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Dr. Nagbhushan

Urologist, Bangalore

Dr. Nagbhushan Urologist, Bangalore
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Nagbhushan
Dr. Nagbhushan is a trusted Urologist in Rajashekar Hospital, Bangalore. He is currently practising at Rajashekar Hospital in Rajashekar Hospital, Bangalore. Save your time and book an appointment online with Dr. Nagbhushan on Lybrate.com.

Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 28 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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Rajashekar Hospital

#21, 9th Cross, J.P Nagar 1st Phase. Landmark: Opposite Reliance Fresh & Near Indira Gandhi CircleBangalore Get Directions
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I am 31years old female. I am suffering an urticaria problem since 2006. I did so many treatment about same but did not any change, temporally I feel relaxibility so I tired from all tablets so kept all that medicines and alternate I have been taken a cetragen tablets. Pls guide me how I will free from this urticaria, and also I want carry pregnancy but do not conceive. In last three years I missing my unmature pregnancy from 3 month. So pls advice and proper guide.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I am 31years old female. I am suffering an urticaria problem since 2006. I did so many treatment about same but did n...
For urticaria you need to consult dermatologist. And for pregnancy we can help you. As you told that you have miscarriage in early stages of pregnancy it may be because of stress, infection or any uterine anomaly. To rule out these you need to get these tests done before conception i. E. Tb pcr, torch, usg for uterus and adenexa, lh, fsh, tsh, prolactin, amh done, and discuss the reports with us.
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Diet In Chronic Kidney Disease

MBBS, MD - Medicine, DM - Nephrology
Nephrologist, Delhi
Diet In Chronic Kidney Disease

What is Chronic Kidney Disease?

Chronic Kidney Disease (also known as Chronic Renal Failure) is the progressive loss of kidney function occurring over a span of several months to several years and is characterised by the replacement of kidney architecture with interstitial fibrosis.

Chronic kidney disease is classified into five stages on the basis or proteinuria (presence of protein in large amounts in the urine) or Glomerular Filtration Rate (GFR) - 1 being the mildest with no distinct symptoms and 5 being end stage renal failure.

Causes and Risk Factors of Chronic Kidney Disease-

The various reasons (called risk factors) that can increase chances of Chronic Kidney Diseases are:

  1. Diabetes mellitus, hyperlipidemia (excess fat proteins in the blood)
  2. Hypertension

  3. Family history heritable renal disease

  4. Older age, smoking

  5. Autoimmune disease

  6. Past episodes of acute renal disease

The direct causes of Chronic Kidney Diseases are-

  1. Diabetic nephropathy (leading cause)

  2. Hypertensive nephropathy

  3. Glomerulonephritis (swelling of the glomerulus in the kidneys)

  4. Reno-vascular disease (ischemic nephropathy)

  5. Polycystic kidney disease

  6. HIV-associated nephropathy

  7. Transplant allograft failure

  8. Exposure to drugs and toxins

Diet that you must maintain in Chronic Kidney Disease-

It is essential to make dietary as well as lifestyle amends once you are diagnosed with CKD. The main purpose of this diet is to maintain the levels of carbohydrates, fluids and minerals. This is done to prevent the buildup of waste products in the body as the kidneys are unable to fulfil its function properly.

It is recommended to refer a dietician who can make you a diet chart that helps you adhere to your diet.

Here is a list of food items that you may avoid or may consume if you are suffering from Chronic Kidney Disease:

  1. Carbohydrates : Carbohydrates are a good source of energy. If the intake of protein has been restricted, then it is recommended to replace that with carbohydrates as a source of energy. Fruits, vegetables, grains and bread can be consumed as they are rich source of fibres, minerals and various types of vitamins. You can indulge in some hard candies or sweets as well.

  2. Fats: Fats can provide a good amount of calories as well. Ensure that you only stick to healthy fats such as the monounsaturated and polyunsaturated fats that are good for your cardiac health.

  3. Reduce your phosphorus intake: A diet with no more than 800 mg of phosphorus can help reduce the risk of too much phosphorus building up in your blood.  Limit intake of foods with high levels of phosphate or phosphate additives such as organ meats, whole grain breads, processed foods, cola beverages, cheese, dried beans, liver, peanut butter, dairy products and chocolate. Many beverages and processed foods have these additives. Other high-phosphorus foods to limit include:

