Sri Lakshmi Venkateshwara Hospital in Yelahanka, Bangalore - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Sanjay

Sri Lakshmi Venkateshwara Hospital

Nephrologist/ Renal Specialist
Practice Statement
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.

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Sri Lakshmi Venkateshwara Hospital is known for housing experienced s. Dr. Sanjay, a well-reputed Nephrologist/ Renal Specialist , practices in Bangalore. Visit this medical health centre for s recommended by 42 patients.

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Clinic Address
Site # 4/38, Opp Factory, 1st Main Road, 4th Phase, Industrial Area, Yelahanka New Town, Landmark: Near Mother Dairy Circle
Bangalore, Karnataka
Details for Dr. Sanjay
  • Nephrologist/ Renal Specialist
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  • Diploma in Diet n Nutrition, BHMS
    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!
  • Interventional Nephrology, DM - Nephrology, MD - General Medicine, MBBS
    Kidney stones are often small enough and pass through urine without much bother. Most kidney stones are smaller than 4 mms in diameter. Having said this, even the smallest of kidney stones can be really painful until they pass through urine. It typically takes a couple of days for the body to get rid of it. While medication and self-care are the foremost options, there are a range of other options as well available for treating kidney stones.
    Admission to a Hospital-
    You must get admitted to a hospital if the stone moves to the ureter, thereby resulting in severe pain. Typically kidney stones which are more than 6 mms in diameter need to be surgically removed through procedures such as ureteroscopy, percutaneous nephrolithotomy (PCNL), open surgery and extracorporeal shock wave lithotripsy (ESWL). A doctor takes a call on any of the above procedure if:
    The patient is inching towards a kidney failure.
    The pain doesn t go away even after taking pain killers.
    If the patient is pregnant.
    If the patient is more than 60 years.
    Extracorporeal Shock Wave Lithotripsy (ESWL)-
    ESWL is one of the simple and most preferred stone removing procedures. It involves the usage of ultrasound shock waves to break the bigger stones into smaller ones. The latter is then passed through urine. A patient is given a few painkillers since this mode of treatment could be a little uncomfortable. A patient might need multiple ESWLs to successfully get rid of all the stones.
    If a stone gets stuck in the ureter, a medical procedure known as the ureteroscopy is performed. In this procedure, a thin telescope is passed through the urethra and bladder to the ureter. Either a second instrument is used or the telescope itself has laser energy to break the bigger stone into smaller ones. This procedure is ideal for stones that have a diameter more than 15 mm.
    Percutaneous Nephrolithotomy (PCNL)
    PCNL is an alternative to ESWL for removing big stones. This procedure involves the usage of nephroscope that is routed into the kidney through a small incision made behind the back of the patient. This procedure requires general anesthesia and is effective for breaking stones that have a diameter of 20 mm or more. It has a success rate of 86%.
    Open Surgery:
    This is one of the older methods to eradicate kidney stones. Unless the stone size is abnormally large and other procedures cannot be performed, open surgery is generally avoided. An open surgery involves making an incision and getting access to the ureter and the kidney. The surgeon then removes the stone from the kidney. This procedure requires general anesthesia and the patient needs to be under observation for at least 24 hours, post surgery.
  • MD (Panchkarma), BAMS
    Urinary incontinence or the involuntary urination is a common and distressing problem, which may have a large impact on quality of life. The most common types of urinary incontinence in women are stress urinary incontinence and urge urinary incontinence. Women with both problems have mixed urinary incontinence. Stress urinary incontinence is caused by loss of support of the urethra which is usually a consequence of damage to pelvic support structures as a result of childbirth. It is characterized by leaking of small amounts of urine with activities which increase abdominal pressure such as coughing, sneezing and lifting.

    Additionally, frequent exercise in high-impact activities can cause athletic incontinence to develop. Urge urinary incontinence is caused by uninhibited contractions of the detrusor muscle. It is characterized by leaking of large amounts of urine in association with insufficient warning to get to the bathroom in time.

