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Dr. Edwin Fernando

Nephrologist, Chennai

300 at clinic
Dr. Edwin Fernando Nephrologist, Chennai
300 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Edwin Fernando
Dr. Edwin Fernando is an experienced Nephrologist in Nanganallur, Chennai. He is currently practising at Dr. Hariharan Diabetes & Heart Care Hospital in Nanganallur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Edwin Fernando on Lybrate.com.

Lybrate.com has an excellent community of Nephrologists in India. You will find Nephrologists with more than 34 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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29th St, NCBS Colony, Nanganallur, Land Mark: Near Nanganallur Bus Stop, ChennaiChennai Get Directions
300 at clinic
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My wife is pregnant from 3 months. We were up for urine infection test of my wife. In urine test report. .albumin 150 mg / dl & puss cells 5-8 / hpf > 5 .Is there any kind of danger for my wife n for my baby.Please tell sir .

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
My wife is pregnant from 3 months. We were up for urine infection test of my wife. In urine test report. .albumin 150...
hi lybrate user, urine routine microscopy shows pretence of infection. which is dangerous may lead to abortion if not treated properly and timely. please get a urine culture done before starting antibiotics. drink lots of water. As urine albumin is on the higher side get examination by Gynaecologist check your BP, do kidney function test. Wish you all the best.
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My son 7 years old is having problem that he can not control his urine. Although he tries a lot but he can not control and it comes out. It affects his daily routine. Doctors say that his sack that contains urine is small and thats why it flows out. What can be done.

C.S.C, D.C.H, M.B.B.S
General Physician,
My son 7 years old is having problem that he can not control his urine. Although he tries a lot but he can not contro...
He may have urinary infection and need to test urine culture and treat. If it is normal he need to be given toile training and as he grows up he will b e alright.
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My age is 17 yrs. Sperms are getting out with my urine. What to do. Is there any benefit of using v-shaped underwear.

MBBS
General Physician,
My age is 17 yrs. Sperms are getting out with my urine. What to do. Is there any benefit of using v-shaped underwear.
Due to sexual arousal the semen secretion takes place and few sperms also comes out along with semen even with urination. Don't worryworry have nutritious food go for morning walk followed by free hand exercises and yoga and pranayum like kapal bhatee etc. It will be alright.
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I am suffring from urine infection, burn and pain.

MBBS, DGO (cal)
General Physician,
Consult a doctor. Get urine tested for re, culture and drug sensitivity from a reputed lab. Go to the doctor with the report and start the exact medicine as eport which can cure you. Till your report comes take ample of water. Medicine - uriliser mix 2 tsp with half glass of water and take such 3 times after food daily. This is to give you relief not a curative one. Do not delay or neglect.
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I am a male aged 58. I have prostate problem with a slow speed urination. If I will not urinate when I feel to do so, urination will happen only in installments. I have no sleep problem or other symptoms of this disease. Can any medication improve my urination speed. My disease is almost 6 years old.

MBBS
Nephrologist, Kolkata
I am a male aged 58. I have prostate problem with a slow speed urination. If I will not urinate when I feel to do so,...
Yes there are medications that can control your symptoms bt I aslo need to know if you hav done any usg report where the size of prostate is mentioned, if you hav diabetes or hypertension. So consult with the above mentioned information nd for necessary medications as prescribing meds in an open forum is unethical fr me. Thanks stay healthy stay happy.
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I am passing urine on bed at the time when i am slept,i didn't know the urine coming.what is my problem?

MBBS
General Physician, Mumbai
I am passing urine on bed at the time when i am slept,i didn't know the urine coming.what is my problem?
We need to train you - I will suggest you to keep an alarm at say 3am and get up and go to the loo and than again sleep
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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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I am a 74 year man with diabetes since 25 years and it is under control by medicines and insulin injections. If I make long travels by car, I want to urgently use toilets on the way for passing stools. If I could not see a toilet I usually passes in my underwear and pants while in the car itself. It has become a regular habit now resulting in difficult situations. Kindly advise whether it is due to irritable bowel syndrome and what is the remedial measure I can follow before or in a journey. When the urge comes I cannot control it.

