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Dr. Praveen Kumar

Urologist, Chennai

500 at clinic
Dr. Praveen Kumar Urologist, Chennai
500 at clinic  ·  ₹ online
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Praveen Kumar
Dr. Praveen Kumar is a renowned Urologist in Chromepet, Chennai. He is currently practising at Agash Nursing Home in Chromepet, Chennai. You can book an instant appointment online with Dr. Praveen Kumar on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 33 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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No.234,G.S.T.Road Chrompet. Landmark: Near Ananda Kalyana Mandapam, ChennaiChennai Get Directions
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I am 42 years old. Male. I am suffering from anul fissures from last one week. How can free from this?

MD-Homeopathy
Homeopath
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It' s high time to start homeopathy treatment under any registerd doctor may help for permanent cure.

I am 25 years old female. I am regularly suffering with urine infection what should I do?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist
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I am 25 years old female. I am regularly suffering with urine infection what should I do?
Treating recurrent urinary infection with antibiotics is not the answer. We have to fine the cause and than only will we be able to control the regular infections.

I have four stones, two stones on each side 3 mm-5 mm in my kidneys. How can I dissolve it? Or do I need to do procedure for it which is extremely costly. I need to go to work in a moth in before that will have to go to company doctor for a check up and I'm sure they will find out and rejected me. So please let me know what is the best option to dissolved it.

BHMS
Homeopath
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I have four stones, two stones on each side 3 mm-5 mm in my kidneys. How can I dissolve it?
Or do I need to do proced...
Hello, Take Homoeopathic medicine Berberis Vulgaris Q, 15 drops with water twice daily. Hydrangea Q, 15 drops with warm water once daily in the after noon. Take Ayurvedic medicine Neeri syrup , 2 tsp twice daily. Take Cantharis 30, 5 drops once daily in the morning. Revert me after 7 days. ****Most important Drink plenty of water .*****

I am 20 year old, male. Kidney stone is occured.Please do help

International Academy of Classical Homeopathy, BHMS
Homeopath
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Plz giv me details i.e Size and position of stone. Type of pain. Any c/o regarding urinations? u can try cal. Renalis. 6c. Thnks.

I"M having kidney stone problem and I can't get surgery and the stone are 3 mm and 6 mm in my right kidney. As well recently I had at laparoscopic in my left kidney for the stone. Now I need to prevent it in my right side. And now days I am having the pain in my left side again. The pain starts like it pains from my back n then till my urine place. Can you help me out in this.

BHMS
Homeopath
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I"M having kidney stone problem and I can't get surgery and the stone are 3 mm and 6 mm in my right kidney. As well r...
Hi, There is no need to go under surgery again for right renal calculus.So don't worry and take the below given homoeopathic treatment:- Take Homoeopathic Berberis Vulgaris Q, 15 drops with water water twice daily. Hydrangea Q, 15 drops with warm water once daily in the after noon. Take Ayurvedic medicine Neeri syrup , 2 tsp twice daily. Take Cantharis 30, 5 drops once daily in the morning. Revert me after 7 days. ****Most important Drink plenty of water .*****

Hello doctor, I am 9 week 2 days pregnant and I am using susten 200 twice daily, but now I have slight burning sensation while urinating. As earlier I had miscarriage and this is my first pregnancy so I am very much concerned. So, please guide me with proper advice for carrying my healthy pregnancy.

MD-HM, MD-HRM, PGDMLS, AFIH, MBBS
General Physician
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Hello doctor,
I am 9 week 2 days pregnant and I am using susten 200 twice daily, but now I have slight burning sensat...
Drink more water eat more fruits, water melons etc keep good hygiene. Avoid pressure on lower abdomen if doing sex. No harm as such just by sex but careful. Nimbu pani every day tulsi patte every day kadhipatta 4-5 leaves everyday.

I am 37 years old male and having stones in both kidneys, size is around 5mm and less than. Next week, ramazan is going to start and I will start fasting. Please let me know the precaution that I need to take ?

