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Dr. P.Periasamy

Urologist, Chennai

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Dr. P.Periasamy Urologist, Chennai
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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. P.Periasamy
Dr. P.Periasamy is a trusted Urologist in Saligramam, Chennai. You can meet Dr. P.Periasamy personally at VHM Hospital Pvt. Ltd. in Saligramam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. P.Periasamy on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 34 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.

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VHM Hospital Pvt. Ltd.

No.4, Lal Bahadhur Sasthry Street, Sathya Garden, Saligramam. Landmark: Opp To Avichi School, ChennaiChennai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am 59. Taking 750ml lukewarm water along with lemon juice and a tablespoon of honey early in the morning regularly. Is it alright at this age even in summer days? Furthermore, I have long been suffering from prostatic for last about 4-5 years. For the last one month, according to the advice of a good Doctor of Ayurveda, I have been taking (1) Himplasia-2tabs-twice daily, (2) Kachnar guggulu-3tabs-twice daily and (3) Guksharadi guggulu-3tabs-twice daily and feeling unique benefits so far. Are these Ayurvedic medicines dependable to be totally cured of the prostatic? How long am I to continue with these medicines. Please suggest.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
I am 59. Taking 750ml lukewarm water along with lemon juice and a tablespoon of honey early in the morning regularly....
Respected lybrate-user hi definately you can take the mixture you told without hesitation. So far as prostate cure is concerned any allopathic or ayurvedic agents are going to control symptoms of prostate & delay with slight decrease in growth rate of prostate. Nothing is going to absolutely cure you for rest of your life at all. So you have to continue medicines you can't stop & if you stop all previous symptoms will come back again. Thanks regards welcome anytime for any queries dear.
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My wife is having very irregular periods. Gynecologist suggested TVS of pelvis and results are as follows: UTERUS: Uterus is retroverted. Size is 6.1×3.4cm. Myometrial echo is normal. Endometrial thickness - 5.4 mm. NABOTHIAN CYST SEEN IN CERVIX. OVARY: Both ovaries are normal in size. Volume of RO- 8.6 ml. LO- 8.4ml. UNIFORM SIZE FOLLICLES SEEN IN BOTH OVARIES. SUGGEST PCO. Please explain the results and also about the treatment.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
My wife is having very irregular periods. Gynecologist suggested TVS of pelvis and results are as follows:
UTERUS: Ut...
Her ultrasound report shows pcos, this the reason she is having irregular cycle, also get a fsh, tsh and prolactin test of her done. Advise her to do regular workout or exercise for weight loss, also she needs to take adequate nutritious diet with fruits, vegetables, low fat dairy products lots of juices, and quit coffee, and fried food.
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I want to know about ESWL process for breaking the kidney stone .And in how many days will I get discharge and I I will be normal .please tell.

M.B.B.S, DNB - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES), FMAS.Laparoscopy, Fellowship in Bariatric & Metabolic Surgery ( International)
General Surgeon, Surat
I want to know about ESWL process for breaking the kidney stone .And in how many days will I get discharge and I I wi...
Eswl as very limited indication these days as most of stones can be completely removed with endoscopic surgery. Recurrence rates and relapse rates are high with eswl treatment.
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I'm suffering from kidney stone. I want to know what to eat & what not too in kidney stone.

MBBS, MS - General Surgery, DNB
Urologist, Bangalore
I'm suffering from kidney stone. I want to know what to eat & what not too in kidney stone.
Plenty of oral liquids predominantly water goes a long way in preventing stone formation. Water intake on an average should be about 2 to 2.5 liters a day, distributed uniformly throughout the day. One should take a balanced diet avoiding excess of any food elements and try not skipping or avoiding any food. Fluid intake - adequate quantity, distributed uniformly throughout the day aim - to keep urine output at least 1.5 litres per day. Type - predominantly water, followed by barley water or yoghurt. - freshly squeezed oranges or lemons, juices made from the same, green tea and wine. - completely avoid soft drinks / aerated drinks. - avoid other fruit juices; instead eat fruits. Adequate consumption of fruit and vegetable. Avoid excess of or skipping of any dietary element. Adequately treat any urinary infection.
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Over 3 to4 days. I have pain while urine time. 1 day some drops of blood appear after urine? What is this problem. But no pain in kidney, liver, or in stomach.

BHMS
Homeopath, Faridabad
Over 3 to4 days. I have pain while urine time. 1 day some drops of blood appear after urine? What is this problem. Bu...
Hello, i think you should get an ultrasound abdomen test done for the diagnosis, why there is pain and blood spots in the urine.
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I have read that normal colour for urine is light yellow to a bit darkish yellow but sometimes I get colourless urine. Is it normal?