PDDM, MHA, MBBS
General Physician, Nashik
I am a 74 year man with diabetes since 25 years and it is under control by medicines and insulin injections.
If I mak...
There are many potential causes of fecal incontinence, including: diarrhea (possibly due to an infection or ibs) impacted stool (due to severe constipation, often seen in people of your age group) inflammatory bowel disease (crohn's disease or ulcerative colitis) nerve damage (due to diabetes or spinal cord injury) more than one cause for fecal incontinence is a strong possibility. Alot of cases of bowel incontinence, occur without a clear cause. First things first is to figure out the cause, if at all possible. This is a process, no single simple test will be able to figure it out. You will need to see a gastroenterologist and discuss your entire medical history. During a physical examination, a the gi may check the strength of the anal sphincter muscle using a gloved finger inserted into the rectum. Some of the tests that may be needed for figuring this out are: stool testing endoscopy anorectal manometry. A pressure monitor is inserted into the anus and rectum. This allows measurement of the strength of the sphincter muscles. Endosonography. An ultrasound probe is inserted into the anus. This produces images that can help identify problems in the anal and rectal walls. Nerve tests. These tests measure the responsiveness of the nerves controlling the sphincter muscles. They can detect nerve damage that can cause bowel incontinence. Let me try and give you an overview of what kind of treatment options you have. Recommended treatments vary according to the cause of course. Often, more than one treatment method may be required to control symptoms. Diet changes may be helpful: eat 20 to 30 grams of fiber per day. This can make stool more bulky and easier to control. Avoid caffeine. This may help prevent diarrhea. Drink several glasses of water each day. This can prevent constipation. Medications. Try these medicines to reduce the number of bowel movements and the urge to move the bowels: imodium lomotil hyoscyamine methylcellulose can help make liquid stool more solid and easier to control. For people with a specific cause of diarrhea, such as inflammatory bowel syndrome, other medications may also help. Exercises. Begin a program of regularly contracting the muscles used to control urinary flow (kegel exercises). This builds strength in the pelvic muscles and may help reduce bowel incontinence. Bowel training. Schedule bowel movements at the same times each day. This can help prevent accidents in between. Surgery may be recommended for people whose bowel incontinence is not helped by noninvasive treatments. There are many different surgeries that can be done. But I don; t want to get into this unless we know its really necessary. I strongly suggest you look into instituting the dietary changes mentioned above, after that medication may be needed. But above all, you need to be in touch with a good gi. I hope this helps. Feel free to follow-up and I will do my best to talk you through all this.
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Sir I have two stone in my right kidney of 5mm each. Can is passed it by the help of medicine.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Sir I have two stone in my right kidney of 5mm each. Can is passed it by the help of medicine.
Hi dear, welcome to lybrate. Stones remedy ------------it can be excreted with medicine, but ordinary medicines do not work 100%-- only -some 10-15 %, so better you use -following pathrihar course -------------------------------------------------- you should take care of diet. Do not take non veg and fried foods. -add plenty of fresh clean and healthy water -add sufficient vegetables/ fruits to daily diet. -avoid, if any ----------------------------------- - best way at present is -u purchase from some tibetan vaid expert in your area -- tibetan pathrihar course- -a tibetan remedy--1-months for complete cure- and get rid off stones in a short period- if you want to avoid surgery/ lithotripsy etc. At later stage. 100%- results/ cure- a little costly. ----------------------------- for the time being, you can start with;- tab cystone-1-1 with hot kulthi dal water-- 7 days.
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I am 26 year old last year I am operate our rebel stone through scopic method with dj stent now my operation side feel itching.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Kidney stones treatment depends on the types and size of stone, most kidney stones won't require invasive treatment. You may be able to pass a small stone by: drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless your doctor tells you otherwise, drink enough fluid mostly water to produce clear or nearly clear urine. Pain relievers. Passing a small stone can cause some discomfort. To relieve mild pain, according to your medical history I may prescribe pain relievers such as ibuprofen, acetaminophen or naproxen sodium. Medical therapy. I am a doctor and renal (kidney) dietitian who will aslo prescribe a customized diet plan and medications to help pass your kidney stone quickly and with less pain. Do reply back for medications. Being also a general physician, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary tips taking into account patient preferences.
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1) My left ear dum have hole. But the ear is dry for the past 3 years. Wil it cause any issue. 2) I have lower back pain urinating disc L4-S1. I started walking. Zym coach says it will cure automatically. Please advice. 3) I have stone 5.8 mm in left kidney. Its blocking urine. Its near tip of bladder. Due to that kidney got kettle swell. Doctor said it will fall down and gave medicines for 10 days. Using medicines for now.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
1) My left ear dum have hole. But the ear is dry for the past 3 years. Wil it cause any issue.
2) I have lower back p...
1) karnapooran is good for ear perforaton according to ayurveda 2) spine problem need medicine & panchakarma procedures to cure. It will not heal by exercise or physio it just reduce some pain. We have spine health package. Tips1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar 3) kidney stone 1) avoid hard water to drink, drink sufficient boiled water or purified water only. 2) avoid fruits containing small seeds like tomato, guava, vegetables like brinjal, 3) duration to cure kidney stone is depends upon size, number of stone, position (kidney? urethra?). 4) do skipping exercise daily so that stone can come down to bladder. 5) drink sugar-cane juice without ice empty stomach or as possible. 6) take 4 crushed elaichi (cardamom) add 2 cup of water boiled to become half filter it, add 2 spoons of cow ghee take on empty stomach. 7) give feedback in 6 days. Do consult privately for perfect treatment.
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I am 42 Old male, I m having frequent urination problem, once its there I can not hold it, please suggest.

