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Dr. Sanjeev Kumar A Hiremath

MD

Nephrologist, Bangalore

18 Years Experience  ·  0 - 500 at clinic
Dr. Sanjeev Kumar A Hiremath MD Nephrologist, Bangalore
18 Years Experience  ·  0 - 500 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Sanjeev Kumar A Hiremath
Dr. Sanjeev Kumar A Hiremath is one of the best Nephrologists in Basavanagudi, Bangalore. He has had many happy patients in his 18 years of journey as a Nephrologist. He studied and completed MD . You can meet Dr. Sanjeev Kumar A Hiremath personally at Aastha Clinic in Basavanagudi, Bangalore. You can book an instant appointment online with Dr. Sanjeev Kumar A Hiremath on Lybrate.com.

Find numerous Nephrologists in India from the comfort of your home on Lybrate.com. You will find Nephrologists with more than 28 years of experience on Lybrate.com. You can find Nephrologists 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
MD - Seth G.S. Medical College and King Edward Memorial Hospital, Mumbai - 1999
Professional Memberships
Indian Society of Nephrology (ISN)
Indian Society of Organ Transplantation (ISOT)
Nephrology Associates

Location

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Sagar Hospitals - Banashankari

Shavige Malleshwara Hills, Dayananda Sagar Institution campus, Kumaraswamy Layout. Landmark: Behind to Dayanand CollegeBangalore Get Directions
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Phoenix Hospital

# 26, 1st Main, 2nd Cross, CKC Garden, Lalbagh Road, Bengaluru, Landmark: Near Subbaiah Circle and Near Super Carz,Bangalore Get Directions
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How many years can a patient stay in stage 3 ckd without going into further stage by following good diet and lifestyle. Recently I got to know that my father has got ckd stage 3. Without entering stage 1 or 2! Why!

BHMS
Homeopath, Faridabad
How many years can a patient stay in stage 3 ckd without going into further stage by following good diet and lifestyl...
Hi, all the chronic problems including ckd never goes to higher stages all of sudden. It passes through stage 1 & 2 initially. You father may have some symptoms which either he ignored or the symptoms were so subtle that he couldn't able to feel them also, a regular thorough check-up is always recommended to every person annually, which your father might have ignored. He can maintain the same stage he is currently in, if he follows a healthy diet and lifestyle. *********consult a nutritionist*****
1 person found this helpful
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My wife age 25 years feels frequent urine & it feels like that urine can not be controlled.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , she may have infection in urine so get it tested. If pus cells are more than five then she will have to take antibiotic like ofloxacin 2oo mg twice a day 1 hour before meals for 15 day and for immediate relief she can take urispas or flavospas three times a day 3-5 days. If she does not have infection then make sure she does not have constipation, then she should have sonography done with full bladder volume, bladder wall thickness on full bladder and post-void residual urine volume and then let me the results.
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I have problem regarding the urination. The urine is dark yellow in colour and its paining whenever I went for urine discharge.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ernakulam
I have problem regarding the urination. The urine is dark yellow in colour and its paining whenever I went for urine ...
Hello, please try to drink water boiled with gokshur (tribulus terrestris. You will get in raw form. Increase your water intake.
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I got preventive health checkup and my KFT shows Calcium 8.32. Is this too low. Should I worry for that? BUN is 10.4, Creatinine .74 and Uric Acid 4.71. Is low calcium a cause of concern?

C.S.C, D.C.H, M.B.B.S
General Physician,
I got preventive health checkup and my KFT shows Calcium 8.32. Is this too low. Should I worry for that? BUN is 10.4,...
You explain your problems and why the test was ordered to help you clearly. The corrected total serum calcium concentration is normally 8.5-10.2 mg/dL, but there is no sure means of predicting the serum calcium level, for either hypocalcemia or hypercalcemia, at which symptoms will occur. The normal BUN level for healthy individuals is 7-20 mg/dL in adults, and 5-18 mg/dL in children. Patients on dialysis have higher BUN levels, usually 40-60 mg/dL. The nephrologist (kidney doctor) and dietitian will help determine whether the BUN is in the correct range. Normal Uric acid levels are 2.4-6.0 mg/dL (female) and 3.4-7.0 mg/dL (male). Normal values will vary from laboratory to laboratory. Also important to blood uric acid levels are purines. Normal levels of creatinine in the blood are approximately 0.6 to 1.2 milligrams (mg) per deciliter (dL) in adult males and 0.5 to 1.1 milligrams per deciliter in adult females.
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What Causes Kidney Stones?

