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Dr. A.Rajasekaran

Urologist, Chennai

750 at clinic
Dr. A.Rajasekaran Urologist, Chennai
750 at clinic
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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. A.Rajasekaran
Dr. A.Rajasekaran is a renowned Urologist in Nungambakkam, Chennai. You can meet Dr. A.Rajasekaran personally at BRS Hospital in Nungambakkam, Chennai. Book an appointment online with Dr. A.Rajasekaran on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 36 years of experience on Lybrate.com. You can find Urologists online in Chennai 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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Languages spoken
English
Professional Memberships
Urological Society of India (USI)
Membership of Indian Red Cross Society

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#28, Cathedral Garden Rd, Badrikari, Nungambakkam. Landmark:Near Palmgrov Hotel, ChennaiChennai Get Directions
750 at clinic
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No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
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Hi Doctor, Whenever I pass urine few drops keep on trickling from my penis which is causing me lot of trouble. Please suggest what to do. I am gymming at the moment and I take nutrix (whey protein) post work out and BCAA during workout. Would that have any side effect.

DIPLOMA IN DIABETES (U.K), M.D INTERNAL MEDICINE, MBBS
Endocrinologist, Chennai
Hi Doctor,
Whenever I pass urine few drops keep on trickling from my penis which is causing me lot of trouble. Please...
Few drops can come due to urethral problem. But due to anxiety it can occur also. And I can give you a good advice which can permanently solve this problem.
1 person found this helpful
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I have one more stone in my right kidney one of them is 24 mm & left kidney have one stone 10 mm. Give me some suggestion.

BHMS
Homeopath, Sindhudurg
I have one more stone in my right kidney one of them is 24 mm & left kidney have one stone 10 mm. Give me some sugges...
In allopathy, there is no known treatment for kidney stones or renal calculi except surgery. On the one hand, getting a surgery involves a lot of emotional and physical suffering. At the same time, it is costly also and sets you back quite a bit. The other disadvantage is that while the stones are removed using the surgical option, there is no way one can be sure that the stones will not form again. In the homeopathic system of medicine, one can easily remove the kidney stones naturally with simple homeopathic medicines. The advantage of homeopathy is that you can avoid surgery and it also cures the tendency of the body to form stones. This means that the chances of the stones being formed again are next to nil and reduce pain ..consult me by clicking on consult option for homoepathic treatment without side effects.
1 person found this helpful
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My dad have kidney stone and he have kidney swelling also And he also gets hiccups due to high Power tablets and he gets skin infections and he soon get suffered from jaundice also He's getting sweat.Please tell.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My dad have kidney stone and he have kidney swelling also And he also gets hiccups due to high Power tablets and he g...
Take 1 cup of horse gram + Add ½ L water + Heat the mixture till water level reduces to 1/5th + Strain and collect the soup + add 2 tsp of crushed pomegranate + Mix well + Drink once a day...take shool gaj kesari ras twice a day
1 person found this helpful
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i am suffering from Renal glycosuria I am having sugar in urine but no sugar in blood proteins 2+ loss whether it is dangerous?

C.S.C, D.C.H, M.B.B.S
General Physician,
i am suffering from Renal glycosuria I am having sugar in urine but no sugar in blood proteins 2+ loss whether it is ...
In general, renal glucosuria is a benign condition and does not require any specific therapy. Glucosuria may also be associated with tubular disorders
1 person found this helpful
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I have frequent urine when drinking small Amount of water. Usually if I drink water half glass after 30_45min I will get urgent urine. Kindly advise me.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I have frequent urine when drinking small Amount of water. Usually if I drink water half glass after 30_45min I will ...
This is very usual when we sit in a low temperature environment. If you r unable to hold urine or the frequency of urination is high in night then there is the problem, and you should take treatment.
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Hello Dr, iam 30years female with 1 year old baby. 15days back I just got to know that I have a 5mm Stone in the left side and I was just given a pain relief tablet by the Dr. and he told me that its just a small stone which will go off without medicine but consume more water after that pain was reduced and I take almost 4ltrs of water every day. But now from past 3-4days I have a kind of pain/discomfort in my full abdomen not only in left side like before, especially when I get up in the morning. Pls pls tell me what to do? What are the foods that I need to consume more and avoid? Is it true that the kidney stones are can not be healed completely?

BAMS
Ayurveda, Ambala
Hello Dr, iam 30years female with 1 year old baby. 15days back I just got to know that I have a 5mm Stone in the left...
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.
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I am 41 year old having external hemoride some time having bleeding n swear pain.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. If you are having bleeding with external haemorrhoids than it must be 4th degree haemorrhoids. At this stage surgery is the final treatment which can be done with the help of stapler as a day care surgery. You can contact me if you have more than queries.
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I am a 35 year old male. I have been suffering from boils in my anus for the past one year. It will heal itself or on medication after one week or so but keeps coming back after two months or so, a few centimeters away from the first one. It is very painful. The local doctor prescribed an antibiotics for it fixime *0. I have discontinued after taking six tablets. What should I do?

