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Dr. I C Iyal Amuthan

MBBS, MS - Urology, MCh - Urology/Genito-Urinary Surgery

Urologist, Chennai

15 Years Experience  ·  200 - 500 at clinic
Dr. I C Iyal Amuthan MBBS, MS - Urology, MCh - Urology/Genito-Urinary Surgery Urologist, Chennai
15 Years Experience  ·  200 - 500 at clinic
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. I C Iyal Amuthan
Dr. I C Iyal Amuthan is an experienced Urologist in Thiruvottiyur, Chennai. He has been a successful Urologist for the last 15 years. He is a MBBS, MS - Urology, MCh - Urology/Genito-Urinary Surgery . You can consult Dr. I C Iyal Amuthan at Aakash Hospital in Thiruvottiyur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. I C Iyal Amuthan on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 31 years of experience on Lybrate.com. You can find Urologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Madurai Medical College - 2002
MS - Urology - G.S.V.M. Medical College, Kanpur. - 2007
MCh - Urology/Genito-Urinary Surgery - Madras Medical College, Chennai - 2007
Awards and Recognitions
MUS Urology Gold medal
Professional Memberships
Indian Medical Association (IMA)
Urological Society of India (USI)

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No.393/1, Thiruvottiyur High Road, Thiruvottriyur. Landmark: Near Thiruvotriyur Bus Depot, ChennaiChennai Get Directions
300 at clinic
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No. 82, Kappal Polu Street, Old Washermenpet. Landmark: Near Maharani Theatre, ChennaiChennai Get Directions
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722/558, T. H Road, Old Washermanpet, Landmark : Near Washermanpet Post Office, ChennaiChennai Get Directions
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No. 82, Kappal Polu Street, Old Washermenpet. Landmark: Near Maharani Theatre.Chennai Get Directions
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I have diagnosed with kidney stone in my right side ureter. Size is 7.5 mm. Doctor advised me to get a surgery. I want to know if there is any other remedy other than surgery? If it's there then would it be good for me to go for that or its I have to go for surgery?

DHMS (Hons.)
Homeopath, Patna
I have diagnosed with kidney stone in my right side ureter. Size is 7.5 mm. Doctor advised me to get a surgery. I wan...
Hello, Lybrate user, Tk, 2-3 ltr of water free from contaminants Your diet be easily digestible on time. Tk,dairy products in diluted form. Fiber rich diet- whole grain, breads, beans. Go for meditation to nourish your urinary system. Tk, Homoeo medicine: @ Berb vulg Q -10 drops, thrice with little water. @ Lycopodium 30-6 pills, thrice. Avoid, Calcium. Oxalate, phosphates, alcohol, .Report, fortnightly. Your feedback matters for further followup, please. Tk care.
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Causes and Symptoms of Urinary Tract Infection

MBBS, MS - General Surgery, Mch urology
Urologist, Bangalore
Causes and Symptoms of Urinary Tract Infection

Infection caused in the kidneys, bladder, urethra or the ureters is known as urinary tract infection. According to doctors, women are generally more at risk of suffering from this condition than men.  

Some of the causes which contribute to the development of this infection are:

  1. Invasion of bacteria: Like any other infection, one of the causes of urinary tract infection is the invasion of the bacteria Escherichia coli in the bladder. This type of bacteria is most commonly found in the gastrointestinal tract and is most often held responsible for urinary tract infection.
  2. Spreading of the bacteria from anus to urethra: The spread of the gastrointestinal bacteria from the anus to the urethra leads to the infection of the urethra thereby causing urinary tract infection. 

