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Tirath Ram Shah Hospital

Urologist Clinic

#2, R.b.l.isher Das Sawhney Marg, Rajpur Road, Civil Line. Landmark- Near Metro Sation, Delhi Delhi
1 Doctor
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Tirath Ram Shah Hospital Urologist Clinic #2, R.b.l.isher Das Sawhney Marg, Rajpur Road, Civil Line. Landmark- Near Metro Sation, Delhi Delhi
1 Doctor
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About

Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Tirath Ram Shah Hospital
Tirath Ram Shah Hospital is known for housing experienced Urologists. Dr. Nitin Sharma, a well-reputed Urologist, practices in Delhi. Visit this medical health centre for Urologists recommended by 80 patients.

Timings

TUE, THU, SAT
09:00 AM - 11:00 AM

Location

#2, R.b.l.isher Das Sawhney Marg, Rajpur Road, Civil Line. Landmark- Near Metro Sation, Delhi
Delhi, Delhi
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Doctor

Dr. Nitin Sharma

MCh - Urology, MBBS, MS - General Surgery
Urologist
16 Years experience
Available today
09:00 AM - 11:00 AM
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Enlarged Prostate - 6 Warning Signs To Help You Detect It!

MCH-Urology
Urologist, Delhi
Enlarged Prostate - 6 Warning Signs To Help You Detect It!

The condition of enlarged prostate occurs due to the enlargement of a man’s prostate gland, with the passage in time. Also known as benign prostatic hyperplasia (BPH), it is more common in men over the age of 60. Some cases might have symptoms and others may be symptomless. Although the causes are relatively unknown, it is evident that BPH is not a form of cancer, neither does it cause cancer. The prostate is located below the bladder and is responsible for producing the fluid needed by semen. The growth of the prostate tissue that is associated with benign prostatic hyperplasia begins near the inner prostate which is a tissue ring around the urethra. Its growth is generally inward.

Causes
It is of common knowledge that in males, the urine originates from the bladder and flows through the urethra. BPH is a condition where the prostate experiences a benign i.e. non cancerous enlargement which leads to blockage of urine flow through the urethra (the urinary duct). The resultant enlargement, caused due to the gradual multiplication of cells, subjects the urethra to extra pressure. Further narrowing of the urethra causes more contraction of the bladder, resulting in the urine being forcefully pushed out of the body.

With time, the condition leads to the bladder muscles gradually becoming thicker, stronger and oversensitive. Contraction occurs even due to the presence of small amounts of urine, giving rise to frequent needs of urination. At one point, the bladder muscle is unable to overcome the effects of the narrowed urethra. Due to this, urine does not pass properly and the urethra is not emptied.

Some of the common symptoms of enlarged prostate include:
1. Frequent urination
2. Urgency to urinate
3. Difficulty during urination
4. A slow or weak urinary stream
5. Requirement of extra effort to urinate
6. Interrupted sleep due to need of urination

Further risks
Sometimes, when the bladder is not emptied completely, a risk of urinary tract infections develops. Some other serious problems which can be a result of enlarged prostate include blood in urine, bladder stones as well as acute urinary retention (inability to urinate). In some rare cases, kidney and/or bladder damage might also result from such a condition.

Sir, I have problem in urinary burn while passing urine its very pain please suggest me which medicine I have to use. I have no sugar and no BP all normal. Thank you sir.

MBBS, Craniosacral Balancing, Quantum Touch, Visceral manipulation
Pain Management Specialist, Panchkula
Sir,
I have problem in urinary burn while passing urine its very pain please suggest me which medicine I have to use....
You should go for urine complete examination with microscopically for pus cells. If already had same type of problem then culture and sensitivity of urine should be done. You can have tab oflx 200+ ornidazole 2 times per day for 7 days. For pain meftalspas SOS + liquid citrilyka 2 tsf 3 times pr day in a glass of water. Wishing you a healthy life For any type of stress in any field of life you can contact us on Lybrate. More details about the treatment on our profile/personal statement column.
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Prolapsed Bladder And Its Symptoms!

MBBS, DNB ( General Surgery ), DNB - Urology/Genito - Urinary Surgery
Urologist, Pune
Prolapsed Bladder And Its Symptoms!

