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Dr. Vijayakumar Ramnathan  - Nephrologist, Chennai

Dr. Vijayakumar Ramnathan

MBBS, MD - General Medicine, DM - Nephrology

Nephrologist, Chennai

42 Years Experience  ·  300 at clinic
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Dr. Vijayakumar Ramnathan MBBS, MD - General Medicine, DM - Nephrology Nephrologist, Chennai
42 Years Experience  ·  300 at clinic
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Personal Statement

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. Vijayakumar Ramnathan
Dr. Vijayakumar Ramnathan is a trusted Nephrologist in R A Puram, Chennai. He has had many happy patients in his 42 years of journey as a Nephrologist. He is a MBBS, MD - General Medicine, DM - Nephrology . He is currently associated with Dr R Vijayakumar Billroth Hospitals in R A Puram, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Vijayakumar Ramnathan on Lybrate.com.

Lybrate.com has an excellent community of Nephrologists in India. You will find Nephrologists with more than 27 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.

Info

Specialty
Education
MBBS - Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry - 1976
MD - General Medicine - Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry - 1980
DM - Nephrology - Madras Medical College, Chennai - 1990
Languages spoken
English
Awards and Recognitions
Madras University Gold Medallist in M.D. Medicine
Madras University Gold Medallist in M.D. Medicine
Professional Memberships
Indian Medical Association (IMA)
Indian Society of Nephrology (ISN)
International Society of Nephrology (ISN)
...more
American Society of Nephrology
Southern Chapter of Nephrology

Location

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Dr R Vijayakumar Billroth Hospitals

#52, Billroth Hospital Complex, 4th Main Road, R.a.puram,Landmark:Near R A Puram Bustop, ChennaiChennai Get Directions
300 at clinic
...more
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Renal Colic - What You Need to Know

MBBS, MS-General Surgery, DNB
Urologist, Delhi
Renal Colic - What You Need to Know

Our kidneys act as filters which constantly flushes out toxins and excess minerals with water in form of urine. Urine contains lots of minerals which may precipitate and form stones. Urine has lots of pro-precipitating agents and anti-precipitating agents. When their balance disturbs due to some disease, stones start forming. These stones may often lead to abdominal pain which is referred to as renal colic

What exactly is renal colic? 

Renal or ureteric colic is the term used for typical pain in one side of abdomen in flank region starting from back and radiating forward towards lower abdomen up to scrotum. This is usually associated with nausea, vomiting and urinary discomfort. There may be blood in urine

How kidney stones are related to renal colic? 

Kidney stones usually form inside kidney and lies there without causing any pain. But whenever they are dislodged and stuck at mouth of kidney (pelvis) or anywhere in ureter, they block the passage of urine of that kidney. This causes swelling in kidney termed as hydronephrosis. This swelling in kidney causes renal / ureteric colic. This colic is protective phenomenon and tries to push out the stones. Small stones do come out in urine by this natural process. This spontaneous expulsion of small stones is common and many local practitioners used to get credit of it feigning benefit of their medicine. However large stones need some form of intervention to come out. Otherwise, they do harm to kidneys in long term. 

Symptoms of kidney stones along with renal /ureteric colic - 

  1. Most stones which are lying in calyces of kidney are asymptomatic 
  2. Nausea & vomiting 
  3. Frequent urinary tract infections 
  4. Fever with chills 
  5. Foul smelling urine 
  6. Hesitency, frequency and burning in urination 
  7. Blood in urine (urine with a reddish, pink or brownish hue) 
  8. Passage of small stones in urine 

Treatment of renal colic 

Treatment of ureteric/renal stones involves control of symptoms and stone removal. 

  1. Expectant Treatment or Medical Expulsion Therapy: Small stones of less than 4 mm size usually pass on its own and some medicines like alpha-blockers and steroid hasten up their expulsion. Medium size stone (4-6 mm), sometimes passes with aid of these medications. But stones larger than 6 mm usually require intervention. 
  2. Lithotripsy: This method involves breaking of stones by shock waves into small dusty particles which pass through urine on its own. This is usually suitable for stones upto 1.5 cm and lying in kidneys. This is non-operative treatment which can be done on OPD or Daycare basis. 
  3. Ureteroscopy (URS): This method involves entry of very thin semirigid scope through urethra into ureter. Stone is broken by LASER and removed. This involves single day admission and spinal anaesthesia
  4. RIRS- Retrograde Intra Renal Surgery: In this method very thin flexible scope in maneuvered through urethra into the upper ureter and pelvi-calyceal system of kidney. Stones in kidney or upper ureter are broken by LASER and removed. This is also done under anaesthesia and requires a day admission. 
  5. Mini- PCNL: This method is suitable for large renal stones. In this technique, a small hole is made into the kidney through back and tiny scope is entered into the kidney. Stones are broken by LASER and removed. This is done under anaesthesia and require two to three days admission.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2844 people found this helpful

I have problem related to urology department, do not fully open upper side of my pennis, so what should I do?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , you have phimosis and being adult there is no sense in hoping that it would correct as it does in some children by hydrostatic dilatation. I think it is better to have circumcision done
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What should I do for the elimination of kidney stone. What will be the best way to treat it.

BHMS
Homeopath, Delhi
What should I do for the elimination of kidney stone. What will be the best way to treat it.
Hello,take homoeopathic medicines 1.Lycopodium 30 (4 drops in little water) twice a day for 15 days. 2.Berberis Vulgaris Q (10 drops in little water) thrice a day for 15 days and revert. Increase fluid intake, especially water. Recommended intake of water is 12-15 glasses per day
4 people found this helpful
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I have 2.7 mm stone in right kidney at mid portion with hydro ureterop having 4.1 mm at lower ureter. Also, I have 3.7 mm stone in lower pole in left kidney. I want to know if a surgery is required to remove stone which is in left kidney as it is located in lower pole.

