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Dr. Balagopal


Urologist, Chennai

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Dr. Balagopal MBBS Urologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Balagopal
Dr. Balagopal is one of the best Urologists in Ambikapuram, Chennai. Doctor has done MBBS . You can visit him/her at K M Speciality Hospital in Ambikapuram, Chennai. You can book an instant appointment online with Dr. Balagopal on has an excellent community of Urologists in India. You will find Urologists with more than 35 years of experience on 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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K M Speciality Hospital

No. 453/454, R.K. Shanmugam Salai, ChennaiChennai Get Directions

K M Speciality & Pediatric Care

#453/454, R.K. Shanmugam Salai. Landmark : Near K.K. Nagar Bus Stop.Chennai Get Directions
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I want to know about symptoms of deases of kidney which is now the biggest problem for human.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Symptoms & signs of kidney disease or damaged kidney are - reduced volume of urine, swelling of legs, ankles and feet, tired feeling, lethargy, increased protein loss in the urine, raised blood pressure (this could be the cause or a sequelae), occasionally blood in the urine etc.
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I feel some inflammation on my butt near anus. I showed to doctor but he is saying there is no inflammation. But I know it is, I can feel while sitting. What should I do?

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
Do sitz bath. That is in a tub take some luke warm water and sit in it for 5-10 min. Morning after passing stools and once in night also.
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I am 72 yrs old, suffering from diabetes fasting 120 pp 150, now days I am facing a problem that I could not control my urine while I feel I have to go toilet for urine. What should I do?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear, as you are in prostatic age group that could be the problem. How ever get urine examination done to see if you have infection. If so then take antibiotcs for 15 days. If not then get sonography done with full bladder volume, bladder wall thickness on full bladder and post-void residue. Avoid constipation and hard faeces. Post the reports here and then we can proceed. Dr. Kiran mehta.
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Kidney Stones - How It Can Be Effectively Treated With Homeopathy?

BHMS, MD - Homeopathy, PhD
Homeopath, Delhi
Kidney Stones - How It Can Be Effectively Treated With Homeopathy?

The kidney is a vital organ that regulates the levels of fluids, minerals, salts, and other such substances in our body and when this balance gets disrupted, it results in the formation of Kidney stones. This problem is medically known as Nephrolithiasis and can cause pain when the stone moves about the urinary tract.

Types of Kidney Stones
There are several types of kidney stones and knowing the same can help in determining the cause and offer a valuable insight into how to get rid of them. The common variants of kidney stones are:

  1. Calcium stones- This is the most common type of kidney stones which are usually found in the form of calcium oxalate. It is a natural substance available in foods and also produced daily by the liver. Certain fruits, nuts, vegetables, and chocolate have high oxalate content. High doses of vitamin D, metabolic disorders, and intestinal bypass surgery can increase the concentration in the urine.
  2. Struvite stones- This type of kidney stones form in response to infection, and they can grow fast and become large in size within a short span of time with few or no symptoms.
  3. Cysteine stones- When a person has a hereditary disorder causing the kidneys to give out too much of amino acids or cystinuria, then cysteine stones start forming.
  4. Uric acid stones- When a person does not drink enough amount of water or lose too much fluid or eat a high amount of protein on a regular basis then he or she may have uric acid stones.

Causes and Risk Factors
Kidney stones tend to have no definite or a particular cause even though numerous risk factors can surge the risks. Kidney stones are formed when the urine contains an excessive amount of crystal-forming substances including uric acid, oxalate, and calcium. Also, when urine lacks the crucial substances which may prevent the crystals from sticking together, the formation of kidney stones can occur.

A person with a family history of this problem is likely to have kidney stones. Other risk factors include dehydration, certain diets, obesity, digestive diseases, surgeries, and other medical conditions such as renal tubular acidosis, cystinuria, and hyperparathyroidism.

Lifestyle changes recommended to improve the situation
Lifestyle changes can indeed dramatically reduce the occurrence of kidney stones.