A bladder is an organ that stores urine in the body. A prolapsed bladder occurs when the tissue present between the vagina and the bladder is stretched, resulting in a bulge in the bladder. This can result in complications such as leakage of urine and difficulty in passing the same. Based on the severity of the damage, it is classified into four categories -
 

  1. Mild: A small area of the bladder bulges in the vagina
  2. Moderate: The bladder bulges near the vaginal opening
  3. Severe: Protrusion of the bladder occurs through the vaginal opening
  4. Complete: The entire area of the bladder protrudes completely from the body via the opening of the vagina

The symptoms of a prolapsed bladder are: 

  1. Feeling of intense pressure around the pelvic area
  2. Infections related to the bladder
  3. Pain during sexual intercourse
  4. Tissues bulging out through the vaginal opening
  5. Pain in the lower back region

Prolapsed bladder is caused by:

  1. Childbirth: It can cause ligaments and pelvic muscles to weaken thus increasing their vulnerability to a prolapsed bladder
  2. The chances of this disorder increases when one is overweight
  3. Lifting heavy things
  4. Strain caused by bowel movements 
  5. In some cases, it may result from a chronic cough
  6. Menopause, as it limits production of estrogen which helps in maintaining healthy tissues in the vagina

It is advised to check with a medical professional if you experience these symptoms, as a prolapsed bladder can worsen with time if left untreated.

Hi my father is a diabetic patient and he has urinary infection my father is taking insulin human mixtard daily two times morning 10 and night 10 before the food is insulin is dangerous to the body my father has lot of body pains please clarify my answer.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my father is a diabetic patient and he has urinary infection my father is taking insulin human mixtard daily two t...
Thanks for the query. Insulin is usually recommended to be taken half an hour before food. Because by the time digestion of food converts it to glucose, insulin is available for action. Insulin does not cause any other side effects. Occasionally if food delayed or if inadequate food is taken, then there is a possibility of glucose level going down (hypoglycemia). If you have any other doubts please come back. Thanks.
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My uncle is suffering from Chronic renal Grade 2 kidney disease. And both kidneys has stopped working. hemoglobin level in blood had reduced to 4.8 ,from 13. Now doctor has advised him for Dialysis twice a week. My question is, Can these kidneys start working after a while? And how long dialysis has to be done? Is there any other treatment along with dialysis to make kidney proper, Or is transplant only the way?

MBBS, MD - Internal Medicine
Nephrologist, Noida
My uncle is suffering from Chronic renal Grade 2 kidney disease. And both kidneys has stopped working. hemoglobin lev...
lybrate-user If your uncle kidney have stop working than dialysis is option for time being. In case of acute factor on chronic kidney disease than dialysis may stop in few patients but full recovery in CKD stage 2 is not possible. If kidney is chronic damage stage 4-5 than would be needing dialysis 2-3 times / week.
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I am suffering from urine infection please help me I am in very dangerous disease urine problem are also occur.

BAMS, MD, Panchakrma
Ayurveda, Nashik
I am suffering from urine infection please help me I am in very dangerous disease urine problem are also occur.
1) Drink sugar-cane juice without ice empty stomach or as possible. 2)Take 4 crushed Elaichi (cardamom) add 2 cup of water boiled to become half filter it, add 2 spoons of cow ghee take on empty stomach. 3) Avoid hard water to drink, drink sufficient boiled water or purified water only. You can easily take an online consultation for further guidance and ayurvedic treatment without any side effects.
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Peritoneal Dialysis - How Is It Performed?

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Peritoneal Dialysis - How Is It Performed?

No Blood, No needle, No visit to hospital, you can do yourself at home with sterile fluid. A thin layer of transparent screen like structure hangs in front of the abdominal muscles known as peritoneum. This peritoneum protects the abdominal structures and the muscle. This can also be used for performing dialysis which is carried out when the functioning of kidney gets affected. In peritoneal dialysis a thin and soft catheter is placed in the person’s belly one-two weeks before performing the procedure. 

The catheter has numerous holes in order to facilitate the infusion of fluids. Dialysis solution is prepared in a bag and the tubing is connected to the catheter placed in the abdomen thereby, the fluids absorb the waste materials from the body. The fluid is allowed to stay in your body for a particular period of time which is commonly referred as dwell time and later the fluid is drained out

There are two types of peritoneal dialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. This is the simple form of dialysis which anybody can be performed after a short training period and this can be done anywhere in a clean private place like hotels, home and even in office

Procedure followed during Peritoneal Dialysis 

All you need to perform a peritoneal dialysis is catheter and transfer set, cycler, dialysis solution and safety precautions materials to stay away from getting infections. 

Step 1 - Perform a sterile aseptic technique. Wear a glove and surgical mask before connecting the catheter and transfer set. Clamp the tubing and remove the catheter once the dialysis solution enters your abdomen 
Step 2 - Allow the solution to remain in your abdomen for a particular period of dwell time 
Step 3 - Drain the fluid from the abdominal cavity into the drain bag. You may feel a mild tugging sensation when an adequate amount of fluid is drained. 
Step 4 - After drain close or clamp the transfer set and later flush a fresh solution directly to drain bag so as to remove the air from the tubing. 
Step 5 - Close your drain bag and open your transfer set and refill your belly with fresh solution. 

