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Dr. Sarita Vinod Dasari

Nephrologist, Chennai

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Dr. Sarita Vinod Dasari Nephrologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Sarita Vinod Dasari
Dr. Sarita Vinod Dasari is a trusted Nephrologist in Mylapore, Chennai. You can meet Dr. Sarita Vinod Dasari personally at Dr. Sarita Vinod Dasari@St.Isabel's Hospital in Mylapore, Chennai. You can book an instant appointment online with Dr. Sarita Vinod Dasari on Lybrate.com.

Lybrate.com has an excellent community of Nephrologists in India. You will find Nephrologists with more than 44 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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St.Isabel's Hospital

No. 49, Oliver Road, Musiri Subramaniam Road Landmark : Next to Luz ChurchChennai Get Directions
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I have lot of belly fat and i am also use toilet many time a day. Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I have lot of belly fat and i am also use toilet many time a day. Please help me.
Dear to decrease your weight you have to do work out daily. Try the remedies below they can help u. 1. Mix three teaspoons of lemon juice, one teaspoon of honey, and one-half teaspoon of black pepper powder in one glass of water. 2. Drink it in the morning on an empty stomach. 3. Do this daily for at least three months. 4. Drink mint tea or make a paste of green mint with some simple spices and eat during meals. 5. Eat vegetables such as bitter gourd and drumsticks to control obesity. 6. Do bhujang asana, dhanurasana, naukasana, kumbhakasana, pavanamukthasana daily 10 min per asana. 7. Do running early morning daily and join aerobics in evening. 8. Avoid oily and spicy food. And constipation. PLS GET UR BLOOD SUGAR AND URINE ROUTINE EXAMINATON DONE.
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My son age 10 year & within 1? hrs his paint weight or standing position urine dribling (doping) reason may puv one time cathetor operaration not ok result puv surgury rate i

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Dear , your baby needs complete assessment of urinary bladder function and that needs to be done on urgent basis before kidney fails altogether.
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Urinary Tract Infection - 8 Signs You Are Suffering From It!

M.Ch - Urology/Genito-Urinary Surgery
Urologist, Guwahati
Urinary Tract Infection - 8 Signs You Are Suffering From It!

The urinary tract starts from the kidneys to the urethra where urine is passed out. Given the rich concentration of minerals and toxic wastes, it is highly prone to multiple infections. UTI, as urinary tract infections are often referred to, is one of the most common infections. In women, especially, every 1 in 2 women is affected by an UTI. Whichever part of the tract is affected, the symptoms and treatment are mostly the same. Read on to know some of the most common symptoms and treatment options for these.

Symptoms

  1. A burning sensation with urination
  2. Pain with urination
  3. Burning sensation or pain in the urethra or vagina
  4. Frequent urge to urinate, though not much urine is passed out
  5. Sense of incomplete emptying of the bladder
  6. Pain in the lower back on the sides of the spine
  7. Change in the urine characteristics color, smell, or appearance
  8. Fever or chills, maybe associated with shivering, nausea and vomiting

Causes

Most urinary tract infections are bacterial in nature, and these could find their way into the body through multiple ways.

  1. The most common is through the urethra, which could happen due to unclean toilet habits.
  2. Women especially are advised to wipe the urethra after each toilet visit. The bacteria from the feces can also enter the urethra due to close proximity
  3. Use of unclean public toilets is another reason for UTIs

Tests

Though most often UTI does not require specific testing, the following are useful in confirming the diagnosis.

  1. Culture and sensitivity: The urine is sent for a culture to identify the exact organism that has caused the infection. It also helps identify the right antibiotic which will help bring the infection under control.

Treatment:

UTIs are very common infections and though there is nothing to worry, it should be cleared completely.

  1. Antibiotic course to get rid of the infection. Though you begin to feel better, the complete course should be completed to clear the infection.
  2. Following culture testing to ensure the infection is cleared
  3. Improve water intake to get rid of the toxins
  4. Fever and pain to be controlled with medications
  5. Healthy hygiene habits to ensure clearing of infection

Prevention:

Recurrent UTIs is a common problem, and the following can help prevent.

