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Dr. Ravichandran P

Nephrologist, Chennai

Dr. Ravichandran P Nephrologist, 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. Ravichandran P
Dr. Ravichandran P is a trusted Nephrologist in Cantonment, Chennai. You can visit him at St Thomas Hospital in Cantonment, Chennai. You can book an instant appointment online with Dr. Ravichandran P on Lybrate.com.

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

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No.5/105, Defence Colony Road, St Thomas Mount. Landmark: Near Cantonment Kalyana Mandapam & Mutt Road, ChennaiChennai Get Directions
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I have stone in both kidneys. Size 6.1 mm both. So what should I do? Need surgery?

BHMS
Homeopath, Faridabad
I have stone in both kidneys. Size 6.1 mm both. So what should I do? Need surgery?
Hi, take homoeopathic medicine - berberis vulgaris q/ 10 drops in 1/2 cup of water/ thrice daily for 4 weeks. 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. Revert me back.
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Asked this before about my irregular menses and severe pain during menses. Dr. Advised me for sonography but i'm done with it. There's nothing like ovarian cyst or anything like that. Earlier Dr. Prescribed me Mala N for 3 months course but this worked for few months only after that condition was same.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Asked this before about my irregular menses and severe pain during menses. Dr. Advised me for sonography but i'm done...
Hello, severe pain during menses is called dysmenorrhoea and can be due to endometriosis or adenomyosis. The pain can be controlled with nsaids and to regularise menses you need to rule out pcos, hypothyroidism and hyperprolactinemia as well first. If pregnancy is not a concern then continue mala n for another 3 months.
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I am S L E patient since last 26 years and on steroids presently i am suffering from lupus nephritis and I am taking omnacortil 40 mg and azoran 100 mg per day. What is the way to increase immunity of my body

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
I WOULD SAY YOGA PRANAYAMA AND SURYA NAMSKARA IS THE BEST TECHNIQUES TO BUILD YOUR IMMUNITY AND TO PREVENT THE COMPLICATION DUE TO STEROID DRUG THERAPY.
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I have problem of urinal time of urine is not coming in force & on time there is some kind of pain there. please advise?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
I have problem of urinal time of urine is not coming in force & on time there is some kind of pain there. please advise?
Dear , firstly if you are not drinking enough water then also urine flow would be less so you must try to increase your water intake till urine almost watery white if that is not the case then you may have anal fissure due to passage of hard faces then other common problems would be infection and obstruction or stone. So get urine tested and then usg (kub) with full bladder volume, bladder wall thickness on full bladder and post-void residual urine measurement.
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I went to the doctor for frequent urination problem. They tested CUE, FBS, PLBS. The report for CUE is nil. And the report for FBS is 72 and for PLBS the test value is 162. Am I diabetic. Please help me. Thank you.

MBBS
General Physician, Mumbai
I went to the doctor for frequent urination problem. They tested CUE, FBS, PLBS. The report for CUE is nil. And the r...
As ppbs is more than 150 so we have to check your blood for HbA1c and if it is more than 6 value than we can term you as a pre diabetic
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M.B.B.S
General Physician, Trivandrum
Urinary Tract Infection in Males.


Urinary tract infections (UTIs) are rare in adult males younger than 50 years but increase in incidence thereafter. Causes of adult male UTIs include prostatitis, epididymitis, orchitis, pyelonephritis, cystitis, urethritis, and urinary catheters. Owing to the normal male urinary tract’s many natural defenses to infection, many experts consider UTIs in males, by definition, to be complicated (ie, more likely to be associated with anatomic abnormalities, requiring surgical intervention to prevent sequelae).


Signs and symptoms:

Dysuria is the most frequent chief complaint in men with UTI. The combination of dysuria, urinary frequency, and urinary urgency is about 75% predictive for UTI, whereas the acute onset of hesitancy, urinary dribbling, and slow stream is only about 33% predictive for UTI.

Relevant clinical history includes the following:

Previous UTI(s)
Nocturia, gross hematuria, any changes in the color and/or consistency of the urine
Prostatic enlargement
Urinary tract abnormalities: Personally and within the family
Comorbid conditions (eg, diabetes )
Human immunodeficiency virus (HIV) status
Immunosuppressive treatments for other conditions (eg, prednisone)
Any previous surgeries or instrumentation involving the urinary tract.
9 people found this helpful

Hello Dr. I have a problem of kidneystone please suggest me what can I have to do?

DHMS (Hons.)
Homeopath, Patna
Hello Dr. I have a problem of kidneystone please suggest me what can I have to do?
Dear lybrate user, take, homoeo medicine. @ berb. Vulg. Q10 drops, thrice, with little, water. @ lycopod 30-6 pills, thrice a day. Avoid, spinach, tomatoes, protein rich diet. Take, easily digestible diet on time. Please, report, fortnightly. Take, care.
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Help I am 29 years old man I am suffering from tonsils problems since last two and a half year I am consulting ent taking medicine even took a ayurvedic treatment I got a recovery and doing precaution but uncertain tonsils appeared any time on end of feb I gone with the rear disease called gbs syndrome gone with treatment got recovery I do not know still I am scared that disease should not come again my weight is increasing I am doing diet and I had a water retention problem so I am taking triflaa my face looks puffy despite I am doing all suggested exercise all these things are related to my throat?

