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Dr. Anil Chetrapal

Urologist, Delhi

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Dr. Anil Chetrapal Urologist, Delhi
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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. Anil Chetrapal
Dr. Anil Chetrapal is a trusted Urologist in Ramesh Nagar, Delhi. He is currently associated with Khetarpal Hospital in Ramesh Nagar, Delhi. Book an appointment online with Dr. Anil Chetrapal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 44 years of experience on Lybrate.com. You can find Urologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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F-95,Main Najafgarh Road, Bali Nagar. Landmark: Near Ramesh Nagar Metro Station, DelhiDelhi Get Directions
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My daughter is 8 years old she always pass urine in her bed unknownly.

MBBS DCH
Pediatrician
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This is known as nocturnal enuresis or bedwetting. Restrict liquids 2 hrs before going to bed. Carry your child to bathroom during early hours of sleep. She may need treatment if above measures fail.

General Physician (AM)
Alternative Medicine Specialist
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Tips on Treating Urinary Incontinence:

Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.


1. Stress incontinence

Non-medical treatment

• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Biofeedback
• Electrical stimulation

Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.

Surgical treatment

• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters

Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.

The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.

Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.

An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.

Surgical treatment

Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.

Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.

3. Overflow incontinence

Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.

4. Total incontinence

Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.

Treating faecal incontinence

Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.

Let’s look at some of the treatment options available for FI:

Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.

Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.

Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.

Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.

Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.

My urine color is yellow.Why?Please suggest

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist
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Dear , if you are not taking enough water your body needs then kidneys have to throw the waste products out in much less quantity and in the concentrated form and hence urine could be yellow. If you are taking any drugs like b complex then again urine could be yellow, if you have developed jaundice then again urine could be yellow.

Actually I m having trouble in urine. It is dark yellow in colour and have some kind of smell as well. Some kind of etching is there when have urine.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath
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Actually I m having trouble in urine. It is dark yellow in colour and have some kind of smell as well.
Some kind of e...
Medicine 1. German reckeweg natrum phos 200, 4-5 drops orally, single dose morn, empty stomach 2. Give 1 day gap. 3. Chelidonium maj 1x / 10 drops with water 2 times a day. Stop oily food. Green coconut water daily mixed fruit juice daily evening.

Kidney Stones and Your Diet

Nutrition Counselor Course in Bariatric Surgery, Diploma in Nutrition and Health Education, Role of Nutrition in Diabetes, ICU & Gastroenterology , Diploma in Paediatric Nutrition, Diploma in Total Nutrition Therapy course, Diploma in Diet and Nutrition, Diploma in Dietetics and Nutrition
Dietitian/Nutritionist
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Kidney stones are caused when certain minerals of your urine are retained and are not fully released, causing them to amalgamate and form a stone. Passing a kidney stone is one of the most painful experiences you may face physically. Its magnanimity is often compared to childbirth, and those who are suffering from kidney stones dread having this experience. If you are not yet affected by kidney stones and do not want to, read further to know what type of diet you need to follow in order to prevent it.

1. Drink lots of water: On an average, a person must be drinking at least 3 liters of water every day. If you live in a more hot and humid climate, your water intake must be even more than that, so that on an average, 2.5 liters of urine is passed throughout the day, which decreases the chance of unnecessary retention of minerals from the urine and release them more easily from the body.

2. Continue eating foods rich in calcium: It is a common misconception that calcium accelerates the formation of kidney stones. Calcium is digested by the intestine, only excess calcium cannot be digested by the intestine and is sent to the kidney. Continue consuming calcium rich foods unless your doctor prescribes you against it. Make sure your diet includes enough dairy products such as milk, cheeses, etc., or other calcium rich foods, such as oats and broccoli.

3. Limit intake of oxalic acid: Oxalic acid is mostly found in foods obtained from plants. It restricts the absorption of calcium in the intestines and as a result, more calcium is passed into the kidneys; thus, forming calcium oxalate, or oxalate stones. Try to avoid foods, such as rhubarb, Swiss chard, nuts, tea, sweet potatoes, etc.;mainly leguminous plant products.

4. Decrease the ingestion of sodium salts, sugar and meat protein: Salts and sugars, mainly found in packaged foods are used to prevent them from expiring. They increase the release of calcium and oxalates into the blood, which thus increases the chance to develop kidney stones. Meat contains fibers which affect certain nutrients in the kidney, thus aggravating the formation of stones.

