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Dr. Nammalmar B R

MBBS, MD, DM - Nephrology

Nephrologist, Chennai

55 Years Experience
Dr. Nammalmar B R MBBS, MD, DM - Nephrology Nephrologist, Chennai
55 Years Experience
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nammalmar B R
Dr. Nammalmar B R is one of the best Nephrologists in Nungambakkam, Chennai. He has been a successful Nephrologist for the last 55 years. He has completed MBBS, MD, DM - Nephrology . He is currently practising at B.R.Nammalwar Clinic in Nungambakkam, Chennai. Book an appointment online with Dr. Nammalmar B R on Lybrate.com.

Lybrate.com has an excellent community of Nephrologists in India. You will find Nephrologists with more than 26 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
Education
MBBS - STANLEY MEDICAL COLLEGE AND HOSPITAL,CHENNAI., - 1962
MD - Madras Medical College, Chennai, - 1970
DM - Nephrology - Madras Medical College, Chennai, - 1982
Languages spoken
English
Professional Memberships
Indian Society of Nephrology (ISN)

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#3, Seetha Nagar Main Road, Chennai. Landmark:Nungambakkam, Near Miltary Hotel, ChennaiChennai Get Directions
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Sr. creatinine is 5.7 And blood urea is 110 Swelling is present all over the legs and hand plural effusion is increasing again after tapping 2 litre fluid many time But fluid fill up again in 10 to 15 day Breathing trouble is the main cause to consult.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
you should immediatley consult a good nephrologist. Fluid fill up will be there because of extremely excess urea and creatinine levels. You should immediately stop consuming all protein rich foods like non veg, egg, pulses, lentils, and should consume leached vegetables, green leafy vegetables. Your overall fluid intake should not overtake your urine output. You should be on a renal supplement.
16 people found this helpful
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My father suffering from kidney diseases having urea creatine level 4.5. Previously it was 3.49. We have given moringo good supplement. Does it ham to him. Also provide a diet chart for him.

MBBS
General Physician, Jalgaon
My father suffering from kidney diseases having urea creatine level 4.5. Previously it was 3.49. We have given moring...
Please Avoid protein supplements Give plenty of water daily Avoid oily spicy and fast food, non veg food, processed food totally Give salads, vegetable juices, soups more Give Gokharu kadha 15 ml twice a day for 3 weeks Punarnavasav 15 ml twice a day for 3 weeks Check your sr uric acid, blood urea after 3 weeks.
1 person found this helpful
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Frequent urge to urinate: pus cells 3-4hpf Epithelial cells: 3-4hpf Sugar nil Albumin: trace Nature: acidic Taken norfloxacin 400 mg -10 nos Recurred in 5 days.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
Frequent urge to urinate: pus cells 3-4hpf
Epithelial cells: 3-4hpf
Sugar nil
Albumin: trace
Nature: acidic
Taken nor...
Along with it you can take half lemon in 250 ml of water 3 times in a day. Tablet gokshuradee guggul 2 tabs twice daily after food for 3 days.
3 people found this helpful
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When I go for toilet some type of wet liquid are coming when I complete my urine, its from last 5 year.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
When I go for toilet some type of wet liquid are coming when I complete my urine, its from last 5 year.
This is dhatuksheenta or prameha....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...
1 person found this helpful
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I am suffering from kidney stone about 6.5mm I take medicine it became 3.5 after some time it began big size about 5mm please tell me how can I relief from this disease.

BHMS
Homeopath, Faridabad
I am suffering from kidney stone about 6.5mm I take medicine it became 3.5 after some time it began big size about 5m...
Hi, prevention of kidney stones may include a combination of lifestyle changes and medications. Lifestyle changes you may reduce your risk of kidney stones if you: drink water throughout the day. For people with a history of kidney stones, drink 12-14 glasses of water everyday. If you live in a hot, dry climate or you exercise frequently, you may need to drink even more water to produce enough urine. If your urine is light and clear, you're likely drinking enough water. 1 eat fewer oxalate-rich foods. If you tend to form calcium oxalate stones, restrict foods rich in oxalates. These include rhubarb, beets, bhindi (okra), spinach, swiss chard, sweet potatoes, nuts, tea, chocolate and soy products. Choose a diet low in salt and animal protein. Reduce the amount of salt you eat and choose non animal protein sources, such as legumes. Consider using a salt substitute. Continue eating calcium-rich foods, but use caution with calcium supplements. Calcium in food doesn't have an effect on your risk of kidney stones. Continue eating calcium-rich foods unless your doctor advises otherwise. Ask your doctor before taking calcium supplements, as these have been linked to increased risk of kidney stones. You may reduce the risk by taking supplements with meals. Diets low in calcium can increase kidney stone formation in some people. Medication: take homoeopathic medicine - berberis vulgaris q/ 10 drops in 1/2 cup of water/ thrice daily for 4 weeks. Revert me back.
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I am 31 years male. I urinate properly but at end of urinating when I apply some pressure some urine come out. H/O multiple sclerosis since 2009. My stream is also gud.

