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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 43 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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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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Any medicine to completely cure Kidney failure. My wife is suffering from Kidney failure and is undergoing Dialysis.

MD - Pathology, MBBS
Pathologist, Ahmedabad
With the details you gave reveals that she has diabetic nephropathy.Is there bilateral failure? What are the renal function tests reports? you may think to go for renal transplant
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Sir my serum creatinine level is low how can I increase without any medicine this time my serum creatinine level is 0.55.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Are u serious??? serum creatinine is waste generated in the body ....and the less it is the better for body...there is no need to increase it..it increases automatically once the both kidneys fail
1 person found this helpful
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Sir ; I am born with one kidney now I am 28 year old and not have any problem. It is big problem or not and what is the reaction of a kidney damage.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Only way is that you should take care of your kidney, by keeping a clean life, avoiding non veg food, alcohol, smack, parched foods. Also regularly you should ask advice of some ancient vaida for diet etc in detail.
1 person found this helpful
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Hi I am now 30 years old I had two operation delivers without knowing that I had only one right kidney from my birth. Is they any problem if I have only one kidney. What care should I take. Is they any chances that the same problem will be there for my kids.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mrs for normal survival one kidney is enough. You do not have to worry about kids getting the same problem. This is not a genetic condition to be passed on to your children.
1 person found this helpful
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I have problem of urinal time of urine is not coming in force & on time there is some kind of pain there. please advise?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
I have problem of urinal time of urine is not coming in force & on time there is some kind of pain there. please advise?
Dear , firstly if you are not drinking enough water then also urine flow would be less so you must try to increase your water intake till urine almost watery white if that is not the case then you may have anal fissure due to passage of hard faces then other common problems would be infection and obstruction or stone. So get urine tested and then usg (kub) with full bladder volume, bladder wall thickness on full bladder and post-void residual urine measurement.
3 people found this helpful
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Im suffering with frequent urination, if I control or stop for a minute getting pain in testicles and pelvic floor. And also weak erectile, penis not getting enough hard and in 15 seconds it looses it hardness.

MD - General Medicine, MBBS
General Physician, Delhi
Im suffering with frequent urination, if I control or stop for a minute getting pain in testicles and pelvic floor. A...
Get your urine routine examination and Ultrasound KUB done. See a physician/ urologist subsequently.
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I am suffering from borderline hepatomegaly, kidney stone and I feel very much pain in my left upper abdomen.

BHMS
Homeopath,
I am suffering from borderline hepatomegaly, kidney stone and I feel very much pain in my left upper abdomen.
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. Continous low fluid intake results in the deposits of the minerals over the stone & eventually leads to an increase in the size of the stone. 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. For your hepatomegaly take homoeopathic liver tonic liv-t (sbl company). Take 20 ml of the liver tonic, thrice daily, after meals.
1 person found this helpful
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I have urinary infection. Want to urinate but can not. Have pain in lower abdomen and back.

M. sc Psychology, BHMS
Homeopath, Hyderabad
I have urinary infection. Want to urinate but can not. Have pain in lower abdomen and back.
I suggest you to go for once whole urine check up, & scan abdomen, to rule out the reasons. Maintain proper hygein. A sif in case of infection, its needed. Take more water. Minimum 3-4 litres/day, though you do not feel like to take. Here I advised scan to rule out any ranal stones, the t/t also, depends on that. If any stones, found, depending the size&location, there are good homeo medicines for that, which will help to prevent the recurrence also, by following proper guidence, like water intake, etc.
2 people found this helpful
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Urinary Tract Obstruction - Know The Reasons Behind it

MBBS, MS - General Surgery, MCh - Urology
Urologist, Bangalore
Urinary Tract Obstruction - Know The Reasons Behind it

Lower Urinary tract obstruction refers to a condition of hindrance to urinary flow from bladder outwards. This can occur in all the age groups and affect either sex. The symptoms can be poor urine flow, intermittent flow, straining to pass urine or empty bladder, sense of incomplete emptying of bladder, difficulty in starting urination. Other problems can be increased urine frequency and difficulty to hold on with or without occasional urine leak in clothes. The cause and treatment vary in different age groups.