MS, MBBS
General Surgeon, Nagpur
Recurrent anal boils is to be investigated further. I advise you to take medicated sitz bath (sitting in lukewarm tub of water for 10-15 min three-four times daily) please consult a doctor for thorough investigation.
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As I asked about my son suffering from nephritic syndrome he is 5 years old this is third time attack since last two years. Treatment in going on from PGI Chandigarh I want to ask you can we take second opinion from other .

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
For the nephrotic syndrome at this age requires careful treatment with corticosteroids and other drugs as necessary. Visit a pediatric nephrologist not pediatrician and not an adult nephrologist.
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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.
13 people found this helpful

Recently one of my relative admitted in hospital due to kidney stone, may I know the reasons for kidney stones gets develop in human body.

BHMS
Homeopath, Faridabad
Recently one of my relative admitted in hospital due to kidney stone, may I know the reasons for kidney stones gets d...
Hello. Kidney stones often have no definite, single cause, although several factors may increase your risk. Kidney stones form when your urine contains more crystal-forming substances — such as calcium, oxalate and uric acid — than the fluid in your urine can dilute. At the same time, your urine may lack substances that prevent crystals from sticking together, creating an ideal environment for kidney stones to form. -Most kidney stones are calcium stones, usually in the form of calcium oxalate. Oxalate is a naturally occurring substance found in food. Some fruits and vegetables, as well as nuts and chocolate, have high oxalate levels. Your liver also produces oxalate. Dietary factors, high doses of vitamin D, intestinal bypass surgery and several metabolic disorders can increase the concentration of calcium or oxalate in urine. Calcium stones may also occur in the form of calcium phosphate. -Struvite stones form in response to an infection, such as a urinary tract infection. These stones can grow quickly and become quite large, sometimes with few symptoms or little warning. -Uric acid stones can form in people who don't drink enough fluids or who lose too much fluid, those who eat a high-protein diet, and those who have gout. Certain genetic factors also may increase your risk of uric acid stones. -Cystine form in people with a hereditary disorder that causes the kidneys to excrete too much of certain amino acids (cystinuria). -Other, rarer types of kidney stones also can occur. Prevention: 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.
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I am 58 yrs old diabetic for last 20 years. I got kidney transplanted 4 months back and absolutely fine. Recently since last 10 days I find itching and burning in the anus and irregular passing f stools with little difficlty. I am afraid it may leead to piles problem. Please suggest me how to overcome this poblem.

MD - General Medicine, Diploma in Diabetology
General Physician,
I am 58 yrs old diabetic for last 20 years. I got kidney transplanted 4 months back and absolutely fine. Recently sin...
Deae, you have not mentioned whether there is any skin changes around the anus? please check it and get back to me. For now I could say just enhance the hygiene of anus avoid sweat, keep the anal region dry, you can apply - enderm gm cream twice a day for 5 days.
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I am 23 years old male and having problem with excretion of faces. It takes me 45mins for the excretion. Many a times I have to go two times to the washroom. Kindly Suggest some ayurvedic methods so that I can be relieved of the problem.

MBBS, MD - General Medicine
General Physician, Delhi
I am 23 years old male and having problem with excretion of faces. It takes me 45mins for the excretion. Many a times...
Conditions causing stomach troubles 1. Irregular eating habbitis 2. Excessive, tea, coffee, colas, junk food 3. Mental stress 4. H. Pylori infestation 5. Smoking, alcohol, 6. Medications use lot of fiber in diet drink plenty of water use powder lactifiber 2 tsp with water post dinner.
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Kidney Problems - 4 Signs to Watch For!

MCh - Urology, MS - General Surgery , MBBS
Urologist, Bangalore
Kidney Problems - 4 Signs to Watch For!

The kidneys are small organs that filter about 200 liters of water each day, removing out about 2 liters of toxins and wastes in a water medium as urine. In addition to maintaining the fluid levels in the body, they also produce hormones that regulate blood pressure, produce red blood cells, and play a vital role in maintaining bone health. Any problem with the kidney, infection or otherwise, can lead to its improper functioning, causing damaging results on the rest of the body organs.

While the bad news is that most diseases from infections to diabetes to hypertension and cancer have an adverse effect on the kidneys, there are signs that can be watched out for, which can indicate a problem with the kidneys and so further damage prevented. Read on to know some of the most common symptoms of kidney disease and how further progression can be prevented.