    • Cheese
    • Chocolate
    • Ice cream
    • Legumes
    • Milk
    • Nuts
    • Seeds
    • Yogurt
  4. Monitor your potassium levels: Usually, potassium is not restricted in stage 3 CKD unless lab tests show potassium is too high. Your doctor may make medication changes or prescribe a low-potassium diet. Reduce an elevated potassium level by limiting some high-potassium foods and potassium chloride (found in salt substitute and many low-sodium processed foods), such as avocado, bananas, cantaloupe, honeydew, legumes, milk, nuts, potatoes, seeds, tomato products and yogurt. Some high-potassium foods to limit or avoid include:
    • Avocado
    • Bananas
    • Cantaloupe and honeydew melon
    • Dried fruit
    • Legumes
    • Milk
    • Nuts and seeds
    • Oranges and orange juice
    • Potatoes
    • Pumpkin and winter squash
    • Tomato products (juices, sauces, paste)
    • Yogurt
  5. Proteins: Usually, before undergoing dialysis, it is recommended to adhere to a low-protein intake diet. However when you are undergoing dialysis, it is necessary to consume a certain amount of protein. This detailed information can be obtained from your dietician.
  6. Fluids: In the early stages of CKD, your fluid intake is not monitored. But as the disease progresses, you need to check your intake of fluids as too much fluids may accumulate in your body and create pressure on your kidneys.

  7. Sodium Or Salt Intake: Keeping a check on your salt intake reduces the risks of high blood pressure. Also, having food low on salt can reduce your thirst and prevent fluid retention in your body. If you wish to discuss about any specific problem, you can consult a nephrologist.
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Hi doctor I'm suffering from anal fissure previously blood s to come out and now no blood but pinching pain while passing stools. I am 23 years old. please suggest m some medicine and ointment so that I can recover quickly. I am also having chronic constipation.

MS - General Surgery, MBBS
General Surgeon, Guwahati
Hi doctor I'm suffering from anal fissure previously blood s to come out and now no blood but pinching pain while pas...
Add some stool softener. Do sitz bath after passing stool atleast twice daily. Avoid constipation. Have high fibre diet.
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My alkaline phosphatase value is 272. But PSA value is 0.42 ng per ml. Urine culture shows e.coli growth and colony count 90000 cfu per ml. Is it anything to be worried?

C.S.C, D.C.H, M.B.B.S
General Physician,
My alkaline phosphatase value is 272. But PSA value is 0.42 ng per ml. Urine culture shows e.coli growth and colony c...
The normal range is 44 to 147 IU/L (international units per liter). Normal values may vary slightly from laboratory to laboratory. They also can vary with age and gender. High levels of ALP are normally seen in children undergoing growth spurts and in pregnant women. So nothing to worry For urine you need to take correct antibiotic.
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What are the symptoms of kidney stone and also precautions to protect us from it.

BAMS
Ayurveda, Sonipat
What are the symptoms of kidney stone and also precautions to protect us from it.
Drink more water & juicy food & fruits symptoms pain abdomen both side below lower ribs refer to thigh burning sensation in urine retention (rukavat)
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My urine is very dark in morning and lots of bubbles are visible in my urine. I have my kft test which is- Glucose (r)-53mgdl Blood urea -19mgdl S creatinine-0.8mgdl S uric acid-7.6mgdl 10 years back I was addicted to spasm proxyvon. Now not. I also drink wine. Some told me that presence of bubbles in urine is a bad sign of kidney. Please advice.

MBBS
General Physician,
My urine is very dark in morning and lots of bubbles are visible in my urine. I have my kft test which is-
Glucose (r...
So far by our kit test are concerned they are more or less within normal limits. The dark colour of urine may be due to less water intake required for the body. Leadva healthy lifestyle. Have balanced diet. Have homemade freshly prepared lemon juice which is rich in vitamin c thereby increasing your body autoimmune system which prevents infection.
1 person found this helpful

I was diagnosed with osteoporosis. The Dr. Advised me to have supracal in the morning and evening along with calcirol. I had it for 4 months. Last week I got sudden pain in my back and it was found I had kidney stone of 7 mm in left kidney. Has stone developed due to intake of calcium.

Certificate Course in Fitness Management
Dietitian/Nutritionist, Faridabad
I was diagnosed with osteoporosis. The Dr. Advised me to have supracal in the morning and evening along with calcirol...
Yes, high intake of calcium can cause kidney stones. Replace calcium carbonate by calcium citrate as it is more bioavailable, that is more easily absorbed by the body. Also increase your water intake (5-6 litres).
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At present I am suffering minor piles and getting some difficulties at the time of toilet. Due so some constipation I am getting pain during toilet time. I think only inner part of anus is little pain for me pls suggest any Ayurveda medicine or or Elieopathetic.

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
At present I am suffering minor piles and getting some difficulties at the time of toilet. Due so some constipation I...
Hi drink plenty of water, take high fibre diet and also start taking tab dulcolax two tab at night. U will be olrite.
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Can rectum which is removed in future can v get new rectum. Skin is grown dats y m asking as ma dad suffering stomybags he doesn't lykd it. Colostomy is done last month.

