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Dr. Sanjay

Urologist, Bangalore

Dr. Sanjay Urologist, Bangalore
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Sanjay
Dr. Sanjay is a renowned Urologist in Whitefield, Bangalore. You can consult Dr. Sanjay at Vydehi Hospital in Whitefield, Bangalore. Book an appointment online with Dr. Sanjay and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 33 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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Vydehi Hospital

#82, Vydehi Campus, Epip Area, Nallurahalli, Whitefield. Landmark: Near Sai Baba HospitalBangalore Get Directions
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My 9 th month pregnancy is going on. I am facing pain under right breast. I did abdomen ultrasound. Dr. said I have hydronephrosis in right kidney and kidney size is 64 128 mm. Please give me suggestion? I need any medicine or not. And other important suggestions.

MD
Gynaecologist, Mumbai
Hydronephrosis can be due to a pathology but the pressure of the uterus can also do the same if there are no other issues better get it looked at and treated after delivery.
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4 months ago I let an earthworm to enter my cock, at that time I got scared, but by the time I did not got any problem, but in this past 1 month I have problem when I go to urine, so I went for a sonography but the report of sonography also came normal, but I still feels that there is earthworm inside the bad smell of earthworm still comes from my urine then smelling it, can you get solution of this?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
hi some time at this condition we worried and this worry is in our mind so we feel like that son dont worry i suggest you some medication for that take it take following remedies 1.triphala kadha 4 tsp before lunch and dinner 2.amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach
1 person found this helpful
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He have bilateral renal stone 6mm. He felt pain in right testis. Bt usg scrotum found normal. Why right testis feel heavy and no tenderness. How to dissolve stone and pass?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
Hi lybrate-user. Pain and heavyness in testis is due to stone itself. 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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Hi, doctor. from past 2 years I am facing chronic uti problem, in last 2 months 4 time I suffered with this problem, dr's have given me injections of monocef, medicines but still I not getting well please guide me.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Please get a urine c/s done. You need to recommence on an antibiotic depending on sensitivity. And then continue long term on a lower dose to prevent re-infection. Also I would suggest you get a fbg and ppbg done to rule out diabetes. Have about three l water daily, use a urinary vitamin like cranmed and use condoms during sex.
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Please tell me how to reduce the size of right my right testis. Once I went to a doctor. The doctor give me a medicine, by this medicine my testis size reduced but my medicine was finished. Now my size of testis are not completely reduced. There is no pain in my testis. Please tell me the medicine through which the size of testis reduced. I want to be an marine engineer so, please tell me also that in Marin engineering there is any problem by the size of testis in medical.

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
That depends upon the cause of rise in size. If this was some infection, the size will automatically come to normal over some more weeks. But if you are having hydrocele or some cyst etc. Surgical correction may be required.
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I have pain in my right side of stomach somewhere around kidney for 2-3 days. Do I have a stone in there?

Ayurveda, Panchkula
Right side pain could be anything not only kidney stones. Kidney stones pain radiates to back as well.
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I am married 25 years old. I feel a pain during urination. The pain is there after Passing out urine also.

MD - Anaesthesiology, DNB, MBBS, Diploma in Aesthetic Medicine
Pain Management Specialist, Amritsar
It's urinary infection which is very common after marriage. You need to lot of water, soda, urine alkalinizer and antibiotic. Take care.
1 person found this helpful
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I have got problem in my piles. Its not bleeding but seems like pimple a outer side of my anus how to cure it? It is giving me pain. I have no problem in going latrine bleeding is also not there.

MS - General Surgery, MBBS
General Surgeon, Delhi
Piles needs surgery for permanent cure. You should get your proctoscopy done under local anesthetic jelly to confirm the diagnosis.
2 people found this helpful
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My both the kidney was failed I am under dialysis I am suffering with two much of thirsty no urine output. Please advise me the diet chart list to control water intake.

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
Take 500 - 1000 ml water daily. Take tab dytor 20 mg twice daily. Get bladder wash done every week with 500 ml saline +amikacin.
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Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?

MS - General Surgery
General Surgeon, Patan
Sometym bladder prolapse may be the cause for incontinence. It all depends on the degree of the prolapse. But it is better to give a try with fibroid removal once (if its really very big).
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I am 34 yrs old man. When I am going to urine it gets bad odor smell. May I know the reason.

PDDM, MHA, MBBS
General Physician, Nashik
This indicates infection or calculopathy. Kindly consult privately for personalised assessment and management.
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Tips on Treating Urinary Incontinence:

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


1. Stress incontinence

Non-medical treatment

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

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

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

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

Surgical treatment

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

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

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

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

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

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

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

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

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

Surgical treatment

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

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

3. Overflow incontinence

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

4. Total incontinence

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

Treating faecal incontinence

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

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

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

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

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

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

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

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
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Hi my SGOT and SGPT is continuously increasing over last 4 month. It is 150 and 102 respectively now. My ultrasound report says fatty liver grad2 and having 16 mm gall stone. Kindly advice .medicine taken samy400 BD Umed Sr 450 mg. having diabetes also and glucose fasting is 91. Kindly advice is it due to stone Regards Vikas.

C.S.C, D.C.H, M.B.B.S
General Physician,
You have liver damage and diabetic complications and need the proper control of diabetes to feel well. . Fasting glucose level is good . The medicines you take are good for liver . Fatty liver can occur due to various reasons
1 person found this helpful
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Protein loss 2+ in urine is danger sign How much protein or albumin loss in urine is normal.

