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Dr. Balaraman  - Nephrologist, Chennai

Dr. Balaraman

MBBS, MD - General Medicine, DM - Nephrology

Nephrologist, Chennai

24 Years Experience
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Dr. Balaraman MBBS, MD - General Medicine, DM - Nephrology Nephrologist, Chennai
24 Years Experience
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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Balaraman
Dr. Balaraman is a trusted Nephrologist in Noble Hospitals, Chennai. Doctor has been a practicing Nephrologist for 24 years. Doctor is a MBBS, MD - General Medicine, DM - Nephrology . Doctor is currently practising at Noble Hospitals in Noble Hospitals, Chennai. Book an appointment online with Dr. Balaraman on Lybrate.com.

Lybrate.com has an excellent community of Nephrologists in India. You will find Nephrologists with more than 36 years of experience on Lybrate.com. You can find Nephrologists 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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Education
MBBS - Madras University - 1993
MD - General Medicine - dr mgr university - 1997
DM - Nephrology - dr mgr university - 2005

Location

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Noble Hospitals

#4, Audiappa, Mudali Street, Purasawalkam, Land Mark: Near Lauders Gate, Opp. Lady M.ct.M.School, ChennaiChennai Get Directions
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Noble Hospital

#4, Audiappa Mudali Street, Purasawakkam. Landmark : Opposite To Lady M. CT. M. SchoolChennai Get Directions
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Pain from the opening of vagina upto lower abdomen, back pain. Pains like pricking, urinating tendency but can not pass urine. Only few drops.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
Pain from the opening of vagina upto lower abdomen, back pain. Pains like pricking, urinating tendency but can not pa...
It indicates urinary tract severe infection. It requires vigorous treatment. First give urine for culture and sensitivity test. Take plenty of water a minimum of 3 litres a day. You need to start antibiotic medication after getting culture report. Meanwhile you need to start with some antibiotic. Take liquid Citralka 2spoons three times in the day. Take plenty of coconut water. For antibiotic and further guidance come back in pvt. Consults as we r not allowed give prescription in open questions. Good luck.
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I am having urinary infection. Urine routine report and urine culture is as follows urine examination test report urine r/m & flowcytometry investigation result units urine image 68 years / m physical examination 40 ml volume yellow color sl. Cloudy transparency nil deposit 1.020 specific gravity 8 reaction/ph chemical examination negative albumin norm sugar 10 blood /ul negative ketone bodies negative bilirubin negative nitrite 500 leucocytes /ul norm urobilinogen microscopic examination 639.6 wbc (/ul) /ul 0 - 40 100-120/hpf pus cells 10.0 rbc (/ul) /ul 0 - 20 2-3/hpf r. B. C. 2.0 epithelial cells (/ul) /ul 0 - 28 0-1/hpf epithelial cells 1.65 casts (/ul) /ul 0 - 2 microbiology urine culture/ sensitivity & mic urine image 68 years / m specimen urine organism isolated escherichia coli colony count 1, 00, 000 /ml esbl positive + ampicillin resistant (>=32) piperacillin + tazobactam sensitive (<=4) ceftriaxone resistant (16) cefepime sensitive (<=1) ertapenem sensitive (<=0.5) imipenem sensitive (<=0.25) meropenem sensitive (<=0.25) amikacin sensitive (<=2) gentamicin sensitive (<=1) ciprofloxacin sensitive (0.5) tigecycline sensitive (<=0.5) nitrofurantoin sensitive (<=16) trimethoprim/sulfamethoxazole resistant (>=320) cefoperazone/sulbactam sensitive (<=8) colistin sensitive (<=0.5) cefuroxime axetil resistant>=64 cefuroxime resistant (>=64) augmentin sensitive 4 nalidixic acid resistant>=32 what medicine should I take. I am taking cipro 500mg1bd+augmentin 1000mg1bd. I want a second opinion from an expert since medicine prescribed is by general physician.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
I am having urinary infection. Urine routine report and urine culture is as follows
urine examination test report
uri...
Dear , if you are taking ciprofloxacin 500 mg then take 1 hour before meals or 2 hours after meals with only water and not with milk for 15 days and check urine again to see pus cells have come down to 5 or less. Medications fine.
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I have kidney problem (infection, not sure but there is possibility of kidney stone), and high concentration of gastric acid. Can I take a regular medicine that contain aluminum and magnesium hydroxide? I afraid about The magnesium or aluminium.