    How to diagnose urinary incontinence?

    Stress test: The patient relaxes, then coughs vigorously as the doctor watches for loss of urine.
    Urinalysis: Urine is tested for evidence of infection, urinary stones, or other contributing causes.
    Blood tests: Blood is taken, sent to a laboratory, and examined for substances related to causes of incontinence.
    Ultrasound: Sound waves are used to visualize the kidneys, ureters, bladder, and urethra.
    Cystoscopy: A thin tube with a tiny camera is inserted in the urethra and used to see the inside of the urethra and bladder.
    Urodynamic: Various techniques measure pressure in the bladder and the flow of urine.
    Ayurvedic Management of Urinary Incontinence:
    Ayurveda is a very effective natural treatment for Involuntary Urination. Medicines help to treat the root cause of disease. Ayurveda remedies are known to be perfectly safe and have been tried by thousands of patients all over the world bedwetting are perfectly safe. These natural remedies do not have any side effects at all
  • DGO, MBBS, Advanced Infertility
    Urine incontinence is a condition that can be caused by one's everyday habits, side effects to medication, or any other long-term physical ailments. A thorough check-up by your doctor can help in getting to the root cause of this condition.

    Certain beverages, medicines and foods can act as diuretics. This leads to bloating in your bladder and an increase in the volume of your urine. They include the following:

    1. Liquor
    2. Caffeine
    3. Decaffeinated tea or coffee
    4. Aerated drinks
    5. Artificial sweeteners
    6. Corn syrup
    7. Drinks that contain high doses of artificial flavours, sugar or acid, particularly citrus based beverages
    8. Heart medicines, narcotics, and muscle relaxants
    9. Extensive intake of vitamins B or C
    10. Urinary tract infection (UIT)
    11. Constipation

    Other causes:

    Urinary incontinence can also be caused by the following:

    1. Pregnancy: Hormonal changes and increasedweight of the uterus can cause stress incontinence.

    2. Childbirth: Delivery can weaken the muscles required for bladder control. It damages the bladder nerves and steady tissue. With prolapse, the uterus, bladder, or the intestine can be pushed down from their usual position and might even protrude into the vagina.

    3. Changes developed with age: Maturing of the bladder muscle can weaken the bladder's ability to store urine.

    4. Menopause: After menopause,women deliver less estrogen. Disintegration of these tissues can cause incontinence.

    5. Hysterectomy: In women, the same muscles and tendons support the bladder and uterus. Any surgery that removes the uterus may harm the supporting muscles, which can prompt incontinence.

    6. Expanded prostate: Particularly in older men, incontinence usually occurs from growth of the prostate organ, a condition known as considerate prostatic hyperplasia.

    7. Prostate cancer: In men, stress incontinence or urge incontinence can be connected with an untreated prostate disease. Incontinence is a reaction to medicines prescribed for prostate growth.

    8. Obstruction: A tumour in your urinary tract can disrupt the typical stream of urine, prompting flood incontinence. Urinary stones at times cause leakage of urine.

    9. Neurological disorders: Various sclerosis, Parkinson's illness, stroke, a mind tumour or a spinal damage can meddle with the nerve signals. These are important in keeping control of the bladder.

    Your specialist may suggest the following:

    1. Bladder control: You may begin by attempting to hold off for 10 minutes each time you feel a desire to urinate. The objective is to extend the time between visits to the toilet until you start urinating in two to three hour intervals.

    2. Two-fold voiding: Twofold voiding implies urinating, then holding it for a couple of minutes and attempting once more. This exercise can help in leveraging better control in the long run.

    3. Fixed toilet time: You may attempt to urinate every two to four hours instead of sitting tight when the need arises.

    4. Liquid intake and diet: You may need to stay away from liquor, caffeine or acidic foods. Also, the fluid intake may have to be reduced in such cases.
       1821 Thanks
  • M.Ch - Urology, MS, MBBS
    Urinary Incontinence is the sudden urine loss that occurs involuntarily in women. Some of the factors which cause urinary incontinence are pregnancy, menopause and childbirth. It should be noted that urinary incontinence by itself is not a disease, but is a symptom of other underlying disorders such as diabetes, infections and other conditions.