5. Increase the consumption of insoluble fibers: Insoluble fibers are those rough fibers which are not soluble in water during the process of digestion. They are found in rice, wheat, barley, etc., and are found to decrease calcium absorption in the kidney. They attach themselves to the calcium and oxalates, which enable them to be released as stool instead of urine.
Kidney Stones and Your Diet

I am in confusion. I don't know what to do. I have two kids. My doesn't love me and his kids also. He won't spend time with family. He always want to spend with others expect with us. If he is in home he will be with mobile and laptop. He will not leave mobile for sec. He carries mobile Even he go to toilet. He always hold mobile and will be doing in mobile. He won't even speak for 5 mins with love to me. And he is so lazy. I have to do everything for him. Only bath he will do by his own other than that I have to do everything. He treats me like servant. I don't mind doing that if he show love on me. But he won't. I really want to die but I can't because I have kids they are two young and I can't imagine them with out me because definitely my husband will not take care of them if I die. And I can't go away from him with my kids. Because I don't have any assets to look after them. But if I stay like this I will go mad. Please suggest me what to do. Is there anything wrong with my mentality. Or with his mentality. How to change my life.

M.Sc - Applied Psychology, P.G.Dip.in Guidance &Counselling, B.A., Psychology, Dip.in Pharmacy
Psychologist
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I am in confusion. I don't know what to do. I have two kids. My doesn't love me and his kids also. He won't spend tim...
" it not what you have lost but what you have left that counts" relax lybrate user. I could understand your stressful state of mind. A husband's indifference over his wife for a long period of time will certainly cause immense pain. But, you can change this state to the better if you have the strong will. Yes, drop your expectation of love from your husband. You will feel free at once. Accept the stressor that can not be changed. Your 2 children can distract you from all your worries. Focus your concentration on them. You can also distract yourself by doing some job at home that gives any income. Sitting and crying will not help in any way. Rebuild your relationship with your friends and relatives, expand your social network. Fortune favours only the bold. Whatever you have been doing to him, do it without any emotional content, expectation or dislike. He may turn good in course of time.

Jab may bathroom jata hu to usme jalen hoti hai aur jhaag jaisa aur gada bathroom hota hai.

BHMS
Homeopath
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Jab may bathroom jata hu to usme jalen hoti hai aur jhaag jaisa aur gada bathroom hota hai.
Dear lybrate user, take homoeopathic mother tincture can notharis q, 30 drops, thrice daily, after meals, in a cup of water.

I am a 45 year old male. I experienced, about three times, after urinating, I got fainted for seconds. After that I was ok. These happened when I got up from sleep during midnight. I am weighing 65 kg. Height 175 cms.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D. Ayurveda
Ayurveda
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I am a 45 year old male. I experienced, about three times, after urinating, I got fainted for seconds. After that I w...
It might be due to loss of semen through urine. Kindly look for it. If it is so have 3-4 soaked almonds at bed time with milk.

Hello sir. I have problems in urine. When I going to toilet after last finishing time little pain .then I checked up urine analysis. Report is showing. PROTEINS-present (+),PUC (WBC) CELLS-8-10, CASTS-occasional granular cast seen. All results are absent. What should I do. please advice.

BHMS, PGDM (Emergency Medical services)
Homeopath
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Hello sir. I have problems in urine. When I going to toilet after last finishing time little pain .then I checked up ...
Take homeopathic medicine" berberis vulg" 200 .5 pills for 2 Days. Visit nearby homeopathic pharma store for availability. Inform progress. Good Day.

I am 64 years and having prostate problem for the last 7 years. Presently using flotral 10mg tablet at night. Additionally I am taking charak pharma's prosteez tablets two each twice a day. Problem is under control at present. Do you suggest anything more?

MD - Pathology
General Physician
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I am 64 years and having prostate problem for the last 7 years. Presently using flotral 10mg tablet at night. Additio...
If you are doing v well with this medicine, just continue with it. You need a review only if symptoms worsen. Get your psa levels done.

I have done urine routine everything is fine except pus and epithelial cells doctor has prescribed me kexi 200 plus is everything fine.

MBBS
General Physician
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I have done urine routine everything is fine except pus and epithelial cells doctor has prescribed me kexi 200 plus i...
Detection of pus cell more than 5-6 indicates urinary tract infection. Continue medicine as prescribed by your doctor. Drink plenty of water (8-10 glass daily)

Hi sir I have a stone in my kidney. and am suffering high pain of it. How I can mange it. How to melt that stone and what measures I have to take.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist
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Hi sir I have a stone in my kidney.
and am suffering high pain of it.
How I can mange it.
How to melt that stone and ...
Take plenty of plain water, ensure the urine colour is light yellow which ensure good hydration status. Avoid nonveg, mushrooms, whole pulse caffeine beverages till the pain subsides. Take barley water twice a day for proper urine clearance.