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
I have 2.7 mm stone in right kidney at mid portion with hydro ureterop having 4.1 mm at lower ureter. Also, I have 3....
If a kidney stone is too big to be passed naturally – 6-7mm (about 0.23 to 0.27in) in diameter or larger – you may need treatment to remove it another way. This could include: extracorporeal shock wave lithotripsy (ESWL) ureteroscopy.
1 person found this helpful
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Sir namasteI am a doctor. Working in a village hospital. My age is 32. I had an xray kub which suggested a calculus in right ureter near ischial spine. For which I took cef-o, flavoxate and potrait mb6 for five days. Again I did an xray kub which suggested a calculi at same place. It hasnt come down. Kindly suggest a remedy.ischial spine.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , if the stone is at the level of ischial spine, it must be small in size, hence passable per urethra. Treatment you took will not help pass the stone out. It was wrong treatment. If you dot have pain now then try oral forced diuresis: 1take anti spasmodic like drotaverine hydrochloride 80 mg with diuretic like lasilactone 50 mg in the morning and drink plenty of water. Do not be impatient, stone will out but not so quickly as you expect. Oral diuresis should continued for 20 days then break for 10 days for three months. Then stop medications, save the stone and get its chemical analysis done. During the treatment if you get the pain take drotaverine every 6 hours till pain settles down. If you have pain at the time of taking medicines in the morning then do not take lasilactone> when pain settles down take drotin and diuretic from next morning. If the stone recurs then try to find out underlying cause.
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Why Homeopathy is Ideal to Treat Kidney Stones

BHMS
Homeopath, Delhi
Why Homeopathy is Ideal to Treat Kidney Stones

Kidney Stones, also known as Renal Calculi is a condition usually brought about by inadequate hydration and consumption of food high in calcium, but in most cases it a hereditary condition. The most commonly opted treatment option is surgery to remove the stones.

If you do, surgical procedures are neither the answer, nor a plausible option for you. Besides being risky, surgery clearly isn't effective in bringing about an end to the condition on a permanent basis. Homeopathic remedies, on the other hand, are not only safe, they offer as little of side effects as possible.

Homeopathic treatments of kidney stones are also proved to have been effective in most cases.

What are the most common homeopathic alternatives to suppress kidney stone formation? Berberis Vulgaris is the most reputed homeopathic drug when it comes to diluting the stone in the kidney and also in reducing the chronic pain that is often associated with stones. It is also said to improve chances of mitigating periodic bouts of kidney stone formations. Berberis Vulgaris is effective for various kinds of kidney and renal stones. In addition to this drug.

Sarsaparilla, Hydrangea, and Benzoic Acid also prove effective in the long run. Sustained practice of such Homeopathic remedies along with increased intake of fluids and adequate exercise go a long way to ensure cessation of kidney stone formation.

4953 people found this helpful

Keep Your Childs Kidney's Safe

M.D Pediatrics, fellowship pediatric nephrology.
Pediatrician,
Keep Your Childs Kidney's Safe

1. Drink plenty of water
2. Do not stone voiding.
3. Get treated for constipation.
4. In young girls clean anus from front back.

5. Do not take my medication without doctors advice.

3 people found this helpful

PCOS - How It Can Be Diagnosed?

MBBS, D.G.O, Fellowship in Minimal Access Surgery, Membership of Royal College of Obstetrics & Gynaecology
Gynaecologist, Gurgaon
PCOS - How It Can Be Diagnosed?

Polycystic Ovary Syndrome (PCOS) is a condition, which is born due to an imbalance of hormones within the female body. When this happens, the female body faces anumber of problems as far as her periods or menstrual cycles goes, besides finding it difficult to conceive naturally and easily. Let us find out more about this condition.

PCOS and hormones
To begin with, let us understand what hormones are. These are chemical impulses that send messages to various parts of the brain and rest of the body to signal the release of other kinds of hormones that may be vital for various functions. In PCOS, it is normally seen that the sex hormones are thrown out of balance, due to which the ovaries start producing a small dose of some male hormones. This creates problems as far as ovulation is concerned and also, it gives rise to the growth of facial hair, acne and changes in the overall appearance of the patient. Insulin resistance is another cause that may also trigger PCOS. It is also an inherited issue in many cases.

Symptoms
From irregular periods to an increase in acne and facial hair, there are many symptoms that may point at the existence of this condition. Fertility problems and issues related to normal ovulation are also often seen in women who are suffering from this condition due to the irregular periods. Additionally, depression may be seen in many patients who are suffering from this condition on a chronic basis. Thinning of hair and excess weight gain with difficulty in losing extra pounds may also be indicative of PCOS.


Diagnosis
The diagnosis of PCOS is usually done with the help of a physical examination as well as a blood test that will primarily help in determining the sugar levels and insulin. The doctor will also conduct other hormone tests so as to understand which hormones are not in balance and which ones may be triggering changes in the body. Apart from all this, the doctor will also study the body mass index (BMI) of the patient to find out if there has been a sudden and drastic change on the weight of the patient. During the lab tests, where the blood and urine are examined, the doctor will also seek to rule out any anomalies in the thyroid gland. An ultrasound of the ovaries will also be conducted.

Treatment
Weight loss programs as well as diet tweaks that remove excess dairy and meat may be recommended by the doctor. Further, the doctor may also put the patient on birth control pills so as to bring better balance of hormones. Moreover, moderate exercise will be required for the patient so that the normal production of hormones may be resumed eventually. If you wish to discuss about any specific problem, you can consult a gynaecologist.

4208 people found this helpful
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