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Dr. Shivashankar

Urologist, Bangalore

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Dr. Shivashankar Urologist, Bangalore
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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. Shivashankar
Dr. Shivashankar is a renowned Urologist in HAL, Bangalore. He is currently associated with Manipal Hospital - HAL in HAL, Bangalore. You can book an instant appointment online with Dr. Shivashankar on Lybrate.com.

Find numerous Urologists in India from the comfort of your home on Lybrate.com. You will find Urologists with more than 34 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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Manipal Hospital - HAL

#98, HAL Airport Road. Landmark: Opp. Hotel Leela PalaceBangalore Get Directions
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What is best treatment for bilateral renal calculi measuring from 2.5 mm to 3.5 mm.

MD - Medicine
Ayurveda, Saharanpur
What is best treatment for bilateral renal calculi measuring from 2.5 mm to 3.5 mm.
Dear Lybrate user, Start with following treatment Tab. Cystone 2 tab. Twice daily Tab. Caluirry 2 tab. Twice daily With Syp. Cystone 20 ml. Syp. Serstonil DS 20 ml. In a glass of water Ashmaryantak ras once a week Take this treatment for 40 days For any further questions book an appointment with me or message me in private conversation All the best
1 person found this helpful
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I'm 76 years old person and having HTN & TYPE 2 DIABETES. But presently under control by medicines. I am passing proteins+++ in urine. My creatinine level is 1.77 and my TSH is 8.6. Please advise suitable medicines for controlling the above 3 ailments. I will be thankful.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm 76 years old person and having HTN & TYPE 2 DIABETES. But presently under control by medicines. I am passing prot...
Mr. lybrate-user, Creatinine and protein excretion increase occurs when kidney function is affected. In long standing diabetes, filtering membrane of the nephron is damaged leading to proteinuria and also increase in creatinine. Consistent excellent blood glucose control over the years is needed to prevent damage to kidney. Apart from strict blood glucose control, protein intake also has to be reduced to 0.6 g per kg per day. Reduce excess physical activity, plus avoid foods more in creatinine. BP should be maintained at normal level. TSH 8.6 mU/L is high, but still falls in sub-clinical stage, so no treatment is advised. You should avoid soy beans, soy containing products, radish, cabbage, cauliflower, broccoli, mustard, peanuts and coffee. But it very important to maintain a very strict blood glucose control like FBS closer to 100 mg, PP 170 to 180 mg & HbA1c%<7. Thanks.
2 people found this helpful
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Hi Dr, just mins back my wife woke me telling she is unable to pass urine feeling pain at pelvis, where as stomach is heavy.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Hi Dr,   just mins back my wife woke me telling she is unable to pass urine feeling pain at pelvis, where as stomach ...
Its a retaintion of urine give phomentation to lower abdomen by hot water bag if urine will not pass go to the hospital need catheter removal of urine.
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Hi Proximal right ureter is mildly dilated. One calculus of size 8 mm seen at 4.4 cm below PUJ.(sonography EVALUATION OF ABDOMEN AND PELVIS) IMPRESSION:- FEATURES SUGGESTIVE OF PROXIMAL RIGHT URETERIC CALCULUS WITH MILD HYDRONEPHROSIS AND HYDRO-URETER Sir pl say how to cure from this dis with out surgery. I have take some medicine 1. Cefixime tab 2. zerodol- spas (Aceclofenac ). Please suggest

MS - General Surgery, MBBS
General Surgeon, Delhi
Hi Proximal right ureter is mildly dilated. One calculus of size 8 mm seen at 4.4 cm below PUJ.(sonography EVALUATION...
You are having rt ureteric stone in proximal ureter. Stone upto size of 5 mm is usually come out by itself but your is 8 mm it has to be operated urgently. There is no treatment without surgery.
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My brother had a kidney stone in 6 mm .to kya krna chaiye, uska rg stone me se prescription chl rha h to kya humy usy koi ayurvedic medicine deni chaiye.

