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Dr. Monica

MBBS

Urologist, Bangalore

19 Years Experience
Dr. Monica MBBS Urologist, Bangalore
19 Years Experience
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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. Monica
Dr. Monica is a popular Urologist in HBR Layout, Bangalore. She has been a practicing Urologist for 19 years. She is a MBBS . She is currently associated with Monica Poly Clinic in HBR Layout, Bangalore. Book an appointment online with Dr. Monica and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Urologists in India. You will find Urologists with more than 43 years of experience on Lybrate.com. You can find Urologists 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 - Jagadguru Jayadeva Murugarajendra Medical College - 1998
Languages spoken
English

Location

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Monica Poly Clinic

No.721/H Near Bda Complex 80 Feet Road 1st Stage 2nd Block Hbr Layout Bangalore - 560043Bangalore Get Directions
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I am suffering from pain of kidney stone it's really unbearable. I tried different treatments but still not got proper solution please tell me the best treatment.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
I am suffering from pain of kidney stone it's really unbearable. I tried different treatments but still not got prope...
Increase your intake of water. Have barley water,buttermilk, lemon juice,green tea,clear soups.avoid having high protein foods
1 person found this helpful
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I have multiple stones in left kidney largest size is 8 mm and also suffering from hypertension. My age is 31 yrs. Advise treatment to dissolve stone fully in possible short time. Thank you.

MBBS, DNB (General Medicine), DNB (Nephrology)
Nephrologist, Navi Mumbai
I have multiple stones in left kidney largest size is 8 mm and also suffering from hypertension. My age is 31 yrs. Ad...
Need evaluation for young hypertension. Stone > 8 mm, so surgical removal. Lazer depending on position of stone. Need evaluation for recurrent stone.
49 people found this helpful
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I am 46 years male and I am facing problem that while passing urine, I didnt get satisfaction and again I have to go and pass some drops of urine just after that. This problem I m facing for last 20 yrs. Besides when I take liquidlike water /tea, I feel to go for urine within 20-30 minutes. There was nothing came in urine culture report kft or urine routine.

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear first if you are having the problem for the last twenty years rest assured that it is not a life threatening illness. Because no serious problem can go untreated for such along period of time. Tea coffee etc are natural diuretics that is they make you produce more urine so it is quite normal in many people. Have you ever done any ultrasound of your prostate. It is unlikely that you would have prostate problem for the last twenty years but it is one 9th the options to look into regarding the dripping of urine.
1 person found this helpful
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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.
13 people found this helpful

Mere Pitaji ko back side bhagandar ho gya hai piche se blooding v hota hai aur usko unhone operation kraya but koi response nahi unki age 47 hai please reply what we do?

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
Bhagander is fistula-in -ano. It can only be cured by surgery. There is no medicines which can treat this ailment.
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My kidney had damaged slightly due to the over dosage of medicine which was prescribed by the doctor whom I consulted. What are all the foods that I should not eat?

MBBS
General Physician,
it depends on how much damage has occured. it can evaluated by serum creatinine and urea level estimation.if its much higher than normal level water restriction needed. if u are hypertensive then salt restriction needed. high protein foods like meat ,fish should be restricted. limit intake of nuts,dairy products too .also if electrolyte imbalance seen due to improper kidney function ,diet would be changed accordingly.
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Kidney Disease? 9 Things You Must Do!

DNB (Nephrology), MD, MBBS
Nephrologist, Delhi
Kidney Disease? 9 Things You Must Do!

The medical term for protein leak in urineis commonly known as Nephrosis and if large amounts leak it is termed Nephrotic Syndrome. It can lead to kidney failure if not treated well mostly after seeing a kidney biopsy in adults. There are a lot of likely causes for this condition and it is detected by carrying out urine test. The treatment for Nephrosis is a long term treatment and done mainly to prevent kidney failure. The treatment for Nephrosis is to control protein leak and prevent kidney failure. It is very important for people who are new to kidney disease that they know about the nine things they should do to stay strong.