Some of the symptoms of urinary tract infection are:

  1. A nagging urge to urinate: One of the most predominant symptoms of urinary tract infection is a persistent, nagging urge to urinate. You would know your urinary tract is infected when you feel the urgency to urinate extremely frequently.
  2. There is a burning sensation when you urinate: The symptoms of urinary infection are extremely visible and are felt intensely by the one suffering from it. If you feel a burning sensation while urinating, chances are extremely high that you are suffering from urinary tract infection.
  3. Red colored urine: Sometimes your urine may contain perceptible amount of blood in them. In most cases, presence of blood in urine is a definite sign of urinary tract infection.
  4. Foul smelled urine: An internal infection in the urinary tract manifests itself in different ways. One of the chief symptoms of this infection is discharging foul smelling urine.
  5. Pain in the pelvic area: Women who suffer from urinary tract infection experience excruciating pain near the pelvic area, sometimes extending to the pubic bone.
4763 people found this helpful

I am 65 Year Old Male suffering from Urinary Tract Infection, Prostate Gland Enlargement, Blood Passing along with Urine. I need diagnosis, consultation and Treatment.

MS - General Surgery
Oncologist, Ludhiana
I am 65 Year Old Male suffering from Urinary Tract Infection, Prostate Gland Enlargement, Blood Passing along with Ur...
For diagnosis: psa u/s for prostate, urinary bladder, ureter and kidney urine routine and microscopic urine culture and sensitivity and you may need cystoscopy.
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What Causes Bladder Control Problems in Women?

Diploma in Laparoscopic Surgery, DGO, MBBS
Gynaecologist, Gurgaon
What Causes Bladder Control Problems in Women?

Causes of bladder control problems in women

Urinary incontinence is the term used to describe bladder control problems that affect several people. Many think it only occurs among older, menopausal women but it actually isn't uncommon amid young and active women.

Inability to control the bladder accompanied by pain can be symptomatic of various disorders ranging from a minor infection to cancer. Fortunately, bladder cancer is rare, and bladder pain is usually not serious.

The varied causes of urinary incontinence in women are as follows:

  • Urinary tract infection: this is the most common cause of urinary incontinence and it affects women more than men due to anatomical factors. It can also happen at any age.
  • Medicinal side effect: the inability to control one's bladder may be a result of the administration of certain medicinal substances such as alpha-blockers, antidepressants, sleeping pills and various narcotics.
  • Changes in the reproductive system: pregnancy and fluctuations in hormone levels can cause bladder irritation, which leads to urinary incontinence.
  • Impacted stool: when stool gets tightly packed in the lower end of the digestive system and rectum, bladder control is affected. Chronic constipation and constraint strain on the lower intestines leads to the weakening of bladder muscles and hampers the bladder control.
  • Surgical side effects: temporary loss of control of the bladder is often a result of prior surgery and radiation therapy in the pelvic region.
  • Nerve damage and neurological disorders: strokes and spinal cord injuries have a heavy impact on bladder control and amount to urinary incontinence. Diseases such as Alzheimer's disease, Parkinson's disease and multiple sclerosis also lead to the same.
  • Health complications: disorders such as diabetes and obesity directly affect the bladder and the ability to exercise control over it.
  • Disability and impaired mobility: for women who are physically impaired and suffer from problems of arthritis, urinary incontinence is a major problem as they are unable to reach the toilet easily.
  • Bladder cancer: even though it is extremely rare, bladder cancer affects a number of women every year and is treated through surgery and chemotherapy.

'Consult'.

Related Tip: What Makes One Lose Control of the Urinary Bladder?

