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Max Hospital-Shalimar Bagh

Urologist Clinic

#FC - 50, C & D Block, Shalimar Bagh. Landmark : Near Toyata & Nissan Showroom, Delhi Delhi
1 Doctor
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Max Hospital-Shalimar Bagh Urologist Clinic #FC - 50, C & D Block, Shalimar Bagh. Landmark : Near Toyata & Nissan Showroom, Delhi Delhi
1 Doctor
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About

Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Max Hospital-Shalimar Bagh
Max Hospital-Shalimar Bagh is known for housing experienced Urologists. Dr. Atul Goswami, a well-reputed Urologist, practices in Delhi. Visit this medical health centre for Urologists recommended by 42 patients.

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MON-SAT
09:00 AM - 02:00 PM

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#FC - 50, C & D Block, Shalimar Bagh. Landmark : Near Toyata & Nissan Showroom, Delhi
Shalimar Bagh Delhi, Delhi
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Diabetes - Know Its Devastating Effect On Your Kidneys!

Advanced Short Course Training in Kidney Transplantation, DM - Nephrology, MD - Nephrology , MBBS
Nephrologist, Delhi
Diabetes - Know Its Devastating Effect On Your Kidneys!

Diabetes is a disorder that is characterized by an inability of the pancreas to produce enough insulin or effectively utilize the insulin produced by the body. Insulin is the hormone that is produced by the pancreas to metabolize sugar in the body, the sugar that is present in the food that you consume.

Diabetes is commonly classified into two types: Type 1 and Type 2 diabetes.

In Type 1 diabetes, the cells in the pancreas do not produce insulin in the required amounts; this disorder usually tends to occur in children. Type 2 diabetes generally occurs in people who are above 40 years of age; this type is characterized by an inability of the body to efficiently utilize the insulin produced by the pancreas.

How can diabetes affect your kidneys?

Too much glucose, also called sugar, in your blood from diabetes damages your kidneys’ filters. If the filters are damaged, a protein called albumin, which you need to stay healthy, leaks out of your blood and into your urine. Damaged kidneys do not do a good job of filtering wastes and extra fluid from your blood. The wastes and extra fluid build up in your blood and make you sick.

Diabetes is a leading cause of kidney disease. Diabetic kidney disease is the medical term for kidney disease caused by diabetes. Diabetic kidney disease affects both kidneys at the same time.

Signs of Kidney Disease in Patients with Diabetes

  1. Albumin/protein in the urine
  2. High blood pressure
  3. Ankle and leg swelling, leg cramps
  4. Going to the bathroom more often at night
  5. High levels of BUN and creatinine in blood
  6. Less need for insulin or antidiabetic medications
  7. Morning sickness, nausea and vomiting
  8. Weakness, paleness and anemia
  9. Itching

What are the possible complications?

  1. End-stage kidney failure: If this occurs then you would need kidney dialysis or a kidney transplant.
  2. Cardiovascular diseases: Diabetics have an increased risk of developing cardiovascular diseases, such as heart disease, stroke and peripheral arterial disease. If you have diabetes and diabetic kidney disease, your risk of developing cardiovascular diseases is increased further. 
  3. High blood pressure: Kidney disease has a tendency to increase blood pressure. In addition, increased blood pressure has a tendency to make kidney disease worse. Treatment of high blood pressure is one of the main treatments of diabetic kidney disease.

What to do?

  1. It is essential to get your urine checked at least once every year to detect signs of kidney damage.
  2. Some other symptoms that you may experience are swelling in the ankles, weight gain and a rise in your blood pressure.
  3. The first step to treat kidney damage caused by diabetes is to get your blood sugar levels under control.
  4. You should also avoid consuming medications that can cause damage to the kidneys.
  5. A kidney transplant or dialysis may be advised if the damage to kidneys is significant.
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Kidney Disease in Childhood

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
  • Kidney disease can affect children in various ways, ranging from treatable disorders without long-term consequences to life-threatening conditions.
  • Acute kidney disease develops suddenly, lasts a short time, and can be serious with long-lasting consequences, or may go away completely once the underlying cause has been treated.
  • Chronic kidney disease (CKD) does not go away with treatment and tends to get worse over time.

