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Dr. Pichai

Urologist, Chennai

250 at clinic
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Dr. Pichai Urologist, Chennai
250 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Pichai
Dr. Pichai is a renowned Urologist in Kodambakkam, Chennai. You can consult Dr. Pichai at Tulasi Krishna Nursing Home in Kodambakkam, Chennai. You can book an instant appointment online with Dr. Pichai on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 28 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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Tulasi Krishna Nursing Home

5 1st Street, Taylors Estate, Kodambakkam. Landmark:Near Railway Station, ChennaiChennai Get Directions
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Frequent urination in night (4 to 5 times). Can not sleep properly. Fasting sugar is in range (99). Was having vitamin D Deficiency. Still taking the vitamin D and calcium tables after lunch. What is the reason behind this frequent urination in night only?

BHMS, PGDM (Emergency Medical services)
Homeopath, Pune
Frequent urination in night (4 to 5 times).
Can not sleep properly.
Fasting sugar is in range (99).
Was having vitami...
Hello. Frequent urination has plenty reasons. Though your Fasting Sugar is okay .Do Sugar Fasting and post lunch. Other causes can be Urinary tract infection. Any Bladder calculi-Stone. Mild prostatomegaly Or Excess water intake at Supper or Dinner time. Proper case history and Few tests Reports will help to Find cause of your Problem. I'd like to know your Progress Soon. Good Day.
4 people found this helpful
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Dr. I feels pain in back and leg down portion due to continue passing yellow urine and after toilet drops type urine passing, in urine seamen also passes and feel pain. So pls give me a definite way in the direction of treatment.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Dr. I feels pain in back and leg down portion  due to continue passing yellow urine and after toilet drops type urine...
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contacts your nearest hospital or family doctor. If it doe s not give relief in 4-5days, contact me again. Why not discuss with me in a video conference?
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I am 24 years old. I have 5 mm of stone in left kidney. My serum creatine is 1.51 mg/dl, serum uric acid is 5.7 mg/dl and seen few motile bacteria. And also I have testis pain. Please suggest me how to survive this problem. I am suffering from these problem last two years.

MBBS, PGC IN FAMILY WELFARE &HEALTH MANAGEMENT, DHA, PGD IN MEDICAL LAWS ÐICS
General Physician, Kolkata
I am 24 years old. I have 5 mm of stone in left kidney. My serum creatine is 1.51 mg/dl, serum uric acid is 5.7 mg/dl...
3-4 LTRS OF WATER IN 24 HRS AVOID DAIRY PRODUCTS,TOMATO,CAPSICUM BLOOD SUGAR. HAVING PAIN IS A GOOD SIGN SILENT STONE IS BAD. YOU CAN WAIT FOR NATURAL PASSAGE. GO FOR LITHOTRIPSY,DEPENDING ON POSITION.
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Homeopathic Routes To Get Rid Of Kidney Ailments

PGDM In Cosmetology, Trichology & Weight Managmen, MD, BHMS
Homeopath, Mumbai
Homeopathic Routes To Get Rid Of Kidney Ailments

Among all body parts that play a role in human well-being, kidneys play the most important role that defines wellness of the physical system. The proper functioning of the kidneys decides the entire welfare of human body. Hence, maintaining the health of the kidneys is very vital for the young as well as the old. But in today’s age, because of the rise in unhealthy lifestyle of people, chronic renal failure has been on an increasing spree, causing fatal concerns.

The Rising Graveness Of Kidney Disturbances-

Chronic kidney failure is universally considered a fatal disease that terminates the normal functioning of bladder movements, which flush body toxins and waste products in the form of urine. In such medical conditions, generally doctors prescribe dialysis, kidney transplantations and other such complicated and expensive treatments. Such procedures could also be a great threat of post surgery effects that could hamper the body system permanently. At the same time, these treatments are neither feasible nor suitable for all patients. Taking into consideration the varying medical conditions of people, such complicated treatments could cause health hazards, which could endanger their well being.

