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Patient Review Highlights
Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best water to drink?
I’m Dr Ashok Sarin, a senior consultant nephrologist at Apollo Hospital New Delhi. I trained in Kidney Diseases at the Belfast City and Royal Victoria Hospital in Belfast, UK, which is in Northern Ireland. And besides having an MBA I’m also FRCP, Edenborough, fellow of the Royal College of Physicians, Edenborough.
We see a lot of kidney diseases today, and people are very aware. But they get very worried as to what is happening, and there is going to be kidney failure, or kidney damage, and we are going to go on dialysis and transplant. And I want to say here, that there is a lot of prevention we can do so that we do not develop serious kidney diseases. Now the most important is that we must have a good, proper lifestyle. Like,
- We should not be obese.
- We should not have a diet which is rich in saturated fats or very rich in carbohydrate.
- We should maintain our weight, we should maintain our BMI at about 30, and we should also indulge in regular exercise.
This will keep us in a healthy situation and we will not develop serious diseases like diabetes and hypertension. But once we develop diabetes and hypertension, then we must take our treatment for diabetes very regularly, and keep our HPE1C at 6 percent, a fasting sugar of 100 milligrams percent. We should also control our hypertension, and make sure that our blood pressure is 120 by 80 millimetres of mercury. Then we should avoid smoking. As I said we should indulge in exercise.
And there are other conditions which can also cause kidney damage, which is kidney stones, urine tract infection.
So if we treat our kidney stones adequately, and avoid urinary tract infection from developing, or we treat it properly, then we are unlikely to have kidney damage, and that is how we prevent kidney disease. As I said, smoking is a complete no-no, and we should not indulge socially sometimes, but over indulgence of alcohol is forbidden. And when I said that regular medical checkups, say once a year, we will come to know if there is any indication of kidney disease, and if that happens, then we can take prompt action. For example, somebody is excreting a lot of protein, then remedial actions or further tests can be done. And kidney disease, if detected early, we have a wide range of medication at the moment, it can be treated very promptly. And we do not have to go into the stage where we say kidney failure or kidney damage, or dialysis or transplant. Now this is avoidable to a great extent. I will not say completely, but to a great extent it is possible, and that is why I am emphasizing over and over again, that this can be prevented. If we are very aware of kidney disease, and we make sure that we don’t develop kidney diseases at all.
Thank you, and in case you want to consult me, you could get in touch with Lybrate
. Thank you very much indeed.
Sir, I have developed lumps at my anus. But I do not feel any type of symptoms of hemorrhoids and there is no bleeding at all. What is that lumps can you say doctor.
Hi Dr, last month I have heavy pain in my lft side abdomen and my Dr. told me I have a 5mm stone, from then I started to take more water and my pain reduced. But again exactly aftr 1month I got pain in the right side, and as per the scan report Dr. said there is no stone nw this pain is due to inflammation and I was given (tab- celebrex and tab quinox) for 5days, but no difference in pain again yesterday I went back to the same interest and he said to continue the tab (tab quinox, tab moxal plus and syp-Ezilax) I stay in saudi arabia and I have a small baby 1years old I am very much worried about my pain, because in 25years frst time I have a differer health problem other dn clod fever. It may be a simple health problem but I am not getting any satisfaction in my treatment, kindly reply me.
My liver is mild enlarge with moderately and diffusers increased echogenecity without any focal lesion. Renal caliectasis with 28ml of post void residual urine. Mild hepatomegaly with moderate splenomegaly. Is any major problems, what should I do?
I am 20 years old and I have uti infection since past 2-3 months I have been taking medication but it's if no use, some of the problems are pain in abdomen, burning sensation while passing urine,
What about kidney? Some times pains left side of the lower back and some times its middle of the lower back. Is this cause of kidney stone or something stuck in the urine track? Kindly suggest. Thanking you.
Mujhe kuch 8 to 10 months se toilet baar baar aa raha hai burning sensation while passing urine, frequency is very low also ma phele ignore kar raha tha par ab mane 15 days phele apne family Dr. Ko dikhaya unhone bola kindney ma infection ho gya hai jayada masturbating ke bejhe se unhine 3 days ke medicine de phele me 15 min ma he jase he water piya so 3 se 4 times chala jata tha par unke medicine kha kar mujhe kuch days notice kiya 30 se 45 min ma 2 se 3 baar phir mane Aligarh Dr. Ko dikhaya unhone kuch test likha 1. USG ABDOMEN 2.HB TCL DLC ESR 3.BLOOD SUGAR (R) 4. URINE R/M REPORT 1. NORMAL 2. NORMAL 3. NORMAL 4.URINE R/M VOLUME -25 ML COLOUR -LIGHT YELLOW APPEARANCE- TURBID CHEMICAL EXAMINATION PH-6.5 SUGAR -NIL PROTEIN - NIL SPEC. GRAVITY- 1.020 MICROSCOPIC EXAMINATION PUS CELLS - 1-2 /hpf RBC -S - NIL. /hpf EPTHELIAL CELL -2-3. /hpf Unhone bolo urine ma infection ho gya hai 7 days ke medicine de unhone Par ussa mujhe aur jayada toilet aane laga hai wahe phele ke tarah 15 min ma se 1 se 2 baar aur lagta rehta hai toilet aa raha hai hamesa Unhone jo medicine de Tab - Percin (Prulifloxacin tablet 600 mg) Cap- RABELT D (Rabeprazole sodium (Enteric coated) Tab-Zincovit Tab- pyrium 200 And alkasol Par essa mujhe koi fayada nahi ho raha Is that any serious problem.
Hello doctor my 1.5 year old son has worms problem which irritates him at night n he keeps on itching the anus. My local doctor had prescribed bandy plus which was a 4 weeks course. However the course has finished but the itching is still there. Pls suggest a good medicine for permanent cure of same. Also is there any ointment which can be applied.
Many kidney stone formers, especially women with kidney stones, question whether to stop or reduce their calcium intake.
Despite the fact that calcium is a major component of 75% of stones, excessive calcium intake is very rarely the cause of stone formation.
In fact, several studies have shown that restricting calcium intake in most stone formers actually increases the number of stones they develop.
This appears to happen because when less calcium is ingested, it becomes easier for oxalate (which normally binds with calcium in the gut) to be absorbed. Higher levels of oxalate in the urine then lead to an increase in stone risk.