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Dr. Siva Shankar

Urologist, Chennai

300 at clinic
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Dr. Siva Shankar Urologist, Chennai
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Siva Shankar
Dr. Siva Shankar is a renowned Urologist in Adambakkam, Chennai. You can consult Dr. Siva Shankar at SP Hospital in Adambakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Siva Shankar 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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#11, East Vellalar Street, Adambakkam. Landmark: Near Saint Thomas Mount Railway Station, ChennaiChennai Get Directions
300 at clinic
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Why Renal Biopsy Is Performed?

DM - Nephrology, MD-Medicine, MBBS
Nephrologist, Delhi
Why Renal Biopsy Is Performed?

Kidneys play an important metabolic role and are essential for balancing salt, minerals and water in the body. They also play a significant role in removing waste products from the body. They make urine, which contains all the waste materials that are eliminated from the body. They also play an important role in blood pressure regulation and in maintaining the balance of various minerals in the body. Any suspected kidney damage should be confirmed by a kidney biopsy, which will reveal the exact disease, thereby directing towards the appropriate treatment. 

Why and when is it done? 

A renal or kidney biopsy is done in the following situations: 

  1. When there is abnormal protein in the blood or urine, which is indicative of a kidney disease, and the exact cause needs to be found out
  2. When kidney failure is suggested by blood tests but cause is not clear 
  3. To find the cause of bleeding in the urine (haematuria) 
  4. To identify and/or confirm diagnosis after a CT scan or ultrasound 
  5. To check how well a transplanted kidney has been received 

Know about the procedure 

A renal biopsy is mostly done as an outpatient procedure and is a type of biopsy known as percutaneous biopsy (biopsy where a needle is inserted through the skin into the renal tissue). Very rarely, it may be combined with the CT scan or ultrasound and be done in the radiology department. This may be done on inpatients. The patient is made to lie on his/her back and a local anesthetic is used on the area of the injection. A thin, long needle is directed towards the area of the kidney from where some kidney tissue is removed for sampling.

In some cases, the direction of the needle may be decided by a CT scan or ultrasound. While this is a closed biopsy procedure, in some cases, as a part of the surgery, open biopsies may also be obtained, where a sample of tissue is extracted for analysis. 

Recovering from a biopsy 
The person would need some time to recover from the procedure, as there would be some discomfort at the site of a needle insertion. Vital signs would be monitored for the next couple of hours during which the person would also be monitored for internal bleeding. A pain reliever can be used if required. Haematuria or blood-tinged urine can be seen disappearing within the next 12 hours. Very rarely the bleeding can be severe and require angiography and further procedures. The person should also avoid strenuous activities for the next few days. If you wish to discuss about any specific problem, you can consult a nephrologist.

2137 people found this helpful

I had mutton in the dinner and now I guess that causes me UTI Nothing else can be the reason as I am unmarried and single, not involved in any relationship.Please suggest me something for that.

Ms. Counselling & Psychology, BHMS
Homeopath, Hyderabad
I had mutton in the dinner and now I guess that causes me UTI
Nothing else can be the reason as I am unmarried and si...
HAVE BUTTERMILK DAILY 3-4 TIMES A DAY AND LITTLE MISHRI OR ROCK SUGAR IN WATER THERE WILL BE DEFINATLEY IMPROVEMENT
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Hello doc, I want to know that if I sell on of my kidney is there any future problem to my health or body? I have financial problems.

MBBS
General Physician,
Hello doc,
I want to know that if I sell on of my kidney is there any future problem to my health or body?
I have fin...
You have other sources to loan money when you don't have it. Selling organ is insanity specially for money crunch. Request you to donate your body instead.
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Drink about 1 liter of water in the time of eating food. After that, I go to the toilet five times in the next one hour. Is this a problem? I have done ultrasound and urine test but nothing came in that saying such a doctor. He says everything is normal. please suggest me.