3073 people found this helpful

I have 5 mm kidney stone. Please suggest me medicines and steps to follow in food to prevent this.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
I have 5 mm kidney stone. Please suggest me medicines and steps to follow in food to prevent this.
Patient information leaflet on kidney stones. Having a kidney stone can be painful and distressing. Most stones pass out of the body without any treatment. But for those that don't, there are good treatments available. What are kidney stones? kidney stones are solid, stone-like lumps that can form in your kidneys. They are made from waste chemicals in your urine. Stones can also form in your bladder and the tubes that carry urine from your kidneys to your bladder (these are called ureters). Stones can stay in your kidneys without causing problems. But some might travel out of your body in the flow of urine. If they are very small, they can pass out of your body without you noticing. But larger ones can rub against the tubes or even get stuck. This can be extremely painful. There are four types of kidney stones? the most common type contains calcium. These stones are called calcium oxalate stones? uric acid stones form if there is too much uric acid in your urine. Uric acid is a waste product made when food is digested? struvite stones develop after a urinary infection, such as cystitis? cystine stones are caused by a rare inherited condition called cystinuria. It is important to know what kind of stone you have, as this will affect your treatment to prevent future stones. What are the symptoms? the main symptom is pain. This can be a dull ache in your back or side, or an extremely sharp, cramping pain. The pain usually comes on suddenly. It might spread down to your tummy or groin. You might also? feel sweaty or sick? be sick? find blood in your urine. This is caused by the stone rubbing against the walls of the ureter? need to urinate more often or feel a burning sensation when you urinate. Your doctor is likely to suspect you have a kidney stone if you have sudden, severe pain in your side and blood in your urine. You'll probably be sent to hospital for an x-ray. If you have a kidney stone, these tests may show how big the stone is and where it is stuck. If the x-ray does not show a kidney stone, you will probably have more tests to find out what's causing the pain. You may not get any symptoms with a kidney stone. You might find out you have one when you have an x-ray for another reason. What treatments work? stones that are less than 1 centimetre across often pass out of the body without any treatment. It can take two days to four weeks for this to happen. You can help the process along by drinking plenty of water to increase the flow of urine. You'll also need to take strong painkillers for the pain. If you have a stone stuck in a tube (ureter), your doctor might recommend taking a medicine called an alpha-blocker. This type of drug is often used to treat high blood pressure or symptoms of an enlarged prostate, but studies show it can also help stones to pass through the ureters faster. You'll probably be able to stay at home during this time, although you may need x-rays to check on the progress of the stone. Your doctor may ask you to catch the stone with a tea strainer or something similar as it comes out. This is so your doctor can see what type of stone you have. Knowing the type of stone will help them work out what you can do to prevent more stones. Surgical treatments larger stones and those that don't pass out of the body need treatment. All the following treatments work well? shock wave therapy uses shock waves to break up stones into small pieces that can pass out of the body. Many stones are dealt with this way and it avoids any operation. You might sit in a tub of water or lie on a table to have this treatment. You'll have a local anaesthetic to numb the area that's being treated. You may need several treatments to break up hard or large stones. The risk of side effects after this treatment is small. But you could get an infection in your kidney or a stone stuck in your ureter afterwards? you may need a minor operation if a stone in your kidney is large or in an awkward place. It's called a percutaneous nephrolithotomy (pcnl. You will have a general anaesthetic, so you will not be awake for the operation. You will probably have to stay in hospital. The doctor will make a small cut in your back and pass a needle and a very thin tube into your kidney to remove the stone. Like all operations, there can be problems (complications). The main ones are constipation and infections. Kidney stones? if the stone is stuck in a tube (ureter), you may have a ureteroscopy. You don't need any cuts made in your body for this, and you can probably go home the same day. You can have a local or general anaesthetic. The doctor feeds a long, thin wire up through your bladder and into the ureter to reach the stone. The doctor then either removes the stone or breaks it up with shock waves. This procedure works well, but it does have risks. In one study, about 1 out of 10 people who had this treatment had a damaged or torn ureter afterwards. What will happen to me? if you've had a kidney stone you have about a 1 in 2 chance of getting another one within five years to seven years. Your doctor can prescribe medicines to help stop you getting some types of stones. The type of medicine you get depends on the type of stone you've had. For example, you may need to take diuretics (water pills) to reduce calcium in your urine if your stone contained calcium. If you have too much uric acid in your urine you might be given a drug called allopurinol (the brand names are caplenal, cosuric, and zyloric). Your risk of getting more stones may also be affected by what you eat and drink. To reduce your risk, you can? drink more than two litres of water a day? eat a healthy diet, including calcium but not calcium supplements. Foods rich in calcium include milk and other dairy products, peas and beans, leafy green vegetables, nuts, and bony fish like sardines and salmon? avoid using lots of salt? eat more vegetables. Vegetables make the urine less acidic. If you've had a calcium oxalate stone, you may need to reduce the amount of oxalate in your diet. This means cutting down on chocolate, nuts, rhubarb, strawberries, spinach, coffee, and tea. But changes in diet don't work for everyone, and there is not a lot of evidence to show how well they work. So it's important to talk to your doctor before making big changes to what you eat.
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Kidney - 5 Things To Keep Them Healthy & Fit!