    Causes of temporary cases of urinary incontinence include:
    1. Constipation
    2. Urinary tract infections
    3. Excess consumption of alcohol and caffeine
    4. Consuming carbonated drinks
    5. Use of artificial sweeteners
    6. High doses of vitamin B and vitamin C
    7. Being on sedatives, muscle relaxants, blood pressure and heart medications
    8. Eatables which are too spicy, acidic or sugary

    However, persistence of incontinence might be due to a more serious condition. Some of the causes are stated below:

    Age: The bladder muscles tend to weaken with age. This affects the bladder s urine holding capacity.
    Pregnancy: Hormonal changes and increase in weight during pregnancy can cause incontinence.
    Menopause: Oestrogen is responsible for the healthy maintenance of the lining of the urethra and bladder. The onset of menopause causes the oestrogen hormone levels to drop. The gradual damage of the bladder tissues causes incontinence.
    Childbirth: The bladder control muscles are weakened during normal vaginal delivery, thus leading to incontinence.
    Obstruction: Occurrence of tumours in the urinary tract can block the normal flow of urine which can cause incontinence.
    Hysterectomy: The same ligaments and muscles support both the bladder as well as the urethra. With removal of the uterus by hysterectomy, the pelvic floor muscles are deteriorated. This leads to urinary incontinence.
    Neurological disorders: Conditions such as multiple sclerosis (autoimmune disorder in which the immune system destroys the protective sheath of the nerves), Parkinson s disease (disorder affecting motor functioning of the body), brain tumours, spinal injury or strokes are capable of causing incontinence.

    Different forms of urinary incontinence are classified on the basis of their symptoms:

    Urge incontinence: Urge or urgency incontinence occurs when there is a leak before the person reaches the toilet.
    Stress incontinence: Small amounts of urine leak out during normal physical movements such as sneezing, coughing and exercising. This happens because of the minimum stress exerted on the body, and hence, the name.
    Functional incontinence: Sudden leakage of urine occurs due to external deterrents or physical disabilities such as not being able to find a toilet.
    Overactive Bladder: This is characterized by frequent and urgent urination.
    Overflow incontinence: A full bladder, at times, leads to unexpected leakage.
    Transient incontinence: If urine leakage occurs due to temporary situations such as infections, or new medications.
  • BHMS
    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.
       4932 Thanks
  • MBBS, MS - General Surgery, DNB - Urology
    The bladder is a hollow storage organ that collects urine from the kidneys and stores it until it can be passed out of the body through the urethra during the process of micturition or urination. It has a thin inner lining of cells called urothelial cells and a thick muscular wall, which exerts pressure to push the urine out of the body.

    Causes of Bladder Tumors

    In most cases, the bladder tumor develops on the inner layer due to a combination of some of the following factors.

    1. Hereditary: A strong family history of cancer predisposes a person to cancer.
    2. Gender: Men are 3 times more prone for bladder cancer than women.
    3. Ethnicity: White people are more prone for bladder cancer black people.
    4. Smoking: Smokers develop bladder cancer 2-6 times more frequently than non-smokers. cigarettes contain toxic, carcinogenic substances which reach the kidney and are stored in the bladder, leading to their damage.
    5. Occupational hazards: Some workplaces have a higher likelihood of causing bladder cancers, especially dye and rubber industries. The effects can be damaging, and the person may develop cancers years after the exposure has happened.
    6. Recurrent bladder infections: In some people, this can also lead to bladder cancer in the long run.

    Types of Bladder Tumor

    Depending on the extent of the cancerous spread, it can be of two types:

    1. Non-muscle-invasive bladder tumors: The tumor spread is limited to the inner part of the bladder (urothelial cells)
    2. Muscle-invasive bladder tumor: The tumor has spread to the thick muscular outer layer. This is more advanced and prognosis is poor compared to the noninvasive type.