  1. Drinking more fluids can reduce the recurrence of stones by 40% and risk is reduced by 80%. Also, the urinary system is healthy and is flushed out of toxic chemicals.
  2. Follow a diet rich in fruits and vegetables.
  3. Reduce salt, sugar, and animal protein.
  4. Limit the consumption of foods with high oxalate content. If you have calcium oxalate stones restrict foods rich in oxalates like beets, okra, spinach, sweet potatoes, nuts, tea, chocolate, black pepper and soy products.

How Homoeopathy is beneficial to break down Kidney stones? 

Although Kidney stones are considered a case of surgery, but with Homoeopathic medicines we can break down and dissolve Kidney stones and help to pass the dissolved stone without surgical intervention. Not only does Homoeopathy treat Kidney stones, it also has shown remarkable results in treating the recurrent tendency towards formation of kidney stones. Homoeopathic medicines beneficial to treat kidney stones are: Lycopodium, Berberis.vulgaris, Sarsaparilla, Cantharis and Hydrangea to name a few. These medicines should be taken under the guidance of a qualified Homoeopath.

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

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I am 68-years young man with slight bp: 140/80mmhg and following observations: observations: 1. Right kidney shows a calculus, measuring 3. 1mm at mid pole; 2. Prostrate is enlarged in size and measures 5. 3 x 3. 9 x 4. 3 cm (volume 47. 8 cc) 3. Liver: normal in size (12. 1 cm) and shows diffuse increase in echogenicity, suggestive of fatty changes. Can you please guide me with comments, suggestions and advise, please?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
1. U have renal stone but it is small, dont worry just drink more water. 2. Your prostate is enlarged which is usual at this age. Are u having any symptoms. Like difficulty in urination, dribbling of urine etc? 3. What's your weight? get done your blood sugar level and lipid profile for fatty liver, u dont need to do anything except low fat diet.
2 people found this helpful
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Peritoneal Dialysis - Procedure to be Followed!

DM - Nephrology, MD-Medicine, MBBS
Nephrologist, Delhi
Peritoneal Dialysis - Procedure to be Followed!

No Blood, No needle, No visit to hospital, you can do yourself at home with water. A thin layer of transparent screen like structure hangs in front of the abdominal muscles known as peritoneum. This peritoneum protects the abdominal structures and the muscle. This can also be used for performing dialysis which is carried out when the functioning of kidney gets affected. In peritoneal dialysis a thin and soft catheter is placed in the person’s belly one week before performing the procedure.

The catheter has numerous holes in order to facilitate the transformation of fluids. Dialysis solution is prepared in a bag and the tubing is connected to the catheter placed in the abdomen thereby, the fluids absorb the waste materials from the body. The fluid is allowed to stay in your body for a particular period of time which is commonly referred as dwell time and later the fluid is drained out.

There are two types of peritoneal dialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. This is the simple form of dialysis which anybody can perform after a short training period and this can be done anywhere in clean private place like hotels, home and even in office.

Procedure followed during Peritoneal Dialysis
All you need to perform a peritoneal dialysis is catheter and transfer set, cycler, dialysis solution and safety precautions materials to stay away from getting infections.
Step 1 - Perform a sterile aseptic technique. Wear a glove and surgical mask before connecting the catheters and transfer set. Clamp the tubing and remove the catheter once the dialysis solution enters your abdomen
Step 2 - Allow the solution to remain in your abdomen for a particular period of dwell time
Step 3 - Drain the fluid from the abdominal cavity into the drain bag. You may feel a mild tugging sensation when adequate amount of fluid is drained.
Step 4 - After drain close or clamp the transfer set and later flush a fresh solution directly to drain bag so as to remove the air from the tubing.
Step 5 - Close your drain bag and open your transfer set and refill your belly with fresh solution.

Make sure you perform without giving way for infection and excess fluid and dextrose absorption. If you wish to discuss about any specific problem, you can consult a doctor.

