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Dr. Veerabhadra Guptha K

Nephrologist, Bangalore

0 - 600 at clinic
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Dr. Veerabhadra Guptha K Nephrologist, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Veerabhadra Guptha K
Dr. Veerabhadra Guptha K is a trusted Nephrologist in Rangadore Memorial Hospital, Bangalore. She is currently associated with Rangadore Memorial Hospital, Shankarapuram in Rangadore Memorial Hospital, Bangalore. You can book an instant appointment online with Dr. Veerabhadra Guptha K on Lybrate.com.

Find numerous Nephrologists in India from the comfort of your home on Lybrate.com. You will find Nephrologists with more than 36 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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Rangadore Memorial Hospital, Shankarapuram

1st Cross, Shankarapuram. Landmark: Beside Shankarapuram PolicestationBangalore Get Directions
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Fortis Hospital - Nagarbhavi

#23, 80 Feet Road, Guru Krupa Layout, 2nd Stage, Nagarbhavi. Landmark: Opp. FAB MallBangalore Get Directions
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Fortis Hospital - Nagarbhavi

#23, 80 Feet Road, Guru Krupa Layout, 2nd Stage, Nagarbhavi. Landmark: Opp. FAB Mall.Bangalore Get Directions
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Rangadore Memorial Hospital

#1st Cross, Shankarapuram, Landmark: Beside Shankarapuram Police Station.Bangalore Get Directions
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Columbia Asia Hospital

26/4, Brigade Gateway, Malleshwaram. Landmark : Beside Metro Cash and Carry WestBangalore Get Directions
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Hello mera question hai ki mujhe 8 mm stone hai kidney ne mai operation nai chahta hu aur mai pani koob peeta hu par kafi dino se mujhe stomach me jalan hone lagi hai kuch bhi khao ya na khao to bhi aur uski wajah se chalne phirne aur baithne tak me problem hai bahut pain bhi hoga hai stomach me jalan ke sath aur jab jalan nai hoti to chest me pain hora hai heart ke pass sans lene me problem nai hoti par sans lene me pain hota hai mai homeopathic dawa le raha hu.Please do help.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
kidney stones treatent depends on the types and size of stone, most kidney stones won't require invasive treatment. You may be able to pass a small stone by: drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless your doctor tells you otherwise, drink enough fluid mostly water to produce clear or nearly clear urine. Pain relievers. Passing a small stone can cause some discomfort. To relieve mild pain, according to your medical history I may prescribe pain relievers such as ibuprofen, acetaminophen or naproxen sodium. I am a doctor and renal (kidney) dietitian who will aslo prescribe a customized diet plan and medications to help pass your kidney stone quickly and with less pain. Do reply back for medications. Being also a general physician, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary tips taking into account patient preferences.
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10 Things That Can Cause Blood In Urine!

MCH-Urology
Urologist, Delhi
10 Things That Can Cause Blood In Urine!

Blood in urine, medically known as Hematuria is not usually a cause of concern, but it can translate into an adverse condition if left unevaluated. The kidneys and other structures in the urinary tracts such as urethra (tube connecting the bladder to the outer part of the body); bladder (that stores the urine) and ureters (tube joining the bladder to the kidney) are the sources of blood flow to the urine. Hematuria can be accompanied by symptoms such as discharge of tea-colored, brownish-red or pink colored urine due to the presence of red blood cells, traces of which can only be detected under the microscope.

Blood in urine should be taken lightly especially in elderly because the commonest cause of Hematuria after 60 years is urinary bladder cancer.