MBBS, D.N.B. (General Surgery), D.N.B. (Genito Urinary Surgery)
Urologist, Mumbai
Kidney - 5 Things To Keep Them Healthy & Fit!

When we talk about health, the kidneys are rarely spoken of. These unsung heroes are responsible for filtering waste out of our bodies and ensuring that only clean blood flows through our system. The kidneys are a pair of small, bean-shaped organs located at the back of the abdomen. Along with removing waste from the blood, the kidneys also balance electrolytes and control the fluid balance in the body. Thus, keeping the kidneys healthy is as important as keeping the heart and lungs healthy.

Kidney stones are the most common condition that can affect these organs. Other conditions that can affect the kidneys include inflammation of the kidneys, renal failure, nephrotic syndrome and cysts. Thankfully, keeping the kidneys healthy is easy. Here are a few things you can do to improve the health of your kidneys.

  1. Drink plenty of water: Keeping your body hydrated is crucial to kidney health. Ideally, a person should drink a minimum of 8-10 glasses of water a day. Water helps control the production of aldosterone- a hormone that regulates blood pressure- by the adrenal glands and helps the kidneys retain enough water and sodium to balance blood volume levels. If the kidneys do not get enough water, the adrenal glands are stressed into increasing blood pressure levels.
  2. Limit consumption of caffeine: We drink caffeine in many ways- sodas, coffee, tea etc. While caffeine may act as a stimulant and keep you focused on what you are doing in the short run, in the long run, it dehydrates the body. Dehydration can also lead to the formation of kidney stones. Hence reduce your caffeine intake and instead drink more water and fresh juices.
  3. Quit smoking: Smoking not only affects the lungs but also damages blood vessels thus decreasing blood flow to the kidneys thus preventing the optimal functioning of the kidneys. Smoking can also increase one’s risk of suffering from renal cancer.
  4. Get regular exercise: Exercise benefits all parts of your body including the kidneys. Regular exercise reduces blood pressure and helps keep the blood moving. This can help prevent kidney diseases and a number of other conditions. Ideally, aim for half an hours exercise a day at the least.
  5. Eat plenty of fresh fruits and vegetables: Fruits like grapes, apples and blueberries and vegetables like spinach, beets, garlic and red bell peppers help improve kidney functioning. Women should also include oestrogen boosting foods like chickpeas, fennel, tomatoes, cherries and carrots in their diet to protect themselves against kidney damage and fibrosis. Foods that are low in gluten, sugar and soy also help reduce the risk of kidney inflammation. If you wish to discuss about any specific problem, you can consult an urologist.
6050 people found this helpful

Can drinking water with lemon prevent kidney Stone's? Also, I have been told not to drink city water, what is the best water to drink?

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Can drinking water with lemon prevent kidney Stone's? Also, I have been told not to drink city water, what is the bes...
Hi dear lemon water produces cold in body, so it is of use in summer season. It cleans blood. -u can use lemon -1/4 --1/2--1 piece + glass of fresh water in summer or cold water + salt to taste take it empty stomach early morning you can use it more than once, a day as per your choice. -in winter season-- make its restricted use, only in luke warm water. --too much use of lemon is not good for males, as it can make you sexually weaker. -do not heavy water -take only fresh clean, healthy water in any city -ganga jal--properly cleaned/ sterilzed-- may be the best water in world or even water from hills near bokaro city--is also very very healthy and rejuvenating - some use of lemon helps in avoiding stone formation but once hard stones are noticed after ultrascan reports, it can't dissolve them out
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I am a 40 year old male. I am suffering from boils in my anus for a year now. It heals automatically after one week or so, but keeps coming back after two months so in the same area, a few centimeters away fro the first one. It is very painful and effects my bowel movements. The local Doctor prescribed antibiotics but seems have no affect. What should I do?