MBBS, MS - General Surgery, MCH- Urology
Urologist, Kolkata
My brother had a kidney stone in 6 mm .to kya krna chaiye, uska rg stone me se prescription chl rha h to kya humy usy...
This size stone generally pass on their own. 3-4 l of fluids daily and certain dietary restrictions r required.
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I am 23 years old .i am suffering from UTI and tried numerous medicines but soo far found no relief. There is a kind of itching in my urinary tract. I tested my urine many times bt it is goid. I dnt kno wt to do nw. Plzzz help me regarding it.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am 23 years old .i am suffering from UTI and tried numerous medicines but soo far found no relief. There is a kind ...
As you have tried the medicines. Try taking homeopathic medicines. To prescribe a good one we need more details like the duration, other symptoms, and reports of the urine routine and micro. Till then you can try taking Can notharis 30 tds (homoepathic)
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Good day! I weigh 93 kgs for height of 163 cms. My reports are as follows:- 1. HB 13.6 2. PCV 39 3. TLC 6500 4. DLC N54 L37 5. Platelets 242 6. ESR 16 7. Glucose F 112 8. BUN/Urea 12 9. Creatinine 1.1 10. Sod / Pot 140, 4.1 11. Chole Total 177 12. LDL 115 13. HDL 41 14. triglycerides 102 15. Uric acid 4.8 16. Cal. Phos 9.7, 17. bilirubin Total 0.7 18. bilirubin Direct 0.2 19. Protein Total 6.6 20. Albumin 6.6 21. SGOT / SCPT 18, 38 22. SAP / GGTP 92, 21 23. VLDC 17 24. T3 120.08 25. T4 9.4 26. TSH 2.60 27. IRON 48 28. TIBC 282 29. HBAIC 6.4 30. MBG 134 31. VPF B12 511 32. VPF D 6.49 Glucose in Urin - Traces Albumin in Urin - Traces ketone in Urin - wer Microscopy LE 8-10 HIF Microscopy EP 2-4 HIF Ultrasound of abdomen & pelvis report 1. Mild fatty changes in liver 2. Left renal cortical cysts 3. post-void residue measures: 40cc 5. Pancreas tail not well seen I am constipated, there is swelling of the legs, fingers tremble / shiver when raised of shown. Big abdomen stone like, night wind passes out through down and it smells horrible. Please add advice

MS - General Surgery, MBBS
General Surgeon, Delhi
Good day!
I weigh 93 kgs for height of 163 cms.
My reports are as follows:-
1. HB 13.6
2. PCV 39
3. TLC 6500
4. DLC N...
Your all pathology test are good only urine is showing 8-10 pus cells which indicate uti. Reduce your weight. Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help chew your food properly at time of lunch and dinner. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done. Tab nexpro-l 1 tab empty stomach.
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In sep, 2013 one abscess appear left side of the anus (nearly 5 cm). Consulted with doctor and operations it. After that it was fine, but 2015 pus is passing from this area. Then consultant with doctor and doctor advice to seat on hot water. But still pus passing from this area. Advice me.

DHMS (Hons.)
Homeopath, Patna
In sep, 2013 one abscess appear left side of the anus (nearly 5 cm). Consulted with doctor and operations it. After t...
Hello, It seems you suffer from fistula. Tk, plenty of water to hydrate your body to reduce pressure on rectum to check discharge of pus. Go for meditation to reduce your stress nourishing your body including rectum to check pus discharge. Your diet be easily digestible to check, acidity to reduce pressure on rectum. Tk, homoeopathic medicine:@.Silicia 10006 pills, wkly. Avoid, junk food, alcohol, nicotine. Report weekly. Tk, care.
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Strong Smelling Urine - 5 Common Reasons Behind it!

MBBS , DGO , FIMAS
Gynaecologist, Delhi
Strong Smelling Urine - 5 Common Reasons Behind it!

Many people are embarrassed to talk about their urine colour or urine problem with anybody, including their doctor. But, what people always forget is that strong smelling urine and the change in the colour of the urine is a serious issue. Your urine colour directly tells you about your health, especially your inner body. So, without being embarrassed you should consult a doctor, if and when, you find foul odour in your urine. Following are some of the reasons for the causes of strong smelling urine.

  1. You are dehydrated: Urine is not supposed to leave odour. It should be odourless, but if you find strong smell in your urine, you should consult a doctor immediately. The most common reason of foul odour in your urine is dehydration. If the amount of water needed in your body is not enough then, there will be less water in your body as a result the waste products will not be diluted in water being more concentrated making the urine darker and more odour. But once you start drinking water, it should go normal. Normally, this kind of situations occur in early morning when your water intake is less or not at all. But drinking lot of water will solve this issue immediately.
  2. More alcohol or caffeine intake: If you are habituated to drink a lot of coffee then it may happen that you find strong smell of coffee in your urine. Although it is not very problematic yet it is healthy if you reduce the intake of coffee in your daily life in order to have a healthy digestive system. Not just coffee but even alcohol could be the reason of irregular or need to urinate a lot more than usual.
  3. Bacterial Infection: There could be bacterial infection or kidney infection which could lead to strong smell of urine. In order to ensure you should go to a doctor and get important tests done. Then the doctor can suggest treatment according to your results and if all the results are normal then you could be suggested to maintain a balanced diet on regular basis.
  4. Imbalanced Diet: The problem can sometimes come from the use of certain vitamins from imbalances in your diet. There are substances like nitrates and phosphates in the urine which can give dark colour and odour. You should always have a proper diet and follow it in order to have a healthy digestive system. Eating lot of garlic and onion can also bring odour in your urine.
  5. Diabetes: If you are diabetic, it may be possible that you find dark urine and odour in your urine. It indicates that your sugar level is not normal and gone much high than normal. If you are not diabetic then it may be a sign of diabetes so you should get diagnosed immediately with your doctor.