MBBS
General Physician, Faridabad
I have read that normal colour for urine is light yellow to a bit darkish yellow but sometimes I get colourless urine...
yes it is normal, if you drink less water then it is yellowish or you hold urine for long time, it will be dark coloured. consume 3-5 litre of water daily. thanks
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Hello doctor, My fistula was before 4/5 years, it is long 7.2 mm.I just want to know. where are a best hospital and best doctor I can get it! I want to come india.Please sir help me. I want to go Delhi or Chennai .but wanna to after operation it is coming back?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Usually surgery is recommended for Fistula treatment but it is not a good choice for Fistula treatment for the reason of recurrence of problem after surgery and other complications like stool incontinence (inability to hold stool) etc. Whereas Ayurveda recommends Ksharsutra treatment for Fistula which is a permanent treatment for this problem. Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS New Delhi and PGI Chandigarh have proved that Ksharsutra treatment is more convenient and more effective than surgery in patients suffering from Anal fistula. In this treatment; Ksharsutra - a medicated thread is placed in Fistula tract. Medicine released from Ksharsutra debrides the Fistula tract and induces healing. This medicine works for 5-7 days so old Ksharsutra needs to be replaced by a new one at a week or 10 days interval. No. Of Ksharsutra changes required for complete healing of Fistula depends on depth, direction and branching pattern of Fistula. It is observed that Fistula heals @ 0.5 to 1 cm per sitting. So a fistula tract of 3 cm usually needs 4-5 weekly Ksharsutra changes. No hospitalization or bed rest is required in this treatment and patient can continue his normal daily routine as usual. For further assistance and appointment you may contact reception at Sushruta Ano Rectal Institute.
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Hypercalcemia - Can It Cause Nephrogenic Diabetes?

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Hypercalcemia - Can It Cause Nephrogenic Diabetes?

For many people, “diabetes” often be known as just Type I or Type II diabetes. You will be surprised, but there are several forms of diabetes. We have Diabetes mellitus and there is Diabetes insipidus. This type of diabetes is actually a hormonal disorder that directly affects the kidneys.

The signs and symptoms of diabetes mellitus and diabetes insipidus are the same they cause increased thirst that is almost insatiable. The person tends to always feel thirsty and will urinate much more than usual.
Diabetes insipidus or DI is a fairly uncommon disorder, and it does require proper treatment. Therefore, it is better to have an understanding of the problem and discuss the best possible treatment options.

Diabetes Insipidus explained
The kidneys are the filtering system of the body. One of the things that they filter is the extra fluid in the bloodstream. When there is too much water, it gets stored in the bladder and becomes urine. When the kidneys are working normally, the amount of urine that is created will rise or fall depending on the fluid levels that are present in the body.

When diabetes insipidus is present, this control is skewed. What happens now is that the hormones-mainly Vasopressin produced by the brain and controlled by the pituitary gland- that tell the kidneys to remove the extra fluids malfunction. Vasopressin thus acts as an anti-diuretic. Or sometimes, the kidneys don’t respond to the hormonal signals. At other times, there is a change in the amount of Vasopressin.

Types of Diabetes Insipidus
There are four main types of Diabetes Insipidus, amongst these, the central diabetes insipidus is perhaps the commonest and in this the Vasopressin regulation system malfunctions. This causes the kidneys to think that there is too much water in the body and they in turn, continually pull out fluids from the bloodstream and turn it into urine. A patient can sometimes end up urinating 20 litres of urine per day. The second important type of Diabetes Insipidus is Nephrogenic Diabetes Insipidus.

What causes Nephrogenic Diabetes Insipidus?
In Nephrogenic diabetes insipidus, the kidneys are unable to understand what the hormone levels within the body happen to be.
So, there is a breakdown in hormonal communication between the pituitary and kidneys with the pituitary gland producing the right levels of Vasopressin that are required, but the kidneys are unable to absorb the water from the bloodstream as and when requested. This defect typically happens within the tubules of the kidneys.


The most common reasons for nephrogenic diabetes insipidus to occur are

  • Long-term medication use, especially with lithium. People on lithium medication have a 40% chance of developing this form of DI. Long-term antibiotic use with demeclocycline can also increase risk for nephrogenic diabetes insipidus. 
  • Like central diabetes insipidus, nephrogenic diabetes insipidus can also be caused by genetic factors. The symptoms of this DI can be present at birth or may develop slowly throughout childhood.
  • The third reason for nephrogenic diabetes insipidus is hypercalcemia. This means there is too much calcium in the blood.
  • Calcium is problematic for the kidneys and too much of it may cause them to stop responding to the fluctuating vasopressin hormone levels.

Hypercalcemia explained
In hypercalcemia, the level of calcium in the blood is too high and this causes no disturbing symptoms other than nausea, thirst, digestive problems. If left untreated, hypercalcemia can cause confusion and coma.

  1. Hyperparathyroidism: It is one of the reasons behind hypercalcemia. In this, one or more of the four parathyroid glands secrete too much parathyroid hormone which helps control the amount of calcium in blood.
  2. Diet: Eating too much calcium in the diet is another common reason for hypercalcemia.
  3. Too much vitamin D intake: If you take very high daily doses of vitamin D over several months, the amount of calcium absorbed from the digestive tract increases substantially and can lead to hypercalcemia.
  4. Other reasons: Other common bone disorders like Piaget disease where too much calcium is removed from bones and cancer.

Treatment of Nephrogenic diabetes insipidus is usually done by a combination of diuretics and NSAID medications. Taking ibuprofen and other OTC painkillers concentrates the urine within the kidneys and relieves excess urination.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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