Advanced Aesthetics
Ayurveda
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I am 37 years old male and having stones in both kidneys, size is around 5mm and less than. Next week, ramazan is goi...
Kidney stones are a very common health problem. They form from the chemicals in urine, such as uric acid, phosphorous, calcium and oxalic acid. Other common causes of kidney stones are excessive consumption of vitamin d, a mineral imbalance, dehydration, gout and an improper diet irrespective of the size of the kidney stones, they can cause severe pain. Other symptoms include a desire to urinate frequently, painful urination, nausea, vomiting and excessive sweating. Pomegranate both the seeds and juice of pomegranates have astringent properties that can help in the treatment of kidney stones? try to eat one whole pomegranate or drink one glass of freshly squeezed pomegranate juice daily. You can mix pomegranate in a fruit salad also. Another option is to grind one tablespoon of pomegranate seeds into a fine paste. Eat this paste along with a cup of horse gram soup once daily. This remedy will help dissolve the stones. Being high in fiber, kidney beans can be effective in the treatment of any kind of kidney or bladder problem, including kidney stones? remove the beans from inside the pods, then put the beans in hot water. Simmer the water on low flame for hours until the beans become soft and tender. Strain the liquid and allow it to cool. Strain the liquid again. Drink it several times throughout the day to relieve kidney stone pain. This liquid should not be kept for more than 24 hours, as it will lose its therapeutic properties? you can also eat kidney beans in soup or salad. To conclude, you can try any of these natural remedies for treating kidney stones ayurvedic medicenes are neeri syrup and calcury syrup and vrikkdoshhar vati for more queries inform me.

I am 38 year old male I am suffering from continually to coming urin in every season and I can not seat by folding my legs.

BHMS
Homeopath
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I am 38 year old male I am suffering from continually to coming urin in every season and I can not seat by folding my...
Dear Mr. Lybrate-user, you are suffering from a clinical condition called incontinence. Take the following medication as described for at least 15 days:- 1) 5 drops of homoeopathic causticum 30 at early morning daily 2) 5 drops of homoeopathic conium mac 30 just 1 hour before dinner 3) 30 drops of homoeopathic mother tincture sabal serrulata q, twice daily after meals. Report after 15 days.

I'm 56 and I have 5 to 10 mm stones in both the kidneys and gallbladder. Please Advise.

Ph.D - Ayurveda, FFAM-Post Graduate Fellowship, MD - Ayurveda
Ayurveda
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Required investigation reports, size and number of stones, duration and kft report, after observing report treatment will be advised.

I have kidney stone please guide me.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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I have kidney stone please guide me.
What is the size of the stones? stones treatment depends on the types and size of stone, most kidney stones won't require invasive procedures. You may be able to pass a small stone by: drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless doctor tells you otherwise, drink enough fluid mostly water to produce clear or nearly clear urine. Passing a small stone can cause some discomfort. To relieve mild pain, according to your medical history one may prescribe pain relievers.

Dear professionals I am suffering from phobia and panic about urine while going out traveling in bus and more and stage fear also is there please help me only I want allopath professionals.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist
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Dear professionals I am suffering from phobia and panic about urine while going out traveling in bus and more and sta...
Built confidence. Do more interaction with friends. Relatives and colleagues do 1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water you need med, for medicine contact on private chat. Good luck.

I am in the 10 week of pregnancy, I felt sudden pain in my lower abdomen, vaginal area and felt I want to urinate frequently, infact went for around 3 times in an hour, I visited my care giver, she mentioned it as a symptom of urine infection and has given ziffi 200 is it the right diagnosis, she has asked me to take plenty of fluids, at the moment i am taking duphston and a ll9 both medicines.

MS - Obstetrics and Gynaecology
Gynaecologist
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I am in the 10 week of pregnancy, I felt sudden pain in my lower abdomen, vaginal area and felt I want to urinate fre...
Hi, pain lower abdomen with frequent urination is commonly indicates urinary infection but can also be due to irritability of uterus. So take extra rest and get done your 1- urine complete examination 2- urine for culture & sensitivity of causative organism. As report of culture takes 72 hrs, so you can start - 1- cap. Zifi 200 mg, bd 2- oricitral suspension, 1 tsp. Four times a day with full glass of water drink plenty of fluids e. G. Water, lassi, coconut water, lemon water but not aerated drinks / packed juices. Continue with duphaston, this is to protect pregnancy when you recieve your urine culture report, send immediately to me or show to your doctor. Meanwhile check your temp. Regularly, if any fever, inform me or your doctor.

Health Benefits Of Barley

Diploma in Diet n Nutrition, BHMS
Homeopath
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Did you know barley water is good for kidney stones?
Barley (jau), a member of grass family, is a cereal that has been cultivated for over 13, 000 years. Packed with carbohydrates (78%), fat (1%), protein (10%) and water (10%), barley is a rich source of essential nutrients, dietary fiber, vitamins such as niacin, manganese, phosphorus and vitamin B6.

With several health benefits to its name, barley water is termed as the elixir to good health. It has been found to be beneficial in reducing chances of heart disease, soothing bowels, reducing blood cholesterol levels, improving blood sugar regulation in the body and acts as nutritive broth for fever, cold and cough. Additionally, studies support that barley water has also been found to play an integral role in maintaining renal health.