B H M S, MD
Homeopath, Thrissur
Protein or albumin or sugar should not be lost in urine if so it is pathological. So you should consult a urologist for diagnosing your condition.
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Ayurvedic Remidies For Renal Stone

BAMS
Ayurveda, Sonipat
Ayurvedic Remidies For Renal Stone

Kidney stones is a disorder of the urinary tract wherein stones form in the kidney. This happens when solid particles in the urine become concentrated; the solid particles mostly being acid and mineral salts. This disorder can affect any part of the urinary tract: from the bladder to the kidneys. The treatment for this disorder is designed depending on the severity of your symptoms.

Symptoms
Once affected by this disorder, pain in the lower abdominal region will be common. The pain may get aggravated when you urinate. You may also exhibit symptoms of vomiting, nausea and a constant urge to urinate. Hematuria (presence of blood in the urine) is another symptom common to this disorder.

Causes
There is no single known cause for kidney stones. These stones occur when certain solid particles such as uric acid and calcium are present in the urine in large amounts. However, certain factors that increase the risk of kidney stones are:

Family history of kidney stones
Lack of sufficient water in the body or dehydration
Eating foods which are loaded with sugar and salts
Obesity
 

Ayurvedic treatment
Ayurvedic remedies for kidney stones are natural and free from side effects. Apart from relieving the symptoms, they also help in improving your overall well-being. These remedies balance the various doshas in the body and thus, lead to improved functioning of the abdominal organs. The ayurvedic remedies for kidney stones are

Stay hydrated: staying hydrated is the basic you can do to either prevent kidney stones or treating the condition. Dehydration is one of the most important causes for the formation of kidney stones.
Avoid certain foods: you need to avoid consumption of certain foods such as apples, tomatoes and cheese which increase the risks of kidney stones.
Exercise on a regular basis: you need to chalk down and stick to an exercise regimen to keep your weight at optimal levels. Remember that obesity is a major contributor to kidney stones.

10 people found this helpful

During every monthly periods, I'll be getting urine infection problem I.e v frequently passing urine with burning sensation. Few months back got urine tested but reports were normal. And some times I'll get a sharp pelvic pain which results in unable to move or stand unless the pain reduces. Please suggest.

MBBS
General Physician, Ahmedabad
Get URINE-RM and Urine_CS (culture -sensitivity). Test done for proper guidance. Take plenty of liquids. Avoid fried / junk food during menstrual cycle. For pain you can use Antispasmodic tab. Feel free to ask privately with details of your reports for more scientific suggestions.
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I am doing yoga but I dont know before doing yoga I have to take water r not n I am doing stretches, yoga, exercises, n workout once is this good r not before n after doing yoga what I have to take I am getting leg pains I have horseshoe kidneys problem.

Certificate Course in Fitness Management
Dietitian/Nutritionist, Faridabad
1-2 glasses of water can be taken 30 minutes before yoga. And a few sips can also be taken while doing yoga if you feel thirsty. The pain in your legs can be due to a lot of reasons. It can be due to DOMS (Delayed Onset Muscle Soreness) effect, or due to an injury, or due to stretching beyond your comfortable zone etc. Take a lot of liquids (Water, Green tea, Juice, Milk etc) to recover your muscles and to flush out lactic acid build up in your muscles. However, If the pain persists, you are advised to consult your general physician.
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Sir please suggest me My problem is kidney stone. In kidney stone pain which tablet I take and how to reduce my kidney stone. Please suggest me some syrup to reduce kidney Stone.

BHMS
Homeopath, Faridabad
Prevention of kidney stones may include a combination of lifestyle changes and medications. Lifestyle changes you may reduce your risk of kidney stones if you: drink water throughout the day. For people with a history of kidney stones, drink 12-14 glasses of water everyday. If you live in a hot, dry climate or you exercise frequently, you may need to drink even more water to produce enough urine. If your urine is light and clear, you're likely drinking enough water. 1 eat fewer oxalate-rich foods. If you tend to form calcium oxalate stones, restrict foods rich in oxalates. These include rhubarb, beets, bhindi (okra), spinach, swiss chard, sweet potatoes, nuts, tea, chocolate and soy products. Choose a diet low in salt and animal protein. Reduce the amount of salt you eat and choose non animal protein sources, such as legumes. Consider using a salt substitute. Continue eating calcium-rich foods, but use caution with calcium supplements. Calcium in food doesn't have an effect on your risk of kidney stones. Continue eating calcium-rich foods unless your doctor advises otherwise. Ask your doctor before taking calcium supplements, as these have been linked to increased risk of kidney stones. You may reduce the risk by taking supplements with meals. Diets low in calcium can increase kidney stone formation in some people. Medication: take homoeopathic medicine if the stone is or less than 6-7mm - berberis vulgaris q/ 10 drops in 1/2 cup of water/ thrice daily for 4 weeks. Revert me back.
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My father's prostate has enlarged. What should he eat and what he should not eat. Please help. His age 78. He has blood sugar 180 pp mg /dl. And now also facing problem with speak.

MBBS
General Physician, Mumbai
Few tips on diet say no to maida items like toast, khaari, naan, white bread. Can drink tea but without sugar say no to buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati, bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.
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I am 40 years old. 5 years back, my spinal surgery was held. That time cathetor used for urine. And there was a stricture in urethra. For its removal, doctors did cystoscopy. But after some period, it is again there. So I tried ayurvdic'uttarbasti. There was some improvement but urethra smelling bad and urine flow is slowed. What should I do?

MBBS, DGO (cal)
General Physician,
Appears to be you have developed post-traumatic urethral stricture. In my knowledge line of treatment is 1) control & prevention of infection if any. 2) dilatation of urethra - which may have to be repeated for more than once. 3) if above two steps fails (usually does not), then urethroplasty. You please visit a good urosurgeon of your state, let them examine you and asses the status. After that I believe they shall be able to give you an appropriate treatment.
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