DM - Gastroenterology
Gastroenterologist, Durgapur
Can rectum which is removed in future can v get new rectum. Skin is grown dats y m asking as ma dad suffering stomyba...
No after removal of rectum you can not get new rectum. But colorectal surgeons can make pouch from part of colon with can function as rectum but problem of incontonance will last.
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Elevated PSA I am a 75 years old. My PSA last year was 4.03 this year it has elevated to 5.83. This has me stressed and worried. My urologist has recommend I have a biopsy. I have been reading and go ogling about prostate cancer and biopsies. The more I read and learn, the more confused I get. I am 50- to get a.

FACS, MBBS, MS - General Surgery
Oncologist, Gurgaon
Elevated PSA
I am a 75 years old. My PSA last year was 4.03 this year it has elevated to 5.83. This has me stressed a...
Donot worry first of all. Psa level can be because some other resion too so witout having confusion yu must get biopsy of prostate done pl repeat psal leveltoo meanwhile pl. Let me know your complaints.
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I am suffering from weakness. And also from kidney stone problem what I do and what I not do give me solution.

Advanced Aesthetics
Ayurveda, Gulbarga
I am suffering from weakness. And also from kidney stone problem what I do and what I not do give me solution.
Tab-neeri 1-1 tab 2times a day tab -chandraprabhavati 2-2 tab 2 times a day. Sheetasudha syrup 3 spoon 2 times a day these r ayurvedic medicenes.
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I'm 23 year old male, From last 8 months while sitting on the toilet tub small white substance is passing through the urin and i'm very scared and shy to consult doctors about this issues. Please help me with this issues.

BHMS
Homeopath, Faridabad
I'm 23 year old male, From last 8 months while sitting on the toilet tub small white substance is passing through the...
Hi, The meaning of Spermatorrhea is the flow of semen with urine. In such cases, semen passes either while passing urine or while passing stool when straining due to constipation. In few cases, the semen passes even before urination or also mixed with urine. Management: Regular exercising keeps you fit and healthy, so don't forget to do it. Practice pranayam regularly for half an hour preferably in a garden early in the morning. Not to do these exercises within 4 hours after meals. One can have meals not within 15 minutes after finishing these exercises. These exercises are good for gaining and maintaining good health. Also, practice Pelvic floor exercise or Kegel exercise, consists of repeatedly contracting and relaxing the muscles that form part of the pelvic floor. It makes the muscles of pelvis toned and strengthened! In order to locate your pelvic muscles try to stop and begin the flow of urine as using the bathroom. You can perform Kegel exercises with the empty bladder as exercising pelvic muscle with the full bladder might result in urinary tract infections. Medication: Take homoeopathic medicine – Selenium 30/ 3 times a day for 1month. Revert.
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I am 28 yes old. I'm having severe kidney stone problem what should I do help me? My body gets lazy very much I have thyroid problem any help?

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
I am 28 yes old. I'm having severe kidney stone problem what should I do help me? My body gets lazy very much I have ...
Lazyness may be because of thyroid. Please maintain your thyroid harmone levels in normal limits. Treatment of stones will depend on type, size location of stone. Small stones can be managed by medicines, larger stone can only be removed by surgery which can be endoscopic or open.
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Increased body fat, body hair, and breast tissue Clear, watery, or whitish discharge from the penis Presence of a mass or swelling on the scrotum that feels like a bag of worms (varicocele) Stress or emotional pressure from not being able to conceive a child Testicles that are small, soft, or cannot be felt. These all problem i feel. Please tell me about its treatment. Thanks

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , You have not mentioned your semen count. If all three parameters like sperm count, quantity of semen and motility of sperm are reduced then you need to undergo surgery. If there are pus cells in semen then you need to take antibiotics for 4-6 weeks. Irf testes are small and soft o0r atrophic then you need to have hormonal profile like FSH, LH. S. Testosterone or DHEA and USG for testes and scrotum. Further prognosis can be given after the results of these tests. Dr. Kiran Mehta.
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I am having frequent urination and feel thirst after urination. I can't tolerate hunger. My body starts shivering when hungry. I do breakfast at 10 am and after that I start feeling a bit lazy. I take lunch at 2: 30 pm and from that time till 8 pm I urinate about 7-8 times and start feeling weak by the evening. After every urination I feel thirst and I have to drink some water. Also my eyes start paining a bit by the evening. I got my blood test and urine test done empty stomach for sugar and the report was normal. please help.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am having frequent urination and feel thirst after urination. I can't tolerate hunger. My body starts shivering whe...
You should do the Serum insulin levels.. as these are the typical symptoms of hyper insulinemia.. or there are other causes like hyperthyroidism... etc... Better do full body check up and find out the proper reason... And my advise is to consult for homoeopathic treatment wherever you feel comfortable... or through lybrate..
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I want to know proper diet plan for nephrotic syndrome child of 8 years, of 25 Kgs. Please help.