DNB (Radio Diagnosis), MBBS
Radiologist, Hyderabad
Drink about 1 liter of water in the time of eating food.
After that, I go to the toilet five times in the next one ho...
Usually the water drunk while eating food gets absorbed fast. Also the normal increase in blood glucose after a meal causes increase in urine formation. This is normal. However drinking so much water along with food is not advisable as it will dilute the digestive enzymes. If you have any doubt try to visit your doctor to check for blood sugar levels as diabetes can also cause same symptoms.
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Kidney Problem Tips

B.Sc, BHMS
Homeopath, Lucknow

Today's Tips

Diet and nutrition are important components for anyone to maintain a healthy lifestyle. There is evidence that suggests that those who consume at least five portions daily of their fruit and vegetables exhibit an overall lower risk of heart disease, stroke and some cancers.

 

Kidney Stones and Your Diet

Diploma in Dietetics and Nutrition, Diploma in Diet and Nutrition, Diploma in Paediatric Nutrition, Diploma in Total Nutrition Therapy course, Diploma in Nutrition and Health Education, Role of Nutrition in Diabetes, ICU & Gastroenterology , Nutrition Counselor Course in Bariatric Surgery
Dietitian/Nutritionist, Delhi
Kidney Stones and Your Diet

Kidney stones are caused when certain minerals of your urine are retained and are not fully released, causing them to amalgamate and form a stone. Passing a kidney stone is one of the most painful experiences you may face physically. Its magnanimity is often compared to childbirth, and those who are suffering from kidney stones dread having this experience. If you are not yet affected by kidney stones and do not want to, read further to know what type of diet you need to follow in order to prevent it.

  1. Drink lots of water: On an average, a person must be drinking at least 3 liters of water every day. If you live in a more hot and humid climate, your water intake must be even more than that, so that on an average, 2.5 liters of urine is passed throughout the day, which decreases the chance of unnecessary retention of minerals from the urine and release them more easily from the body.
  2. Continue eating foods rich in calcium: It is a common misconception that calcium accelerates the formation of kidney stones. Calcium is digested by the intestine, only excess calcium cannot be digested by the intestine and is sent to the kidney. Continue consuming calcium rich foods unless your doctor prescribes you against it. Make sure your diet includes enough dairy products such as milk, cheeses, etc., or other calcium rich foods, such as oats and broccoli.
  3. Limit intake of oxalic acid: Oxalic acid is mostly found in foods obtained from plants. It restricts the absorption of calcium in the intestines and as a result, more calcium is passed into the kidneys; thus, forming calcium oxalate, or oxalate stones. Try to avoid foods, such as rhubarb, Swiss chard, nuts, tea, sweet potatoes, etc.;mainly leguminous plant products.
  4. Decrease the ingestion of sodium salts, sugar and meat protein: Salts and sugars, mainly found in packaged foods are used to prevent them from expiring. They increase the release of calcium and oxalates into the blood, which thus increases the chance to develop kidney stones. Meat contains fibers which affect certain nutrients in the kidney, thus aggravating the formation of stones.
  5. Increase the consumption of insoluble fibers: Insoluble fibers are those rough fibers which are not soluble in water during the process of digestion. They are found in rice, wheat, barley, etc., and are found to decrease calcium absorption in the kidney. They attach themselves to the calcium and oxalates, which enable them to be released as stool instead of urine.

Related Tip: "4 Types Of Kidney Stones and Their Common Symptoms"

5023 people found this helpful

My age 38 male weight 89 kgs My creatinine serum is 0.96 mg/dl and urine routine test is normal no sign of problem I would like to know how well is my kidneys and which test is required to check if any.