  1. Change in urination process: Any change in the process of urination should be a warning for a test. It could be change in color or the appearance of the urine, painful urination, burning on urination, difficulty to start and stop a stream, or too frequent or infrequent urinations. These are usually the first symptoms of kidney disease and should be an alarm to get a kidney function test done. If you have hypertension or a strong family history of kidney disease, then getting a simple urine test to check optimal kidney function is definitely mandated. These could indicate conditions like infection, diabetes, kidney failure, or other conditions which can all be identified with further testing and then treated accordingly. The progress of the disease can be halted, which can help improve overall quality of life.
  2. Fatigue, loss of energy: As noted above, impaired kidney function leads to other organs being affected and buildup of toxins in the body. There is also anemia which sets in due to decrease in red blood cells and therefore reduced overall energy levels, loss of sleep, and fatigue.
  3. Swollen eyes, feet, and ankles: Reduced kidney function leads to fluid accumulation, sodium retention, loss of protein, which all lead to swollen eyes and ankles and feet. These are easy to identify and should ring a bell to get checked for kidney functions.
  4. Muscle cramps: Improper electrolyte levels can affect muscle functioning, leading to painful cramps. Along with changes in the process of urination, this should be an indication of underlying kidney disease.

Keep a track of any above mentioned problems as they can help in saving not just the kidneys but all the vital organs. If you wish to discuss about any specific problem, you can consult an urologist.

4375 people found this helpful

I have stones in both of my kidneys, I am not taking any treatment right now. What should I do? Should I try something like homeopathic medicine?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I have stones in both of my kidneys, I am not taking any treatment right now. What should I do? Should I try somethin...
Stones can be removed by herbal medicines easily:: Try the Tips for removing kidney stones:: 1. Avoid tea, coffee, alcohol, cold drinks, pickles, fish, poultry, meat, spinach, and chocolate. 2. Avoid sour, heavy, and dry food. 3. Increase intake of liquids like water, juice, soup, lime water lemon soda etc. 4. Be sure to drink enough water each day. Usually 1 to 2 liters of water per day is adequate. 5. Drink more if you are perspiring heavily, working outdoors, the weather is hot, etc. 6. Increase the use of barley, horse gram (a type of bean), ginger, and brown rice or parboiled rice. 7. Avoid suppressing urges to urinate and defecate. 9. Boil 10-12 basil leaves in 1 cup of water for 15 minutes. Mix 1 teaspoon of honey in it and take twice a day. Pls send ur USG report becoz medication for stones depends upon size number and location of stones and can be given after USG.
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I am totally confused regarding of the whey protein intake is it have any side effects like kidney problem or heart attacks. Is this whey protein is approved by fdi.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
I am totally confused regarding of the whey protein intake is it have any side effects like kidney problem or heart a...
Hello Lybrate user I personally don't think you to take them for proteins it's good you take sprouts, soya, cheese boiled eggs with milk, good n nutritious food products. U can ask for further information.
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I am 26 year old I have problem with frequent urination, I have blood sugar test 2 times there is no sugar, I feel strong urge to urinate whole day and specially in night wake up 2, 3 times, sometimes urine quantity less and sometime its more, kindly consult what should I do.

MBBS, cc USG
General Physician, Gurgaon
I am 26 year old I have problem with frequent urination, I have blood sugar test 2 times there is no sugar, I feel st...
Frequent urination may be due to many reason like Physiological( normal) due to excess tea/ coffee or may Psychogenic Or may be due to Urinary infection Consult Privately for further management
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When I urinate some burning sensation is there and some cloudy urine is there. I feel weak after this cloudy urination. This cloudy urine comes once in a week or once in 10 days. What is this?

DHMS (Hons.)
Homeopath, Patna
When I urinate some burning sensation is there and some cloudy urine is there. I feel weak after this cloudy urinatio...
Hi, its due to irregular digestive system & constipation. * take, plenty of water to eliminate toxines & to regulate, metabolism. * take easily digestible, non irritant & simple intake on time. Homoeo medicine: @ can nothrish 30-6 pills, thrice/ day @ lycopod30; 6 pills, thrice report me wkly.
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I have urinary infection. Want to urinate but can not. Have pain in lower abdomen and back.

M. sc Psychology, BHMS
Homeopath, Hyderabad
I have urinary infection. Want to urinate but can not. Have pain in lower abdomen and back.
I suggest you to go for once whole urine check up, & scan abdomen, to rule out the reasons. Maintain proper hygein. A sif in case of infection, its needed. Take more water. Minimum 3-4 litres/day, though you do not feel like to take. Here I advised scan to rule out any ranal stones, the t/t also, depends on that. If any stones, found, depending the size&location, there are good homeo medicines for that, which will help to prevent the recurrence also, by following proper guidence, like water intake, etc.
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