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Dr. Balasubramani

Nephrologist, Chennai

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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 40 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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Bharathiraja Superspeciality Hospital & Research Centre

No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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Hello Dr. My wife, aged 54 years, is a Type 2 Diabetic patient for > 8 years. An expert opinion from Urologist is requested for the condition mentioned below: We had taken (at Anderson Diagnostics & Labs, Nungambakkam Centre) whole abdomen CT on 23.7.2017. And FDG P.E.T. WHOLE BODY & Mr. SCREENING on 3.8.17. Both reported that" ill-defined heterogeneously enhancing hypodense lesion (size 34*25*20 mm) was noticed in the anterior parapelvic region of her Left Kidney near the lower pole" In these two reports, there is no word about malignancy, tumor or cancerous growth. Then, > 3 nephrologist had stated that, it is up to the Urologist to decide about further course of action. As per Urologist's opinion, (without removing her left kidney), the lesion must be surgically removed. My questions are: (1) Is it necessary to do nephrectomy at the earliest or can we wait and do a short term review after about one month? (2) What will be the side effects of the surgical procedure? (3) For how many days the patient may be required to be hospitalized and what will be the approx. Total expenditure for this in any standard hospital in Chennai? (4) What could happen in future, to the left kidney of my wife, if she simply, as usual remains at house, without undergoing this surgery? P.S. The size of both her kidneys had shrunk by one sq. Cm. During the past 2 years. The old reports, dated 30.11.2016. And 30.05.2015. Did not indicate any mass or lesion. After 2014, she had lost > 20 kg of her body weight. There is no physical discomfort to her till date and she is able to carry on her daily routine. Thank you.

MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
Hello Dr. My wife, aged 54 years, is a Type 2 Diabetic patient for > 8 years. An expert opinion from Urologist is req...
Hi, Lybrate user I have gone through your question. Your wife is probably suffering from renal cell carcinoma. You should do DTPA scan to see the function of kidney and should go for radical nephrectomy after seeing DTPA report. Expenditure will be Rs. 1-2 lakhs. You can come for detailed check up once.
2 people found this helpful
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What could be the reasons for frequent urine infection? I got it twice in a month. Burning while urination, blood in urine and frequent urination are the symptoms. Immediately got relief with Tab Gudcef 200, 2 times a day and Cital liquid. Want to know the root cause.

MBBS, MD - Medicine, DM - Nephrology
Nephrologist, Delhi
What could be the reasons for frequent urine infection? I got it twice in a month. Burning while urination, blood in ...
Get your sugar levels done. Also see if same organism is grown in repeat urine culture. Suggest to get an ultrasound kub with pvr done too.
16 people found this helpful
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My iui was done on 17 may. I have done urine test on 5th may but it comes negative. Pls suggest what to do? Am I still pregnant?

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
My iui was done on 17 may. I have done urine test on 5th may but it comes negative. Pls suggest what to do? Am I stil...
According to upt you r not pregnant. If you have missed periods then get a pregnancy test done again after 1 week.
1 person found this helpful
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My wife is 26 female. We Got married before nine months but she did not conceived yet. She had two months before UTI and have history of pcod. Amh test showed 11.4. Before 4 months. Presently on melmet 500 SR. UTI is treated now. Please suggest.

DGO, MBBS
Gynaecologist, Noida
My wife is 26 female. We Got married before nine months but she did not conceived yet. She had two months before UTI ...
She is a case of pcos and needs ovulation induction as there is always some amount od hormonal imbalance she should get her follicular monitoring done to confirm ovulation.
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I am having pain in right lower abdomen, I have done health checkup from repudiated hospital in Mumbai including sonography nothing was detected, however Uric acid was somewhat high, Hence Family Physician prescribed Feburic40 for 3 month subsequent to the course the Uric Acid level was normalized. Still the Pain in Right Lower abdomen continues. Urine normal, Stool Normal.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
I am having pain in right lower abdomen, I have done health checkup from repudiated hospital in Mumbai including sono...
Hi, It would have been beneficial if you had told us since how long you are having this pain. I am assuming your stools are normal and regular. There are a few causes of right lower abdominal pain: 1) Chronic appendicitis / Grumbling appendicitis 2) pain due to hernia 3) muscle strain 4) Abscess in the lower abdomen or upper thigh area. Solution: please consult a surgeon for further assessment. You may need a CT as ultrasound sometimes is not the best investigation. Hope this message helps you. Thank you.
1 person found this helpful
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I am 39 years male. From 9 months sometimes I felt pain in urination and ejaculation and importantly my penis size deceases by length and breadth and well my cock too. Please help. Am I suffering from prostate or prostate cancer?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 39 years male. From 9 months sometimes I felt pain in urination and ejaculation and importantly my penis size de...
Dear such symptoms alone don't qualify for prostate cancer. -However u have to get your urine examined first to rule out any urinary infection -Is there any history of sudden weight loss/fever etc??? -u can get PSA(Prostate Specific Ag) test done by lab to rule out any chance of prostate malignancy.. further comment can be given only once the both reports are available
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I frequently face problem of UTI. Though I make it a point to drink adequate water throughout the day but still I face problem of urge to urinate n severe pulling sensation. Want to know what immediate action to be taken when I feel such way n is there any permanent solution for UTI. Is there any medicine for the time being when I am experiencing those symptoms.

