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Dr. Dhanapal

Urologist, Chennai

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Dr. Dhanapal Urologist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Dhanapal is a renowned Urologist in Vasantha Hospital, Chennai. You can meet Dr. Dhanapal personally at Nagamani Hospital in Vasantha Hospital, Chennai. You can book an instant appointment online with Dr. Dhanapal on Lybrate.com.

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Nagamani Hospital

#116 - 118, G A Road, Washermanpet. Landmark: Near Kalmandapam Telephone Exchange Old Washermanpet, ChennaiChennai Get Directions
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Kidneys - How Diabetes Affect It?

Post Graduate Program In Diabetologist, MBBS
Diabetologist, Mumbai
Kidneys - How Diabetes Affect It?

Each tiny action we commit involves the risk of a condition, disease or disorder. For instance, sneezing a bit too hard can rupture an eye vessel, or having your face right up against the wind in a moving bus can expose you to germs. Diabetes is as prevalent as common cold in every household and there is no end to the list of causes that can make you suffer from it. While regular check-ups, medications, insulin shots can help you cope, there are certain measures that if followed, can enable you to avoid the risk of secondary yet fatal diseases. Diabetic nephropathy is one such condition.

When Kidney is affected to the extent that it cannot perform its functions(like excretion of wastes in urine, filtering blood from waste, maintaining electrolyte balance,etc.) properly, it is called as Nephropathy. The reason behind kidney damage could be many, but if diabetes is the prime cause, it is known as diabetic nephropathy in medical terms.

A few features of this disorder are as follows:

  1. The kidneys comprise of several small blood vessels, which perform the function of sifting waste from your blood. Diabetes at an advanced stage can impede smooth functioning of these vessels. As a result, the kidneys malfunction or a person faces kidney failure.
  2. Nephropathy brings along some other health issues as well. A person's blood pressure may increase as a result, thus making him or her prone to heart attacks and strokes. Sharp rise in cholesterol and triglyceride levels has also been noticed.
  3. A doctor will check for the presence of a protein called albumin in the patient's urine to know if you suffer from nephropathy or not. Other tests to determine the functioning of kidneys are - S.Creatinine, eGFR, Albumin/Creatinine Ratio (ACR), 24 Hour Urine Protein, Renal Function Tests, etc. A diabetic person should therefore go in for yearly tests.

In a given situation such as this, dialysis or kidney transplant comes to your aid. Both are done when kidney functions are irreversibly damaged. Dialysis can be of two kinds; Hemodialysis or Peritoneal dialysis. Dialysis (also called as Renal Replacement Therapy) remedies kidney damage and kidney failure by using a machine to extract salts, wastes and other fluids in excess from the blood to let your blood have a healthy composition. Dialysis should only be done under the supervision of an experienced nephrologist for best results. If you wish to discuss about any specific problem, you can consult a doctor.

2715 people found this helpful

Im diabetes, but in control conditions eventhrough im suffering from frequently urination about 10 to 12 times in a day. I diagnosed complete blood analysis, urine test about infection, but report is normal. There is absence of albumin, blood,microbes etc .please advice me in this issue.

MBBS
General Physician, Jalgaon
Im diabetes, but in control conditions eventhrough im suffering from frequently urination about 10 to 12 times in a d...
Please Take Tab himplasia by Himalaya 11 Chandnasav 20 ml Twice a day Continue your current treatment Continue your current treatment Reconsult after 15 days.
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My father (age 50) had cervical laminectomy four months ago and had urine infections 2-3 times and also he is on antidepressants from 4 months. But now his penis size is shrinking. He had noticed it from 3 months. What can be the cause? What it can be?

MBBS, MD (PSM), M.F.Hom (London)
Homeopath, Nagpur
My father (age 50) had cervical laminectomy four months ago and had urine infections 2-3 times and also he is on anti...
lybrate-user in lamectomy section of the bone is removed from one of the vertebra for relieving the pressure on spinal chord. Injury to small portion of spinal chord can affect the sensoery and motor tract .So nerve function of particular tract carrieng sensory impulses from periphery of the body and motor tract carring impulses from brain is damaged. So nerve supply to penis may have been hammered. If nerve is stimulated blood supply to the penis is increased if it is damaged so blood supply to penis is less. Penis become shrunken.