Homeopathic Remedies To Oust Kidney Malfunctions-

Often it is seen that kidney failures do not occur on a sudden basis or due to certain lifestyles. Family history and hereditary conditions also cause certain problems in the long run. In such cases, the conventional homeopathic remedies provide better healing results than the usual surgeries for the patients. Even diabetic patients are suggested to go the homeopathic way for renal malfunctions. It is also believed that early stages of kidney problems are best treated by homeopathic procedures, which prevent further damage to the kidneys. Even patients undergoing dialysis are prescribed the traditional homeopathic medications, which enable them to lead a healthy living.

Therefore, certain homeopathic medicines have played a powerful role in rectifying kidney problems. For instance, Aconite tackles loin aches and post scarlatinal nephritis. Apocynum regulates the flow of urine and rectifies the amount of outlet. Belladonna handles conditions like excruciating burning pains in the lumbar areas and kidney inflammation. Cuprum Arsenicum cures uraemic disturbances.

Thus, it is a proven fact that homeopathy has an answer to all medical conditions. Be it any part of the body, externally or internally, homeopathic medications always ensure a sure shot cure. It not only heals the body from the ailment but also revitalizes the entire body system and charges the body functioning with new and improved vigor. If you wish to discuss about any specific problem, you can consult a Homeopath.

5080 people found this helpful

Dear doctor I am suffering from frequently urine discharge. Although I don't take much water yet I have to go toilet 12 to 15 time in a day. I checked by Hba1c past month and it was normal. I am married person.

MBBS
General Physician, Mumbai
Dear doctor I am suffering from frequently urine discharge. Although I don't take much water yet I have to go toilet ...
Its a normal finding and might be due to anxiety and I will suggest you to not take any medicine for it.
1 person found this helpful
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My mom will be going for an laser operation for kidney stone. She is having 2 stones, one in each kidney, 1 of 13 mm and other of 14, My question is will laser operation remove stones from the root ?

MBBS
General Physician, Mumbai
My mom will be going for an laser operation for kidney stone. She is having 2 stones, one in each kidney, 1 of 13 mm ...
Dear lybrate user, -The kidney stones will be removed from the roots by laser but if she doesn't take precautions after that they can again form -she should have plenty of fluids including8-10 glasses of water per day to flush out the toxins & to keep the kidneys healthy, also avoid spicy, fried food & intake of calcium substitutes for a long period if she consumes them -get regular checkups & investigations done to avoid recurrence.
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Hiii. There is flesh bubble near my anus and its paining. How to cure it. please let me now please plz plz.

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.
1 person found this helpful
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I waked up in morning & wnet fr urine. During passing my urine burning sensation occurred in penis from where urine cones out. Do I need to see the doctor urgently or I should wait and observe it? Why did it happened. This is first time I got burning sensation.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
I waked up in morning & wnet fr urine. During passing my urine burning sensation occurred in penis from where urine c...
You must have used spicy or hot food last day. Drink lots of water and fresh fruit juice. Wait for a day, otherwise consult doctor.
1 person found this helpful
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I have kidney pain since a week, and to day I got checkup frm dctrs n they confirmed that, it is kidney stone, Pls suggest me the food maintenance,

BAMS, MD Ayurveda
Sexologist, Lonavala
I have kidney pain since a week, and to day I got checkup frm dctrs n they confirmed that, it is kidney stone, Pls su...
as per your concern i would suggest you to do following remedy Natural home remedy using kidney beans: 1. Take 60 gm kidney beans 2. Add 4 L of water 3. Heat for 4-5 hr 4. Strain the liquid through a fine muslin cloth 5. Allow the liquid to cool 6. Drink 1 glass of this liquid once every 2 hr in a day 7. Do this for a week 8. Do not use the liquid or the beans again 24 hr after the 1st preparation This remindy will be helpful.
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I am female of age 20. N I want to know whether renalka syrup of himalaya helps in curing urine infection or not?

General Physician, Bangalore
I am female of age 20. N I want to know whether renalka syrup of himalaya helps in curing urine infection or not?
Renalka syrup is used to increase pH of urine and make urine alkaline so that urinary tract infection can be prevented and also stone formation can be prevented. Use can use this syrup for both UTI and renal stones. If UTI still persists Antibiotics are needed to be added. You çan also take this syrup as preventive measure in advance too.
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My friend (boy) & another boy did anal sex. Now my friend is having little pain in anus & when he pooped. A little blood also came. As such there is no injury or problem. But pl suggest what he should do. Can he have sex with that boy again or not?

