Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}
Call Doctor

Dr. N Prahlad

Nephrologist, Chennai

Call Doctor
Dr. N Prahlad Nephrologist, Chennai
Call Doctor
Submit Feedback
Report Issue
Get Help
Services
Feed

Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. N Prahlad
Dr. N Prahlad is an experienced Nephrologist in Saligramam, Chennai. He is currently associated with Sooriya Hospital in Saligramam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. N Prahlad on Lybrate.com.

Lybrate.com has an excellent community of Nephrologists in India. You will find Nephrologists with more than 27 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.

Info

Specialty
Languages spoken
English

Location

Services

View All Services

Submit Feedback

Submit a review for Dr. N Prahlad

Your feedback matters!
Write a Review

Feed

Nothing posted by this doctor yet. Here are some posts by similar doctors.

My dad suffer from stones in kidney problem how can we reduce that stones in kidney please help me.

BHMS
Homeopath, Delhi
My dad suffer from stones in kidney problem how can we reduce that stones in kidney please help me.
Hello, 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 amount of water) thrice a day for 15 days and revert.
2 people found this helpful
Submit FeedbackFeedback

Tubulo Interstitial Diseases Of The Kidney

MBBS, MD - General Medicine, DM - Nephrology
Nephrologist, Delhi
Tubulo Interstitial Diseases Of The Kidney

Tubulo-interstitial diseases of the kidney is a heterogeneous group of disorders affecting the kidney that share similar features of both tubular and interstitial injury. Primary categories of this disease includes, acute and chronic interstitial nephritis.

Acute interstitial nephritis is an acute form of kidney injury characterized by an inflammation reaction in the interstitial tissues of kidney and presence of edema, which usually spares the glomeruli. The hallmark of interstitial nephritis is the infiltration of inflammatory cells into the interstitial compartment. Infiltrating cells are mainly T cells and monocytes, plasma cells and eosinophils. An acute inflammatory reaction is most commonly caused by a hypersensitivity reaction of a drug.

Other causes include

  • Infections
  • Idiopathic or immune mediated
  • Medications that most commonly cause allergic reactions are antibiotics (Ampicillin, Oxacillin)
  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
  • Proton pump inhibitors
  • Bacteria implicated in causing this disease are Legionella, Brucella, Mycoplasma, Rickettsia, Leptospira and Chlamydia.
  • There is a presence of swelling in between the kidney tubules.

Kidneys function to filter the circulating blood and remove toxins. Water and certain organic materials are re-absorbed from the filtered blood and unwanted products are released from the body via urine. Swelling of the tubules disrupts the normal filtration function of the kidneys. 

Symptoms 

  • Most common symptom of interstitial nephritis is decreased urine output. It may increase in some cases. People can be symptomless in some cases. Other symptoms of interstitial nephritis include fever, presence of blood in urine, fatigue, mental confusion, nausea, vomiting, water retention and bloating sensation in the body.
  • This disease does not have racial, age or gender predilection. It can affect anyone, of any age group. However, kidney toxicity depends on cumulative effects of toxic substances which means more the kidney is damaged due to toxic substances, the higher the risk of the kidney suffering from subsequent damage. With advancing age, the general functioning of the kidney is affected. This makes advanced age a risk factor for acute interstitial nephritis.

Clinical features

  • Sudden decrement in the renal function is a typical presentation. It is most commonly seen in an asymptomatic patient or a patient who has been put on a new medication.
  • It may occasionally present as renal failure.
  • In the presence of an infection, a maculopapular rash, fever and eosinophilia are characteristically seen.
  • Occurrence of skin rash >50 % of patients, fever > 75 % of patients and eosinophilia > 80% of patients.
  • Pain in the lumbar and pelvic region.

Investigations:

  • Presence of mild to moderate proteinuria
  • Gross hematuria
  • Sedimentation of red and white blood cells
  • WBC casts, occasionally RBC casts are also present
  • Increased serum creatinine levels
  • Oliguria
  • Confirmation of the diagnosis can be done by renal biopsy.

Treatment: Removal of the offending agents, discontinuation of the etiologic drug is the most important treatment modality. Complete recovery is inversely proportional to the duration of renal failure.
 

Chronic interstitial nephritis
The tubule cells undergo atrophy and there is a flattening of the epithelium. Basement membrane of tubules are frequently thickened. Cellular infiltrate is composed of lymphocytes, with only occasional neutrophils, plasma cells and eosinophils. There is a relative preservation of glomerular function until late in the disease, but an impairment of tubular functions like urine concentration, dilution, acidification and potassium excretion is seen early.

My diagnostics report: Kidneys: B\l kidneys normal in size & schotexture. Shows calculus of sixes 4-6 mm. RT. KIDNEY shows GR I HYDRONEPHROSIS WITH DILATED URETER. IMPRESSION: HEPATOMEGALY WITH? ADENOMA WITH B/L RENAL CALCULUS WITH GR I HYDRONEPHROSIS RT. KIDÑEY WITH DILATED URETER [? RT. URETERIC CALCULUS] Please tel me how much spend money in durbin treatment.