Member of Royal College of Emergency medicine, Certd course in evidence based diabetes management
General Physician, Bangalore
I am 31 years male. I urinate properly but at end of urinating when I apply some pressure some urine come out. H/O mu...
I would recommend you not to put pressure while urinating. Let the urine come out naturally. If some little amount of urine remains back in the bladder it is not an issue. Don't bother. The bladder has the capacity to store a lot of urine otherwise. If you strain while urinating you may cause other problems. If you are facing burning sensations or increased frequency. Please consult a urologist. Hope this answer has helped you in some way. Do let me know if you have any other queries.
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Nephrotic Syndrome - 9 Surprising Causes Behind it

Advanced Short Course Training in Kidney Transplantation, DM - Nephrology, MD - Nephrology , MBBS
Nephrologist, Delhi
Nephrotic Syndrome - 9 Surprising Causes Behind it

Nephrotic syndrome is a type of kidney disorder wherein, the body passes out excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes.

Common causes behind it

  1. Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys
  2. Excess deposit of amyloid proteins in the organs, thus taking a toll on the filter mechanism of the kidneys.
  3. Diabetes affecting the glomeruli (capillaries present in the nephrons of the kidneys).
  4. Systemic lupus  erythematous causing chronic swelling of your kidney.
  5. Membranous nephropathy wherein the membranes in your glomeruli thicken.
  6. Infections such as malaria, hepatitis C, hepatitis B and HIV.
  7. Medications to combat infections and nonsteroidal anti-inflammatory drugs.

Treatment Available

  1. Kidney Biopsy is an essential part of disease assessment.
  2. Angiotensin-converting enzyme inhibitors bring down blood pressure levels as well as the amount of protein discharged from the urine.
  3. Water pills help control sweating, thus, increasing the fluid flushed from the kidneys.
  4. Statins reduce cholesterol levels.
  5. Blood thinners such as anticoagulants lower the risk of blood clots.
  6. Corticosteroids regulate the immune system and ease the inflammation that results from kidney disorders.
  7. Incorporating certain lifestyle changes such as opting for lean proteins, cutting on the intake of fat in the diet and consuming lesser amounts of salt can treat inflammation and swelling. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
2057 people found this helpful

I am 27 years old male and go to toilet many times in a day. Especially in the morning I used to go toilet many time. It also happened when I drink much water at a time. I do not feel any type of pain in this regard into my body. I am very fed up due to this problem and feel difficulty during travel.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kollam
I am 27 years old male and go to toilet many times in a day. Especially in the morning I used to go toilet many time....
Hi you have to drink more water and don't supress your urge. Pls do a routine urine analysis and test for blood sugar. Thank you.
1 person found this helpful
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Uric acid is 9 having 4.5 mm n 2.5 mm stone in right n left kidney I am taking thyroxine 25 due to thyroid I am feeling pain in left heel I have started methi 10 seeds n its water last 5 days wt should I start or tk for uric acid n stone problem kindly mail me n call me please for proper treatment.

BHMS
Homeopath, Sindhudurg
Uric acid is 9 having 4.5 mm n 2.5 mm stone in right n left kidney I am taking thyroxine 25 due to thyroid I am feeli...
Berb vul q 20drops 3times expel drops 20drops 3times ledum pal 30 4pills 3times for 8days and revert back for further treatment.
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I got recently married. I am suffering urinal infection after the sex. please give me suggestions. Tanq.

MBBS,, MS,MRCS(Edinburgh),MCh Urology
Urologist, Mysore
I got recently married. I am suffering urinal infection after the sex. please give me suggestions. Tanq.
Hi, ok hygiene is very importment after having sex ,wash genitals with clear water ,if it is severe antibiotics and urinary analgesics will help.
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I have a small stones in kidney. I want to cure that. What I can do for curing the stones in kidney?

DNB (Nephrology), MD (Internal Medicine), MBBS
Nephrologist, Gurgaon
I have a small stones in kidney. I want to cure that. What I can do for curing the stones in kidney?
Dear Mr. Lybrate-user I would require a more detailed discussion before I can suggest what would suit you the best. But as a general suggestion: the common cause for kidney stones is dehydration and therefore it is important to take enough fluids throughout the day best.
16 people found this helpful
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Tips on Treating Urinary Incontinence:

Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.


1. Stress incontinence

Non-medical treatment

• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Biofeedback
• Electrical stimulation

Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.

Surgical treatment

• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters

Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.

The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.

Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.

An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.

Surgical treatment

Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.

Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.

3. Overflow incontinence

Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.

4. Total incontinence

Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.

Treating faecal incontinence

Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.

Let’s look at some of the treatment options available for FI:

Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.

Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.

Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.

Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.

Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
13 people found this helpful

Can someone with a single kidney by birth and gall bladder removed due to stones. Still have a normal life.? Have healthy kids without complications and all.