FMAS, MS
General Surgeon, Gandhinagar
My friend (boy) & another boy did anal sex. Now my friend is having little pain in anus & when he pooped. A little bl...
Respected lybrate-user hi I suggest not to have same thing again with that boy or any other boy by this you r inviting high chances of contagious diseases dear thanks regards.
1 person found this helpful
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Home Remedies for Kidney Stones

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Home Remedies for Kidney Stones
Home Remedies for Kidney Stones

What are Kidney Stones?

Kidney stones are one of the most painful disorders that affect humans. Kidney stones are solid masses of mineral salt deposits that are normally filtered through the kidney and emptied via urine. Urine has a natural substance, which dissolves these minerals, thereby preventing them into becoming solids or calculi. Sometimes due to dehydration, these salts don’t get dissolved and crystallization takes place. It grows large enough to obstruct the renal ducts or get stuck in the ureter, causing sharp and severe pain in the urinary tract. Untreated, kidney stones can cause renal failure


Home Remedies for Kidney Stones

Tip 1:

Boil two figs in a cup of water and drink it on an empty stomach early in the morning.

Tip 2:

Basil leaves (Tulsi) are good for the overall health of kidney. Mix 1 teaspoon of juice from basil leaves with 1 teaspoon of honey and have it daily in the morning. You can also chew two to three basil leaves in order to remove the stones from the urinary tract.

Tip 3:

The water and potassium content that is present in watermelon is an essential ingredient for a healthy kidney. It helps in regulating and maintaining the level of acid present in the urine. Eating watermelon or drinking its juice everyday will help in flushing out stones from the kidney.

Tip 4:

Regular intake of celery helps in clearing the toxins that cause the formation of stones in the kidney.

Tip 5:

Drink a glass of tomato juice with a pinch of salt and pepper every morning. This helps dissolve the mineral salt deposits in the kidney.

Tip 6:

Drinking plenty of water daily will produce clear urine each time you urinate. This will eventually help the kidney stones to pass.

Tip 7:

Whole wheat bread is a rich source of fiber, nutrients and proteins along with magnesium. Having two to three slices of whole wheat bread daily will help a lot in lowering the risk of kidney stone.

Tip 8:

Kidney beans are another effective remedy for treating kidney stones or any kind of bladder problems. You can simply remove the seeds from the pods and slice the pods in the water, allow the water to boil on low flame for an hour until the pods become soft and tender. Strain the liquid and leave till it cools, drink it several times throughout the day to get relief from kidney stones.

Tip 9:

A proper diet is essential in keeping the kidney healthy and prevent formation of kidney stones. Drinking plenty of water and other fluids or liquids daily will help prevent most types of kidney stones. Consuming too much of calcium rich foods such as spinach, beet, cauliflower, carrots, almonds, sweet breads, coconut, turnip, Bengal gram, peas, whole-wheat flour and organ meats like liver and kidney can lead to kidney stones. One should also know to choose a diet that is low in salt and animal proteins. Keep away from condiments such as pickle, alcohol drinks, sauce, cucumber, radish, tomato, asparagus, onion, cabbage, meat and gravies as well as carbonated drinks.

Tip 10:

Lemon juice contains citric acid that helps break down the calcium-based kidney stones. Drink two to three glass of lemon juice daily. This will help increase the volume of urination, which is really good for those having kidney stones
41 people found this helpful

I do not know why there is odour arising from my vagina. Everytime I urinate, I rinse that portion with water, I change underwear everyday, I also drink lots of water. What am I doing wrong?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
I do not know why there is odour arising from my vagina. Everytime I urinate, I rinse that portion with water, I chan...
Dear lybrate-user its not about what you are doing wrong its about what you are not doing at all. Dear you have to use a wash. Plain water is not enough. Lactacyd is one of the washes my dear. There are one or two medications which can help you alot.
1 person found this helpful
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Diet In Chronic Kidney Disease

MBBS, MD - Medicine, DM - Nephrology
Nephrologist, Delhi
Diet In Chronic Kidney Disease

What is Chronic Kidney Disease?