Make sure you perform without giving way for infection by following the procedure.

3 people found this helpful

Hi, Doctor I am 25 year old male, and seeking to very serious problem of ANUS SWELLING because of External hemorrhoids. I am facing this problem since +2 year, some times it get well itself when I used to consume Himalaya Pilex Tablets but after some time it get worst. So my every morning is to worst, because I always have to face difficulty during poop. So please help me and tell me the solution as possible? With Permanent Cure.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
Hi, Doctor I am 25 year old male, and seeking to very serious problem of ANUS SWELLING because of External hemorrhoid...
hello vinod. it's sad to hear that you are suffering from this disease for so long. as per your symptoms you are most probably having anal fissure. you should avoid spicy and oily food. use laxative and do sitz bath( hot foamentation - sikai of anal region) thrice a day . for medications and other queries you can consult online as I am forbidden to prescribe medicine in open forum.
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Kidney Diseases - 10 FAQs You Must Know!

DM - Nephrology, MD-Medicine, MBBS
Nephrologist, Delhi
Kidney Diseases - 10 FAQs You Must Know!

Having a kidney disease can make it feel as if your life has spun out of control. But having some knowledge about your kidney disease can save you the stress and trauma that you might experience. Knowledge about the same can also help you take better control over your condition. Here are some frequently asked questions about kidney diseases:

1. How do you know if you are at the risk for kidney disease?
Some basic things are to be monitored to keep away from the risk:

  • Blood pressure levels to be monitored at least once a year
  • Urine analysis to check protein levels
  • Creatinine level in your blood

2. What can we do to take care of our kidneys?
The most important thing is to ensure that your blood pressure and blood sugar are under control. Essential lifestyle changes can help keep your kidneys working longer.

3. How long can I live with Kidney disease?
Many people think that if their kidneys fail, it is the end of their life. But with modern advances in health care, this is not the case. How long you live depends on age, your overall health and how involved you are in your care. Even if you reach kidney failure you can continue to live for a long time with dialysis or kidney transplants.

4. What can be done for fatigue when you have kidney disease?
Fatigue is a common symptom of kidney disease, but there are medications to deal with it. Talk to your doctor to assess your condition and deal with it.

5. Is kidney disease hereditary?
Genetical factors can contribute to kidney disease and around 10% of kidney failures are caused by hereditary factors.

6. Do I need dialysis?
If your kidneys don’t perform their function and the serum creatinine levels reach a certain point, dialysis can be done. The dialysis machine will take over the kidney function of filtering out the impurities from your blood.

7. How long can you stay on dialysis while waiting for a transplant?
There is no set upper limit for the amount of time spent on dialysis. Some patients have gone over 25 years and it all depends on your health condition.

8. What questions should I ask my doctor?
No two people are same. Asking questions is the best way to find where you stand. So, discuss with your doctor on what percent of kidney function you have and what can be done to improve.

9. Can Dialysis be done at home?
Yes, discuss with your doctor to know how it can be done and whether it is good for you.

10. Do kidney stones lead to kidney disease?
No, they don’t lead to kidney failure. But long term obstruction of the kidney can cause kidney failure.

2 people found this helpful

Hi, Mujhe urine karte samay bahut jalan hoti or urine yellow bhi ati. Please suggest me something.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD(Ayurveda)
Ayurveda, Guwahati
Hi, Mujhe urine karte samay bahut jalan hoti or urine yellow bhi ati. Please suggest me something.
Burning micturition may be caused due to uti. Besides yellowish coloured urine with uti may be due to less intake of water. As in summer we need to take lots of water and if not adequate there are chances of getting burning micturition. 1.Take plenty of water 4-5litres a day.
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I had anal fissure surgery 4 months back my doctor cut internal sphincter I want to know only one thing that can I get my internal sphincter strength back or not.(because im unable to squeeze my internal anal) please tell me and internal sphincter which is cut can it reforms again or not.