BHMS, Certified in Aesthetic Skin Treatments, Certified in Applied Behaviour Analysis
Homeopath, Mumbai
Can someone with a single kidney by birth and gall bladder removed due to stones. Still have a normal life.? Have hea...
Most people who are born without a kidney (or with only one working kidney) lead normal, healthy lives. First of all it's important to realize that you developed a gallbladder problem in the first place because you had an unhealthy liver. If your liver is not healthy, it will make poor quality bile. The bile will be prone to forming sludge and stones. Obviously you can survive without a gallbladder, but you are more prone to developing certain health problems. Your liver continues to manufacture bile, but there is no longer a place to store it or concentrate it. Therefore bile continually slowly trickles into the intestines. If you eat a fatty meal, you will not be able to secrete a large enough amount of bile into your intestines, therefore the fat will be poorly digested. This means many people experience diarrhea, bloating, nausea or indigestion. These symptoms can be treated with homeopathic medicines. Important note: Every case calls for detailed study of the patient individually. There are no disease specific medicines in homeopathy. The exact treatment is determined only on "in-depth" evaluation of the individual case. It is advised not to indulge in any kind of self-medication. Kindly contact me in private for further consultation. Your feedback matters. Thankyou.
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I had an accident 1 year ago. I fell from 3rd floor of a building. The impact was on legs. Due to which I lost sensation in legs. And the legs used to pain internally 24*7. And also spine was damaged. Then I had a spine surgery. After 1.5 months of accident, I got my sensation of legs back except for the feet. Pain in feet was still there. Then I had a feet surgery of the calcaneus bones. Now it's 10 months after the feet surgery, there's 0% improvement in my feet condition. No sensation. I can move just my thumb a bit. And internal pain is still there 24*7. What is the reason or what should I do now? Also because my spine was damaged I couldn't urinate after the accident. In hospital I had catheter tube. Then after 2 months I could urinate naturally but with lots of pressure. Even that condition isn't improved even 1% after 10 months. What could be the reason?

BAMS
Ayurveda, Ambala
I had an accident 1 year ago. I fell from 3rd floor of a building. The impact was on legs. Due to which I lost sensat...
As you said you have injured your spine that why there is injury in the lower part of spinal cord. There are many nerves arise from the lower part of spinal cord that control urine & stool excretion & leg sensation & movement. As you said you slowly get control on urination, that means your spinal nerves are healing. But the healing of nerves happens very slowly thats why it takes time to get back to normal position. The pain that happens whole day occurs due to injured nerves because they do not work well (loss of signal transfer, so the injured nerves pain continuously.
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Kidney Stones

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Kidney Stones

At the first symptom of stone pain, mix 2 oz of organic olive oil with 2 oz of organic lemon juice. Drink it straight and follow with a 12 ounce glass of purified water. Wait 30 minutes. Then, squeeze the juice of 1/2 lemon into 12 ounces of purified water, add 1 tablespoon of organic raw apple cider vinegar and drink.

Apple cider vinegar, which is said to help dissolve stones. You can consume 1 tablespoon (14.8 ml) of apple cider vinegar each day, or mix it with water. Avoid using sorrel, which can cause calcium oxalate kidney stones to worsen. Banana stem juice is a well known treatment for kidney stone in India.

I have a kidney problem which is a miner one 2mm stone can I donate blood is it good for my health.

BHMS
Homeopath,
I have a kidney problem which is a miner one 2mm stone can I donate blood is it good for my health.
Dear lybrate user, at this condition it is not advisable for you to donate blood. If you are willing to donate blood then wait for the next session of blood donation camp. In the mean time you could easily get rid of your kidney stone without any surgery. 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.
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I am 26 years 3 month before I had pain in left lower back I went to doctor he ask for kidney ultrasound there were small stones in both kidney sizes 7 mm.

BHMS
Homeopath,
I am 26 years 3 month before I had pain in left lower back I went to doctor he ask for kidney ultrasound there were s...
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 3 mm 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 3 mm then you should surely go for surgery.
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I have urine problem for 2 year. I many time consultant with doctor but urine problem fine.

BHMS
Homeopath, Raebareli
I have urine problem for 2 year. I many time consultant with doctor but urine problem fine.
Please note that if you have UTI earlier - it takes years to leave your body. You can find no symptoms for months and then the symptoms appear of its own. Hence you need to be careful in maintaining hygiene.
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My 9 month old child has hydronephrosis by birth. Ureterostomy done 5 days ago. His creatinine is 0.9. Potassium 5.8 & urea 67. Weight 6.8. Please suggest diet.

Diploma in Child Health (DCH)
Pediatrician, Delhi
My 9 month old child has hydronephrosis by birth. Ureterostomy done 5 days ago. His creatinine is 0.9. Potassium 5.8 ...
Kidney function tests will settle down in due course of time post surgery. Regular follow up with ultrasound and kidney fn tests -KFT AND SALTS-K, Na, Calcium be done. No special diet needed, proteins moderate amt till KFT normalises.
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Urin is come very hard just like his impression of face and he is crying also before and after.

MBBS
General Physician, Jalgaon
Urin is come very hard just like his impression of face and he is crying also before and after.
Please Give him Plenty of water daily Sy citralka 1tsf three times a day with water Tab zifi 3 Half tab twice a day
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