Chronic Kidney Disease (also known as Chronic Renal Failure) is the progressive loss of kidney function occurring over a span of several months to several years and is characterised by the replacement of kidney architecture with interstitial fibrosis.

Chronic kidney disease is classified into five stages on the basis or proteinuria (presence of protein in large amounts in the urine) or Glomerular Filtration Rate (GFR) - 1 being the mildest with no distinct symptoms and 5 being end stage renal failure.

Causes and Risk Factors of Chronic Kidney Disease-

The various reasons (called risk factors) that can increase chances of Chronic Kidney Diseases are:

  1. Diabetes mellitus, hyperlipidemia (excess fat proteins in the blood)
  2. Hypertension

  3. Family history heritable renal disease

  4. Older age, smoking

  5. Autoimmune disease

  6. Past episodes of acute renal disease

The direct causes of Chronic Kidney Diseases are-

  1. Diabetic nephropathy (leading cause)

  2. Hypertensive nephropathy

  3. Glomerulonephritis (swelling of the glomerulus in the kidneys)

  4. Reno-vascular disease (ischemic nephropathy)

  5. Polycystic kidney disease

  6. HIV-associated nephropathy

  7. Transplant allograft failure

  8. Exposure to drugs and toxins

Diet that you must maintain in Chronic Kidney Disease-

It is essential to make dietary as well as lifestyle amends once you are diagnosed with CKD. The main purpose of this diet is to maintain the levels of carbohydrates, fluids and minerals. This is done to prevent the buildup of waste products in the body as the kidneys are unable to fulfil its function properly.

It is recommended to refer a dietician who can make you a diet chart that helps you adhere to your diet.

Here is a list of food items that you may avoid or may consume if you are suffering from Chronic Kidney Disease:

  1. Carbohydrates : Carbohydrates are a good source of energy. If the intake of protein has been restricted, then it is recommended to replace that with carbohydrates as a source of energy. Fruits, vegetables, grains and bread can be consumed as they are rich source of fibres, minerals and various types of vitamins. You can indulge in some hard candies or sweets as well.

  2. Fats: Fats can provide a good amount of calories as well. Ensure that you only stick to healthy fats such as the monounsaturated and polyunsaturated fats that are good for your cardiac health.

  3. Reduce your phosphorus intake: A diet with no more than 800 mg of phosphorus can help reduce the risk of too much phosphorus building up in your blood.  Limit intake of foods with high levels of phosphate or phosphate additives such as organ meats, whole grain breads, processed foods, cola beverages, cheese, dried beans, liver, peanut butter, dairy products and chocolate. Many beverages and processed foods have these additives. Other high-phosphorus foods to limit include:

    • Cheese
    • Chocolate
    • Ice cream
    • Legumes
    • Milk
    • Nuts
    • Seeds
    • Yogurt
  4. Monitor your potassium levels: Usually, potassium is not restricted in stage 3 CKD unless lab tests show potassium is too high. Your doctor may make medication changes or prescribe a low-potassium diet. Reduce an elevated potassium level by limiting some high-potassium foods and potassium chloride (found in salt substitute and many low-sodium processed foods), such as avocado, bananas, cantaloupe, honeydew, legumes, milk, nuts, potatoes, seeds, tomato products and yogurt. Some high-potassium foods to limit or avoid include:
    • Avocado
    • Bananas
    • Cantaloupe and honeydew melon
    • Dried fruit
    • Legumes
    • Milk
    • Nuts and seeds
    • Oranges and orange juice
    • Potatoes
    • Pumpkin and winter squash
    • Tomato products (juices, sauces, paste)
    • Yogurt
  5. Proteins: Usually, before undergoing dialysis, it is recommended to adhere to a low-protein intake diet. However when you are undergoing dialysis, it is necessary to consume a certain amount of protein. This detailed information can be obtained from your dietician.
  6. Fluids: In the early stages of CKD, your fluid intake is not monitored. But as the disease progresses, you need to check your intake of fluids as too much fluids may accumulate in your body and create pressure on your kidneys.

  7. Sodium Or Salt Intake: Keeping a check on your salt intake reduces the risks of high blood pressure. Also, having food low on salt can reduce your thirst and prevent fluid retention in your body. If you wish to discuss about any specific problem, you can consult a nephrologist.
3234 people found this helpful

I am 37 years old and I have the problem of acidic urine daily for the past 2years. If I drink lot of water I do not have the burning sensation. I am scared whether this problem of acidic urine is because of the fact that the kidney does not work.