MBBS, MS - General Surgery
Proctologist, Delhi
Sphincter once cut does not rejoin unless the surgeon stitches it back. If you have problems controlling your gas or liquid stools then try anal squeeze exercises. Just tighten your anus as if you are trying to control a bowel movement. If you are leaking stools or gas then consult a nearby colorectal surgeon.
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Hi Please suggest me with it. Impression Mild hydroureteronethrosis rpd=10 mm-? uterus calculus What could be the problem and please suggest necessary medication or prevention.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
Hi Please suggest me with it. Impression
Mild hydroureteronethrosis rpd=10 mm-? uterus calculus
What could be the pro...
It looks a calculus (stone) in the ureter which is the tube connecting kidney and bladder. Drink plenty of water. For medications you can consult me online. Also share your complete USG report.
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My daughter, 20, was diagnosed with 6 kidney stones last month -3 in each kidney, measuring between 4 and 6 mm. She is presently not taking any medicine as doctor days they will come out with diet change, drinking lot of water and citrus fruit juices. What do you suggest?

BHMS, M.D.
Homeopath, Pune
My daughter, 20, was diagnosed with 6 kidney stones last month -3 in each kidney, measuring between 4 and 6 mm. She i...
Hello lybrate user, kidney stones often have reoccurring tendency, even after surgically removed. Drink plenty of water, 8-9 glass per day. (hydrotherapy is helpful to flush out kidney stones). Avoid calcium oxalate rich food like peanuts, almond, spinach, tomato, etc; reduce animal protein intake like chicken, fish etc; reduce salt intake. add more fruits in diet. Take homeopathic treatment for kidney stones (renal calculi).It's safe, natural and holistic way of treatment. Natural homeopathic medicines are highly effective in complaints like kidney stones. In chronic cases, medicine is selected on the basis of thorough details of patient like medical history, other complaints, causes, routine, temperament etc..; such well selected remedy gives complete cure(completely reduces size of stones naturally) and stops the reoccurring tendency of kidney stones formation. Message back for proper onlinr homeopathic consultation and treatment.
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3-4 days continue I am suffering from blood from my urine but I am not feeling any laziness and I Happened suddenly and first time what should I do.

MBBS, MD - Internal Medicine
Nephrologist, Noida
3-4 days continue I am suffering from blood from my urine but I am not feeling any laziness and I Happened suddenly a...
lybrate-user Get your blood and urine checked with ultrasound abdomen. With these report see a nephrologist or urologist as soon as possible Do have watch on your Blood pressure regularly morning and evening.
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I have stones in both of kidneys of 6 mm and 3.4 mm. How to fully cure this problem.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi
I have stones in both of kidneys of 6 mm and 3.4 mm. How to fully cure this problem.
Kidney stones can be cured with medicines which are combination of herbal and homeo. We have specialized medicines for pain attacks named as emergency drops. Kidney stones can be cured with our medicines only you don't need to undergo surgery or operations. I will suggest you to avoid surgery there is no need of it. You need to take medicines that can help in removing them naturally such as our medicines combination of herbal and homeo that will help in removing stones. Kidney gets diseased due to an unhealthy diet and lifestyle. A kidney stone is a hard mass developed from crystals that separate from the urine within the urinary tract. Normally, urine contains chemicals that prevent or inhibit the crystals from forming. If the crystals remain tiny enough, they will travel through the urinary tract and pass out of the body in the urine without being noticed. You can connect with me and I will provide you with treatment by which you will be getting cured with kidney stones naturally. The medicines are combination of herbal and homeopathic only.
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Hi sir I recently having urine infection. But now result is normal still I am frequenting urine more. And went to BLOOD UREA NITROGEN test the result is MY urea :16 mg/DL and BLOOD UREA NITROGEN: 7.43 I came result low or normal.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi sir I recently having urine infection. But now result is normal still I am frequenting urine more. And went to BLO...
Urea, In general, around 7 to 20 mg/dL (2.5 to 7.1 mmol/L) is considered normal. But normal ranges may vary, depending on the reference range used by the lab, and your age. Ask your doctor to explain your results. Urea nitrogen levels tend to increase with age. Results of the blood urea nitrogen test are measured in milligrams per deciliter (mg/dL) and in millimoles per liter (mmol/L) internationally. In general, around 7 to 20 mg/dL (2.5 to 7.1 mmol/L) is considered normal.
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The question is about creatinine which is 6 and also blood urea what precaution I should take.