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 33 years male and have been suffering from minute multiple colonel ulcers from 2011. After 3 years with vegas od1.2 and mesacol 8 mg, my dozes has been stopped. But don't feel ok. My stomach sometimes upset with constipation and loss motion. When I talk to my doctor, he told me it's a infection and prescribed normaxim rt. My bad food habits. 3 packs alcohol and 4 cigarettes.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 33 years male and have been suffering from minute multiple colonel ulcers from 2011. After 3 years with vegas od...
Take 2-tab. Charcol at night before bed. Syp. Livoluk 10 ml at night.This can help cure in constipation. take green veg., salaad in meal.grapes at night,one apple daily in morning. Banana in morning, juice,whole grain ,oats,more fiber meal,digestive foods, plenty of water during day and 1 glass of water before meal, avoid bad habits...stress ,alcohol, smoking, non-veg.,avoid fatty meal,oily foods. To confirm cause of constipation you may go for tests stool r/m, stool c/s,lft,blood sugar,cbc,usg whole abdomen ,x ray barium meal for examination for rectum,sigmoid, best tests is endoscopy for large intestine . Do not eat papaya if you diabetic. go for walk daily in morning.
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Sir I am 20 years old and I have a habit of smoking I don't want to do it and I also want to quit smoking but I am not able to do so and one more problem is that sometimes my urine colour is red I am afraid of this please help me or please tell me if I need to do any type of tests.

MBBS
General Physician,
Sir I am 20 years old and I have a habit of smoking I don't want to do it and I also want to quit smoking but I am no...
As you know smoking is injurious to health so if you can leave it it requires simple will power I think you have bit try it hard initially it will be difficult but at the end you are the winner. And about the red colour but one you must be taking less of water required by your body the colour of urine you are having due to concentration of urine. Best to be getva urine test done but have plenty of water by mouth it will be alright.

My penis not wirk in day time its only work in night and morning till before going toilets. After toilets its not work. I want make better sex anytime with my girlfriend. So please give me good solution.

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
My penis not wirk in day time its only work in night and morning till before going toilets.
After toilets its not wor...
Probably psychological cause. Your arousal needs proper environment. If you get the same environment in day (which you have to create yourself) you will perform similarly. Forget that it is related to toilet as it is not. Have a dark room with adequate curtains, good smell, flowers indecoration, have haldi milk before starting. Have some dirty talks and gestures as foreplay. Do it in a dedicated manner.
7 people found this helpful
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On 15th I had me periods and it lasted for only 4 days. On 23rd I had unproductive sex and I took an ipill within 12 hr. Today during urination I noticed blood and thought it was periods but it stopped within some minutes. Im not bleeding now. Am I pregnant? Please reply.

M.D in Psychiatry
Psychiatrist,
On 15th I had me periods and it lasted for only 4 days. On 23rd I had unproductive sex and I took an ipill within 12 ...
I have gone through your problem. Highly unlikely that you are pregnant. You have taken ipill also. At the time of ovulation some may have spotting about 15 days in the present cycle. In another 15 days, you will have normal periods. Just in case if your periods get delayed and you may have doubts about pregnancy then urine pregnancy test may be done. It will reassure you. Haridas.
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Hi I am shaikh I am having problem of stone in my urine bladder and burning urine from Las two years I am taking syrup stone16 I am 27 year old and married and no child What I do for that without operation.

MBBS
General Physician, Mumbai
Hi I am shaikh I am having problem of stone in my urine bladder and burning urine from Las two years I am taking syru...
Drink plenty of water and if burning sensation is present than we have to start with antibiotics and review every three months.
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Kindly advise alopathic medicine for fissure. Suggest the medicine which ia easily available in medical shops of india.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
hello. avoid spicy and oily food. increase fibre content in the diet. do sitz bath( sit in tub filled with luke warm water) for 15 min thrice a day avoid straining during defecation. you can consult online for medications as we are forbidden to prescribe medicines in open question format. thanks
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Sir. What are the symptoms of lever failure, Blood cancer or kidneys failure. Please reply much urgent. Thnx.