MS, MBBS
General Surgeon, Nagpur
Recurrent anal boils is to be investigated further. I advise you to take medicated sitz bath (sitting in lukewarm tub of water for 10-15 min three-four times daily) please consult a doctor for thorough investigation.
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I have two stones in my right kidney one is 8 mm and 2nd is 9 mm, I also as a sugar and uric acid problem what should I do.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Kidney stones, sugar and uric acid at the same time command ayurvedic medicine so as to stay away from side effects. All these conditions are better treated ayurvedic tablets. Stones will be dissolved and excreted through urine in a painless manner. Just let me know your age, height and weight so as to arrive at perfect prescription.
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Hi Kindly explain me d causes symptoms n treatment of kidney failure as I am a diabetic n under insulin control.

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Hi Kindly explain me d causes symptoms n treatment of kidney failure as I am a diabetic n under insulin control.
There won't be any symptoms till the last stage of kidney failure. Please don't depend upon symptoms to detect kidney failure in early stages. You must get urine protein levels and blood creatinine levels at least once a year and show to your doctor.
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I am having after defecation around anus and inside even .during bowel defection also I am feeling much pain can you help me to find out this .am I affected woth hemmorids.

MD - Homeopathy
Homeopath, Aurangabad
I am having after defecation around anus and inside even .during bowel defection also I am feeling much pain can you ...
Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding. Other factors that increase the risk for getting hemorrhoids include constipation, diarrhea, lifting heavy objects, poor posture, prolonged sitting, pregnancy, eating a diet low in fibre, anal intercourse, and being overweight. Liver damage and some food allergies can also add stress to the rectal veins. People who consistently eat a high-fiber diet are less likely to get hemorrhoids, while those people who prefer a diet high in processed foods are at higher risk. A low-fiber diet or inadequate fluid intake can cause constipation, which can contribute to hemorrhoids in two ways: it promotes straining on the toilet People do not consider homeopathy medicine for piles at its early stages and this is one of the reason why they end up under a surgeon's knife. Dr. raj bonde.
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I have e coli from last 2 months even after continuous medication. My current urine culture report have 100000 colony count of bacteria. Sensitive medicines are ciproflaxin, gentamycin, cephalocin (first line of medication). Is anything serious in having colony count 100000 and what should be the course of medication.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
I have e coli from last 2 months even after continuous medication. My current urine culture report have 100000 colony...
I don't understand why you should have this Colony count even after 2 months of treatment. Either the treat is not being taken fully or there is some other reason. This count means a full blown infection. Get a USG done of kidney and urinary bladder to rule out any other pathology and a blood sugar test done to rule out diabetes. Do not take it lightly. Take a lot of fluids orally and contact me.
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Mujhe kuch month se toilet baar bar aa raha hai mne M.D Dr. Ko dikhaya unhone Ultrasound karaya , urine test karaya, blood test karaya unhone bataya urine infection ho gya hai par unki medicine se aur jaldi jaldi toilet aane laga phir mane M.B.B.S Dr. Ko dikhaya unhone bola UTI ho gya hai unki medicine se kuch fayada hua phir unhone sabhi test dubara karye and urine culture bhi sabhi normal aaye jab se mane medicine start kari jab se toilet ma jalan aur hone lagi aur toilet hamesa mehsus rehta hai jase kuch toilet urinary track ma aa gya ho asa phele nahi tha toilet karke aao phir toilet mehsus , pani piyo phir toilet mehsus, neend aaye tho night ma mujhe koi problem nahi hote par jase he bed se par niche rakho turant toilet mehsus hone lagte hai aur morning ma toilet ma jalan bhi nahi hoti phir mane online urologist ko dikhaya unhone bola ya sab stress ke karan hai phir mane es baare me read kiya us time se kuch kam ho gya toilet phir toilet mehsus hota hai thora thora phir mane urologist ko dikhaya unhone bola jalan , toilet mehsus hona ya sab anxiety ke bimari ho gye hai jiske karan toilet mehsus hona jalan hona ya sab ho raha hai inhone mujhe soliten 5 mg lena ko kha and psychiatrist ko dikhane ko kha , par es medicine se mujhe toilet late start hota haiaur ma jayada toilet ke baare ma sochta hu tho toilet jaldi jaldi aane lagte hai mujhe toilet ke tension bani rahti hai ma karu ma bahut prasan ho gya hu .please provide me some best advise and medicine I want yours help.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Mujhe kuch month se toilet baar bar aa raha hai mne M.D Dr. Ko dikhaya unhone Ultrasound karaya , urine test karaya, ...
Do not worry, do following 1. Pass urine whenever you feel a desire, empty bladder completely. 3. Take lots of water so as to have clear urine 4. Do not use any spray, scented bath products 7. Keep genital area dry- wear cotton, loose under garments, avoid tight clothes like jeans for medicine contact on private chat with details of medicine taken.
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I have got a small and hard bubble like structure in the anus. When it was touched, sometimes I get slight pain. May I know what is it. Any medical advice please.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi Avoid all oily spicy nonveg stuffs at all Have more liquids, fibers,fruits, curd for better digestion. Take Sitz bath (sitting in a tub filled with leuk warm water for 10-10 min mor & eve & additionally after passing stool. Thanks Dear consult later after 1 week.
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I'm women 30 years married on last year I got one missed abortion on 3rd month after the abortion I getting a kind of urinary infections every month. Initially urine will get smelled in panties after two days will get watery discharge later bleeding like periods for four to five days. I gone to doctor. He gave me norflox 400 I having very month this problem. That to after periods gets over after a week. And I have pcod past 6 yrs. Im height is 5.5 feet wgt : 76 kg for past 4-6 yrs.help me please