BHMS
Homeopath, Lucknow
I frequently face problem of UTI. Though I make it a point to drink adequate water throughout the day but still I fac...
U can take homoeopathic medicnes. These medicnes will cure you permanently. Rx can notharis q/ bd 15-15 drops +1/2 cup water. Berberis vulgaris q/ bd 20-20 drops+1/2 cup water. For 1 months. Staphysagria 1m/ 2 dose at 1/2 an hour interval. Take adequate water. Take lemon water. Don't take oily spicy & junk food. Wash your perenial area frequently. Consult after 1 months.
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Sir before few days ago I found a stone in ureter. Stone's give unbearable pain. What should I do? Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Sir before few days ago I found a stone in ureter. Stone's give unbearable pain. What should I do? Please help me.
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 your usg report becoz medication for stones depends upon size, number and location of stones and can be given after usg only.
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Mai one month se gym kar raha hu, but ek problem ho rahi hai. Jab mai gym kar raha hu to mujhe toilet yellow ho raha hai. Koi problem to nai hai na.?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Mai one month se gym kar raha hu, but ek problem ho rahi hai. Jab mai gym kar raha hu to mujhe toilet yellow ho raha ...
Dear , no there is no problem but you nrrd to drink more fluids as you loose more water through perspiration so take extra fluids
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Hello sir its stone problem and I am out city please provide m solution urgent its very pain in left side kindly.

BHMS
Homeopath, Faridabad
Hello sir its stone problem and I am out city please provide m solution urgent its very pain in left side kindly.
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 Mag phos 1M , 3 drops at the gap of 30 minutes when you have pain attacks. Take Cantharis 30, 5 drops once daily in the morning. Revert me after 7 days. ****Most important Drink plenty of water .*****
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I'm 28 yrs old man. My bilirubin is normal, lft test result is normal. I drink about 4 lt water daily. Sometimes at morning, daytime or night my urine color is yellow since last 6 mnths. Digestive or gas problem is frequently happened. I dont drink any alcohol or dont smoke. Why is urine yellow, any problem?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , 1. Occasionally urine is yellow because at that time your body does not have any extra fluid to throw out so at that time your kidney is passing all waste products in as little waiter as possible resulting in concentrated urine which would be yellow. It is not a problem and do not worry about that just drink as bit more. 2. Your gastric problem may be due to acid dyspepsia. Try ranitidine 150 mg twice a day 1 hour before meals or 10-20 days and avoid spicy, sour and fermented food.
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PCOS - How It Can Be Diagnosed?

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist, Gurgaon
PCOS - How It Can Be Diagnosed?

Polycystic Ovary Syndrome (PCOS) is a condition, which is born due to an imbalance of hormones within the female body. When this happens, the female body faces anumber of problems as far as her periods or menstrual cycles goes, besides finding it difficult to conceive naturally and easily. Let us find out more about this condition.

PCOS and hormones
To begin with, let us understand what hormones are. These are chemical impulses that send messages to various parts of the brain and rest of the body to signal the release of other kinds of hormones that may be vital for various functions. In PCOS, it is normally seen that the sex hormones are thrown out of balance, due to which the ovaries start producing a small dose of some male hormones. This creates problems as far as ovulation is concerned and also, it gives rise to the growth of facial hair, acne and changes in the overall appearance of the patient. Insulin resistance is another cause that may also trigger PCOS. It is also an inherited issue in many cases.

Symptoms
From irregular periods to an increase in acne and facial hair, there are many symptoms that may point at the existence of this condition. Fertility problems and issues related to normal ovulation are also often seen in women who are suffering from this condition due to the irregular periods. Additionally, depression may be seen in many patients who are suffering from this condition on a chronic basis. Thinning of hair and excess weight gain with difficulty in losing extra pounds may also be indicative of PCOS.