M.D (Nat), BAMS
Yoga & Naturopathy Specialist, Varanasi
My age 38 male weight 89 kgs My creatinine serum is 0.96 mg/dl and urine routine test is normal no sign of problem
I ...
इसके लिए हर 6 महीने पर KFT टेस्ट करवाएं l जीएफआर टेस्ट साल में एक बार करा सकते हैं l किडनी या शरीर की किसी भी बीमारी का समय से पता लगाने के लिए साल में एक बार कंप्लीट बॉडी स्कैनिंग टेस्ट (CBS)भी करवा सकते हैंl अधिक जानकारी के लिए बीके आरोग्यम् में निशुल्क ऑनलाइन परामर्श ले सकते हैं
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Hello doctor! My mother have problem she excrete more than normal amount of urine she disturbs in the night. Some times itching. She become lethargic, weak. Is it a symptom of diabetes insipidus?

BHMS, diploma in nutrition and health education, m.sc. in counselling and psychotherapy
Homeopath, Noida
Hello doctor! My mother have problem she excrete more than normal amount of urine she disturbs in the night. Some tim...
Hello, It might be diabetes insipidus. So go for blood sugar, HbA1C and urine test to rule out urinary tract infection or diabetes. Then consult with report and start proper medicine. Thanks.
1 person found this helpful
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Doctor sir, I am suffering from sugar and high bp last 5 yr now a days my urine I saw white colour jhag (phena) I am 65 years old man kindly suggest me medicine.

Diploma in Gastroenterology, Diploma In Pulmonary Medicine , MSCP, BHMS, SVD( skin and veneral diseases)
Homeopath, Hyderabad
Doctor sir,
I am suffering from sugar and high bp last 5 yr
now a days my urine I saw white colour jhag (phena)
I am ...
You don't have high blood pressure at the moment, but it is slightly above optimal. Single readings are not diagnostic. Optimal BP is <120/80. It would be wise to adopt a healthy lifestyle, such as eating healthily, reduce salt in your diet, exercise, lose weight if overweight, limit alcohol consumption and stop smoking if you smoke. The good thing about exercise is that it reduces the strain on the heart and also raises your HDL (good cholesterol) as well as improving circulation. Now with regards to exercise, the best type of exercise for the heart is aerobic activity which ensures the large groups of muscles in the body get a good work out. Swimming is good, as is brisk walking, dancing and cycling, etc. With regards to diet, as I mentioned before, limit salt consumption and the amount of saturated fats you eat. Also limit the amount of complex carbs you eat. Try and eat 5 portions of fruit and vegetables per day * and also try and eat 3 portions of oily fish per week. Try and avoid frying your food, grill it instead. Switch to olive oil. The key is moderation, you can eat anything you like providing you don't go OTT. * A recent study showed that eating your "5 a day" fruit and vegetables may not cut the cancer risk. Many people have interpreted this study into meaning that eating your "5 a day" fruit and vegetables isn't beneficial at all and that what Doctors and Nurses have been advising patients is incorrect. This isn't accurate. The study just looked at the diet-cancer link (which we already knew wasn't very strong anyway), it didn't look at the other health benefits that eating fruit and vegetables has. But that study has certainly given the alties and their "special cancer curing diet" food for thought! There are various causes of high blood pressure, but proper diet and regular exercise are definitely the biggest part of the equation. “ Actually there are two types, essential and secondary, the latter accounts for about 5% of cases and can be caused by kidney and/or hormone issues. Most people have “essential” hypertension where the cause is less than clear. We know that a poor diet, obesity, excess alcohol, smoking and lack of exercise are major risk factors. Diet and lifestyle changes often helps and is sometimes enough to keep patients off anti-hypertensive medication.
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My urine ph is 5. I have burning in penis while not urinating also. If I not drink water it becomes yellow. I am taking gokshura guggulu and shutsekher ras twice daily. Will it be beneficial for me?

BHMS
Homeopath, Hooghly
My urine ph is 5. I have burning in penis while not urinating also. If I not drink water it becomes yellow. I am taki...
Ur having urinary tract infection,,take alkasol 2 spoon in a glass of water twice daily,,take coconut water,,with this u need proper homoeopathic treatment to cure ur problem permanently
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