    The most common and diagnostic symptom of bladder cancer is the presence of blood in the urine, known as hematuria. This will be intermittent and happens whenever the tumor bleeding happens. Other symptoms include pain in the lower abdomen and frequent urination.


    From the most noninvasive to the most invasive diagnostic test, these include:

    1. Urine microscopy to detect cancer cells in the urine
    2. Cystoscopy A tube inserted into the urethra to look into the inner wall of the bladder is highly diagnostic
    3. Ultrasound, CT Scan, and biopsy can also be further used to identify severity of the tumor.


    Once the tumor is diagnosed, treatment would depend on the severity of the tumor. For both invasive and noninvasive tumors, definitive therapy is surgery, known as transurethral resection of the bladder tumor (TURBT). The cancerous bladder tissue is removed through a cystoscope as done for diagnosis. The bladder is then flushed with chemotherapy agent to kill any residual cancer cells in the bladder. This is then followed by BCG vaccine, which is again done 1 to 4 weeks for several months to avoid recurrence. In some cases, radiotherapy may also be included.
       2741 Thanks
  • DNB (Nephrology), DM - Nephrology, MD - General Medicine, MBBS
    Nephropathy is also known as renal disease. It is any type of damage or disease relating to the kidneys. Though not everyone with diabetes has nephropathy, however, diabetic nephropathy can cause kidney failure.

    How does diabetes affect the kidney?
    Kidneys are responsible for taking waste out from your blood. They have a lot of tiny blood vessels to do this. High blood sugar may kill such blood vessels. Once these blood vessels are destroyed, the kidneys may not function as well or it may even lead to kidney failure.

    What increases your risk of getting diabetic nephropathy?
    There are several factors which increase your risk of getting diabetic nephropathy including: \
    1. High blood pressure
    2. High cholesterol
    3. Smoking
    4. Being native american, african american or of hispanic origin, for whom risk factors have proved to be magnified
    5. If you have family history of diabetic nephropathy

    Symptoms and diagnosis:
    There are very few noticeable symptoms, which appear when you have diabetic nephropathy, except swelling in your arms and legs. The diagnosis is done by checking for a type of protein in your urine known as albumin, which is not supposed to be there. Getting the diagnosis done early is crucial.

    Preventive measures
    You can prevent kidney damage by doing the following:
    1. Keeping your blood sugar levels under control - keep hba1c < 6-7%
    2. Keeping your blood pressure under control in the range of 130/80
    3. Eating healthy food
    4. Exercising regularly
    5. Not eating too much protein
    6. Not eating too much salt
    7. Reducing smoke or excessive tobacco usage

    Medicines for treatment
    If you do get diabetic nephropathy, here are some medicines, which can help cure it
    1. Ace inhibitors which are also called angiotensin-converting enzyme inhibitors
    2. Angiotensin ii receptor blockers (arbs)

    Possible complications
    1. Blood pressure may rise
    2. Triglyceride levels and cholesterol levels may rise.
       4895 Thanks
  • PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
    General Physician
    The general perception that hereditary diseases cannot be prevented is changing. Polycystic kidney disease (PKD) is one such hereditary condition. The kidneys are the body's detox machine, which remove all impurities and flush it out of the system through urine. PKD is a condition where there are multiple, fluid-filled cysts which develop in the kidneys. These can vary in size and though noncancerous, can grow to a very large extent, producing severe symptoms including extremely high blood pressures and kidney failure.

    In the recent past, however, there have been various theories that put forth how a modified and healthy lifestyle can prevent PKD. A child with a parent who suffers from PKD has 50% likelihood to develop the same. That cannot be prevented; however, changes can be made which can delay the onset and reduce the severity of symptoms of PKD, most notably high blood pressure and kidney failure which may require lifelong dialysis.