Underlying causes behind this disorder might be

  1. Urinary tract infections is where the bacteria enter the body through the urethra and begin to proliferate in the bladder.
  2. Kidney infections (pyelonephritis) is when bacteria infiltrate into the kidneys from the bloodstream or travel up from the uterus to the kidneys.
  3. A kidney or a bladder stone is marked by the minerals in the concentrated urine precipitating out and molding into crystals that deposit on the bladder or kidney walls.
  4. Enlarged prostate is a condition in which the prostate gland, that is situated just below the bladder surrounding the upper part of the urethra, starts growing as males head towards their middle age.
  5. Kidney disease such as glomerulonephritis causes swelling of the kidneys, thus disrupting the filtering system.
  6. Bladder, kidney and prostate cancer are also possible causes.
  7. Hereditary disorders such as sickle cell anemia (a hereditary disease of the red blood cells in the hemoglobin) can also pose as a cause behind this disorder.
  8. Kidney injury as a result of heavy blows, accidents or injuries sustained while playing a spot can also contribute to this condition.
  9. Medications such as penicillin or the anti-cancer drug ‘cyclophosphamide’
  10. Strenuous physical exercises like intense workout or running may also result in Hematuria.

Treatments
There is no fixed cure for Hematuria; instead, the doctor would work on treating the repressed conditions behind the symptoms, such as prescribing antibiotics to heal the urinary tract infection or a medicine to shrink and normalize the enlarged prostate or administer a shock wave therapy to destroy the kidney or bladder stones. If you wish to discuss about any specific problem, you can consult a Urologist.

2681 people found this helpful

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.
13 people found this helpful

Sear sir got operated for gal bladder in January and removed after that urine infection took medicine for 15 days now burning sensation in urine again and very less urine coming taking alkaline syrups 2 spoon twice pls recommend what to do 47yrs old.

MS - General Surgery, MBBS
General Surgeon, Delhi
Sear sir got operated for gal bladder in January and removed after that urine infection took medicine for 15 days now...
It may be UTI.It has no relation with Gall bladder surgery.Take plenty of water and get your urine c& s test done.You have to take antibiotics accordingly.
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Suffering with difficulty with urinating fully, was diagnosed with chronic prostatitis, doctor prescribe me silodosin 4 mg tablet for lifetime. Ultrasound scan shows prostate 19gms, in this size prostate can block urine? Is size is normal or not? Thanks.

FMAS, MS - General Surgery, MBBS
General Surgeon, Ahmedabad
Suffering with difficulty with urinating fully, was diagnosed with chronic prostatitis, doctor prescribe me silodosin...
A prostate can trouble you not only when it is large, but when it's small too. But if you are facing difficulty even in medications. Surely you need a urologist opinion again for a cystoscopy and needful surgery.
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My urine report is correct or not pls ans. All if any problem Physical Colour-paleyellow Appearance-clear Sediments-absent Reaction-acidic Specificgravity-Q.N.S Biochemical Sugar-nil Albumin-nil Microscopic Puscells-2~4 epithelial cells 0-1 RBC-Nil Crystal calcium oxalate-ab. Casts-ab.

B.H.M.S
Homeopath, Patna
My urine report is correct or not pls ans. All if any problem
Physical
Colour-paleyellow
Appearance-clear
Sediments-a...
What is the problem with you. Please contact with any homoeopath physician for taking case history or with me 1. Berberis vulgaris q take 10 drop thice daily in a cup of water.
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Ways Renal Colic Can Be Treated!

MBBS Bachelor of Medicine & Bachelor of Surgery, Fellowship In Infertility, MCh - Urology, MS - General Surgery
Urologist, Gurgaon
Ways Renal Colic Can Be Treated!

Our kidneys act as filters which constantly flushes out toxins and excess minerals with water in form of urine. Urine contains lots of minerals which may precipitate and form stones. Urine has lots of pro-precipitating agents and anti-precipitating agents. When their balance disturbs due to some disease, stones start forming. These stones may often lead to abdominal pain which is referred to as renal colic

What exactly is renal colic? 

Renal or ureteric colic is the term used for typical pain in one side of abdomen in flank region starting from back and radiating forward towards lower abdomen up to scrotum. This is usually associated with nausea, vomiting and urinary discomfort. There may be blood in urine

How kidney stones are related to renal colic? 