C.S.C, D.C.H, M.B.B.S
General Physician,
The question is about creatinine which is 6 and also blood urea what precaution I should take.
Most men with normal kidney function have approximately 0.6 to 1.2 milligrams/deciliter (mg/dL) of creatinine. Most women with normal kidney function have between 0.5 to 1.1 mg/dL of creatinine.. You may have kidney disease and need check up for it
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I am 19 years old. I am suffering from Kidney stone & the stone size is 6.8 mm in right renal pelvis. The another stone found in lower calyx of right kidney which size is 3.1 mm. So what can I do? I hope you will give me good advice.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Delhi
I am 19 years old. I am suffering from Kidney stone & the stone size is 6.8 mm in right renal pelvis. The another sto...
Kidney stones can be cured with medicines which are combination of herbal and homeo. We have specialized medicines for pain attacks named as emergency drops. Kidney stones can be cured with our medicines only you don't need to undergo surgery or operations. I will suggest you to avoid surgery there is no need of it. You need to take medicines that can help in removing them naturally such as our medicines combination of herbal and homeo that will help in removing stones. Kidney gets diseased due to an unhealthy diet and lifestyle. A kidney stone is a hard mass developed from crystals that separate from the urine within the urinary tract. Normally, urine contains chemicals that prevent or inhibit the crystals from forming. If the crystals remain tiny enough, they will travel through the urinary tract and pass out of the body in the urine without being noticed. You can connect with me and I will provide you with treatment by which you will be getting cured with kidney stones naturally. The medicines are combination of herbal and homeopathic only.
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Urinary (Renal/Kidney) Stones - Know Its Homeopathic Remedies!!

MD - Homeopathy, BHMS
Homeopath, Lucknow
Urinary (Renal/Kidney) Stones  - Know Its Homeopathic Remedies!!

Many theories and as many reasons are given, but in most of the cases, cause of stone formation in the kidneys is not clear. Biochemical dysfunction seems to be the only possible explanation. Stones generally develop very slowly.

The tendency to stone formation may be hereditary. Stones may vary in size from sand particles to large stone. Urinary stones may be present for many years and may give rise to no symptoms. When a stone obstructs the urinary passage, mild pain to severe renal colic occurs. There may be restlessness, sweating, pallor, vomiting, frequent urination, blood in urine etc during pain. Attack of pain may last few hours to few days, varying in severity time to time. In many cases, urinary infection is a common occurrence. 

Homeopathic Approach 

Homeopathic treatment plan comprises of: 

  1. Ultrasonography at regular interval of three to four months to monitor 
    • The size of the stone 
    • Movement of the stone along the urinary passage. 
  2. Kidney function tests should be done to evaluate the function of kidneys. 
  3. Urine examination may be helpful to treat the accompanying urinary infections. 
  4. Parathyroid hormone and serum calcium level should be considered if the stone formation is recurrent. 
  5. It is a well-known fact that some stones can pass naturally. But often they may cause severe pain and at times obstruction. But with homeopathic treatment, even moderate-sized stone can pass absolutely painlessly. 
  6. Though the use of painkillers and antispasmodics can relieve the pain and spasm, but in the process can actually hamper or suspend the onward and outward movement of the stone. With homeopathic treatment, body's natural reactions are stimulated that helps throw out the stone without much discomfort. 
  7. At times, it is seen that with homeopathic treatment stones gradually dissolve into sand particles and get eliminated from the urinary system without being aware of it. This can be monitored by subsequent Ultrasonograms watching the gradual reduction in the size of the stones. 
  8. As stone formation is just a bye-product of body's biochemical dysfunction at deeper levels, only removal of the stone by natural or surgical means is not enough. Homeopathic treatment not only removes the stone, but can also modify the tendency to form stones by improving body's natural balance in general, and biochemical dysfunction in particular. 
  9. In bilateral, multiple and recurrent stones, constitutional homeopathic treatment is far-more superior than surgery or any other therapy as it has the potential to help the body, not only throw the stone out but also improve the biochemical dysfunction to check the recurrence of stone formation.
  10. Surgery can be helpful only when the size of the stone is very large, causing damage to kidney by back- pressure. Even then, homeopathic treatment is of significant importance to improve the basic biochemical defects. 
  11. Constitutional Homeopathic treatment can also help avert the complication of surgery. With constitutional homeopathic treatment, accompanying urinary infections are also relieved. 
  12. AND, the added advantage is that with constitutional homeopathic treatment, general health also improves. 

Dietary Restrictions: 

  • Large number of dietary "take and avoid" is known to the masses, but their role is doubtful. With good constitutional homeopathic treatment and proper monitoring by ultrasography, dietary restrictions are not mandatory. 
  • Increased amounts of fluid intake are advisable. If you wish to discuss about any specific problem, you can consult a Homeopath.

Meri daughter 11 year ki h. Uski bhi yehi problem h. Urine m infection or sath m stomach m pain. Please help me out.

BHMS
Homeopath,
Meri daughter 11 year ki h. Uski bhi yehi problem h. Urine m infection or sath m stomach m pain. Please help me out.
Usse alkasol dijiye 2 tablespoon in a glass of water twice daily, give her plenty of water, and she need proper homoeopathic treatment to cure her problem permanently, soo you can contact me through Lybrate in private consultation.
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