient. I am taking simple sabji with jau (barley) roti occasionally taking idli or satt...
Yes. Here is a sample diet to help you understand the diet. Early Morning: Green tea (sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits (avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.

I am 43 years old. and recently im facing the problem of urine leakage just after urination. moreover at time of sex .my vagina becomes so tight that penetration is not possible .i m getting pain too during penetration.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist
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I am 43 years old. and recently im facing the problem of urine leakage just after urination. moreover at time of sex ...
Hello- Urine control and contraction of vaginal muscle depends upon the strength of PC muscle of perinium. Your symptoms suggests that your muscle has lost his strength due to improper schedule. Practice Kegel and reverse Kegel exercise to regain the control on PC muscle, it will solve your issue.
2 people found this helpful

Iam getting pain right side of stomach near kidney, I consulted hospital and ultrasound was done and no stones normal they said. But iam getting pain around there but not severe. And over heat sometimes I go to toilet 3 to 4times a day wat is the problem sir?

MBBS
General Physician
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Hi As you are ruled out out with appendicitis and kiney stones it must be a mild urine infection of stomach upset. Drink plenty of water Take rest Avoid oily foods Drink tender coconut water . If it is not coming down at all Please see a gynaecologist. Thank you.

My friend is suffering from kidney stone I just want to know whether she has to go for operation or stone will be pass in urine the size of stone is 4-5 mm.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist
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My friend is suffering from kidney stone I just want to know whether she has to go for operation or stone will be pas...
Hello- generally kidney stones below 7 mm can pass through your urinary system with proper precautions and medications and you don't need to go for any surgical procedure. >but if the patient is not following precautions, thn stone may complicate leading to strong pain and bleeding (due to obstruction of urinary pathway). Try these precautions and ayurvedic medicines- 1) neeri syp 1 tsp twice daily. 2) tab cytone himalaya 1 tab twice daily. 3) tab chandraprabha vati 1 tab twice daily. 4) drink plenty of boiled water. 5) strictly avoid-non-veg, fast foods, green leafy vegetables, spicy diet, alcohol and late night workout. 6) practice pawanmuktasana at morning time (it will prevent stone obstruction and make the stone break into fragments and pass on through urine)
1 person found this helpful

Dear sir I AM taking insulin morning 45units and night 35 units Present report fasting sugar 190 and after meals 305 Urine sugar.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Dear sir
I AM taking insulin morning 45units and night 35 units
Present report fasting sugar 190 and after meals 305
...
Mr. The blood sugar readings show that diabetes is not in control. When in control fasting should be near 100 mg, pp should be 150 to 160 mg and hba1c% <7. Achieving good sugar control is absolutely essential, otherwise various long term complications of diabetes will start appearing much early. This condition affects glucose, fat and protein metabolism. Plus small and large blood vessels, this affects eyes, (retina), kidneys, nerves, lower limbs and heart. So please see that your sugar levels are well controlled.
4 people found this helpful

I am a patient of Hypertension. Recently diagnosed with high creatinine level of 1.7 Will beer help in reducing Hypertension and kidney issue.

DM - Cardiology
Cardiologist
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I am a patient of Hypertension. Recently diagnosed with high creatinine level of 1.7
Will beer help in reducing Hyper...
This is common misunderstanding in general public that beer is good for kidney stones and high creatinine. This is not true. In fact beer increases blood pressure and affects your kidneys also. Please don't try such things. Take opinion from kidney specialist.
11 people found this helpful

I have stones in both of my kidney and in pipe extract it's paining what should I do?

B.H.M.S
Homeopath
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I have stones in both of my kidney and in pipe extract it's paining what should I do?
Drink plenty of fluids Avoid tomato brinjal palak n cold drinks. Give me size n location of stones to give u best results.
1 person found this helpful

Hi, I am facing a problem of irresistible urine. If a laugh or run or get scared. My urine passes out. I am not able to control it. Please help.

MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, DNB (General Surgery), MBBS, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon
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Hi,
I am facing a problem of irresistible urine. If a laugh or run or get scared. My urine passes out. I am not able ...
This is a condition of stress incontinence. But some urine ingection precipitate such problem sometimes. Get urine routine test done, ultrasound pelvis and kub region to rule out other factors which secondarily lead to such problem once these factors are ruled out their certain set of excercises which help in controlling the symptoms. But if any precipitating factor are present then excercises may not help.
1 person found this helpful
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