MBBS, MD, FICH
Hematologist, Ludhiana
Sir. What are the symptoms of lever failure, Blood cancer or kidneys failure. Please reply much urgent. Thnx.
Hi lybrate-user. Vomiting weakness tremors ictrus anuria itching. Etc for failure. Blood cancer weakness pancytopenia fever bleeding gum hypertrophy. Rest depends upon the type of blood cancer.
2 people found this helpful
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Treatments For Kidney Stones

DNB (Urology), MS - General Surgery, MBBS
Urologist, Delhi
Treatments For Kidney Stones

Treatment for Kidney stones varies depending on the size and type of the stone or the symptoms caused by it. In case of small stones, medication and simple changes in lifestyle can be enough to treat it, but surgeries and extensive treatments are required if symptoms are severe. Following are treatment options for kidney stones:

Small stones with minimal symptoms:  

  1. Drinking water: Drinking around 3 liters of water a day will regulate your urinary system and can effectively eliminate small stones. Unless your doctor advices otherwise, drinking ample amount of fluids, usually water, is one of the commonest way to get rid of small kidney stones. 
  2. Pain relievers: There might be a considerable amount of pain and discomfort associated with passing the stone through urine. Your doctor may recommend pain killers like Ibuprofen, Naproxen sodium or acetaminophen. 
  3. Medical therapy: In order to eliminate the kidney stone, your doctor may administer medical therapy. Medication like alpha blocker helps in passing the kidney stone with least pain and more quickly. It relaxes the muscles in the ureter and makes the process relatively easy. 

Large stones with severe symptoms: 

  1. Using sound waves to break up stones: In this technique, a procedure called Extracorporeal Shock Wave Lithotripsy (ESWL), is employed. ESWL uses the help of sound waves to create vibrations which breaks the stones in smaller pieces. This procedure takes about an hour and can cause mild pain and discomfort. Your doctor may administer sedatives to reduce your sensitivity. ESWL has side effects like blood in urine or bruising in the abdomen. 
  2. Surgical removal of kidney stones: Surgical removal of stones is done with the help of a procedure called nephrolithotomy. It uses small telescopes and other instruments which are inserted in your back through a small incision. It is generally done in case of large stones and when ESWL fails. 
  3. Ureteric Calculi (Using a scope to remove stones): A thin illuminated tube called ureteroscope is used to remove a comparatively smaller stone in the kidney or ureter. The ureteroscope is equipped with a tiny camera which determines the location of the stone which is then broken into pieces with the help of other instruments. It may require general or regional anesthesia.

Related Tip: "Kidney Stones and Your Diet"

4236 people found this helpful

Is irregular urination a symptom of kidney problems? What tests should I go for? I am having frequent urination these days? Can this cure by any medicines?

MBBS
General Physician,
Is irregular urination a symptom of kidney problems? What tests should I go for? I am having frequent urination these...
Increase in urinary frequency may be due to diabetes mellitus, diabetes insipidus, urinary tract infections, bladder stones or mass etc. First if there is any burning sensation in micturition or lower abdominal pain, fever is present, then it might be due to uti and urine culture should be done followed by proper antibiotic therapy. Get an usg kubp done to exclude cystitis (bladder infection) or bladder stone. If there is no such symptoms present like burning in urine, fasting blood sugar and post prandial blood sugar should be checked to exclude diabetes. Serum sodium, 24hr urine volume and osmolality is checked for excluding diabetes insipidus. Also avoid sweetened drinks, alcohol and excess amount of coffe or tea intake. Water intake should be restricted to 3-4 litres per day. Then according to reports furthur treatment can be done.
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Nephrotic Syndrome - 9 Surprising Causes Behind it

DM - Nephrology, MD-Medicine, MBBS
Nephrologist, Delhi
Nephrotic Syndrome - 9 Surprising Causes Behind it

Nephrotic syndrome is a type of kidney disorder wherein, the body passes out excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes.

