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Dr. Divakar

Nephrologist, Chennai

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Dr. Divakar 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. Divakar
Dr. Divakar is a renowned Nephrologist in T.Nagar, Chennai. You can consult Dr. Divakar at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Divakar on Lybrate.com.

Lybrate.com has an excellent community of Nephrologists in India. You will find Nephrologists with more than 28 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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I just had a cystoscopy and it seems like I am headed for a TURP. My local urologist seems quite competent but I am wondering if I would do better with a large medical center perhaps equipped with robotic surgery like Da Vinci. Advice will be greatly appreciated.

M. Ch. (Urology)
Urologist, Tirupati
I just had a cystoscopy and it seems like I am headed for a TURP. My local urologist seems quite competent but I am w...
Turp is commonly done surgery. Any urologist can do it reasonably well. Turp cannot b done robotically. So go ahead with your surgery.
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I have kidney stone in last six months and I take some medicine but not relief my pain so you tell me what medicine I take.

BHMS
Homeopath,
I have kidney stone in last six months and I take some medicine but not relief my pain so you tell me what medicine I...
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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I have a urine problem. I am going to pass urine after an every hour. I had checked my blood and urine sugar which is normal. I have 4 mm. Kidney. Stone also.

B.H.M.S
Homeopath, Patna
I have a urine problem. I am going to pass urine after an every hour. I had checked my blood and urine sugar which is...
Can nothris q 5 drop in a cup of water thrice daily for one month 2 calcarea carb 200 one drop only.
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Hi I'm kidney transplant patient. Please advice to what is best diet chart for me.

PDDM, MHA, MBBS
General Physician, Nashik
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
1 person found this helpful
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Peritoneal Dialysis - How Is It Performed?

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Peritoneal Dialysis - How Is It Performed?

No Blood, No needle, No visit to hospital, you can do yourself at home with sterile fluid. 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-two weeks before performing the procedure. 

The catheter has numerous holes in order to facilitate the infusion 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 be performed after a short training period and this can be done anywhere in a 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 catheter 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 an 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 by following the procedure. If you wish to discuss about any specific problem, you can consult a Nephrologist.

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Sir I have stone 7.6 mm in lower ureter in left side. And hydroureter and hydronephrosis due to 7.6 mm stone in lower uretér.what can I do.

Masters in General Surgery, M.Ch Urology
Urologist, Visakhapatnam
What is the duration of symptoms. If it is not more than 3 weeks AND there is no pain or fever. Then you can wait for 3 weeks. Otherwise get operated. Don't wait beyond 3 -4 wks.
1 person found this helpful
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Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best water to drink?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best...
Water should be clean and devoud of suspension and bacteria. Diuretics help in expelling stones. Lemon also works as a diuretic.
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My Husband Is Safer from 25mm Kidney Stone, How I Manage Her Diet For Pain relief.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My Husband Is Safer from 25mm Kidney Stone, How I Manage Her Diet For Pain relief.
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 had seen blood drops after urine passed last night Consult me. Is it any thing serious? Please guide me.

MBBS, MS - General Surgery, MCh - Urology
Urologist, Agra
I had seen blood drops after urine passed last night Consult me. Is it any thing serious?
Please guide me.
It can be serious. Multiple causes. It could be due to UTI, Prostatis, Stone. So go for Urologist consultation.
1 person found this helpful
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I am 29 yrs. Old and I have a U. T.I., my question is what is the best medicine and what is the best prevention.

BHMS
Homeopath,
I am 29 yrs. Old and I have a U. T.I., my question is what is the best medicine and what is the best prevention.
Dear lybrate user, take homoeopathic mother tincture can notharis q, 30 drops, thrice daily, after meals, in a cup of water.
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Am 25years old am suffer from kidney stones, is there any treatment without surgery.

BHMS
Homeopath, Delhi
Am 25years old am suffer from kidney stones, is there any treatment without surgery.
Hello, you can take homoeopathic medicines 1. Lycopodium 30 (4 drops in little water) every morning empty stomach only one dose in a day for 15 days. 2. Berberis vulgaris q (10 drops in little water) thrice a day for 15 days and update.
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My uncle has spinal cord injury and he is paralyzed. He tends to leak urine very now and then. What can we do to control the stinking urine leaks.

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
My uncle has spinal cord injury and he is paralyzed. He tends to leak urine very now and then. What can we do to cont...
First of all he needs a urodynamic study. He needs other tests like ultrasound. Cystogram and urine culture. Also get renal profile done.
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I am facing difficult to pass urine. Very weak flow with little pain. Right now I am taking ayurvedic medicine. I am 65 years old. I am an diabetic patient since 20 years and also I am suffering with prostate problem. Is there any ayurvedic medicine for my problem.

MBBS
General Physician, Jalgaon
I am facing difficult to pass urine. Very weak flow with little pain. Right now I am taking ayurvedic medicine. I am ...
Please Take Tab himplasia by Himalaya 11 Chandnasav 20 ml twice a day Re Consult me on Lybrate after 15 days.
2 people found this helpful
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I am suffering from kidney stone pain from last 1 months. Can anyone help from the pain from kidney stone. What should I do.