What is a renal stone?
A renal stone is a solid stony piece consisting of crystal forming substances in the urinary tract. They are usually formed when the urine is abundant in substances such as calcium, oxalate and uric acid and lack substances that inhibit their accumulation. While small kidney stones can pass through the urinary system without any symptoms, a stone larger than 5 mm can result in blockages in the urinary tract causing severe pain in the back and lower abdomen.

What causes renal stones?
- A family history for stones, lack of adequate water in the body, high BMI, excessive intake of diets rich in protein, sodium and sugar have been found to be some of the common causes for stone formation.

Try protein foods & supplements
-medical conditions such as hyperthyroidism, inflammatory bowel syndrome and renal tubular acidosis have also been found to alter the digestion of calcium.

How does barley water aid the dissolution of renal stones?
Studies show that regular use of barley water can dissolve and eliminate existing kidney stones and prevent the occurrence of stones and other kidney problems. Use of diuretics either natural or synthetic can help speed up the expulsion of the stone.

Diuretic in nature, barley water helps to flush toxins from the kidneys by creating bladder pressure and increasing the frequency of urination.

- It helps maintain the PH levels in the body, making it alkaline, preventing various urinary tract issues, including kidney stones.

- The vitamin B6 and magnesium in barley helps break down the masses of toxic calcium oxalate (primary cause for stones) in the kidney.

Dietary fiber in barley reduces the amount of calcium that is excreted by the body through urine, restoring renal health and cleansing the kidneys.

Ways to prepare barley water:
- Boil 1 litre of water with a tablespoon of barley pearls and boil on a low flame for about 30 minutes or until the water has reduced to half.
- Strain and cool this mix and drink it through the day.
- Add lemon juice or honey to make the mix tasty

Regular use of barley water ensures that the renal system is hydrated, healthy and free of depositions such as renal stones. So, go ahead and add this elixir to your diet to ensure a healthy renal system and a healthier you. Eat healthy, stay healthy!
Health Benefits Of Barley

I am having snap fissure problem at starting stage facing a problem of constipation and having pain in Anus and stomach help me provide me medicine and ointment for anus.

MS - General Surgery, MBBS
General Surgeon
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I am having snap fissure problem at starting stage facing a problem of constipation and having pain in Anus and stoma...
Avoid constipation. Add some stool softener like syp duphalac or cremaffin plus at bed time. Take a tub. Add luke warm water in it. Sit in it after passing stool atleast twice daily.

I don' t have diabetes but frequency of urination in night 3 times please help me.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist
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Dear , if you don't have diabetes and till nocturia 3 times a night then one needs to find out the cause urine examination to see if there is infection, usg to find the cause of nocturia like stone, obstruction in flow of urine, uroflowmetry tee your voiding pressures and pattern. It is better to see a urologist and let him work up the case correctly. Dr. Kiran mehta.

General Physician (AM)
Alternative Medicine Specialist
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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.

I am a 79 year old man with normal health condition. I have some difficulty in passing urine. Urine does not come in one stream, but with gaps. There is a feeling that complete urine is not passed.

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist
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These symptoms are suggestive of prostate enlargement. Star cap urimax-d 1 at night daily. Get complete hemogram, kft, psa, ultrasound of kidneys & prostate, lft, hba1c, lipid profile.

I am suffering from renal calculi about 6 mm in left and 4 mm in right kidney and weight loss.

MD - Alternate Medicine, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am suffering from renal calculi about 6 mm in left and 4 mm in right kidney and weight loss.
Renal calculi can be easily dissolved within 10 days with ayurvedic Medicine. For weight loss You can follow some tips in daily routine. 1. After every meal, drink 1 cup boiling water with spoon sip by sip. After half an hour you have taken meal do this daily. 2. Try to avoid eating heavy food after 7 pm. As it takes time to digest heavy food. 3. Drink 1 glass water half an hour before meal. 4. Try to do some exercise. Yoga and meditation are very good in losing weight and maintaining it also. Yoga asanas you can do - Manduk asana - Sarwang asana - Setubal asana - Pawan Mukht asana Pranayama -Anulom Vilom -Deep Breathing - Kapal bhati Other exercises -Crunches -Cycling -Leg rotation

My husband is 28 years old. He is urinating only twice or thrice in a day. And his urine colour is red. Is it normal. If it is not what should I do ?

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist
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From what you have written, his urine is extremely concentrated due to inadequate water intake. He should consuming about 3.0litres water daily, should not consume alcohol, tobacco, excessive coffee, tea, soft drinks.
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