MBBS, M.S. (General Surgery), MBA (Healthcare), M.Ch - Urology/Genito-Urinary Surgery
Urologist, Gurgaon
What Causes Kidney Stones?

A kidney stone is a hard, crystalline mineral development, which forms within the kidney or the urinary tract. It is called nephrolithiasis in medical terms. Kidney stones occur due to the decrease in urine volume or due to an excess of substances in the urine which are stone-forming in nature. Dehydration is considered to be a primary risk factor for kidney stones too.

Causes of kidney stones:Kidney stones develop when the urine contains increased amounts of crystal forming substances. They include calcium, oxalate and uric acid in amounts which the fluid in the urine cannot dilute. Your urine may also lack the substances which help in prevention of crystals from sticking to each other, thereby enhancing the conditions for kidney stones to form.

The balance of your urine can change due to several factors:

  1. Not drinking sufficient amount of water makes the salts, minerals and other substances present in the urine to stick together, which may lead to the formation of a stone.
  2. The normal urine balance may get disrupted due to several health conditions, which lead to kidney stone formation. Diseases such as gout or certain inflammatory bowel diseases can also cause kidney stones.
  3. Many cases of kidney stones are hereditary and run in families, affecting family members over many generations.
  4. A rare cause of kidney stone formation is the overproduction of hormones by the parathyroid glands, which results in increased levels of calcium leading to calcium kidney stones.

Types of kidney stones
Kidney stones are of different types, which occur due to several, different causes. They are as follows:

  1. Calcium stones: Calcium stones account for being the most common form of kidney stones. They occur due to excessive calcium in the urine. This may happen due to an inherited condition known as hypercalciuria, the overreaction of the parathyroid gland, kidney diseases, several cancers or from a condition known as sarcoidosis. The stones may be large and smooth or rough and spiky.
  2. Struvite stones: These stones are caused due to infections. And they usually occur after a urinary tract infection. This form of kidney stone is more common in women though.
  3. Uric acid stones: These stones occur due to large amounts of uric acid in the urine. It may occur from having a high protein diet, from a health condition called gout or from a hereditary condition where the amount of uric acid in urine increases.
  4. Cystine stones: These are rare kidney stones and occur due to a hereditary health condition known as cystinuria.

Kidney stones occur due to the change in balance of water, salts and minerals, which are present in the urine. Insufficient water consumption is often the most common cause of kidney stones. So make sure you drink lots of water to keep stone formation at bay. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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I have uric acid problem and 3.5 mm stone in my right kidney and excess calcium in body what diet plan should I follow to make the limit of uric acid and calcium stable in my body.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I have uric acid problem and 3.5 mm stone in my right kidney and excess calcium in body what diet plan should I follo...
Uric acid builds up when the body makes too much of it or fails to excrete it. It is a waste product resulting from the metabolism of food. The level of uric acid in your blood can become elevated if your body produces too much or if it doesn't efficiently dispose of it. It is very important to keep your diet in check to avoid food that increases the Uric Acid content in the body. Symptoms of uric acid · Excruciating pain in the foot or big toe. · Difficulty walking. · Waking up from sleep due to foot pain. · Occasionally feeling pain in the knee and ankle. · Limited ability to move. · Persistent itching around the big toe joint. · Gritty accumulations of uric acid crystals called tophi that appear on the joints near the elbows, knees, fingers and toes. Foods You Should Eat If You Are A High Uric Acid Patient Diet Tips for High Uric Acid Patients • Lower fat intake as excess fat reduces normal excretion of uric acid. • Liberal fluid intake to keep the urine dilute. • Restriction or elimination of alcohol. Rajmah Via Shutterstock What to avoid • Shell fishes, red meat, minced meat, meat extracts, organ meats, fishes (sardine, roe, makeral). • Whole pulses (masur, rajmah, chana, chole etc.). Other dals are allowed. • Vegetables and fruits - green peas, spinach, french beans, brinjal, cauliflower, mushroom, chickoo, custard apple. Diet rules • Use less salt while cooking. Avoid adding salt while cooking rice or in chapatti dough. • Use adjuncts like tomato, vinegar, cocum, amchur, lime juice, curd, pepper powder to make the food cooked with less salt palatable. • Remove the salt shaker from the table. • Avoid salted nuts/biscuits, papads, pickles, chutneys. • Avoid excess consumption of processed and preserved foods; eg. Bakery products. • Caution - Do not overdo on salt substitutes as that might cause an electrolyte imbalance. Tomatoes Recommended Foods 1. Fresh cherries, strawberries, blueberries and other red-blue berries. 2. Bananas. 3. Celery. 4. Tomatoes. 5. Vegetables including cabbage and parsley. 6. Foods high in bromelain (pineapple). 7. Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes) 8. Low-fat dairy products. 9. Complex carbohydrates (breads, cereals). 10. Chocolate, cocoa. 11. Coffee, tea.">Hello- Diet Tips for High Uric Acid Patients • Lower fat intake as excess fat reduces normal excretion of uric acid. • Liberal fluid intake to keep the urine dilute. • Restriction or elimination of alcohol. What to avoid • Shell fishes, red meat, minced meat, meat extracts, organ meats, fishes (sardine, roe, makeral). • Whole pulses (masur, rajmah, chana, chole etc.). Other dals are allowed. • Vegetables and fruits - green peas, spinach, french beans, brinjal, cauliflower, mushroom, chickoo, custard apple.
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I used urine home pregnancy test kit of 2 different different company one is prega news and 2nd other company. Both give some result that is negative. This result is 100% true and reliable? Can I believe that result? Tell me please dr.