Kidney disease in children can be caused by

  • birth defects
  • hereditary diseases
  • infection
  • nephrotic syndrome
  • systemic diseases
  • trauma
  • urine blockage or reflux

A health care provider diagnoses kidney disease in children by completing a physical exam, asking for a medical history, and reviewing signs and symptoms. To confirm diagnosis, the health care provider may order one or more of the following tests:

  • urine tests
  • blood test
  • imaging studies
  • kidney biopsy

Treatment for kidney disease in children depends on the cause of the illness.

  • Children with a kidney disease that is causing high blood pressure may need to take medications to lower their blood pressure. Improving blood pressure can significantly slow the progression of kidney disease. As kidney function declines, children may need treatment for anemia and growth failure.
  • Children with kidney disease that leads to kidney failure must receive treatment to replace the work the kidneys do. The two types of treatment are dialysis and transplantation.
  • For children with CKD, learning about nutrition is vital because their diet can affect how well their kidneys work. Parents or guardians should always consult with their child’s health care team before making any dietary changes.

 

What are the Symptoms Associated with Pediatric Kidney Disease?

Kidney disease often goes undetected in the general population, but children and adolescents are at an even greater risk due to the nature of the causes of the diseases and the ambiguity of the symptoms. 

Children might not be aware of some of the changes that are impacting their body and will not always let their parents know of potential issues. 

Common symptoms for children are:

  • Swelling (even mild) of the hands and feet and/or puffiness around the eyes caused by excess fluid build-up, to the point where the child’s ability to move around normally is compromised
  • After initial swelling, socks or a belt can leave an indentation in the skin that will persist
  • Lack of or decrease in appetite.
  • In children with ESRD it is especially important to keep their appetite up because transplant eligibility is based partially on growth.   
  • Decreased or increased frequency of urination. Children who can normally use the toilet without assistance may suddenly begin to wet the bed at night
  • Long-lasting changes in the color of the urine such as unusually dark or red, which can indicate blood, and changes in appearance of urine such as extra foam that can indicate protein
  • Headaches resulting from high blood pressure 
  • Flu-like Symptoms such as nausea, vomiting, weakness, fatigue, loss of appetite
  • Stunted or poor growth as compared to similar age group peers
  • Difficulty concentrating and poor school performance

Another potential indicator of pediatric kidney disease is family history of kidney disease. Genetic related disease is much more common in children than in adults. If there is family history, it is a good idea to get a check-up. 

In parents that are pregnant with a child with polycystic kidney disease a common symptom is decreased amniotic fluid. 

Looking at the list of common symptoms it is easy to see how CKD can go undiagnosed.  As a parent or caregiver, it is important to have conversations with your children to understand the severity and duration of the symptoms and follow up with pediatric nephrologist. 

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According to my problem one doctor say urinary tract infection .What is urinary tract infection?

MBBS
General Physician, Kolkata
According to my problem one doctor say urinary tract infection .What is urinary tract infection?
Regards, In simple terms Urinary tract infection is an infection of your urirany system which be caused due to a myriad number of pathogens .The common symptoms are burning while passing urine ,moderate to high grade fever ,malaise etc. It is mostly seen in females and the elderly males. So considering your age and gender it is quite a thing that uve acquired an UTI! You need to address your Urinary hygiene and I hope your under medication for the same with adequate hydration! Wish you the best of health.
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I was tested for moderate escherichia coli few months ago, I was given ceftriaxone which I took for two days and some antibiotics. Sometimes I notice some vibrations in my groin and some frequent urination. What kind of antibiotic can I take to clear the infection if some r still there?