There are multiple causes of strong smelling urine but most of them could be cured easily if diagnosed immediately. But in order to avoid this issue it is better to be careful with your diet and drink a lot of water. At least three litres of water a day is an absolute necessity!

3960 people found this helpful

I have 2 stones in both of my kidneys, in left it is of 3.5 mm & in right of 4 mm. I am taking homeopathy medicine. I wanna ask what precaution should I follow in this case?

PDDM, MHA, MBBS
General Physician, Nashik
I have 2 stones in both of my kidneys, in left it is of 3.5 mm & in right of 4 mm. I am taking homeopathy medicine. I...
General precautions for stones: 1. Drink lot of fluids (keep urine clolorless & urine volume per 24 hr > 1.5 to 2 liters) 2. Reduce salt intake 3. Reduce intake of animal proteins These three things are universal for any kidney stone. If you are taking calcium supplements for bone health, try taking calcium citrate preparation since citrate prevent stone formation. Take calcium supplements along with meals and not in empty stomach. Milk and milk containing products must also be taken along with meals to prevent excessive calcium absorption which can promote stones. However, regular milk/calcium supplement is required. Other things you should follow are: - Increase fruit intake (except grapes) - Decrease coffee, tea, soft drinks, nuts and chocolate
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What is main things to transplant a kidney. Is there has required blood relationship between donar and the patient?

C.S.C, D.C.H, M.B.B.S
General Physician,
Renal failure requiring frequent dialysis. Relative hla matching donor is usually selected as donor.
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My friend is suffering from stomach problem. He has a stone in his kidney. How to over come this situation?

BHMS
Homeopath,
My friend is suffering from stomach problem. He has a stone in his kidney. How to over come this situation?
Dear Mr. Lybrate-user, kidney stone upto 3mm diameter is expelled through urine by administering homoeopathic mother tincture berberis vulgaris q, 30 drops, thrice daily after meals, in a cup of water for 15 days. If the size of the stone is more than 3mm then it would be better to go for surgery.
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I have swelling near my anus area from months. A year ago I used to have bleeding but igot the treatment done but the swelling has'nt gone yet. Why is it so?please help

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Dear lybrate-user. Its difficult to make a diagnosis of swelling without examining as there are several causes which can lead to this. Consult a surgeon or send me pictures so that I can help you.
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Hi sir I am 22 year old boy sir I suffered some pain around my right kidney. It happening irregular suggest me what can I do.

MBBS, cc USG
General Physician, Gurgaon
Hello, This type of pain may be due to Muscular pain or may be due to gastritis/ gas/ or other cause Pain arising form Kidney is may be due to stones or other causes like Hydronephrosis and felt as pain either side of Flank area may be radiating to back or external genital area also tell me associated symptoms like vomiting sensation, loose motion/ burning sensation in chest or any other symptoms are present or not? so that we can reach diagnosis. Avoid food from outside, junk, fried, spicy fatty food take home made light food Go for USG abdomen and review with report
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I am suffering from kidney stones with 10mm size some time it happened savior pain which type of Medicine to use I am.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
I am suffering from kidney stones with 10mm size some time it happened savior pain which type of Medicine to use I am.
More than the medicine,drink plenty of plain water,barley and coconut water throughout the day.this will dilute the urine and help in relieving the painslightly.
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Self Tips For Preventing Kidney Diseases!

Interventional Nephrology, DM - Nephrology, MD - General Medicine, MBBS
Nephrologist, Bangalore
Self Tips For Preventing Kidney Diseases!

Chronic kidney disease, also called chronic kidney failure, describes the gradual loss of kidney function. Your kidneys filter wastes and excess fluids from your blood, which are then excreted in your urine. When chronic kidney disease reaches an advanced stage, dangerous levels of fluid, electrolytes and wastes can build up in your body.

In the early stages of chronic kidney disease, you may have few signs or symptoms. Chronic kidney disease may not become apparent until your kidney function is significantly impaired.

Treatment for chronic kidney disease focuses on slowing the progression of the kidney damage, usually by controlling the underlying cause. Chronic kidney disease can progress to end-stage kidney failure, which is fatal without artificial filtering (dialysis) or a kidney transplant.

The kidney has multiple functions, and one of it is to act like a filter and remove out waste substances. These filtered out substances are excreted through the urine.