MD - General Medicine
General Physician, Delhi
I used urine home pregnancy test kit of 2 different different company one is prega news and 2nd other company. Both g...
You can be sure if it's negative two times, if your next menstrual cycle comes on time then you are not pregnant
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My husband is 28 years old. He is urinating only twice or thrice in a day. And his urine colour is red. Is it normal. If it is not what should I do ?

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist, Delhi
From what you have written, his urine is extremely concentrated due to inadequate water intake. He should consuming about 3.0litres water daily, should not consume alcohol, tobacco, excessive coffee, tea, soft drinks.
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I am 22 yr. I have been going to toilet 20-30 times per day. I have checked my blood test but it was fine. 13gr. No sugar also. I have been taking 6lt of water daily. How can I control toilet. What problem to me. Explain the control procedure.

Felllow in Endourology, MCh Urology, MRCS, MS, MBBS
Urologist,
I am 22 yr. I have been going to toilet 20-30 times per day. I have checked my blood test but it was fine. 13gr. No s...
Taking 6 litre is too much. Please reduce your intake to 3 litre per day. If it still persists, then only we will have to investigate further.
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Causes And Symptoms of Bladder Cancer

M. Ch. (Urology), MS - General Surgery, MBBS
Urologist, Delhi
Causes And Symptoms of Bladder Cancer

Bladder cancer is characterized by irregular growth of abnormal tissue (tumor) on the lining of the bladder. This type of cancer may spread to the surrounding tissues or other body parts as well.

What are the causes?

Bladder cancer can be caused by environment-related factors and smoking. In fact, smoking tobacco is one of the major causes of bladder cancer around the world. The chemicals present in tobacco can irritate the bladder lining which ultimately leads to bladder cancer. It may also be caused by continuous exposure to chemicals such as dyes or leather dust and radiation. These chemicals tend to cause unusual changes in the cells of the bladder lining and causes cancer in the bladder.

It can also be caused by modifications in the dna in the cells of the bladder which may impair the functioning of the cells in the body. This can cause mutations in the bladder resulting in cancer.

What are the symptoms?

1. Presence of blood in the urine, often painless

2. Feeling of pain while passing urine

3. Back pain

4. Excessive urination

5. Infections in the urinary tract

6. Lower leg swelling

7. Pain in the bones, especially in the pelvic area

8. Weight loss

Treatment options

Treatments for bladder cancer depend on the stage of the cancer. The various treatment choices are:

Surgery - In some cases, these cancers are surgically removed by a surgeon. A type of surgery used is transurethral resection of bladder tumor (turbt) where the cancer cells are destroyed with laser by passing a thin fiber into the bladder.

Chemotherapy - In this method, medications are used to target and destroy cancer cells.

Radiation therapy - Radiation therapy uses rays such as x-ray or uv rays to destroy cancer cells in the body

Immunotherapy - This treatment boosts the immune system of the body so that it attacks the cancerous cells in the bladder.

3794 people found this helpful

My gallbladder is removed because of pain and stone. What precautions should I take now?