BHMS, MD-Homeopath
Homeopath, Bangalore
I was tested for moderate escherichia coli few months ago, I was given ceftriaxone which I took for two days and some...
Antibiotics kill only the living bacteria and not the eggs and do not rectify your tendency to get infected every time. To be out of this problem, stop eating all the items that are advetised, like pizza, burger, noodles, chocolates, so called soft drinks for that reason any item sold outside, including panipuri Take food hot and preferably Indian food, you will be safe do not take the so called fruit juice they contain lot things that are not good for health. Best be avoid alcohol, smoking and more specially non veg. You will be able to lead comfortably a safe life.
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After marriage I am getting very frequently t uti and its very severe also, as when I go to doctor they are doing urine culture telling its uti, so can you tell why its happening.

Unani Specialist, Allahabad
After marriage I am getting very frequently t uti and its very severe also, as when I go to doctor they are doing uri...
Hello Ms. lybrate-user let you clear one thing, UTIs are more common in female than male body due to low distance of Vaginal Vulva and Urinary Track. Female vagina is a very moist part of body. And after current marriage its seems to be very common complaint in married females. So, just aware and do maintain your personal hygiene during Menstrual Periods and after Intercourse (coitus) with your husband. You have to use any Vaginal Wash daily during periods and after coitus. And take a proper treatment by your physician. Thanks.
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Colorectal Surgery - Disorders It Can Treat!

MS, FACRSI
General Surgeon, Jabalpur
Colorectal Surgery - Disorders It Can Treat!

Colorectal surgery deals with the disorders of the rectum, anus and colon. Another name of colon is ‘large intestine’. These three body parts form the last stages of the digestive process. When the human waste passes through the colon, its salt and water are extracted before it exits the body as human excreta.

Colorectal disorders

  1. Swelling and inflammation of the veins in the anus (also called as Haemorrhoids)
  2. Anal fissures- unnatural cracks and fissures in the anal area
  3. Fistulas or the unnatural connections between the anus and other anorectal areas
  4. Conditions of constipation
  5. Incontinence in passing of faeces
  6. When the walls of the rectum protrude through the anus- also called as Rectal prolapse
  7. Birth defects such as imperforate anus
  8. Anal cancer- this condition is rare
  9. Colorectal cancer- cancer of colon and rectum
  10. Any injuries to the anus
  11. Removal of any objects inserted into the anus

Bowel habits after colorectal surgery
Many patients report cases of diarrhoea, leakage of stool or gas, urgency to use the toilet and a feeling of insufficient evacuation of faeces. Relax; these conditions are not going to last forever. Your rectum and anus are adjusting to new conditions after this surgery. These organs may take six to twelve months to adjust to new bowel habits.

Is there a need to take a laxative or stool softener?
There is no need to take laxatives after a colorectal surgery. Drink lots of water to make your stool softer and easy to pass. If there is a water deficiency in your body, then it may lead to your faeces becoming hard. In that case, take milk of magnesium, colace etc.

Activities post surgery
You can continue with your normal schedule after this surgical procedure. Carry on running, jogging, exercising, climbing up the stairs etc. even after your surgery. Gastroenterologists recommend that patients should desist from lifting loads weighing more than 10 pounds so that there are no post surgery complications.

Diet after colorectal surgery
Avoid spicy and heavy to digest meals after your surgery. Once the intestines begin working normally, you can continue having your spicy food. Chew your food well to aid its digestion.

Returning to work after colorectal surgery
Most people are back to their work after taking a break of 2-5 days. If the surgery is pretty detailed, you may have to take a break of up to a month. Patients undergoing laparoscopic surgery may have to take a rest of 2- 4 weeks before they report back to work. Take it easy before slipping into your regular schedule. If working hurts after your surgery, don’t do it. If you wish to discuss about any specific problem, you can consult a general surgeon.

184 people found this helpful

I want to know that does drinking beer helps to remove a kidney stone and ureter stone. I have a kidney stone of 6 mm. I have never taken beer but someone said it helps to remove a stone or will I get habitual to it. Please help.