PGDHHM, MBBS
General Physician, Delhi
Low-salt diet may help with reducing swelling in the hands and legs. Lots of fresh fruit and vegetables . Low fat dairy products Can have chicken and fish. Sometimes fluids need to be restricted. Consult nephrologist and renal dietician for the diet plan.
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I have problem going toilet take too much time 30 to 35 minutes wat is the reason?

PGDHHM, MBBS
General Physician, Delhi
I have problem going toilet take too much time 30 to 35 minutes wat is the reason?
It is due to constipation. Eat 3-4 servings of fruits everyday esp papaya. eat fibre rich food. Avoid carbonated drinks and spicy food. Take isabgol husk in warm milk every night. Drink plenty of liquids. Hope this helps u.
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Hi, I have done my ct scan .it says that I have 5 mm stone in my left distal to 3.5 cm from puj. I have no pain .i am taking tablets n syrup for it to pass. Can we pass this stone or any other thing is required.

BHMS, MD - Homeopathy
Homeopath, Navi Mumbai
Hi, I have done my ct scan .it says that I have 5 mm stone in my left distal to 3.5 cm from puj. I have no pain .i am...
Dear lybrate user, size of the stone is small, if u drink more water it ll get eliminated. Drink 3-4 lits of water daily.
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I have a kidney stone on both side of 4 mm. Does it remove by itself or any other treatmentDoctor advise me to take veltam0. 4 tab.

M. Ch. (Urology), MS, MBBS
Urologist, Delhi
I have a kidney stone on both side of 4 mm. Does it remove by itself or any other treatmentDoctor advise me to take v...
No need for any medicine. This size of stone is not significant. Occasionally you may need pain killer when stone moves.
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How Bladder Tumor Can Be Treated?

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
How Bladder Tumor Can Be Treated?

The bladder is a hollow storage organ that collects urine from the kidneys and stores it until it can be passed out of the body through the urethra during the process of micturition or urination. It has a thin inner lining of cells called urothelial cells and a thick muscular wall, which exerts pressure to push the urine out of the body.

Causes of Bladder Tumors

In most cases, the bladder tumor develops on the inner layer due to a combination of some of the following factors.

1. Hereditary: A strong family history of cancer predisposes a person to cancer.
2. Gender: Men are 3 times more prone for bladder cancer than women.
3. Ethnicity: White people are more prone for bladder cancer black people.
4. Smoking: Smokers develop bladder cancer 2-6 times more frequently than non-smokers. cigarettes contain toxic, carcinogenic substances which reach the kidney and are stored in the bladder, leading to their damage.
5. Occupational hazards: Some workplaces have a higher likelihood of causing bladder cancers, especially dye and rubber industries. The effects can be damaging, and the person may develop cancers years after the exposure has happened.
6. Recurrent bladder infections: In some people, this can also lead to bladder cancer in the long run.

Types of Bladder Tumor

Depending on the extent of the cancerous spread, it can be of two types:

1. Non-muscle-invasive bladder tumors: The tumor spread is limited to the inner part of the bladder (urothelial cells)
2. Muscle-invasive bladder tumor: The tumor has spread to the thick muscular outer layer. This is more advanced and prognosis is poor compared to the noninvasive type.

The most common and diagnostic symptom of bladder cancer is the presence of blood in the urine, known as hematuria. This will be intermittent and happens whenever the tumor bleeding happens. Other symptoms include pain in the lower abdomen and frequent urination.

Diagnosis

From the most noninvasive to the most invasive diagnostic test, these include:

1. Urine microscopy to detect cancer cells in the urine
2. Cystoscopy A tube inserted into the urethra to look into the inner wall of the bladder is highly diagnostic
3. Ultrasound, CT Scan, and biopsy can also be further used to identify severity of the tumor.

Treatment

Once the tumor is diagnosed, treatment would depend on the severity of the tumor. For both invasive and noninvasive tumors, definitive therapy is surgery, known as transurethral resection of the bladder tumor (TURBT). The cancerous bladder tissue is removed through a cystoscope as done for diagnosis. The bladder is then flushed with chemotherapy agent to kill any residual cancer cells in the bladder. This is then followed by BCG vaccine, which is again done 1 to 4 weeks for several months to avoid recurrence. In some cases, radiotherapy may also be included.

Bladder cancer BCG vaccination is once in a week for 6 weeks. Surgical removal of bladder is the best available treatment for muscle invasive bladder cancer. If you wish to discuss about any specific problem, you can consult a Urologist.

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