2066 people found this helpful

She is 31 weeks 3 days pregnant and having problem in foetus. Foetus have grossly dilated foetal urinary bladder noted. Two dilated linear sonolucent area seen around urinary bladder. What is the next step to do?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
She is 31 weeks 3 days pregnant and having problem in foetus. Foetus have grossly dilated foetal urinary bladder note...
Hello, if the pelvicalyceal diameter is less than 10 mm still then weekly sonographic follow up is advised. Aim should be to continue pregnancy till 34 weeks at least.
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Suffering From Kidney Stones - Things You Can Do!

Urologist, Delhi
Suffering From Kidney Stones - Things You Can Do!

There is a rich concentration of minerals in the kidneys, and when there is no sufficient medium to clear it out, these can form small crystals within the urinary tract and can settle anywhere along the urinary tract. Stones can, therefore, be found in any part of the kidney and the ureters, which connect the kidney to the bladder.

The pain that is associated with kidney stones is very diagnostic. It includes a sharp shooting pain in the back of the abdomen, on either side of the spine. Kidney stones tend to be recurrent, and so patients who have had an episode would be able to tell when they have kidney stone pain.

When the size of the stone is less than 4 mm, it is usually passed through urine and eliminated from the system. However, if it is more than that, shock waves are used from an external source to break the bigger stones into smaller ones, which then get eliminated from the body through the kidneys on their own.

Ways to manage kidney stones
Immediate relief measures would include intravenous injections of pain relievers, which will help in getting rid of the pain. An additional shot may be required after a while for people suffering from severe pain. Also most people present with severe nausea and vomiting may require anti-emetics for the same. When being sent home, they may be given these medications to be continued at home.

Once you are home, the doctor may ask you to drink lots of water (up to 3 liters of water) and strain the urine to collect the stone as it is passed. The urine turning colourless is an indication that the water intake is adequate. If there is any colour in the urine, water intake should be increased.

Immediate admission to the hospital may be required in the following conditions:

  1. In people with one kidney where the stone has already come down to the ureter
  2. Pregnancy
  3. Persistently high fever of up to 104 with shaking and chills
  4. Elderly people, greater than 60 years of age
  5. Severe dehydration and vomiting
  6. No improvement of symptoms after an hour of treatment

Larger kidney stones would be removed by one of the following methods:

  1. Extracorporeal shock wave lithotripsy (ESWL): This is the most common mode of treatment, where shock waves are used to break down the stones into smaller segments, which are then passed out through the urine.
  2. Ureteroscopy: This involves passing a tube from the urethra all the way up to the bladder to retrieve the stone.

Open surgery in people where the above measures are not feasible. If you wish to discuss about any specific problem, you can ask a free question.

2848 people found this helpful

Hello doctor .if creatinine level rises to 1.8 what does it signs and how to reduce creatinine and uric acid in blood.

General Physician, Nashik
Hello doctor .if creatinine level rises to 1.8 what does it signs and how to reduce creatinine and uric acid in blood.
I recommend the following 1. Find out how much of protein you are losing in the urine. Protein in urine rises the creatinine. tablets like ace/arb can reduce protein in urine 2. Avoid red meat 3. Avoid weight lifting exercises 4. Tab nephrosave twice daily has given good results in my patients 5. Most importantly make sure bp is within 130/70 at all times
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I am 30 years old male I have gas trouble which makes my stomach uncomfortable and I use go to toilet once I finish my luch for past 6 months.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
I am 30 years old male I have gas trouble which makes my stomach uncomfortable and I use go to toilet once I finish m...
Dear Lybrate User, *Fennel seeds can give you relief from other indigestion symptoms like gas and bloating, too. •Add one teaspoon of crushed fennel seeds to a cup of hot water and let it steep for eight to 10 minutes. Remove from heat, allow it to cool and strain it. Add a little honey and drink it slowly. *Take lighter foods such as moong, masur & moth daal, all vegetables. Don't consume more junk food, processed food, chilies etc. Have some ghee with your food. While sleeping have a glass of hot milk with cow ghee in it. *more gas formation is due to improper digestion. oiy food & cold drinks can trigger gas problems & discomfort. *take 2 spoon ghee before meal 2 times *use butter milk in meal
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