Common kidney diseases including infections, kidney stones, diabetic effects, hypertensive effects, tumours, chronic kidney disease (effects of both hypertension and diabetes) and kidney failure.

Features of kidney diseases:

  1. Infections usually start with symptoms like burning with urination, change in colour of urine, and low abdominal pain.
  2. Kidney stones are usually identified by their characteristic pain in the sides of the back
  3. Smaller stones up to about 4 mm are passed through urine on their own.
  4. However, for larger stones, external shock waves are used to break them into smaller ones, which are then eliminated by the kidneys.

How Can I Prevent Kidney Disease?

The key to prevention or delay of severe kidney disease is early detection and aggressive intervention -- while there's still time to slow down the progression to kidney failure. Medical care with early intervention can change the course of chronic kidney disease and help prevent the need for dialysis or a kidney transplant.

Diabetes and high blood pressure account for two thirds of all cases of chronic kidney disease. By aggressively managing diabetes and high blood pressure with diet, exercise, and medications, you may be able to prevent kidney failure and help keep as much kidney function as possible.

Infections:

  • To prevent urinary tract infections, proper hygiene is very important.
  • Thorough washing of the external urinary tract and use of clean underwear and toilet facilities is very important.

Kidney stones:

  • Intravenous injections of pain relievers to help in pain control immediately on seeing the patient. If pain persists, an additional shot may also be required.
  • Patients also have accompanying nausea and vomiting and may require antiemetics to control these.
  • At the time of discharge, these medications can be continued at home.
  • Hydration is very important, so drink at least 3 litres of water.
  • Urine should be strained to ensure the stones have been passed
  • Monitoring urine output including quantity and colour for any changes is also important. If urine is turbid, water intake should be increased.
  • Avoid oxalate-rich foods. Most kidney stones are composed of calcium oxalate, and therefore foods rich in oxalate should be avoided. Beets, spinach, okra, tea, chocolate, soy, etc., should be minimised
  • Reducing intake of salt and animal protein also helps in preventing recurrence. Legumes are a good option for proteins.
  • Calcium supplements, if being taken, may need to be reduced or stopped. This can be managed by including enough calcium in the diet.

Chronic kidney disease: This is seen as a side effect of hypertension and diabetes.

  • Constant monitoring of both BP and sugar levels is very essential.
  • Keep cholesterol levels under check as suggested by your doctor
  • Medicines should be taken as prescribed and not altered without medical supervision
  • Quit smoking if the habit is still being continued
  • Improve physical activity levels, which will also help control BP, sugar, and cholesterol levels
  • Weight monitoring is essential to keep check, not just on kidneys but overall health.
  • Kidney diseases put a person in a vicious cycle of health problems, so early detection and prevention are advised.

Here are some self-tips to prevent kidney diesease:

  1. Get Tested Regularly - At your next checkup, and at least within the next year if you haven't had these tests done:
    • Ask for a urine test to see if you have excess protein, glucose, or blood in the urine.
    • Ask for a blood pressure reading
    • Ask for a fasting blood glucose test
    • Ask for a creatinine test. 
  2. Control Diabetes - If you have diabetes, work with your health care provider to keep your blood sugar levels under the best possible control. A program of diet, regular exercise, glucose monitoring, and medications to control blood sugars and protect kidney function can help.
  3. Control High Blood Pressure - If you have high blood pressure, work with your health care provider to get your blood pressure within target ranges. A program of diet, regular exercise, and medications can help.
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I have a severe condition of fissures. And what you call in layman terms as modes on the outside of the anal opening. Doctors recommending surgery. I am working and mother of two. In case of surgery which are the best options in Mumbai and the best places o get it done. Also, what is the recovery time of these surgeries and approximate cost of the procedure.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi surgery for fissure is called lord's dilatation in which painful spasm of anal sphincter is relieved under general anaesthesia may be costing around 7-8 thousands in average set up. Recovery in 3-4 days. Another surgery is fissurectomy in which excision of fissure in advance stage takes 20-25 days of recovery (painful) may be costing 18-20 thousands in average set up. I clearly tell you that there are all the chances of getting fissure again even after surgery with best doctor of mumbai whenever you will get hard stool so take surgery decision as last resort when you r not getting any relief by medicines thanks regards welcome for any queries.
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I have problem that I have to go for urination continuously approx after 10 to 15 minutes when I drink some big amount of water like 1 litre. So it is the symptom of diabetes or any other thing it is?

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
I have problem that I have to go for urination continuously approx after 10 to 15 minutes when I drink some big amoun...
do not drink large quantity like 1 litre at a time. drink 250 ml for every 1 or 2 hour . its sufficient for human body. you dont have any illness
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