MBBS, MD - General Medicine, DM - Nephrology
Nephrologist, Delhi
I want to know that does drinking beer helps to remove a kidney stone and ureter stone. I have a kidney stone of 6 mm...
Beer acts as a diuretic and increases your urine which helps stone removal. But that does not mean u start drinking beer....rather drink a lot of water and keep well hydrated.
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I have been fatigue since few months back and I urinate as soon as I consume any liquid. I can't rest well in my sleep too, and I get tired easily when I work unlike in the past where I'm energetic, my mother is a diabetic patient am I also suffering from diabetics?

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
I have been fatigue since few months back and I urinate as soon as I consume any liquid. I can't rest well in my slee...
SUCH a simple way to get rid of stress .why linger on in doubts .Stat get FIRST MORNING URINE TEST .if some traces of sugar found, get fasting Blood Sugar morning after 10 hrs of fasting from 10.00 PM onwards .give blood at 8-900 AM.
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When I do urine everything is normal but when I finished doing afterwards drops of urine still comes like leakage.

MBBS
General Physician, Jalgaon
When I do urine everything is normal but when I finished doing afterwards drops of urine still comes like leakage.
Please Take plenty of water daily Take Tab himplasia by Himalaya 30 1 1 Chandnasav 20 ml twice a day for 15 days Reconsult if needed.
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Hlo sir ,mujhe Anus k pass pain hota h, stool force out k time v pain hota h, kamr se dono pair tak kanta k jaisa chubhta h pain hota h.

MS - General Surgery
General Surgeon, Kanpur
You might be having fissure in ano so you need to be examined by surgeon and proctoscopy to be done by the time use ointment lox anally before defecation and syp cremaffin 3 to 6 tsf hs take plenty of fluids and keep stool soft.
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I want to ask ayurvedic doctor. Whether kidney stone of size 1.2 cm can be expelled out by "nerunji mull" juice? I want to avoid operation.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Kolkata
I want to ask ayurvedic doctor. Whether kidney stone of size 1.2 cm can be expelled out by "nerunji mull" juice? I wa...
Possible less as the diamiter of stone is >greater than ureteric diameter. But it depends on which type of stone compound is in it. Some ayurvedic drug can dissolve it. Take tab chandrapravha and cystone tab of Himalaya. 2 tab each together bdpc. If symptoms persist after 15 days. Then need cystoscopy and lessure removal of stone.
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Hello sir. My mom is suffering from chronic kidney stones- calcium oxalate. From 68 + years. She is very weak n very thin now. Can we give her nutrilite (amway) calcium supplements and also protein powder?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Fazilka
Hello sir. My mom is suffering from chronic kidney stones- calcium oxalate. From 68 + years. She is very weak n very ...
Avoid calcium tab if kidney stones are calcium oxalates advised blood tests s. Calcium and vit. D3 then consult me safe ayurvedic treatment for kidney stones and weakess consult me.
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Dear sir, I am 21 years old, from past two years the blood comes from anus without pain and it's not pure blood it contain some matter like fiber, the blood clot surrounding this matter and comes out, the blood comes some times before the stool and some times during the stool, when I ate indigestible food then it starts and continue 2 to 3 days, some times blood comes automatically after eating the lite food too, please suggest for further?

BAMS, MD - Ayurveda
Ayurveda, Navi Mumbai
Dear sir, I am 21 years old, from past two years the blood comes from anus without pain and it's not pure blood it co...
Dear Lybrate User , As you mentioned your condition it may be bleeding piles. It can be completely curable by Ayurveda medicine with simple Panchakarma procedure. Do sitz bath at home along with Abhayarishta at night only. Avoid oily, spicy , non veg food for time being. Do regular exercise and take fibre rich diet. For complete treatment assistant kindly revert back this query to my consultation page as on public domain page I can not prescribe all medicine. Thanking You.
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I have urine infection, I feel burning sensation. please recommend some home remedy.