MS - General Surgery, MBBS
General Surgeon, Delhi
My gallbladder is removed because of pain and stone. What precautions should I take now?
You should avoid fatty food and heavy intake in one sitting. Chew your food properly and keep gap of 2hrs between dinner and sleep.
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M 28 years old. I am suffering from 1 problem from past 8-9 months. My problem is urine burning. When I go for urine at the end urine burns a lot. In September 2015 I go for sonography it shows infection in bladder. I take medicines but problem still persists. Last month again I did sonography then it shows minor stone and bladder infection. Then I hospitalised for 4 days for hydrotherapy stone removal now stone gone. But I still have urine burning problem. Now from last 4 days doctor given me calcury (charak) and levomac 500. But M still suffering from urine burning problem. I also try lots of kitchen products barley water, coriander water, coconut water but nothing works. Please help me and suggest me a best medicine for my problem. I want permanent solution. Waiting for your reply.

BHMS
Homeopath, Faridabad
M 28 years old. I am suffering from 1 problem from past 8-9 months. My problem is urine burning. When I go for urine ...
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. W medication: take homoeopathic medicines - can notharis 30/ 3 times a day and berberis vulgaris q/ 10 drops in 1/2 cup of water/ thrice daily for 4 weeks. Revert.
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She do pee in mid night in the bed what is the reason behind on this and what are necessary steps she must take for this disease?

MBBS
General Physician, Mumbai
She do pee in mid night in the bed what is the reason behind on this and what are necessary steps she must take for t...
In her sleep cycle she does not have any control over the voluntary movements of the body and we need to train her by keeping an alarm at 3 am and making her go to toilet and coming back to sleep and do this for atleast 3-6 months
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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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I have had Urinary tract infections thrice in last 3 months. I am sick of making antibiotics. Please give me some advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have had Urinary tract infections thrice in last 3 months. I am sick of making antibiotics. Please give me some adv...
First of all you should follow some basic thing 1. Avoid=hot and cold at time 2. Less the sugar as much as possible if you want to eat sweet take juggery which is black 3. Do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4. Avoid late night sleep take following remedies 1. Alovera juice 4tsp+ 1 tsp honey after dinner 2. Amal juice 4tsp +2 tsp sugar + 2tsp honey empty stomch in the morning.
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What are the different stages of chronic kidney disease what medicines should I take?

C.S.C, D.C.H, M.B.B.S
General Physician,
The stages of ckd (chronic kidney disease) are mainly based on measured or estimated gfr (glomerular filtration rate). There are five stages but kidney function is normal in stage 1, and minimally reduced in stage 2. Observation, control of blood pressure. More on management of stages 1 and 2 ckd.
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I am suffering from pathri. What type of food I eat. What type of food I do not eat.

BAMS
Ayurveda, Ambala
I am suffering from pathri. What type of food I eat. What type of food I do not eat.
You should follow these very important and simple things to prevent stone formation & to get sure treatment of kidney stones: 1. First take a lot of fluid daily. The more you drink water and fluid, the less amount of deposit accumulate in kidney. So you have to make your kidneys healthy just only by drinking 2-3 liters (10-12 glasses) of water. 2. Stones are mainly formed of calcium and oxalate. So take very low quantity of milk, cheese, cream and dairy products. 3. Do not take strawberry, plum, spinach and tomatoes. These fruits and vegetables are rich in oxalate. So avoid them to prevent from kidney stones. 3. Stop taking supplementary vitamin d and calcium medication. 4. Avoid animal protein diet- eggs, red meat, fish in diet. 5. Take less amount of salt, pickle and western foods. They have high amount of sodium. So avoid it. 6. Urinary infection are also one of the cause of stone. So take proper antibiotic treatment of urinary infection on time. Even when you feelburning sensation or pain during urination, don't avoid it. Take medication as soon as possible. I hope you follow them in your life andstay healthy. 7. You can take gokshur tablets of himalaya for 3 months. It definitely get relief from kidney stones. 8. You can also take neeri syrup 1-2 table spoon with a glass of water at least for 1 month.
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I have a constipation problem and no other ailments or urination issue. But yes I always have some stress due to family issues and related to work.Please help me.

BHMS
Homeopath,
I have a constipation problem and no other ailments or urination issue. But yes I always have some stress due to fami...
Dear lybrate user, take homeopathic mother tincture embelica officinalis q, 30 drops, thrice daily, with a cup of lukewarm water.
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Hi Dr. am suffered from itching problem in urinal area during the night time its it very severe I test a sugar test also it is normal pals give a solution.

MD- Ayurveda
Ayurveda, Ujjain
Hi Dr. am suffered from itching problem in urinal area during the night time its it very severe I test a sugar test a...
Use Cap- Talket 2-2-2+Syp -Radona 15-15-15 three times a day. Apply V-gel (Himalaya) three times a day on urinal area locally.
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