PDDM, MHA, MBBS
General Physician, Nashik
I have kidney problem (infection, not sure but there is possibility of kidney stone), and high concentration of gastr...
Don't take them daily. Choose natural methods. Here are some home remedies to cure acidity.  - Skip the aerated drinks as well as the caffeine. Opt for herbal tea instead.  - Have a glass of lukewarm water everyday.  - Include banana, watermelon and cucumber in your daily diet. Watermelon juice is great for curing acidity.  - Nariyal paani is known to soothe the system if you suffer from acidity.  - Drink a glass of milk - everyday.  - Have your last meal at least two to three hours before you hit the sack.  - Keeping long intervals between meals is another cause for acidity. Have small but regular meals.  - Try to avoid pickles, spicy chutneys, vinegar, etc.  - Boil some mint leaves in water and have a glass of this after meals.
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I am 26 years old. But I have polyurine. Is it symptoms of diabetes mellitus? what should I do?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
I am 26 years old. But I have polyurine. Is it symptoms of diabetes mellitus? what should I do?
Dear , first get urine tested either to confirm or rule out infection if infection then take antibiotics and if urine is negative then get usg done with full bladder volume, bladder wall thickness on full bladder with post-void residual urine volume measurement post the report along with pictures of the scan
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Sir I am a 30 years old. Male.i have problems while urinating. feel some burning sensation while urinating. Urine does not come frequently as usual also and have to go urine very un commonly. Sometimes I am jst done bt after sitting for a while have to go again. Pls give some suggestions what to do.

MD ( Hom.), Certificate in Food and Nutrition, BHMS, Diploma In Yoga
Homeopath, Indore
Sir I am a 30 years old. Male.i have problems while urinating. feel some burning sensation while urinating. Urine doe...
Low urine output also occurs when there is a decreased blood supply to the kidney, such as occurs with dehydration or excessive blood loss. Low urine ouput is also known as oliguria. Obstruction of outflow of the urine, either due to tumors, enlargement of the prostate, or bladder problems can also reduce urine output. And burning urination may be due to urinary tract infection. To come to any conclusion you need to go to investigations so the real cause can be ruled out like Ultrasound of the abdomen Blood tests for blood count, kidney function and electrolytes.
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I am having split of urine sometimes. I am having good urine flow. I have done kub sonography, urine routine, blood test everything is normal and I done have any injury?

C.S.C, D.C.H, M.B.B.S
General Physician,
I am having split of urine sometimes. I am having good urine flow. I have done kub sonography, urine routine, blood t...
Split urine feeling is due to lack of enough eater drinking and you feel to pass urine even after urinating. you drink lot of water and evacuate full amount by urinating for longer time till you evacuate fully
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My huby have multi stones in left kidney largest measuring 17mm and ultrasound reports showed hydronephrosis in left kidney and grade 3 fatty liver and he is suffering from fever from last 15 days. So please tell me what to do in this condition?

BHMS
Homeopath, Delhi
My huby have multi stones in left kidney largest measuring 17mm and ultrasound reports showed hydronephrosis in left ...
Hello,take homoeopathic medicines 1.Lycopodium 200 (4 drops in little water) every morning for a week 2.Berberis Vulgaris Q (10 drops in little water) three times in a day for a week and revert.
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What is kidney stone, what are the symptoms of it, what is the best treatment for it.

BAMS
Ayurveda, Ambala
What is kidney stone, what are the symptoms of it, what is the best treatment for it.
The symptoms of kidney stones are: 1. Intermittent pain (that starts and stops again and again) in the flank area (between last rib and hip). This pain moves down to the inner area of thigh. 2. Person feel sudden and compelling desire to urinate with pain. 3. Restlessness 4. Sweating, nausea and vomiting 5. Presence of blood in urine 6. Retention of urine (accumulation of urine in bladder) it can cause kidney damage and kidney failure. 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 am having stones in my right kidney how do I take health tips so that I can clear out those stone? And even due to this my toilet is bringing tell me tips to avoid this problem? Even give me suggestions to avoid fast food and stomach pain?

Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Durgapur
I am having stones in my right kidney how do I take health tips so that I can clear out those stone? And even due to ...
Here are the top 6 kidney stone prevention tips: Don't Underestimate Your Sweat. Saunas, hot yoga and heavy exercise may be good for your health, but they also may lead to kidney stones. Why? Loss of water through sweating - whether due to these activities or just the heat of summer—leads to less urine production. The more you sweat, the less you urinate, which allows for stone-causing minerals to settle and bond in the kidneys and urinary tract. Instead: Hydrate with H2O. One of the best measures you can take to avoid kidney stones is to drink plenty of water, leading you to urinate a lot. So, be sure to keep well hydrated, especially when engaging in exercise or activities that cause a lot of sweating. It's Not Just the Oxalate. Oxa-what? Oxalate is naturally found in many foods, including fruits and vegetables, nuts and seeds, grains, legumes, and even chocolate and tea. Some examples of foods that contain high levels of oxalate include: peanuts, rhubarb, spinach, beets, chocolate and sweet potatoes. Moderating intake of these foods may be beneficial for people who form calcium oxalate stones, the leading type of kidney stones. A common misconception is that cutting the oxalate-rich foods in your diet alone will reduce the likelihood of forming calcium oxalate kidney stones. While in theory this might be true, this approach isn't smart from an overall health perspective. Most kidney stones are formed when oxalate binds to calcium while urine is produced by the kidneys. Instead: Eat and drink calcium and oxalate-rich foods together during a meal. In doing so, oxalate and calcium are more likely to bind to one another in the stomach and intestines before the kidneys begin processing, making it less likely that kidney stones will form. Calcium is Not the Enemy. But it tends to get a bad rap! Most likely due to its name and composition, many are under the impression that calcium is the main culprit in calcium-oxalate stones. "I still see patients who wonder why they are getting recurring stones despite cutting down on their calcium intake," said Dr. Jhagroo. "I've even had patients say that their doctors told them to reduce their calcium intake." A diet low in calcium actually increases one's risk of developing kidney stones. Instead: Don't reduce the calcium. Work to cut back on the sodium in your diet and to pair calcium-rich foods with oxalate-rich foods. It's Not One and Done. Passing a kidney stone is often described as one of the most painful experiences a person can have, but unfortunately, it's not always a one-time event. Studies have shown that having even one stone greatly increases your chances of having another. "Most people will want to do anything they can to ensure it doesn't happen again," said Dr. Jhagroo. "Unfortunately, it doesn't seem to be the case that people make the changes they need to after their first stone event." Research conducted by Dr. Jhagroo shows that those with kidney stones do not always heed the advice of their nephrologists and urinary specialists. About 15% of kidney stone patients didn't take prescribed medications and 41% did not follow the nutritional advice that would keep stones from recurring. Instead: Take action! Without the right medications and diet adjustments, stones can come back, and recurring kidney stones also could be an indicator of other problems, including kidney disease. When Life Hands You Kidney Stones… don't fret. And as the saying goes, "make lemonade." It's important to consider dietary remedies alongside prescription medications. While it may seem easier to just take a pill to fix a medical problem, consider what lifestyle changes will also make a big impact on your health. Instead: Next time you drive past a lemonade (or limeade) stand, consider your kidneys. Chronic kidney stones are often treated with potassium citrate, but studies have shown that limeade, lemonade and other fruits and juices high in natural citrate offers the same stone-preventing benefits. Beware of the sugar, though, because it can increase kidney stone risk. Instead, buy sugar-free lemonade, or make your own by mixing lime or lemon juice with water and using a sugar substitute if needed. "We believe that citrate in the urine may prevent the calcium from binding with other constituents that lead to stones," said Dr. Jhagroo. "Also, some evidence suggests that citrate may prevent crystals that are already present from binding with each other, thus preventing them from getting bigger." Not All Stones are Created Equal. In addition to calcium oxalate stones, another common type of kidney stones is uric acid stones. Red meat, organ meats, and shellfish have high concentrations of a natural chemical compound known as purines. "High purine intake leads to a higher production of uric acid and produces a larger acid load for the kidneys to excrete," said Dr. Jhagroo. Higher uric acid excretion leads to lower overall urine pH, which means the urine is more acidic. The high acid concentration of the urine makes it easier for uric acid stones to form. Instead: To prevent uric acid stones, cut down on high-purine foods such as red meat, organ meats, and shellfish, and follow a healthy diet that contains mostly vegetables and fruits, whole grains, and low fat dairy products. Limit sugar-sweetened foods and drinks, especially those that contain high fructose corn syrup. Limit alcohol because it can increase uric acid levels in the blood and avoid crash diets for the same reason..Eating less animal-based protein and eating more fruits and vegetables will help decrease urine acidity and this will help reduce the chance for stone formation.
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I have little pain on pee, I had uti (urinary track infection) so I have oflaxocaine tablet. Bt little pain is still there.