MBBS, MD - General Medicine, DM - Nephrology
Nephrologist, Delhi
I have urine infection, I feel burning sensation. please recommend some home remedy.
Take some cranberry juice..... but it is v imp to get it evaluated and treated. Also get a urine culture done
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I am 59 years old, I have suffered a sharp urgency in urination without any other symptoms that could relates to the phenomena, even urine color is normal. I can not afford reach home if I am outside, urination involuntarily will start and end before put off my clothes. Please help.

MD- Ayurveda
Ayurveda, Ujjain
I am 59 years old, I have suffered a sharp urgency in urination without any other symptoms that could relates to the ...
The cause of urinary urgency is involuntary contractions of the bladder muscle. It is one of the most common symptoms of urinary tract infection (UTI. Damage to the nerves that control the bladder or conditions like overactive bladder are characterized by urinary urgency. Benign enlargement of the prostate is other common condition of urinary urgency. Take these safe and effective Ayurvedic treatment- CHANDRA PRABHA BATI 2-2-2 + Tab Himplasia (Himalya drug co,) 1-1-1, three times a day.
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I am suffering from post void dribbling and little but slow urine speed. Otherwise I don't have any other problems. Is it caused by masturbations?

Unani Specialist, Allahabad
I am suffering from post void dribbling and little but slow urine speed. Otherwise I don't have any other problems. I...
Hello Yeah you are right, a biggest draw back of masturbating have to notice in Andrology, is dribbling of urine. So completely switch this bad habit and to consult with any Andrologist, or to me. Thanks.
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Hello doctor I have a question for my wife. She is feeling toilet frequently more than normal. Is this a sign of pregnancy or some kind of urinal infection. Thanks.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hello doctor I have a question for my wife. She is feeling toilet frequently more than normal. Is this a sign of preg...
It's a sign of urine infection simple tests first. Just routine test to look for pus cells present in urine pregnancy will have other symptoms besides missing the periods.
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Please suggest that surgery is the only way to deal with kidney stones of size 12 mm, OR is there any other technique to diagnose it.

MBBS
General Physician, Cuttack
Please suggest that surgery is the only way to deal with kidney stones of size 12 mm, OR is there any other technique...
If the stone is big causing obstructive symptoms, it has to be treated by surgery. Take USG KUB and consult urologist with report for advice and treatment.
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Dhat Syndrome: Loss of Calcium in Urine

MD - Psychiatry
Psychiatrist, Srinagar
Dhat Syndrome: Loss of Calcium in Urine

Many persons report to doctors complaining about weakness, backache, loss of energy and other vague symptoms attributing these all to the loss of calcium and sometime semen with urine. How do they get to this conclusion? They may have noticed ‘white discharge (particularly in morning sample) in urine, they leak few drops of white discharge while talking to women (talking over phone included) or thinking about them, their neighborhood ‘test wala’ (lab technician) report their urine containing a few calcium carbonate crystals (anyways its almost always same test wala or ‘medical wala’ (medical store owner) who orders their urinalysis in first instance), they suffer (as per them) from frequent night emissions associated with wet dreams or without wet dreams and so on (list is exhaustive).
This is precipitated and perpetuated by commonly held belief about extreme preciousness of semen in sub-continental cultures including ours. This is based on an old hindu belief that it takes forty drops of blood to create a drop of bone marrow and forty drops of bone marrow to create a drop of sperm (wikipedia). These persons usually spend good amount of resources for treatment of ‘calcium or semen loss’ without much success.
This is actually a neuro-asthenic syndrome first described by professor (dr) narendra wig as ‘dhat syndrome’.
Females also suffer from an equivalent syndrome characterized by excessive vaginal discharge or leucorrhea, which is again considered a" precicious fluid.
Reassurance and proper education is the mainstay of treatment. Many times counseling, anti-anxiety and anti-depressant medications are needed.

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Max Hospital-Shalimar Bagh

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