Common causes behind it

  1. Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys
  2. Excess deposit of amyloid proteins in the organs, thus taking a toll on the filter mechanism of the kidneys.
  3. Diabetes affecting the glomeruli (capillaries present in the nephrons of the kidneys).
  4. Systemic lupus  erythematous causing chronic swelling of your kidney.
  5. Membranous nephropathy wherein the membranes in your glomeruli thicken.
  6. Infections such as malaria, hepatitis C, hepatitis B and HIV.
  7. Medications to combat infections and nonsteroidal anti-inflammatory drugs.

Treatment Available

  1. Kidney Biopsy is an essential part of disease assessment.
  2. Angiotensin-converting enzyme inhibitors bring down blood pressure levels as well as the amount of protein discharged from the urine.
  3. Water pills help control sweating, thus, increasing the fluid flushed from the kidneys.
  4. Statins reduce cholesterol levels.
  5. Blood thinners such as anticoagulants lower the risk of blood clots.
  6. Corticosteroids regulate the immune system and ease the inflammation that results from kidney disorders.
  7. Incorporating certain lifestyle changes such as opting for lean proteins, cutting on the intake of fat in the diet and consuming lesser amounts of salt can treat inflammation and swelling. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
2058 people found this helpful

Only pale colour of urine is the symptom of kidney disease?? I have pale yellow and sometime dark pale in the morning. I have no burning sensation while urinate. I drink 4 -5 glass water a day.

Ph.D - Ayurveda, FFAM-Post Graduate Fellowship, MD - Ayurveda
Ayurveda, Delhi
Only pale colour of urine is the symptom of kidney disease?? I have pale yellow and sometime dark pale in the morning...
Your symptoms are normal and not pathological, continuing drinking water, coconut water, have nutritious diet, avoid alcoholic beverages.
6 people found this helpful
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I am aged 22 years. From the last week onwards my urine is coming in yellowish red colour. I am feeling so much pain in penis and beside that I am getting dwell beside penis and at knee.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am aged 22 years. From the last week onwards my urine is coming in yellowish red colour. I am feeling so much pain ...
as per your concern i would suggest you to do following remedy Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day if it dosent work then you must consult ayurveda doctor, They will surely help you.
1 person found this helpful
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My father is diabetic patient from 18 years. Now he hi taking insulin Humlog mix 16 points in night and Humlog plain 16 points in morning and afternoon from 6 months but still his sugar is not in control. His creatinine is 1.98. Fasting sugar- 271 Non Fasting- 296 What should I do to control sugar and creatinine.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
My father is diabetic patient from 18 years.
Now he hi taking insulin Humlog mix 16 points in night and Humlog plain ...
You need to reconsider his insulin drug with diabetologist doctor. Control diabetes control blood pressure.
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I am suffering from kidney stones. Rk have 4 mm stone, Lk 3 mm. Stone (lower poles 4-5 mm). scanning gave Impression: *LEFT renal calculi WITH MILD HYDRONEPHROSIS. *SMALL RIGHT RENAL CALCULUS. Now what I want to do sir. What are the foods to be taken? And not to eat? Now I am taking CYSTONE TABLETS. Some relatives said use CALCURY (Aurvrdam) tablets. Is CALCURY good for me?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I am suffering from kidney stones. Rk have 4 mm stone, Lk 3 mm. Stone (lower poles 4-5 mm).
scanning gave
Impression:...
Both tab are diuretics and try to crush stone in kidney. Max water should be drunk. It's not clear whether stone is at lower or upper calyx. Kalmi shora, yav kshar etc should be additionally taken though it's in tabs too. Get advise of a qualified vaidya. If you want fro us, we have a comprehensive package for it advantage is that it checks tendency of formation of stone too.
1 person found this helpful
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