BHMS
Homeopath, Delhi
I have little pain on pee, I had uti (urinary track infection) so I have oflaxocaine tablet. Bt little pain is still ...
Hi take apis 30/ tds/ 7 days maintain your fluid intake to at least 2-1/2 litres a day revert for f/u after 7 days.
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What are the symptoms of urinary tract infection, how it is caused, what are precautions we want to take, it is treated by surgically or with medication?

C.S.C, D.C.H, M.B.B.S
General Physician,
What are the symptoms of urinary tract infection, how it is caused, what are precautions we want to take, it is treat...
The urine is normally sterile. An infection occurs when bacteria get into the urine and begin to grow. The infection usually starts at the opening of the urethra where the urine leaves the body and moves upward into the urinary tract. The culprit in at least 90% of uncomplicated infections is a type of bacteria called escherichia coli, better known as e. Coli. These bacteria normally live in the bowel (colon) and around the anus. These bacteria can move from the area around the anus to the opening of the urethra. The two most common causes of this are improper wiping and sexual intercourse. Usually, the act of emptying the bladder (urinating) flushes the bacteria out of the urethra. If there are too many bacteria, urinating may not stop their spread. The bacteria can travel up the urethra to the bladder, where they can grow and cause an infection lower urinary tract infection bladder (cystitis): the lining of the urethra and bladder becomes inflamed and irritated. Dysuria: pain or burning during urination frequency: more frequent urination (or waking up at night to urinate, sometimes referred to as nocturia); often with only a small amount of urine urinary urgency: the sensation of having to urinate urgently cloudy, bad-smelling, or bloody urine in an otherwise healthy person, a three-day course of antibiotics is usually enough. Some providers prefer a seven-day course of antibiotics. Occasionally, a single dose of an antibiotic is used. A health-care professional will determine which of these options is best.
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Hello doctors. I'm 22 weeks pregnant and few days back I was diagnosed with UTI . My gynae prescribed monocef 1gm through iv twice a day for 5 days. Then again did the urine culture and still there was infection now I'm on inj fortum 1gm twice a day for 7 days. I'm really very worried does that affect my baby? Are these injections really safe. And what all can I do to cure it. Please reply. Thank you!

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
Hello doctors.
I'm 22 weeks pregnant and few days back I was diagnosed with UTI . My gynae prescribed monocef 1gm thr...
Dear patients, you should not go for injections as it is not completely safe for baby. Nowadays very best oral medicines available for uti and you can consult me back for proper medication for it, to completely get rid of uti.
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I have burning sensation in urine specially when I mix littlebot chilly in vegetables why. I feel fatigue also.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have burning sensation in urine specially when I mix littlebot chilly in vegetables why. I feel fatigue also.
Mr. lybrate-user, Thanks for the query. It is really difficult answer why urine gives burning sensation if chilies are added to vegetables. Because it difficult to understand how those things pass or reach kidneys and then urine. Burning sensation in urine is due to increased acidity of urine, which tends to happen when there is urinary infection. My advise is to get a routine urine examination to check if there is infection and if it is present then a suitable antibiotic may be taken along with plenty of water as well as some alkaliser. Thanks.
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Sir/madam what should medicine prefer if some stones are there inside the body? Tell me the better medicine or advice?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Sir/madam what should medicine prefer if some stones are there inside the body? Tell me the better medicine or advice?
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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I have stone in my right kidney which is 7.2 mm and what I do to remove this from my kidney except operation? Please let me know as soon as possible.

BHMS
Homeopath, Faridabad
I have stone in my right kidney which is 7.2 mm and what I do to remove this from my kidney except operation? Please ...
Hello, take homoeopathic medicine berberis vulgaris q, 15 drops with water twice daily. Hydrangea q, 15 drops with warm water once daily in the after noon. Take ayurvedic medicine neeri syrup, 2 tsp twice daily. Take can notharis 30, 5 drops once daily in the morning. Revert me after 7 days. ****most important drink plenty of water.*****
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Am 25 years old. Started masturbation for past 6 years I can't stop now. Due to that I am having bone issues and mainly frequent urination. What shall I do please help me.

BHMS
Homeopath, Greater Noida
Am 25 years old. Started masturbation for past 6 years I can't stop now. Due to that I am having bone issues and main...
U have to take proper and symptomatic treatment in homoeopathy. Some medicine as acid phos 200 and Lycopodium 30has good result in such cases and tell ur proper case history as u have any other disease or addiction in present or in ur past ur family history and avoid oily and spicy food
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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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