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Dr. Balasubramani

Nephrologist, Chennai

Dr. Balasubramani Nephrologist, Chennai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Balasubramani
Dr. Balasubramani is one of the best Nephrologists in T.Nagar, Chennai. You can visit him/her at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. You can book an instant appointment online with Dr. Balasubramani on Lybrate.com.

Lybrate.com has an excellent community of Nephrologists in India. You will find Nephrologists with more than 25 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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English

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No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hi Dr. My father age 49 use to drink alcohol on daily basis. Problem is that he urinates on his bed while sleeping and he is not be aware about that. What is problem?

BAMS
Ayurveda, Ambala
Hi Dr. My father age 49 use to drink alcohol on daily basis. Problem is that he urinates on his bed while sleeping an...
To treat the incontinence of urine- *take very less ampunt of fluid after 6 pm & go for urination after every hour. * do urination before bed time & wake up in the midnight for urination. * during daytime, while you are urinating, once take a pause then start urinating again & repeat it 2-3 times. It increase the muscle tone of bladder muscle. * sit in the possition of padmasana or sidhasana in morning for 8-10 minutes.
1 person found this helpful
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I have noticed that my urinate frequency has been increased as per the consumption of water. Do I need to consult doctor regarding this. I have gone for diabetes test as well 6 months back but found every thing normal.

BHMS
Homeopath, Delhi
I have noticed that my urinate frequency has been increased as per the consumption of water. Do I need to consult doc...
Hi This is perfectly normal and natural. Frequency and quantity of urine is directly related to the amount of fluid consumed by a person. If you have some symptoms like burning or painful urination then its a matter of concern otherwise just dont worry and enjoy life.
2 people found this helpful
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I am 32 year old suffering from prostatitis semen culture negative. Urine culture are also negative. 7_10 pus cell in semen .Doctor give me trimethoprim 100 mg twice a day Is this good medicine for prostate infection. Please tell me and how long should I take 1 or 2 months.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I am 32 year old suffering from prostatitis semen culture negative. Urine culture are also negative. 7_10 pus cell in...
It is good, may require to continue for at least one month. 1. No spicy foods and 2. No tea / coffee, alcohol 3. No cycling, good luck.
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She has urine infection. So that she is becoming very thin and weak. What should we do.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
She has urine infection. So that she is becoming very thin and weak. What should we do.
urine infection does not lead to weakness. please have plenty of water and fluids. get urine routine and culture test done. for evaluation of weakness mor detailed evaluation is needed. get blood sugar and thyroid test done.
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What is the best treatment for urine infection? i' m a diabetic also. I' m getting this infection after 6yrs.

MBBS
General Physician, Mumbai
To take antibiotics after getting urine culture and sensitivity report done and to control sugar levels.
1 person found this helpful
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What are the causes of stone formation inside a body and what are responsible for it.

MBBS
General Physician, Jalgaon
What are the causes of stone formation inside a body and what are responsible for it.
Please Poor water intake, excess of eggs, non veg food, recurrent urinary tract infections, are common causes.
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I am a 25 year old and I am suffering from frequent urination problem. please suggest what to do?

MBBS, cc USG
General Physician, Gurgaon
I am a 25 year old and I am suffering from frequent urination problem. please suggest what to do?
and follow advises given below frequent urination may normal in absence of any symptoms and may be because of : excessive intake of water less sweating so kindly let me know if you are having : 1.are you having fever/ burning/ pain while urination? 2.For how long this problem is present? 3. turbid urine present or not? and if above symptoms are present we have to investigate you to rule out infection in urine so kindly get 1.Urine R/M 2.RBS done and consult again with reports
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I am feel pain in lower abdomen or pain during urine and for last year after sex my wife feel same problem is it a std. Or other serious disease.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am feel pain in lower abdomen or pain during urine and for last year after sex my wife feel same problem is it a st...
No it is because of cystitis which is very common among married couple and related to sex. She has to start tab nitrofurantoin, syp cital and drink plenty of water.
1 person found this helpful
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Dear doctor. This is for my fiance. He is 25 years old. 6 ft ,84 kgs . He recently faced weight loss and frequent urine. So we went for a master check. There we found that his glucose level is high. Fast blood level was 340 and after food was 469. We are about to meet a doctor. He already started his diet and exercise. My question is will he able to be normal back? I mean he is following diet now. Is it possible to bring tat glucose level normal? I mean heard that once sugar comes we have no other go than taking medication regularly. Is that possible to bring back him normal. He is physically mentally so fed up because of this in early stage. please doctor. please clear my doubt. Thank you so much for reading my post and helping me.

Ph. D - Psychology, Professional Certified Coach
Psychologist, Ahmedabad
Dear doctor. This is for my fiance. He is 25 years old. 6 ft ,84 kgs . He recently faced weight loss and frequent uri...
He is young. Though it is not uncommon these days for young people to get diabetes. The latest science have ways to reverse the disease. Not many people in india are aware about the same. It does include life style changes and learning new ways to lead your life. As I do know a medical doctor who is helping patients reverse diabetes. It is not appropriate to disclose details in this forum. Please contact me for more details. Wishing you both very best wishing you very best.
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KIDNEY STONES - ITS SYMPTOMS

BHMS
Homeopath,
KIDNEY STONES - ITS SYMPTOMS
Intermittent dull pain in loin or back increased by movement or sudden jolt.