  1. Ensure complete emptying of the bladder
  2. Drink adequate water
  3. Safe toilet habits, including before and after sex
  4. Comfortable and clean underwear to prevent infection 

    If you wish to discuss about any specific problem, you can consult an urologist.

2972 people found this helpful

I have stone problem in kidney. What can do? And give me advice about foods and drink.

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
I have stone problem in kidney. What can do? And give me advice about foods and drink.
DEAR lybrate user...A) take 30 ml of fresh lemon juice along with 30 ml of lukewarm water early in the morning and at evening before meal half an hour...B) take 2-2 tablets of sheetprabha vati along with lemon juice...C) take 30 ml of audumbaravleha and 30 ml of aloe vera juice at night before sleep...do all these things for 15 days..it gives you good result...consult to me for further suggestions...THANKS
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I am 30 years old male person and problem of stone stone is gone o my urinal side and burning and pain in my urinal side please suggest some medicine to free my pain.

BMS
Ayurveda,
I am 30 years old male person and problem of stone stone is gone o my urinal side and burning and pain in my urinal s...
Urinary stones obstruct the urine make pressure changes over kidney and ureter gives you pain you start drink lot water drink sugercain juice daily thrice drink coconut water daily take varunadi kwath 2tsf daily two times chandraprabha vati 1 three times start kulathi to eat daily in food mention medicine easily available at any ayurvedic medical stores. Thank you.
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Sir mera accident hua Tha. Jab mein 7 saal ka Tha. Us accident me mere penis pe chot lag gyi thi. Jis ke chalte huye 1-2 saal tak meri urine apne aap nikal jati thi. Mein control he ni kr pata Tha. Lekin Ab mein 18 saal ka ho gya hu sab thik hai lekin mere penis ka size nahi bada hua. Penis chota hai mere avi vi. Jiske chalte mujhe bahut bura feel hota hai please help me.

Doctor of Homeopathic Medicine (H.M.D.), Nutrition/ Diet planning, Diploma in Naturopathy & Yogic Science (DNYS), Cosmetology, BHMS, DND, Pranic Healing
Homeopath, Navi Mumbai
Sir mera accident hua Tha. Jab mein 7 saal ka Tha. Us accident me mere penis pe chot lag gyi thi. Jis ke chalte huye ...
Take Homoeopathic medicines. Safe and effective. No side effects. Prescribe after taking brief history of patient. Guaranteed Results in just Two Months.
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After releasing my urine. I am feeling my bladder is full. My age is 20. Suffering frim thyroid. Early morning my urine is yellow coloured. Is it a major problem. Some times I feel my heart is beating slow also.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
After releasing my urine. I am feeling my bladder is full. My age is 20. Suffering frim thyroid. Early morning my uri...
Hi, in hypothyroidism heart rate is slow. Get hypothyroidism properly treated, so that tsh is maintained between 3 to 4 milli units / l. About passing more urine or feeling that bladder has not emptied fully, may be non specific. I t is better if you get blood sugar test done and if it does not show presence of diabetes, you may look for possible other causes. Thanks.
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Prolapsed Bladder And Its Symptoms!

MBBS, DNB ( General Surgery ), DNB - Urology/Genito - Urinary Surgery
Urologist, Pune
Prolapsed Bladder And Its Symptoms!

A bladder is an organ that stores urine in the body. A prolapsed bladder occurs when the tissue present between the vagina and the bladder is stretched, resulting in a bulge in the bladder. This can result in complications such as leakage of urine and difficulty in passing the same. Based on the severity of the damage, it is classified into four categories -
 

  1. Mild: A small area of the bladder bulges in the vagina
  2. Moderate: The bladder bulges near the vaginal opening
  3. Severe: Protrusion of the bladder occurs through the vaginal opening
  4. Complete: The entire area of the bladder protrudes completely from the body via the opening of the vagina

The symptoms of a prolapsed bladder are: 

  1. Feeling of intense pressure around the pelvic area
  2. Infections related to the bladder
  3. Pain during sexual intercourse
  4. Tissues bulging out through the vaginal opening
  5. Pain in the lower back region

Prolapsed bladder is caused by:

  1. Childbirth: It can cause ligaments and pelvic muscles to weaken thus increasing their vulnerability to a prolapsed bladder
  2. The chances of this disorder increases when one is overweight
  3. Lifting heavy things
  4. Strain caused by bowel movements 
  5. In some cases, it may result from a chronic cough
  6. Menopause, as it limits production of estrogen which helps in maintaining healthy tissues in the vagina

It is advised to check with a medical professional if you experience these symptoms, as a prolapsed bladder can worsen with time if left untreated.

