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Dr. Ninan Thomas Panicker

M.Ch - Urology/Genito-Urinary Surgery, MS - General Surgery, MBBS

Urologist, Bangalore

33 Years Experience  ·  200 - 300 at clinic
Dr. Ninan Thomas Panicker M.Ch - Urology/Genito-Urinary Surgery, MS - General Surge... Urologist, Bangalore
33 Years Experience  ·  200 - 300 at clinic
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Personal Statement

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. Ninan Thomas Panicker
Dr. Ninan Thomas Panicker is an experienced Urologist in Kodihalli, Bangalore. He has been a practicing Urologist for 32 years. He has completed M.Ch - Urology/Genito-Urinary Surgery, MS - General Surgery, MBBS. He is currently practising at Lotus Diagnostics in Kodihalli, Bangalore. Don?t wait in a queue, book an instant appointment online with Dr. Ninan Thomas Panicker on Lybrate.com.

Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 37 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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Specialty
Education
M.Ch - Urology/Genito-Urinary Surgery - CDC, Government Medical College, Trivandrum, - 1993
MS - General Surgery - CDC, Government Medical College, Trivandrum, - 1989
MBBS - CDC, Government Medical College, Trivandrum, - 1984
Languages spoken
English

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#493, CMH Road, Indiranagar. Landmark: Near ICICI Bank ATMBangalore Get Directions
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20, Cambridge Road, Ulsoor. Landmark: Beside Blue Dart CourierBangalore Get Directions
300 at clinic
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1st Stage, 80 Feet Road, Cmh Road, Defence Colony, Indiranagar, Opposite To Krishna TempleBangalore Get Directions
200 at clinic
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Kidney Stones: Best Way To Treat It

Interventional Nephrology, DM - Nephrology, MD - General Medicine, MBBS
Nephrologist, Bangalore
Kidney Stones: Best Way To Treat It

Kidney stones are often small enough and pass through urine without much bother. Most kidney stones are smaller than 4 mm in diameter. Having said this, even the smallest of kidney stones can be really painful until they pass through urine (learn more what Urine Says About Your Health). It typically takes a couple of days for the body to get rid of it. While medication and self-care are the foremost options, there are a range of other options as well available for treating kidney stones.

Admission to a Hospital-

You must get admitted to a hospital if the stone moves to the ureter, thereby resulting in severe pain. Typically kidney stones which are more than 6 mms in diameter need to be surgically removed through procedures such as ureteroscopy, percutaneous nephrolithotomy (PCNL), open surgery and extracorporeal shock wave lithotripsy (ESWL). A doctor takes a call on any of the above procedure if:

  1. The patient is inching towards a kidney failure.

  2. The pain doesn’t go away even after taking pain killers.

  3. If the patient is pregnant (learn more about for healthy pregnancy)

  4. If the patient is more than 60 years.

Extracorporeal Shock Wave Lithotripsy (ESWL)-

ESWL is one of the simple and most preferred stone removing procedures. It involves the usage of ultrasound shock waves to break the bigger stones into smaller ones. The latter is then passed through urine. A patient is given a few painkillers since this mode of treatment could be a little uncomfortable. A patient might need multiple ESWLs to successfully get rid of all the stones.

Ureteroscopy:

If a stone gets stuck in the ureter, a medical procedure known as the ureteroscopy is performed. In this procedure, a thin telescope is passed through the urethra and bladder to the ureter. Either a second instrument is used or the telescope itself has laser energy to break the bigger stone into smaller ones. This procedure is ideal for stones that have a diameter more than 15 mm.

Percutaneous Nephrolithotomy (PCNL)

PCNL is an alternative to ESWL for removing big stones. This procedure involves the usage of nephroscope that is routed into the kidney through a small incision made behind the back of the patient. This procedure requires general anesthesia and is effective for breaking stones that have a diameter of 20 mm or more. It has a success rate of 86%.

Open Surgery:

This is one of the older methods to eradicate kidney stones. Unless the stone size is abnormally large and other procedures cannot be performed, open surgery is generally avoided. An open surgery involves making an incision and getting access to the ureter and the kidney. The surgeon then removes the stone from the kidney. This procedure requires general anesthesia and the patient needs to be under observation for at least 24 hours, post surgery.