Diagnosis
The diagnosis of PCOS is usually done with the help of a physical examination as well as a blood test that will primarily help in determining the sugar levels and insulin. The doctor will also conduct other hormone tests so as to understand which hormones are not in balance and which ones may be triggering changes in the body. Apart from all this, the doctor will also study the body mass index (BMI) of the patient to find out if there has been a sudden and drastic change on the weight of the patient. During the lab tests, where the blood and urine are examined, the doctor will also seek to rule out any anomalies in the thyroid gland. An ultrasound of the ovaries will also be conducted.

Treatment
Weight loss programs as well as diet tweaks that remove excess dairy and meat may be recommended by the doctor. Further, the doctor may also put the patient on birth control pills so as to bring better balance of hormones. Moreover, moderate exercise will be required for the patient so that the normal production of hormones may be resumed eventually. If you wish to discuss about any specific problem, you can consult a gynaecologist.

4207 people found this helpful

I have one big problem in stomach that is stones in kidney disease so what do say?

BHMS
Homeopath,
I have one big problem in stomach that is stones in kidney disease so what do say?
Dear lybrate user, a kidney stone is mainly formed due to the accumulation of the minerals present in urine. Such accumulation occurs mainly due to low intake of fluids. Continuous low fluid intake results in the deposits of the minerals over the stone & eventually leads to an increase in the size of the stone. Formation of stone leads to pain along the kidney region. If the size of the kidney stone is below 3mm then it is possible to get rid of it without any surgery. Take homoeopathic mother tincture berberis vulgaris q, 30 drops, thrice daily, after meals, in a cup of water for 15 days. The stone will be expelled through urine in between the span of 15 days of medication. But if the size of the stone is more than 3mm then you should surely go for surgery.
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Having more urination at night Just after sleeping 3 to 4 times What's the issue?

BAMS
Ayurveda, Bangalore
Having more urination at night Just after sleeping 3 to 4 times What's the issue?
HI, It may be due to drinking excess water before going to bed or urinary infection or very rarely juvenile diabetes if there is a positive history of diabetes in the family. Do a routine urine examination and revert back with the reports.
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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.

2065 people found this helpful

Urge to urine can't hold also wake up in middle of for pee. All test are negative uti, prostate etc. Please suggest me what to do to get rid of this and have proper sleep in night. ?

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Urge to urine can't hold also wake up in middle of for pee. All test are negative uti, prostate etc. Please suggest m...
Hi lybrate-user, I appreciate you seeking help. Well, you may require a few more investigations apart from the ones mentioned above. I would advise that you visit a neurologist who can clinically examine you and rule out any possibility of neuro-degenerative disorders that may have triggered a bladder dysfunction. Last but not the least, possibility of any sleep related disorders, especially sleep apnea, needs to be ruled out too. For the time being, however, you may follow certain simple disciplines like going to bed on time, not taking water just before you retire to bed, ensure that you do urinate once properly before you get to sleep. Also, adjust your room temperature, avoid making it too cold. Hope this helps. Do take care and all the very best.
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I m born with single kidney. And I m already 21 old and I have smoking and drinking habbite so how it's dangerous of my health just bcoz of one kidney?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
Dear lybrate-user, stop smoking and alchohol normal human takes oxygen into lungs 15 -20 times per minute (15 - 20 breaths) lungs mixes oxygen in blood and it purifies our blood, by smoking we are mixing not only oxygen adding and mixing bad elements like nicotine etc. In oxygen, that spoils our blood and our body all organs like lungs, heart, kidney etc. In our body. How to quit: by willingness and willpower" where there is a will there is a way" reduce one by one day by day
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I urinate very often. After taking extra glass of water I urinate more amount than intake of water. My general consumption of water is only 6 to 7 glasses per day. Any extra glass of water means running to bathroom several times. I do not have diabetes and urine test is also normal. What should I do? Please suggest.

MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
I urinate very often. After taking extra glass of water I urinate more amount than intake of water. My general consum...
I presume when you say that you don not have diabetes that you got yourself tested for same and ruled it out. I would like you to maintain an input output chart for 48 hours. Please note down your fluid intake for 48 hours with time at which fluid was taken be it tea, coffee or plain water. Also maintain an output chart. You should write down your urine output for next 48 hours. Each act of voiding should be noted with time and amount. Revert back with it for further treatment.
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Hello, please give a idea about the cost of peritoneal dialysis. Is extreme cleanliness is necessary?

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello, please give a idea about the cost of peritoneal dialysis. Is extreme cleanliness is necessary?
The cost of getting haemodialysis (12 dialysis / month) is around Rs. 12-15,000/- per month whereas for peritoneal dialysis it is around Rs. 18-20,000/- per month. And extreme cleanliness is necessary.
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