MD - Homeopathy, BHMS
Homeopath, Palakkad
I'm women 30 years married on last year I got one missed abortion on 3rd month after the abortion I getting a kind of...
Homoeopathic medicine can cure the pcos and genitourinary disorders very speedily and permanently without any side effects. Homoeopathic medicine like can notharis, apis, berberis, lycopodium etc are very good medicines for those complaints which cure it 100% if properly taken as per the instructions of a qualified homoeopath. While taking homoeopathic medicines please avoid coffee and lemon. No other diet restrictions. Nothing to be worried. Be relaxed.
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Am 24 years, conceived for about two months. Am facing constipation trouble with internal bleeding via anus. Am I advised to take medicine at first trimester? Or kindly advice me the correct solution for this.

MS - General Surgery
General Surgeon, Kanpur
Am 24 years, conceived for about two months. Am facing constipation trouble with internal bleeding via anus. Am I adv...
yes u can take laxatives without much worry. also diet should include fibre rich foods. If bleeding persists then pls see a surgeon.
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My father is 58 years old. His prostrate is enlarged. Going to urine frequently. Please advice what are the foods and vegetables to take and what are the items to avoid and please give your valuable suggestions.

MCh - Surgical Oncology, FEBS - Fellow of European Board of Surgical Oncology
Oncologist, Navi Mumbai
My father is 58 years old. His prostrate is enlarged. Going to urine frequently. Please advice what are the foods and...
No food, fruit or vegetable will reduce or palliate symptoms. Kindly get to a Urologist and get his symptom score assessed to know whether he needs surgery or not. Also get a PSA done to rule out cancer of the prostate.
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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.
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I have bleeding in my feces for over 1 year. During the pooping, there is a pain in my anus, and after the pooping it I m fine but when I m go to toilet, pain and bleeding both take place. What should I do?

MBBS
General Physician, Cuttack
It could be due to piles 1.Apply proctosedyl ointment 2-3 times daily before and after passing stool .2.Sit in a bath tub containing warm water for some time twice daily (sitz bath). 3.Take two tea spoonful lof softovac/Naturolax powder with a glass of warm water at bed time. 4.Take fiber containing diet, plenty of green leafy vegetables and fruits, Avoid fatty diet .5 If no relief consult doctor
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