. Altered colour of the urine.
. If the stone obstructs the ureter there is a pain gradually increasing making the patient very restless since it radiates till testis, labia, and groins.
. In severe pain patient does not get relief in any position, they can develop pallor, vomiting, sweating & haematuria
. Such attacks are recurrent.
7 people found this helpful

Hi My husband is facing so much trouble while urinating that it's coming drop by drop and paining so much burning also. He was hospitalized in October last year for urinal infection creatine level had gone to 5.5 He is taking medicines for high bp and diabetics for last 15 years his age is 65 years. He is taking medicine for enlarge prostate glands for last 10 years. Last 10 days he is facing this problem severely Urologist has given silodal D 8 one time What should I do for his pain relief.

BHMS
Homeopath,
Hi  My husband is facing so much trouble while urinating that it's coming drop by drop and paining so much burning al...
Dear lybrate-user, benign hypertrophy of prostate is a non-cancerous enlargement of the prostate gland. In this clinical condition multiple nodules are formed inside the prostrate gland. These nodules often compress the urethra resulting in the narrowing of the lumen of urethra & producing a resistance to the urine flow. Resistance to urine flow requires the bladder to work harder during voiding, possibly leading to progressive enlargement, instability, or weakness of the urinary bladder the patient must follow the given medication as directed:- 1) 5 drops of homoeopathic causticum 30 at early morning daily before brushing teeth 2) 5 drops of homoeopathic conium mac 30 before going to bath daily. 3) 5 drops of homoeopathic baryta carb 30 just one hour before dinner daily. 4) homoeopathic mother tincture sabal serrulata q, 30 drops, twice daily, after meals, in a cup of water. Along with the aforesaid medication few changes in the lifestyle of the patient are also necessary. Lifestyle alterations to address the symptoms include decreasing fluid intake before bedtime, moderating the consumption of alcohol and caffeine-containing products, and following a timed voiding schedule. Also it would be better if the patient could void the urine in sitting position.
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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

Hi When I pass urine froth or foamy like bubbles shall be their in the co mode what is the reason am I passing more of protein in the urine I want to know please

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , you are diabetes and passing protein in urine. It is sign renal damage. If it is early then it is reversible. You must have your diabetes very strictly controlled. That is the best way of controlling proteins in urine. So you must under supervision of both diabetologist and nephrologist if s. Creatinine is marginal or even raised slightly. Dr. Kiran mehta.
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I found a stone of 7mm in my kidney on ultrasound. I am taking water around 1 litre a day. I started taking around 3 litres a day now. Is it will be helpful or I have to consult a doctor. There is no pain also. Please suggest.

M. Ch. (Urology)
Urologist, Tirupati
I found a stone of 7mm in my kidney on ultrasound. I am taking water around 1 litre a day. I started taking around 3 ...
Definitely helps. In case of renal stones best thing is to drink 3-4 liters of water per day. Decrease salt and non veg. Repeat scan after 3 months. Depending on size next time treatment is based.
7 people found this helpful
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After taking chanderparbha vati I feel very high pain in urethra (burning sensation). I stand in toilet for 1h and drink 2 liter of water. I am also taking FLOMAX and LEVOFLOX. In urine test I found some heat (infection). Why I feel that pain? And also I have no morning erection. What is my problem?

MBBS
General Physician, Mumbai
After taking chanderparbha vati I feel very high pain in urethra (burning sensation). I stand in toilet for 1h and dr...
Pain is due to infection in the urethra and if you don't have morning erections we don't label it as a disease and after taking medication you will get back to normal position.
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I am 15 years old, now a days my urine is very dark and my body aches especially my back, neck, legs and shoulders. I have also have pain in my throat, ears, eyes and head. I also feel very tired after enough rest and sleep.Please tell sir .

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 15 years old, now a days my urine is very dark and my body aches especially my back, neck, legs and shoulders. I...
Hi. Dark urine are indicated some thing wrong in kidney. Pl. Checkup kft, urine r/m, blood sugar and reply soon. Avoid more protein foods. Take 6 glass water in day. After tests consult soon.
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I am diagnosed with kidneys calculus. Right kidney shows mildly dilated PCS. Right ureter is also mildly dilated and shows a calculus measuring app 8mm in the mid ureter. Two calculus measuring app 4&5 mm are seen in the upper & middle calyces of right kidney respectively. Left kidney also shows a calculus measuring app 4mm in the upper calyces. Can these calculus be removed with homeopathic remedies. Please help.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am diagnosed with kidneys calculus. Right kidney shows mildly dilated PCS. Right ureter is also mildly dilated and ...
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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Last year my kidney in third level due to, blockage in ureter by stone. After than operation was done by doctors. But now I feel same pain in my back and ureter. Please advise me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Last year my kidney in third level due to, blockage in ureter by stone. After than operation was done by doctors. But...
Homoeopathic medicine BERBERIS VULGARIS Q ( Dr Reckeweg)Drink 10 drops in 20 ml fresh water 3 times daily REPL No.22 ( REPL) Drink20 drops in 20 drop 20 ml fresh water twicedaily Repoprt after 15 days.
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Kidney transplant for 70 years old female which age group of living dinner is perfect. Is transplant at this age is successful in this modern treatment days.

C.S.C, D.C.H, M.B.B.S
General Physician,
Younger the better. Matching donor, if found, there will be success though a lot of difficulties also will be there.
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