I am 32 years old unmarried male. I have very slow urine flow. And I can not even control my urine. This is serious problem for me kindly help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am 32 years old unmarried male. I have very slow urine flow. And I can not even control my urine. This is serious p...
First of all you should follow some basic thing 1. Avoid=hot and cold at time 2. Less the sugar as much as possible if you want to eat sweet take juggery which is black 3. Do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4. Avoid late night sleep 5. Gokshuradi guggul 1 tab before lunch and dinner 2. Audumbaravleha 2 tsp before lunch and dinner.
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Main Lucknow se hoon..age 56years ..Mujhe peshaab pass karne Mein kafi samay lagta hai..meri adat hai Ki main baith ke peshab Karta hoon aur agar kahi safar Mein hoon , khade Ho ke karna padta hai to bladdar Khali nahin hota fir baar baar Jana padta hai..

MBBS
General Physician, Mumbai
Aapko Prostate gland ke taklif hai. Prostate gland bada ho jane se peshab ke nali ko pressure deta hai. Aap SONOGRAPHY (Prostate) ke saath PSA level karvaye. Agar prostate enlargement hua toh aapko medicine or prostate surgery ke jarrurat lag sakti hai depending on the results. Once the investigation results are back you can consult your General Practitioner or Urologist and let me know.
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I had kideny stone of 3cm. Which was opreted in 2011.But today I have small stone in my kideny please guide me for feeding to solve my stone problem.I am also taking atennol 50 for hyper b.P.

M.D in Ayurveda, B.A.M.S
Ayurveda, Jalna
Drink at least 5 lit. Soft water. .Avoide tomato, palak, greps , cauliflower . Take tab. Gokshuradi guggul 2 tab 2 times . For more consult privately
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I am diagnosed with kidneys calculus. Right kidney shows mildly dilated PCS. Right ureter is also mildly dilated and shows a calculus measuring app 8mm in the mid ureter. Two calculus measuring app 4&5 mm are seen in the upper & middle calyces of right kidney respectively. Left kidney also shows a calculus measuring app 4mm in the upper calyces. Can these calculus be removed with homeopathic remedies. Please help.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am diagnosed with kidneys calculus. Right kidney shows mildly dilated PCS. Right ureter is also mildly dilated and ...
Take shool gaj kesari ras twice a day..take gokshuradi guggul & punarnavadi mandoor 1-1 tab twice a day...pranacharya U through capsule and syrup twice a day...drink lots of water....avoid spinach...tea and coffee..tomato...lady finger etc....
2 people found this helpful
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I am a kidney patient my both kidneys are shrink so what medicines you prefer and test reports are normal so what can I do please tell me?

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Please get renal function test done. If they are normal nothing to be done except that the cause of shrinkage needs to evaluated to prevent further agrevation. Complete body profile should be done like hemogram, blood sugar, blood pressure, urine tests etc.
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Dear sir/ mam I am kidney patient I found excess wbc ,neuro ,lymph, rdw-cv ,pct and esr in my reports what can I do?

BHMS
Homeopath, Raebareli
Dear sir/ mam I am kidney patient I found excess wbc ,neuro ,lymph, rdw-cv
,pct and esr in my reports what can I do?
Dear user you need a continued medicine for prolonged period of time along with strict dietary management for desired effect. Also note there will always be some fluctuations in parameters of blood biochemistry due to renal insufficency. At present you can at the most use Rhus tox 30 once daily. Rest protocal can be designed after thorough review of your reports n bp.
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After laser operation (stone in my urine) Should I take fish, chicken and egg? What kind of food I avoid?