Important information on kidney disease:

  • The feeling of helplessness on occurrence of kidney disease can be overcome by educating yourself. Individuals should learn everything about kidney disease and can gain vital information even from the Internet.
  • It is very obligatory that the advice of the doctor must be followed by an individual suffering from Kidney disease. It is not indispensable that the kidney disease always leads to failure of kidney and to keep your kidney healthy and stay away from any damage, it is necessary to comply with the orders of the Doctor.
  • It is very important that you stick to a diet, which would keep you healthy and protect your kidneys from any further damage. You should be mindful on everything you eat, and you can gain assistance on your diet from a renal dietitian.
  • When you suffer from Chronic Kidney Disease, the blood values become very important to gauge the condition of your disease and whether it is getting worse or stable. From time to time, the healthcare provider would check your urine and blood regularly, and he would also monitor your blood pressure and blood sugar.
  • You can ask help from the support group and accept their assistance. Your family is your best support system in times of need and so involving them is very important.
  • You must make sure that you are getting the proper care you need, and you need to educate yourself by communicating as well as asking questions.
  • You will feel much better by being active, so do things that make you happy. You can exercise regularly but after taking advice from your doctor. Your main focus must be to keep your heart healthy.
  • A positive attitude is anytime helpful in healing a disease. You can listen to music that entertains your mind and helps you stay positive.
  • It is not difficult to stay healthy even with kidney disease, as a positive feeling would eventually help face the kidney disease. You must plan ahead and be ready for kidney transplant without getting worried.
  • Most importantly, spread awareness and help people tackle the situation without any difficulty.
37 people found this helpful

Can a person with creatine level 8 be cured (He has been told to be prepared for dialysis)

MBBS, MD - Medicine
Internal Medicine Specialist, Gurgaon
Can a person with creatine level 8 be cured (He has been told to be prepared for dialysis)
Hi lybrate-user Creatinine of 8 is very high. Patient might be having acidosis as well (acid in blood) Go ahead with dialysis if your doctor recommends this can be life saving for the patient!
1 person found this helpful
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I am diagnosed with prostate glad for which doctor has prescribed tab. Tamdura daily for regular use. Please advice if I can get remedy with your suggestion and can get rid of my daily dose of medicine. Thanking you.

MS - General Surgery, MBBS
General Surgeon, Delhi
I am diagnosed with prostate glad for which doctor has prescribed tab. Tamdura daily for regular use. Please advice i...
Prostrate gland needs surgery. Medical treatment is temporary. You should plan for surgery for permanent cure.
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I have swelling problem in both of my kidney due to stones, sometimes it causes severe pain also there. Please advise.

M. Ch., FEBS, MBBS
Liver Transplant Surgeon, Delhi
I have swelling problem in both of  my kidney due to stones, sometimes it causes severe pain also there. Please advise.
With these problems, it is advisable to consult a urologist, however if you can share your reports like ultrasound, can guide something better.
1 person found this helpful
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I have been diagnosed with grade 1 prostate enlargement for last two years though I don't have much of difficulty in urinating. I am told that if I face difficulty in urinating prostate will have to be removed with surgery. Is there homeopathic medicine available to cure by avoiding surgery? Please tell me the medicine name.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
I have been diagnosed with grade 1 prostate enlargement for last two years though I don't have much of difficulty in ...
Hello lybrate user regarding your enlarged prostate I would like to advise you to use following ayurveda medicines as given below. Himplasia 2 tabs twice daily with warm water after meals for 3-6 months regular. You need not to get surgery in future.
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I am 50 yr. Old. I have stone in right kidney (7mm) and gall stone (23mm) detected in Dec. 2014 under routine health check up. The size of the stones still remains the same. However, there are no symptoms prior to or after detection. Currently, I am taking homoeo medicine Berberis vulgaris on the advice of doctor. How to expel the stones.

G.C.E.H
Homeopath, Mumbai
I am 50 yr. Old. I have stone in right kidney (7mm) and gall stone (23mm) detected in Dec. 2014 under routine health ...
Gallstones & kidney stones are both different entity. For gallstones you have to undergo laparoscopy surgery. For kidney stones repeat usg - kub after 3-4 months or consult urologist.
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Is taking Jalra M 50/500 for sugar And telma 40 mg for BP is safe taking regularly I have kidney stone 4 mm both sides how to get cure kidney stones. Will stone grows if not taken medication.