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Sir, I am a Diabetic Patient, Age-80 years. My problem is Increased Creatinine, Serum Level i. E 3.3. Please advise me Medicine / Treatment of increased creatinine Levels. I take medicine as trajenta for Diabetes and Eco-Sprin, Trental 400 and Ketotreat.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
Sir, I am a Diabetic Patient, Age-80 years. My problem is Increased Creatinine, Serum Level i. E 3.3. Please advise m...
Apart from medications, you need to follow a strict low protein diet in order to bring down your creatinine levels. The normal creatinine level for adult is 0.5-1.2 mg/dl, and kidney disease patients should pay attention to their creatinine level. Once their creatinine level is higher than the normal level, they need to have effective treatment to lower it. In this article, we will introduce some common foods that can help decrease creatinine level. Creatinine is a breakdown product of creatine, which is an important part of muscles, and creatinine is mainly removed from blood by kidneys. When the kidneys are damaged, the kidney function will fail to work well, and the creatinine level cant be excreted promptly. Creatinine level is often a sign of severe kidney damage. When the creatinine level is higher than the normal level, it means less than 50% kidney function for kidney disease patients. Cabbage, lettuce, garlic, onion, omega 3 fatty acid rich foods, cucumbers are best foods. Restrict non veg, and protein rich foods.
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I have uti for past 3 months I consulted many doctors They given antibiotics Now I had taken 8 different types of antibiotics I had take 3 culture test and in that in one cultural test it has show that E coli bacteria presents And I had taken antibiotics for tat After that for few days I don't have any problem But again i am suffering from uti I had taken two ultrasonic scaling to check the stones in the bladder in that everything seems normal At least one doctor admitted me and given amile injection And after taking injection a white thing like mucus is passing through urine for some days after that I have no problem After two weeks again I having pain during urinating What will be the possible problem of me?

MBBS
Nephrologist, Kolkata
I have uti for past 3 months 
I consulted many doctors
They given antibiotics 
Now I had taken 8 different types of a...
Actualy you are suffering from chronic uti which s pretty common in indian females, you just need a month long therapy of antibiotics nd plenty of fluids nd hav to check your blood sugar n sum specific urine analysis has to b done. So consult me privately so that I can guide you with necessary prescription after getting to know a thorough history of your problems. Nd since you r just a boy of only 19yrs, your case needs urgent attention. Thanks stay healthy stay happy.
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Hii. I had urinary tract infection a month ago. I realised this bcz I had for fever and very bad back ache. After urine test the doc said I have UTI. I took some tablets and everything was fine within a week. However I feel the problem is back. No fever but I have back pain (kidney pain) and pain in the abdomen (which is in on /off mode. I am drinking a lot of water but the back pain is not going. Pls pls pls help me! Should I take any medicine pls prescribe. Help pls.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Hii. I had urinary tract infection a month ago. I realised this bcz I had for fever and very bad back ache. After uri...
Do 1.Pass urine whenever you feel a desire, empty bladder completely. 2.Wipe from front to back after toilet 3.Take lots of water so as to have clear urine 4.Do not use any spray, scented bath products 5.Try to take shower rather than bath 6.Clean genitals before sex and pass urine after sex to flush out any bacteria 7.Keep genital area dry- wear cotton, loose under garments, avoid tight clothes like jeans repeat urine culture and sensitivity and write on private chat for medicine.
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What are the symptoms of stone in the kidneys and precautions to be able to get out of pain?

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
What are the symptoms of stone in the kidneys and precautions to be able to get out of pain?
A metallic taste in the mouth or ammonia breath protein aversion (no longer wanting to eat meat) nausea and vomiting difficulty concentrating loss of appetite itchiness (pruritis) heat therapy may subside the pain to some extent.
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Respected doctors I have anal fissure for last three week. How to cure anal fissure quickly please give me some valuable advice.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Take pranacharya allergin capsule 1-1 twice a day....take arshantak vati 1-1 twice a day with warm water...and take pranacharya pilescure capsule 1-1 twice a day...and abhayarishta 2-2 tsf twice a day..apply pranacharya pilescure ointment on piles....if stomach is not clear them take virechan churna 1 tsf in warm water before night...take fresh buttermilk early morning...avoid spicy food...junk food...fermented food....tea...coffee.....take slitz bath...
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How to avoid kidney stone problem? And what are diet I have to follow to avoid kidney stone?