PDDM, MHA, MBBS
General Physician, Nashik
After laser operation (stone in my urine) Should I take fish, chicken and egg? What kind of food I avoid?
General precautions for stones: 1. Drink lot of fluids (keep urine clolorless & urine volume per 24 hr > 1.5 to 2 liters) 2. Reduce salt intake 3. Reduce intake of animal proteins These three things are universal for any kidney stone. If you are taking calcium supplements for bone health, try taking calcium citrate preparation since citrate prevent stone formation. Take calcium supplements along with meals and not in empty stomach. Milk and milk containing products must also be taken along with meals to prevent excessive calcium absorption which can promote stones. However, regular milk/calcium supplement is required. Other things you should follow are: - Increase fruit intake (except grapes) - Decrease coffee, tea, soft drinks, nuts and chocolate
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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

Stricture Urethra - Signs You Are Suffering From It!

MBBS MS DNB MNAMS NYAMS
Urologist, Mohali
Stricture Urethra - Signs You Are Suffering From It!

The tube transporting urine from the bladder out of the body is known as the urethra. Under normal circumstances, this tube is wide enough for urine to flow freely but in some cases, one or more section can get narrowed and restrict the flow of urine. This may be diagnosed as a urethral stricture. This length of this stricture can range from 1 cm to affecting the entire length of the urethra.

This is caused by scar tissue or inflammation of tissue in the urethra. While this is a common condition that affects men, it is rarely seen to affect women. An enlarged prostate, exposure to STDs like gonorrhoea or chlamydia, suffering from an infection that causes urethral inflammation and irritation or having had a catheter recently inserted can increase the risk of suffering from a urethral stricture. An injury or tumour located near the urethra can also cause this condition. Hence, preventing this condition is not always a possibility.

Common symptoms to look out for include:

  1. Inability to urinate
  2. Reduction in the flow of urine
  3. Increased urge to urinate frequently
  4. Pain while urinating
  5. Urinary incontinence
  6. Abdominal pain
  7. Swelling of the penis
  8. Discharge from the urethra
  9. Blood in the urine or semen
  10. Dark urine
  11. The bladder feeling gull even after urinating

A physical examination and tests that measure the rate of urine flow and chemical composition of the urine can help a doctor determine a diagnosis of urethral strictures. You may also need to undergo STD tests and a cystoscopy. An X-ray may also help locate the stricture. The treatment for this condition depends on the severity of the symptoms.

Non-surgical treatment for this condition involves using a dilator to widen the urethra. However, there is no guarantee the blockage will not recur at a later date. Alternatively, a permanent catheter may also be inserted.

There are two forms of surgical treatment for a urethral stricture.

  • Open urethroplasty: This involves removing the infected or scar tissue and restructuring the urethra. The results of this procedure depend on the size of the blockage. It is usually advised only in cases of long, severe strictures.
  • Urine flow diversion: In the case of a severe blockage and damage to the bladder, the doctor may advise rerouting the flow of urine to an abdominal opening. This process involves connecting the ureters to an incision in the abdomen with the help of part of the intestines. If you wish to discuss about any specific problem, you can consult a Urologist.
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Dear sir, from my urine protein is coming out and it was +4 before some time and now it has came to +1 and my creatine level is 1.38 so is there any medicine to completely cure protein problem and what is harmful effect of protein coming out.

C.S.C, D.C.H, M.B.B.S
General Physician,
Dear sir, from my urine protein is coming out and it was +4 before some time and now it has came to +1 and my creatin...
The presence of protein in urine is because of kidney infection. Once you control the infection the protein level become normal.
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I am a 25 years old female. After I urinate I get a a pain. Friends have suggested it may be a kidney infection r uti? what is wrong?

Basic Life Support (B.L.S), MBBS, MD - Internal Medicine, MD - Consultant Physician, MD - Diabetology, MD - General Medicine, ACLS
General Physician, Hyderabad
You could have either urinary tract infection or bacterial vaginitis. Get a check up by your gynecologist. Good luck!
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