Kidney stones usually form inside kidney and lies there without causing any pain. But whenever they are dislodged and stuck at mouth of kidney (pelvis) or anywhere in ureter, they block the passage of urine of that kidney. This causes swelling in kidney termed as hydronephrosis. This swelling in kidney causes renal / ureteric colic. This colic is protective phenomenon and tries to push out the stones. Small stones do come out in urine by this natural process. This spontaneous expulsion of small stones is common and many local practitioners used to get credit of it feigning benefit of their medicine. However large stones need some form of intervention to come out. Otherwise, they do harm to kidneys in long term. 

Symptoms of kidney stones along with renal /ureteric colic - 

  1. Most stones which are lying in calyces of kidney are asymptomatic 
  2. Nausea & vomiting 
  3. Frequent urinary tract infections 
  4. Fever with chills 
  5. Foul smelling urine 
  6. Hesitency, frequency and burning in urination 
  7. Blood in urine (urine with a reddish, pink or brownish hue) 
  8. Passage of small stones in urine 

Treatment of renal colic 

Treatment of ureteric/renal stones involves control of symptoms and stone removal. 

  1. Expectant Treatment or Medical Expulsion Therapy: Small stones of less than 4 mm size usually pass on its own and some medicines like alpha-blockers and steroid hasten up their expulsion. Medium size stone (4-6 mm), sometimes passes with aid of these medications. But stones larger than 6 mm usually require intervention. 
  2. Lithotripsy: This method involves breaking of stones by shock waves into small dusty particles which pass through urine on its own. This is usually suitable for stones upto 1.5 cm and lying in kidneys. This is non-operative treatment which can be done on OPD or Daycare basis. 
  3. Ureteroscopy (URS): This method involves entry of very thin semirigid scope through urethra into ureter. Stone is broken by LASER and removed. This involves single day admission and spinal anaesthesia
  4. RIRS- Retrograde Intra Renal Surgery: In this method very thin flexible scope in maneuvered through urethra into the upper ureter and pelvi-calyceal system of kidney. Stones in kidney or upper ureter are broken by LASER and removed. This is also done under anaesthesia and requires a day admission. 
  5. Mini- PCNL: This method is suitable for large renal stones. In this technique, a small hole is made into the kidney through back and tiny scope is entered into the kidney. Stones are broken by LASER and removed. This is done under anaesthesia and require two to three days admission.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2581 people found this helpful

I am 27 years, I m suffering from stone problem & fatty liver, please guide my the treatment and medicine. I have taken ultrasound today, in the report indicate right side kidney shows a small calculus of 4.3 mm in middle and left side shows a calculus of 4.5 mm. And fatty liver b/l renal calculi. Please suggest me.

Advanced Aesthetics
Ayurveda, Gulbarga
Kidney stones are a very common health problem. They form from the chemicals in urine, such as uric acid, phosphorous, calcium and oxalic acid. Other common causes of kidney stones are excessive consumption of vitamin d, a mineral imbalance, dehydration, gout and an improper diet. The combination of lemon juice and olive oil is traditionally used as a home remedy to expel gallbladder stones but it can also be used to treat kidney stones. The citric acid present in lemons helps break down calcium-based kidney stones and stops further growth. 1. Take four tablespoons or a quarter cup of fresh lemon juice. 2. Add an equal amount of olive oil. 3. Drink this mixture followed by plenty of water. 4. Do this two to three times a day, up to three days. You need not continue this remedy if you pass the stones in a single dose. Any queries inform me.
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What are the reasons of kidney stone? Is there any chances of infection if stone is stuck in urine pipe?

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
What are the reasons of kidney stone?
Is there any chances of infection if stone is stuck in urine pipe?
Yes more chances of infection when it is stucked..Take shool gaj kesari ras twice a day..take gokshuradi guggul & punarnavadi mandoor 1-1 tab twice a day...pranacharya U through capsule and syrup twice a day...drink lots of water....avoid spinach...tea and coffee..tomato...lady finger etc...
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