BHMS
Homeopath, Raebareli
How to avoid kidney stone problem? And what are diet I have to follow to avoid kidney stone?
Apple cider vinegar helps dissolve kidney stones. It also has an alkalinizing effect on blood and urine. Mix two tablespoons of organic apple cider vinegar and one teaspoon of honey in one cup of warm water. Drink this a few times a day. For further queries get back to me.
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A week ago, there was a blood in urine, so I consulted a doctor he ask to do full abdomen test, in the result everything is fine. But nowadays I can see blood in sperm when I masturbate.

MBBS, Diploma in Public Health ( Preventive and Social Medicine)
General Physician, Navi Mumbai
A week ago, there was a blood in urine, so I consulted a doctor he ask to do full abdomen test, in the result everyth...
Dear lybrate-user, Good thing to know that all your tests are normal. Please try to have adequate water intake, juices. Don't retain urination, and don't get much excited and anxious while masturbating or any sexual activity. It should gentle and pleasant. Don't even pressure yourself while micturation or defecation. Okay? All the best.
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Fast urination even if I drink a half glass of water in less time. What is the reason?

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
Fast urination even if I drink a half glass of water in less time. What is the reason?
It can be one of the symptoms for hypertension, diabetes, or any systemic disorders. Immediately consult a physician.
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I suffer from fissures.Don't want to get surgery done.Is there any good medication which I can take to keep this under control. Healing and pain relief medicine ?

F.N.B.(Minimal Access Surgery), MS (General Surgery) , MBBS, FALS(Fellow Advanced Laparoscopic Surgery), FCLS(Fellow International College of Laparoscopic Surgeons), FIAGES
General Surgeon, Bhubaneswar
Apply xyocaine jelly locally three times daily . Take sitz bath two times a day and take stool softner at night.
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I have gastric problem and also recently I came to know that I have stone near kidney. What should I eat in these conditions. Please tell me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I have gastric problem and also recently I came to know that I have stone near kidney. What should I eat in these con...
Tips for removing kidney stones:: 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 ur USG report becoz medication for stones depends upon size number and location of stones and can be given after USG.
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I am 59 years old male. I had undergone spinal cord operation in the year 1986. Three years back my creatine level raised to 1.4 and after urinating, I still had some residual inside. When urine stayed inside I use to get infection and get fever. Since then I either removed the urine by inserting tube or wearing a urine bag as advice since then. Since few months my creatine levels are increasing. Now my creatine level is 7. My legs have swelling.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
You are rather in a very critical condition.I will suggest to to go for Homoeopathic treatment alongwith the present treatment.There are very effective homoeopathic medicines which will help in bringing down the creatine levels and have no adverse effects if taken along with allopathic medicines.It will improve quality of your life .I willnot say at this stage that I can cure you 100% but right now fingers crossed and just have faith in me and homoeopathy.
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From 3 dpo feeling light cramps lower abdomen ,lower back pain and from night of 6dpo light cramp or some time little more pain on lower abdomen, lower left side abdomen and back but it also goes till whole left leg this pain also come and go, why this is happening, is these happening like that or something else means implantation related, please help me and can I take Thyronorm 125 mcg at 7 am and sleep again then have food after 1to 1: 30 hours later is their any problem with this or I can take, and can my thyroid comes in normal level, because I sleep very late. I was taking 125 mcg tablet, ans susten 200 for 10 days, and light pain on nipples some time more pain on nipples, why this pain happening, some tiredness also. And urine come every half or one hour. gas also please help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
From 3 dpo feeling light cramps lower abdomen ,lower back pain and from night of 6dpo light cramp or some time little...
Lybrate-user, I understand that you are having pain in lower abdomen, lower back and probably cramps. I did not understand the word" dpo" certain short forms are unclear, better to write in full words. You are thyroxine 125 mcg a day. But you have not mentioned about current or latest tsh levels. Many a times if hypothyroidism is not under control (tsh between 3 to 4 mu/l), various symptoms can keep occurring. Apart from taking prescribed medicine you have to also exercise for 1 hour a day and follow dietary restrictions. It will be better if all the information is given, and you come in a private conversation, then I will be able to guide. Thanks.
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Sir, I occasionally have pain inside anus once in two or three months. I am facing this problem from last 10 years. Already consulted many doctors. Some of them said I have fissure, but when x rayed my back they found that I have 1st type of coccyx. I feel intense pain in my anus increasing slowly and I sweat a lot as well as my mouth vet dried. Sometimes I faint after that pain goes away. Please help me or suggest me a possible way to get rid of this problem.