MBBS
General Physician, Cuttack
I am 37 years old and I have the problem of acidic urine  daily for the past  2years. If I drink lot of water I do no...
You make a habit of drinking 3-4 litres of water daily. If you don't get relief get your urine examined and consult doctor
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Will you please tell name of decease & further treatment according to test reports 1) LFT, LIPID PROFILE are normal, 2) HBsAg = REACTIVE, 3) URINE MICRAL = NEGATIVE, 4) HBV, DNA (QUANTITATIVE) 474 IU/ML (log10 value 2.68 IU/ML) 5) HBeAg = NEGATIVE, 6) All general blood & urine reports are normal.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Will you please tell name of decease & further treatment according to test reports
1) LFT, LIPID PROFILE are normal,
...
Most of reports are normal except hepatitis B , either person is a carrier-most probably person is not suffering from clinical jaundice.
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Ways To Treat Urinary Incontinence In Men!

MBBS, MS - General Surgery, DNB
Urologist, Bangalore
Ways To Treat Urinary Incontinence In Men!

Urinary incontinence is a health condition in men, which causes loss of bladder control. Urinary incontinence usually occurs in cases of medical conditions such as an enlarged prostate, Parkinson's disease and diabetes, and may also occur after a prostate surgery. Urinary incontinence is an irritating and embarrassing condition, but with proper treatment, it can be cured.

Here are several methods used to treat urinary incontinence:

  1. Caffeine, soda and carbonated drinks cause irritation in the bladder and worsen the symptoms of urinary incontinence. Alcohol is a diuretic and increases the amount of urine too. So abstain from coffee, alcohol and soft drinks to make a difference.
  2. Dietary adjustments are required for the treatment of urinary incontinence. Several spicy and acidic food items can make urinary incontinence worse. Hence, you should avoid having such foods for some time.
  3. Urinary incontinence can lead to stress and you must get rid of it for better health. You can try relaxation techniques, such as meditation and breathing exercises. Biofeedback is another option by which you can observe your bladder muscle contractions on a monitor.
  4. You should try a behavioral technique known as bladder training. This would require you to urinate every half hour, in spite of not having the urge. Slowly try to increase the time in between the bathroom breaks.
  5. You need to flex your muscles to gain control over urinary incontinence. Kegel exercises can be practiced as these boost the strength of your pelvic muscles. You should find the right muscles that are required to stop the passing of gas.
  6. Pads and disposable undergarments can be used by men. These help in preventing leaks and also protect the skin from irritation and odor.
  7. There are several medicines, which help in the treatment of urinary incontinence in men. Some of these work to relax muscles for preventing unwanted bladder contractions, while others help in blocking the nerve signals to the bladder. Drugs used for the shrinking of an enlarged prostate may also be used in some cases.

Surgery is the ultimate option for the treatment of urinary incontinence. Options include a male sling for urinary incontinence. A type of material is wrapped around the urethra for compressing it. Leaks because of coughing, sneezing or laughing are prevented. Artificial sphincter implants may also be used for treatment of urinary incontinence. A cuff is used in order to close the urethra. Urine is released by squeezing the pump to open the cuff. A device similar to a pacemaker is used to stimulate nerves, which help in relaxing the bladder and pelvic floor.

Urinary incontinence is a condition which causes reduced self confidence in men. But there are several ways to treat this condition which include home remedies as well as medications and surgery.

5 people found this helpful

I am suffering from UTI from last week. Its a most common infection catching me. What are the treatment I should perform.

CERTIFICATION IN BACH FLOWER REMEDIES OF ENGLAND, Ph.D DOCTOR OF PHILOSOPHY IN BIOCHEMISTRY, B.S.M.S BACHELOR OF SIDDHA MEDICINE AND SURGERY,
Alternative Medicine Specialist,
I am suffering from UTI from last week. Its a most common infection catching me. What are the treatment I should perf...
Take 30 drops of uvaursiq in half glass of water thrice a day after food for 15 days and crammed 1 cap twice daily and revert back.
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