MBBS
General Physician, Mumbai
I am 42 Old male, I m having frequent urination problem, once its there I can not hold it, please suggest.
Get an usg kub done and if it is normal than nothing to be done and you will have to adjust it accordingly
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In urine time I face some problem. If any one near me I can not urinate in that time. If nobody is there I can urinate .iam facing this problem from 3 years. There is no other prblm. If I go outside the town or goin for a trip I face this problem majorly so I have to search a place where nobody is there. I very sad about this. Please help me. I want to avoid this problem. What I have to do.

MBBS, M S General Surgery ,
General Surgeon, Chandigarh
In urine time I face some problem. If any one near me I can not urinate in that time. If nobody is there I can urinat...
hi whenever u go to pass urine first start deep breathing exercise for 10 times then u will pass urine normally dont worry u will be olrite ...respond bk wen u feel okay ..
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I am 58 years old person. I have very slow urine passing problem. Hospital has suggested for the operation. Any remedy with you apart from this.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I am 58 years old person. I have very slow urine passing problem. Hospital has suggested for the operation. Any remed...
You are probably having BHP. It's better to get operated on as early as possible. Otherwise, the older you get ,more chances of complications will be there. Sooner the better. All the best.
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I am 20 years old. I go to urinate very often. My urine comes stoppingly. I don't feel satisfied after urinating. Sometimes drop of urine comes out at anytime. What should I do.

MBBS
General Physician, Cuttack
I am 20 years old. I go to urinate very often. My urine comes stoppingly. I don't feel satisfied after urinating. Som...
For your age excessive urination could be due to 1. Drinking lot of water/ excess tea/ coffee/alcohol 2. Urinary tract/bladder infection 3. Bladder stone causing a blockage in ureter/bladder, stone in urinary tract, cystitis, interstitial nephritis 5. Diabetes mellitus/diabetes inspidus, hypertension, 6. Stress/anxiety/nervousness, 7. Do urine re/me, blood sugar testing, take usg kub, and consult urologist for advice.
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BHMS
General Physician,
Should I stop my calcium if I have kidney stones ?

Many kidney stone formers, especially women with kidney stones, question whether to stop or reduce their calcium intake.

Despite the fact that calcium is a major component of 75% of stones, excessive calcium intake is very rarely the cause of stone formation.

In fact, several studies have shown that restricting calcium intake in most stone formers actually increases the number of stones they develop.

This appears to happen because when less calcium is ingested, it becomes easier for oxalate (which normally binds with calcium in the gut) to be absorbed. Higher levels of oxalate in the urine then lead to an increase in stone risk.
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