Few common reasons behind Lower urinary Tract Obstruction:

  1. Congenital Urethral Stricture and PUV: These defects can be detected either before or after birth and need correction at earliest to avoid long-term complications. It is usually brought to attention by parents who observe abnormal urine flow pattern of their child OR found out during evaluation for repeated urinary tract infections.

  2. Neurogenic Bladder: This is caused due to defects of nerves that are responsible for controlling bladder function. This can be due to diseases of brain, spinal cord or peripheral nerves. These defects can occur by birth or later in life. It is very important to take early consult to avoid long-term complications and progression to renal failure.

  3. Urethral Stricture: This is narrowing in a long tube that starts from bladder to the external urinary opening. It can be idiopathic, post-traumatic, or due to urethral infections. Usually, a person is able to recognise poor urine flow and bring it to the attention of urologist. Treatment for stricture depends on various factors and range from simple endoscopic surgery to open surgeries.

  4. Bladder Neck Obstruction: Bladder neck is a network or a group of muscles that connect the bladder to the urethra. The muscles tighten to hold urine in the bladder, and relax as they release it through the urethra. Urinary tract obstruction occurs when there are abnormalities blocking the bladder neck that restricts its opening during urination.

  5. BPH: This occurs due to enlarged prostate obstruction urine flow out of bladder. Prostate enlargement is mostly age-related and rarely due to prostatic tumors. Urinary stones. This can be usually recognized by sudden obstruction to urine flow in person who was voiding normally. These episodes might be recurrent due to movement of stone in between bladder and urethra.

  6. Bladder Tumors: The are mostly characterized by blood in urine. Sometimes there might be blood clots that obstruct the urine flow. Phimosis: Usually occurring post-puberty, it is referred to as the inability to retract the glans (the sensitive structure at the end of the penis). It is a condition in which the distal foreskin, which was previously retractable, is unable to retract anymore.

  7. Phimosis: Phimosis is another major reason behind urinary tract obstructions.

2797 people found this helpful

Why Renal Biopsy Is Performed?

DM - Nephrology, MD-Medicine, MBBS
Nephrologist, Delhi
Why Renal Biopsy Is Performed?

Kidneys play an important metabolic role and are essential for balancing salt, minerals and water in the body. They also play a significant role in removing waste products from the body. They make urine, which contains all the waste materials that are eliminated from the body. They also play an important role in blood pressure regulation and in maintaining the balance of various minerals in the body. Any suspected kidney damage should be confirmed by a kidney biopsy, which will reveal the exact disease, thereby directing towards the appropriate treatment. 

Why and when is it done? 

A renal or kidney biopsy is done in the following situations: 

  1. When there is abnormal protein in the blood or urine, which is indicative of a kidney disease, and the exact cause needs to be found out
  2. When kidney failure is suggested by blood tests but cause is not clear 
  3. To find the cause of bleeding in the urine (haematuria) 
  4. To identify and/or confirm diagnosis after a CT scan or ultrasound 
  5. To check how well a transplanted kidney has been received 

Know about the procedure 

A renal biopsy is mostly done as an outpatient procedure and is a type of biopsy known as percutaneous biopsy (biopsy where a needle is inserted through the skin into the renal tissue). Very rarely, it may be combined with the CT scan or ultrasound and be done in the radiology department. This may be done on inpatients. The patient is made to lie on his/her back and a local anesthetic is used on the area of the injection. A thin, long needle is directed towards the area of the kidney from where some kidney tissue is removed for sampling.

In some cases, the direction of the needle may be decided by a CT scan or ultrasound. While this is a closed biopsy procedure, in some cases, as a part of the surgery, open biopsies may also be obtained, where a sample of tissue is extracted for analysis. 

Recovering from a biopsy 
The person would need some time to recover from the procedure, as there would be some discomfort at the site of a needle insertion. Vital signs would be monitored for the next couple of hours during which the person would also be monitored for internal bleeding. A pain reliever can be used if required. Haematuria or blood-tinged urine can be seen disappearing within the next 12 hours. Very rarely the bleeding can be severe and require angiography and further procedures. The person should also avoid strenuous activities for the next few days. If you wish to discuss about any specific problem, you can consult a nephrologist.

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