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
My diagnostics report:
Kidneys:
B\l kidneys normal in size & schotexture. Shows calculus of sixes 4-6 mm.
RT. KIDNEY ...
Hi lybrate-user good morning dear. It seems that you have a stone in your body now! see, stone sizes of less than 6 mm goes out automatically and no surgery required. Start appropriate medication and water intake. For surgery 40 thousands required min.
2 people found this helpful
Submit FeedbackFeedback

He is suffering from pain in whole abdomen but mostly around the kidney + sometimes whole back pain and sometimes feel heartburn for last 3 years. Most of the tests and medicines have been taken place and still he is taking different medicines but alas? He has been treated more than 20 specialists mostly different gastro specialist but the condition remains almost same Now it is humble request to you people to suggest a way where I can hope that I will become a healthful person. Thank you sir.

MCh - Urology, Visiting Fellow Andrology and Men's Health, Visiting Physician Urology and Andrology, Fellowship in Minimal Access Surgery, Master of Surgery, MBBS, EUREP USI Fellowship
Urologist, Gurgaon
He is suffering from pain in whole abdomen but mostly around the kidney + sometimes whole back pain and sometimes fee...
Since you have already consulted many specialists and found no relief, a detailed analysis of symptoms and investigations will be required. In most of such cases chronic backache is often the culprit and addiction to pain killers is the cause of gastric ulcers and erosions. Back strengthening exercises and plenty of fluids can be helpful for you. The cycle of chronic pain has to be broken witl analgesics and anti-inflammatory agents.
1 person found this helpful
Submit FeedbackFeedback

Sir, I am suffering with some physical problems because of having stones in my both kidneys till now. It was found by physician june 2014. I took many suggession from many doctors and as per their presciption I took various medicines also. I drink plenty of water regularly as per doctors advices. But I got no result. My stone sizes are 8. 3 & 6. 8. My stone sizes are increasing day by day. Sir, in this circumstances I need your valuable advices.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Dear sir, the cells of your kidney are not able to handle minerals and they are leaking them so size of stones is increasing. You need ayurvedic tablets to repair your kidney cells so that tendency to form stones is curbed. Regards Dr. Omkar balkrishna shahapurkar
1 person found this helpful
Submit FeedbackFeedback

My usg kub normal urine cs normal lft normal creatinine normal lipid profile normal hba1c 8.7 I suffering from frequent urination according to acucheck fasting 252 according to laboratory fasting 390 I have to work in a shop for 10 hours guide me how to stop frequent urination I can sleep at night well just one time went to toilet but day time I urinate more often. please help me.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
My usg kub normal urine cs normal lft normal creatinine normal lipid profile normal hba1c 8.7 I suffering from freque...
Your sugars are not under control. Pls keep sugar in control. If after that also problem is ther then you can add tab roliflo once daily for 1 month and see how is the response.
1 person found this helpful
Submit FeedbackFeedback

Whenever I pee my pee point pains a lot And I had to go to pee again And again.what is wrong with me?

MBBS
General Physician, Cuttack
Whenever I pee my pee point pains a lot And I had to go to pee again And again.what is wrong with me?
You may be having urinary tract infection. Drink plenty of water, Get your urine RE, ME, culture sensitivity test done. Consult with report
1 person found this helpful
Submit FeedbackFeedback

Hi Sir, Having this from last Two Days. Having blood (little thick) in the morning while passing urine, it also pains in the urine way, can't put pressure while urine. All the day urine comes normal (no blood), but little pain is there while doing urine. Rest there is no pain in any other part of body. Only in the penis while urinating.

MBBS, MD, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Indore
Hi Sir, Having this from last Two Days.
Having blood (little thick) in the morning while passing urine, it also pains...
Go for urine test and USG, And revert with the reports for the treatment to be started then. Be hydrated, avoid spicy and oily food. The causative factor needs to be known along with all other sign and symptoms like character of pain in abdomen, aggravating and relieving factor, duration of pain, when it is increasing, etc. For which whole case taking is to be done. So contact us or book an online appointment.
1 person found this helpful
Submit FeedbackFeedback

What medicine should take for kidney stones and what precautions should take in daily life.

MBBS, MS - General Surgery, FIAGES(Fellowship In Minimal Access Surgery), FMAS (Fellowship In Minimal Access Surgery)
General Surgeon, Ghaziabad
What medicine should take for kidney stones and what precautions should take in daily life.
hi. to be very there are no such medicines for kidney stones. best is drink lot of water to keep yourself well hydrated and avoid tomato, brinjal, spinach, red meat, dryfruits.
Submit FeedbackFeedback

Hi, If my urine report ,blood creatine ,serum, and urea report is normal than my kidney are ok or more check up needed.

MBBS
General Physician, Mumbai
Hi, If my urine report ,blood creatine ,serum, and urea report is normal than my kidney are ok or more check up needed.
We can consider your kidney is functioning properly and if any anatomical changes are suspected than we should confirm it with an ultrasound.
Submit FeedbackFeedback
View All Feed