BHMS, diploma in nutrition and health education, m.sc. in counselling and psychotherapy
Homeopath, Noida
Is taking Jalra M 50/500 for sugar And telma 40 mg for BP is safe taking regularly I have kidney stone 4 mm both side...
Hello, Please continue your regular medicine for diabetes and hypertension. Yes renal stones gradually increases if you do not take medication for it. There is permanent cure of renal stone and will eliminate with Homoeopathic medicines. Consult immediately and we will provide you the best possible treatment to you. Take approximately 2-3 liter water in a day. Thanks.
3 people found this helpful
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My creatine level is 1.4 and blood urea is 35 sugar fasting 95 pop is 130 there is no symptom. How to lower the creative. Only frequent urination in night time 2to3times. Please advice.

MBBS
General Physician, Jalgaon
Please reduce your weight wake up early go for morning walk in greenery daily do light exercise daily avoid oily spicy and fast food avoid outside food totally avoid rice avoid extra salts continue your current medicine take cap ayurslim by himalaya 2 2 after food cap punarnava by himalaya 2 2 cap gokhshur by himalaya 2 2 check your sr creatinine and blood urea after 30 days of above points.
1 person found this helpful
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My father in law age 70 is having prostrate problem. Where n how can I cure this problem?

MBBS, cc USG
General Physician, Gurgaon
My father in law age 70 is having prostrate problem. Where n how can I cure this problem?
Your father has any urinary symptom like frequency/urgency/incomplete voiding/ dribbling? And share USG report with me We need to do S. PSA test also
1 person found this helpful
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I am having a ovarian cysts of 4 cm for 8 years and always having abdominal pain.

C.S.C, D.C.H, M.B.B.S
General Physician,
If these cysts are big in size you have to remove them or it is your anxiety that makes you feel pain. Have a check up
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There is anal itching at night I am frustrated by this I have used albendazole some days also pilex but there is not cure by this but when I used moxikind cv 625 I feel some cure but not permanently please tell me what could be the reason.

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
It may be worm infestation or a fissure or piles or fistula. It will require a physical examination by a general surgeon to establish the diagnosis. Antibiotics may be unnecessary and even harmful without a proper diagnosis. Anal problems improve with general measures but may require surgery. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Atleast once get it examined by a general surgeon.
1 person found this helpful
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Finding suggestive of bright echogenic fociin gall bLadder with poor distal shadowing, 2. Right renal calculus with mild degree of fullness in the right kidney. Suggested CECT ABDOMEN FORM FURTHER EVALUATION.

BHMS
Homeopath, Chennai
Finding suggestive of bright echogenic fociin gall bLadder with poor distal shadowing, 2. Right renal calculus with m...
In the homeopathic literature, there are more than a hundred homeopathic remedies which were found to have cured kidney stones. This has been confirmed in the medicinal provings on healthy subjects as well as in clinical trials on patients suffering from renal calculi You can easily take an online consultation for further treatment guidance
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I am 25 years old male and have a stone problem for last couple of days. What should I do. please give suggestion?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
I am 25 years old male and have a stone problem for last couple of days. What should I do. please give suggestion?
A) take 30 ml of audumbaravleha along with 30 ml of lukewarm water early in the morning and at evening before meal half an hour. B) take 2-2 tablets of sheetprabha vati along with audumbaravleha. C) take 1 tsf of black cumin seeds and 1 tsf of jaggery after meals. Do all these things for 15 days. It gives you good result. Consult to me for further suggestions. Thanks.
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Today I got my urine culture report. The result shows staphylococcus aureus isolated. I have a surgery tomorrow for removal of urethra stent and kidney stone. What does the report mean. Colony count: 1000.

MBBS
General Physician, Jalgaon
Today I got my urine culture report. The result shows staphylococcus aureus isolated.
I have a surgery tomorrow for r...
Please It means some infection is present in urinary tract Please remove stent as early as possible.
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