BHMS
Homeopath, Faridabad
I am suffering from kidney stone pain from last 1 months. Can anyone help from the pain from kidney stone. What shoul...
Hello, Kindly mention the size and the exact location of stone as small stones can be crushed and flushed out with homoeopathic medication.
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I have tendency of forming kidney stones. I am suffering from erectile dysfunction also.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
I have tendency of forming kidney stones. I am suffering from erectile dysfunction also.
use citrus juice, pineapple,orange etc. drink water atleast 4 liter..take food timely but not full stomach, little less..take LYCOPODIUM 200, 12 DOSES , one dose daily for 12 days and consult online by payment of token money
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Whenever I pass urine particularly in the morning I am having stomach pain. Earlier I had prostate enlarge and it was cured by medicine at that time. Is it due to this or any other. I am having back pain also on my right side.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Whenever I pass urine particularly in the morning I am having stomach pain. Earlier I had prostate enlarge and it was...
It is pain due to prostate enlargement and infection in kidney. May be stone in kidney. Take plenty of water in day time. Avoid spicy and oily meal. Avoid protein meals. Send your reports for better advice. You can take syp. Alkasol 10 ml thrice a day within 1 glass of water.
1 person found this helpful
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Sorry mujhe inglish nahi ati mera problem ye hai ke urin ke liye mujhe bar bar toilet jana parta hai mai keya karun please Batao.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Sorry mujhe inglish nahi ati mera problem ye hai ke urin ke liye mujhe bar bar toilet jana parta hai mai keya karun p...
You should take chandraprabha vati 1-1 tab with milk twice a day. And pranacharya dhatupaushtik churna with milk twice a day. Avoid tea and coffee.
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All About Urinary Incontinence

M.Ch - Urology, MS - General Surgery, MBBS
Urologist, Gurgaon
All About Urinary Incontinence

Urinary incontinence, commonly known as loss of bladder control can really cause embarrassment. The severity of this condition may range from once in a while leaky urine to the sudden and forceful urge to urinate, due to which you end up urinating before reaching the toilet.

Types of Urinary Incontinence:

  1. Stress Incontinence: When you feel the urge to urinate due to sneezing, coughing, laughing or while doing physical exercise
  2. Urge Incontinence: When you feel the urge to urinate, suddenly. This may occur during the day and even at night.
  3. Functional Incontinence: When you cannot reach the toilet on time because of a physical or mental impairment.
  4. Mixed Incontinence: When you involuntarily urinate due to more than one incontinence

Stress incontinence is the most common type in women. The activities which increase your risk, are:

You have had more than one pregnancy and vaginal delivery.

You have pelvic prolapse. This is when your bladder, urethra, or rectum slide into the vagina. Delivering a baby can cause nerve or tissue damage in the pelvic area. This can lead to pelvic prolapse months or years after delivery.

Female urinary stress incontinence is the involuntary release of urine during any physical activity that puts pressure on your bladder. This potentially embarrassing condition differs from general incontinence in that it happens when the body is under immediate physical stress. Activities that can put stress on your bladder include coughing, sneezing, laughing, lifting heavy objects, or bending over. This condition is particular to women, many of whom experience symptoms after muscles have been weakened due to a vaginal childbirth, following menopause, or during pregnancy.

Ensure that you consult a doctor:

  1. If this condition hinders your day to day activities
  2. If the urinary incontinence is the result of a serious underlying problem

Causes of Urinary Incontinence:

Urinary incontinence may be temporary or permanent. Causes for temporary incontinence are-

  1. Alcohol
  2. Caffeine and caffeinated drinks
  3. Decaffeinated tea or coffee
  4. Spicy and sugary foods
  5. High intake of Vitamin B or C
  6. Urinary tract infection (UTI)
  7. Constipation

Causes for Permanent Incontinence are:

  1. Pregnancy
  2. Childbirth
  3. Old age
  4. Menopause
  5. Hysterectomy
  6. Prostate cancer
  7. Enlarged prostate
  8. Neurological disorders

Complications:

Chronic urinary incontinence can lead to certain complications like:

  1. Skin Problems: Skin rashes and infections can develop around the vaginal area, because of the constant wetness one feels. It may also cause sores.
  2. Urinary Tract Infections: Urinary incontinence can also result in UTI
  3. Impact on Personal and Social Life: Urinary incontinence can lead to great embarrassment, thus affecting the social and personal life of an individual.

Treatment for Female Stress Urinary Incontinence:

There are several types of treatment available. Treatment options include lifestyle changes, medications, nonsurgical treatments, and surgeries.

  1. Lifestyle Changes: Make regular trips to the restroom to reduce the chance of urine leakage. Drink fewer fluids and avoid activities such as jumping and running.
  2. Medications: Medications that reduce bladder contractions.
  3. Nonsurgical Treatments: Kegel exercises strengthen your pelvic muscles. Done regularly, these exercises can strengthen your muscles, allowing you to control when urine is released from your body.

Surgery:

If other treatments fail, you will have to go for surgical treatment. Types of surgery include:

  1. injectable therapy, in which collagen is injected into your urethra to reduce incontinence
  2. tension-free vaginal tape (TVT) surgery, in which mesh is placed around the urethra to give it support
  3. vaginal sling surgery, in which a sling is placed around the urethra to support it
  4. anterior or para-vaginal vaginal repair surgery to repair a bladder that is bulging into the vaginal canal
  5. retropubic suspension surgery to move the bladder and urethra back into their normal positions

Some doctors even try electrical stimulation and medication. When the condition is highly advanced interventional therapies and surgery is recommended.

Some interventional therapies are:

  1. Bulking material injections
  2. Botulinum toxin Type-A
  3. Nerve stimulators
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