Fellowship in Minimal Access Surgery, MS - General Surgery, MBBS, FICS
General Surgeon, Delhi
It looks to me that you are suffering from proctalgia fugax. Try warm sitz baths twice a day. If that doesn't help please consult a surgeon and have yourself examined by him. Medical management can be decided after that examination only. Thanks.
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To lower CREATININE, SODIUM etc what is the good to be taken and what to be avoided.

MBBS
General Physician, Jalgaon
To lower CREATININE, SODIUM etc what is the good to be taken and what to be avoided.
Please Avoid pain killers Avoid high protein diet, oily, spicy, non veg food Avoid excess salt in foods, avoid processed foods, pickles etc Send me details about your current medicine Take Gokharu kadha 20 ml twice daily with water Punarnavasav 20 ml twice daily with water.
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Can you tell me kidney problem me kya food khana chaiye jise se kidney jaldi thik ho jaye.Please help me

PDDM, MHA, MBBS
General Physician, Nashik
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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Few days ago my anal starting bleeding when I went for shit. During bowel it started bleeding. Now it is not bleeding but it hurts every time I shit And also hurts thereafter. It hurts right in the opening and the surrounding area. Please help I am in desperate need.

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
Your problem looks like fissure in ano or anal piles or both. Physical examination by a general surgeon will confirm the diagnosis. 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. He will decide whether surgery is required or not, depending on the condition and its stage.
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My liver swelled to 16 cm according to ultrasound report, bilirubin total 2.59, bilirubin direct 0.62, bilirubin indirect 0.97, sgot 54.9, ggt 67, albumin 5.4, globulin 2.3, it's ratio 2.35 Also I am diagnosed with kidney stone with 10 mm and 8 mm size in both kidneys.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
My liver swelled to 16 cm according to ultrasound report, bilirubin total 2.59, bilirubin direct 0.62, bilirubin indi...
Liver disease can be inherited (genetic) or caused by a variety of factors that damage the liver, such as viruses and alcohol use. Obesity is also associated with liver damage. Over time, damage to the liver results in scarring (cirrhosis), which can lead to many complications. Kidney stones form when the kidneys are not able to process toxins efficiently. Specifically, a crystallization of unprocessed minerals builds up. Kidney stones cause pain and possible blockage of urine flow. Tips to manage the condition drink plenty of water. Lower sodium intake. Exercise regularly to improve digestion. Light food intake recommended. Intake of makani at regular intervals. Rx kalamegha strong 10 ml twice a day after dilution a/f cyston tab 2_0_2a/ f for 3 weeks. After tests should be repeated.
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Every time I urinate a pre cum comes (white fluid like matter which is very sticky () I request you doctor plzz tell is it harmful fluid for my health physically and mentally! Also the reason behind it.

BHMS
Homeopath, Sindhudurg
Every time I urinate a pre cum comes (white fluid like matter which is very sticky ()
I request you doctor plzz tell ...
The prostate gland is situated at the neck of the urinary bladder. The semen is composed of sperms that are made in testes and prostatic fluid that is made in the prostate gland. It is not unusual to occasionally get some mucus discharge (coming from prostate) at the end of urination. If it is frequent or if the discharge is profuse or yellowish, then infections in prostate gland and urinary tract need to be ruled out.
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