    Symptoms and complications: The most common symptoms include high blood pressure, kidney pain (behind the back above the buttocks), infections of the kidneys or the bladder, bloody urine, kidney failure, headache, bloated abdomen due to the fluid-filled cysts, frequent urination, and kidney stones. There could be impact on pregnancy plans, with high blood pressure complicating the pregnancy. This needs extra care in management and is not life-threatening in most cases.

    Prevention: The kidneys take the brunt of all the toxins that a body is subjected to. It is therefore, very important to reduce the exposure of body, especially kidneys to toxins. One of the best ways to keep the kidneys in good health is to control blood pressure. Some of the ways to do this include:

    Following a low-sodium diet with a good amount of hydration
    Reduce fat in the diet as much as possible
    Include a lot of berries, broccoli and apples
    Be diligent in taking your blood pressure medications as directed
    Ensure that your weight is within the prescribed limits for you
    Quit smoking and drinking
    At least 30 minutes of moderate physical activity should be included in your daily regimen

    Read up on symptoms of PKD and keep an eye on them. If you are having a bloated feeling or pain in the kidneys or blood in the urine, consult a doctor. If you are planning on having a baby, genetic counseling may be useful to see if there is a risk of passing on the genes to the baby. Keep a positive outlook and have a frank discussion with family and friends on your overall condition. So, as much as PKD is a hereditary disease, there are ways to manage it and improve the quality of life.
       4351 Thanks
  • Advanced Short Course Training in Kidney Transplantation, DM - Nephrology, MD - Nephrology , MBBS
    The presence of red blood cells in the urine is called hematuria. If there are sufficient red cells, the urine turns to a bright red, pink or cola shade. Frequently, the urine looks totally ordinary because there is insufficient blood to change the colour. In this situation, the condition is called 'microscopic' hematuria.

    The most common causes of hematuria are given below:

    Urinary tract infection (UTI)
    Kidney stones
    Tumours in the kidney or bladder
    Exercise: In this case, the blood is produced in the urine after strenuous activity. It is more commonly experienced by male patients.
    Injury: Traumatic damage to any part of the urinary tract, from the kidneys to the urethral opening, can cause hematuria.

    The symptoms of hematuria vary depending upon the condition. These are as follows:

    Glomerulonephritis: If the glomerulonephritis is not serious, it may not show any signs. If the symptoms do show up, they can cause swelling, particularly in the lower furthest points(the thighs, legs, feet, and toes), decreased urine, and hypertension.
    Kidney or bladder infection: Symptoms rely on the site of the diseaseand can even cause extreme pain on one side of the lower back, fever, chills, nausea with vomiting, and pain in the bladder.
    Prostate infection: There can be pain in the lower back or in the region between the scrotum and rearend. Pain with discharge, blood in the semen, andfever and chills can also occuronce in a while.
    Tumour in the kidney or bladder: Most kidney and bladder problems develop without bringing about any pain or uneasiness. At the point when side effects build up, abdomen pain may be persistent.
    Kidney stones: When a kidney stone gets attached to the ureters, it can bring about extreme pain in the back, side or crotch, with nausea and difficulties in urination.

    Based upon the suspected cause of hematuria, some of the treatments may include the following:

    Urine culture: In this test, a urine sample is extracted and examined to check whether bacteria has developed. This test is used to find a case of a kidney or bladder disease.
    Computed tomography (CT) of the kidneys, ureters and bladder: For most cases,a CT scan is conducted. This helps in viewing the internal organs and finding the areas that may have been affected by the condition. It also shows the extent of the damage and the spread of the disease so that a proper treatment plan may be laid out.
    Ultrasound: This test uses sound waves to create images that can show whether or not a kidney mass is a non cancerous. This method can also be used to find out whether or not there are any kidney stones, which may be causing hematuria.
    Cystoscopy: In this test, the specialist embeds an adaptable telescope into the urethra and passes it into the bladder to investigate the bladder lining for tumours or different issues.
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