DORL, MBBS
Ear-Nose-Throat (ENT) Specialist, Faridabad
Help I am 29 years old man I am suffering from tonsils problems since last two and a half year I am consulting ent ta...
Dear what treatment you are taking this willl also not help you as you are keeping your mouth dry with all the stuff as you are taking trifla, you are basiclly suffering from dehydration, keep your self hydrated with good and fresh fruits and salads and shakes, banana, melon, water melon and pulpy fruits, and last but not the least iron diet, this will help you maintaining your mucus in your mouth and gives you protective layer
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Sir, my elder brother age of 45, last 1 month I felt very much weak. But I have not given off in my duty. When I have gone to medicine doctor, he as given some taste and declare my two kidney has gone damage. I have no symptom like this. I want to give my report. DATA--HEART RATE 74BPM, PR INTERVAL 162 MS, QRS DURATION 70 MS, QT INTERVAL 348 MS, QTC INTERVAL 387MS AXIS-- P WAVE 59 degree, QRS WAVE 70 degree, T WAVE 48 Degree, IMPRESSION: SINUS RHYTHM. NORMAL ECG. CALCIUM BLOOD 8.0 mg/dl, PHOSPHORUS-INORGANIC, BLOOD, GEL SERUM 5.0 mg/dl, UREA BLOOD- 127 mg/dl, CREATINE, BLOOD 7.5 mg/dl KIDNEYS- Both the kidneys are normal in shape, size (Rt kidney 8.07 cm x 3.61 cm.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Sir, my elder brother age of 45, last 1 month I felt very much weak. But I have not given off in my duty. When I have...
Good to know that your kidneys are normal in size and shape & ecg report is also normal. Remember, there is a difference between picture of an organ and its functioning, kidneys'appear' to be normal but are not functioning properly as blood urea & creatinine are very high. Kidneys are like a filter of body that retains the useful products like proteins, carbohydrates, vitamins & minerals. Urea and creatinine are by products of metabolism and are excreted in some amounts, but if filter called kidneys, start to fail, the levels of urea and creatinine start rising in blood and this is an indication of kidney failure. You may need blood dialysis/ abdominal dialysis depending upon various factors, as decided by your treating doctor, so that chronic kidney disease does not become worse. Do consult a renal specialist without delay & remember ckd (chronic kidney disease) can have an effect on an otherwise healthy heart.
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There is a stone in both kidney and both kidney r damaged and there is some septic in Urine. After removing it what to do for better recovery of kidney this is for my father.

MBBS, MD - General Medicine, DNB (Nephrology), clinical fellowship in nephrology, clinical research
Nephrologist, Mumbai
There is a stone in both kidney and both kidney r damaged and there is some septic in Urine. After removing it what t...
Treat infection, try and find out cause of kidney stone, drink plenty of water if medical condition permits.
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I am 19 years old Female. I done Pyloplasty surgery in right kidney before 2 years. Because the way of Right Kidney to Urinal pipe Is too small from I born. But the symptoms I found pain in The age of 17. After The Surgery I Have Back pain and Right Leg pain. During periods, I have Right side Stomach pain. So I Consult doctor. He said The pain is due to a leg Nerve Compression in backbone. It is occur due to side effect and you will take Calcium tablet to avoid further problem. But I do not know how to I relief from those pains now?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am 19 years old Female. I done Pyloplasty surgery in right kidney before 2 years. Because the way of Right Kidney t...
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise 4) in yoga do bhujangasan, halasan & suryanamaskar. Life-style correction 1) correct your sitting posture. 2) take small pillow or back rest for lower back. 3) foot should rest to floor easily. 4) take small break after 1 hr & walk few steps. 5) do neck & upper back extension, give feedback after 4 days. Best treated with ayurved & panchakarma procedures. 1) massage + steam 2) pinda swedan 3) agnikarma you must start ayurvedic medicines to 1) strengthen bones & muscles. 2) stop further degeneration of joint. 3) healing of joint. 4) release muscular spasm even chronic. 5) reduce swelling & pain.
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I'm worried because several relatives in my family have had heart attacks. How can I tell if I'm at risk for heart disease? I haven't been sleeping well. Is that a cause for concern? I'm urinating more than usual. Should I be concerned? Tell me the answer.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I'm worried because several relatives in my family have had heart attacks. How can I tell if I'm at risk for heart di...
Genes do play a role in having a heart attack but aware people are able to reduce risk of getting one by taking care of other factors responsible for heat attacks like 1) stress 2) high cholesterol 3) smoking and exposure to pollution 4) no exercise schedule 5) sedentary lifestyle 6) diabetes with sugar not under control 7) higher levels of bad fats in bad and lower levels of good fats in blood 8) taking everything to heart. Now that you are aware of other factors which are responsible, I am sure taking care of these will reduce the risk of a heart attack despite genetics. Get blood tested for sugar, total lipid profile and get back here with reports. Do take care to reduce other factors like smoking & stress etc.
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I have been suffereing from burning sensation in urine since last two years. I have got all tests done which are normal, except a little enlarged prostate. Burning sensation sometimes increases and sometimes decreases. I have consulted urologist who advised flotral tab. For six months. I have taken this for about four months, but no relief. Please advise what to do?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
I have been suffereing from burning sensation in urine since last two years. I have got all tests done which are norm...
Dear, as you said all reports are normal. One very common cause we have to consider and that is anal fissure due to constipation with passage of hard faeces wich would give same trouble. To confirm try to put greased finger in side anus. If it is tight and painful to introduce in anus then you have for sure fissure then concentrate on treatting constipation which is not a disease but lifestyle problem and adjust your lifestyle accordingly. I have given some useful suggestion and treatment in detail several times in this section so kindly read them and fokkow them. Dr. Kiran mehta.
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Kidney Stones- Should It Be Removed

MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
Kidney Stones- Should It Be Removed

A kidney stone may not be as big as the stones in your garden, but can be quite a pain. Kidney stones are actually mineral crystals that are usually a combination of calcium and phosphates. The size of a kidney stone ranges from the size of a sugar crystal to a ping pong ball. While some kidney stones pass out of the body along with urine, others can block the urethra and become painful. 

In addition to being painful, a kidney stone can cause permanent damage to your kidneys. Since large kidney stones are usually painful, they rarely go undiagnosed. However, if a kidney stone is left untreated, it could cause the kidney to atrophy and lower the functionality of the kidney. Kidney stones that are related to an infection can also lead to chronic urinary tract infections and damage the kidney through scarring and inflammation. This could eventually lead to kidney failure.
 
Not all kidney stones need to be treated with surgery. If the kidney stone is very small, your doctor may prescribe plenty of water and medication to treat the pain. With plenty of water, you should be able to pass the stone in your urine. Ideally, you should take plenty of rest until the stone is passed. 

Larger kidney stones may need you to be hospitalized for treatment. These are:

  • Extracorporeal shock wave lithotripsy (ESWL): To begin this of treatment, a painkiller is administered. Ultrasonic waves are used to determine the location of the kidney stone. Shock waves are then passed through the kidney stone to break it into smaller pieces, which can then pass out of the body through urine.
  • Ureteroscopy: This is also called retrograde intrarenal surgery and is performed when the kidney stone is stuck in the ureter. A ureteroscope is passed through the urethra and bladder into the ureter. Laser energy may then be used to break the stone into smaller pieces to unblock the ureter. 
  • Percutaneous nephrolithotomy (PCNL): This surgery is performed under general anesthesia.  It involves a small incision being made in the back and a nephroscope passed into the kidney through it. Laser or pneumatic energy is then used to break up the stone into smaller pieces and pull them out. 
  • Open surgery: Open surgery is performed only in the case of an abnormally large stone or abnormal anatomy of the person. An incision is made in the back that allows the doctor to access the kidney and manually remove the stone.
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Hi 1. I have 3 kidney stones in each kidney, taking urimax treatment. 2. Last two days, I have blood in my urine. Please advice.

Ph.D - Ayurveda, FFAM-Post Graduate Fellowship, MD - Ayurveda
Ayurveda, Delhi
The stone may be a calcium oxalate, may take coconut water, may consult with your doctor, after stoppage of blood in urine and if interested in ayurvedic treatment, come with details like size, site, duration of stone, and kft report.
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My age is 45. Is there any possibility of kidney damage in angiography. How much possibilities of complications and what it can be after angiography and even in angioplasty.

BHMS
Homeopath, Mumbai
My age is 45. Is there any possibility of kidney damage in angiography. How much possibilities of complications and w...
There is no possibility of kidney damage in angiography! speak about the possible complications to your cardiologist
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I am 21 years old man and have bleeding in urine what should I do.

MBBS
Urologist,
I am 21 years old man and have bleeding in urine what should I do.
bleeding in urine can be due to various causes. You need some investigations to be done for the diagnosis of your condition and treatment accordingly. please do not ignore and immediately consult a urologist or a nephrologist .
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Why do cold temperatures make me pee in every 30 min?

MBBS, DGO (cal)
General Physician,
Why do cold temperatures make me pee in every 30 min?
It happens, but every thirty minutes is not a right thing. During cold temperature your fluid loss through perspiration is decreased. If you are in a habit of drinking excess water still then your frequency rises. If you have any burning sensation during passing urine consult doctor.
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Hello sir/madam, I have consulted you already. Now I have meet from another doctor and again checkup then found the stone size is 5mm in left side kidney in deep. So please guide me, either operation is needed for this size of stone or this can be removed by medicine. Please give me a proper advise. Thanks, Sushil Kumar.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hello sir/madam, 

I have consulted you already. Now I have meet  from another doctor and again checkup then found th...
As the ssize of the stone i just 5MM ,no need of surgery,it can be removed with some very effective homoeopathic treatment in 60-90 days.
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