MD PULMONARY, DTCD
Pulmonologist
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KIDNEY DISEASE.
Kidney problems can be prevented by consuming 2 liter of water/day

5-7 rbc/hp found in urine what is problum?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist
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Dear , there are thousand one causes of blood in urine and without knowing your complaints I cannot give you and specific advice but there is a protocol blood in urine. In that case sonography abdomen and pelvis with full bladder volume, bladder wall thickness on full bladder and post-void residual urine volume is must. However my wild guess would that you may prostate problem, or stone or tumour.

I am 42 years male and my creatine level is about 1.8, how do I keep it under control.

PDDM, MHA, MBBS
General Physician
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I am 42 years male and my creatine level is about 1.8, how do I keep it under control.
I recommend the following 1. Find out how much of protein you are losing in the urine. Protein in urine rises the creatinine. Tablets like ace/arb can reduce protein in urine 2. Avoid red meat 3. Avoid weight lifting exercises 4. Tab nephrosave twice daily has given good results in my patients 5. Most importantly make sure bp is within 130/70 at all times.

My uncle got operated in kidney stones in urology. His stones are of uric acod type after is getting the same problem again and again so what to issue. I have also many doctors about this same problem so many doctors said that it forms again and again. What to do pls advice us correctly.

BHMS
Homeopath
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My uncle got operated in kidney stones in urology. His stones are of uric acod type after is getting the same problem...
Hello. Uric acid stones can form in people who don't drink enough fluids or who lose too much fluid, those who eat a high-protein diet, and those who have gout. Certain genetic factors also may increase your risk of uric acid stones. Prevention: prevention of kidney stones may include a combination of lifestyle changes and medications. Lifestyle changes you may reduce your risk of kidney stones if you: drink water throughout the day. For people with a history of kidney stones, drink 12-14 glasses of water everyday. If you live in a hot, dry climate or you exercise frequently, you may need to drink even more water to produce enough urine. If your urine is light and clear, you're likely drinking enough water. Eat fewer oxalate-rich foods. If you tend to form calcium oxalate stones, restrict foods rich in oxalates. These include rhubarb, beets, bhindi (okra), spinach, swiss chard, sweet potatoes, nuts, tea, chocolate and soy products. Choose a diet low in salt and animal protein. Reduce the amount of salt you eat and choose non animal protein sources, such as legumes. Consider using a salt substitute. Continue eating calcium-rich foods, but use caution with calcium supplements. Calcium in food doesn't have an effect on your risk of kidney stones. Continue eating calcium-rich foods unless your doctor advises otherwise. Ask your doctor before taking calcium supplements, as these have been linked to increased risk of kidney stones. You may reduce the risk by taking supplements with meals. Diets low in calcium can increase kidney stone formation in some people. Medication: take homoeopathic medicine - berberis vulgaris q/ 10 drops in 1/2 cup of water/ thrice daily for 4 weeks. Revert me back. **********to get rid for recurring tendency, constitutional medicine need to be given based on full case-history of the patient************

I had severe pain 3 months ago. Ultrasound revealed a stone of 6 mm in urinary tract. Now, since 2-3 days very small pain or feeling of stone comes some time. I am very frightened. Is this a signal that I will again have the severe pain in following days?

BHMS
Homeopath
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I had severe pain 3 months ago. Ultrasound revealed a stone of 6 mm in urinary tract. Now, since 2-3 days very small ...
Yes you can have severe pain in some days till the time stone passes -out through the body. Better take can nothris 30 - every two hourly for next 3 days. Continue homeopathic treatment for recurrence of stone formation in your body.

What is the treatment for fatty liver and crystals in kidney

practical course in diabetology , POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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Reduce weight. Stop taking junk food and alcohol .If liver functions are abnormal.Take ursodeoxycholic acid 300 mg twice a day. If you are diabetic then metformin n pioglitazone can be added.

I have been experiencing painful urination and burning sensation in my urethra for about a week. The urine also seems slightly cloudy. I do not have a fever or any other problem. Please help.

MD, DYA, PGDCR
Ayurveda
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I have been experiencing painful urination and burning sensation in my urethra for about a week. The urine also seems...
Drink boiled dhaniya water when thirsty. Tablet Chandraprabha vati 2-2 before meals with 3 tsf usheerasav.

What Is the symptoms of kidney failure and how to or what is the procedure to solve to save our kidney.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Signs and symptoms of chronic kidney disease develop over time if kidney damage progresses slowly. Signs and symptoms of kidney disease may include: • Nausea • Vomiting • Loss of appetite • Fatigue and weakness • Sleep problems • Changes in urine output • Decreased mental sharpness • Muscle twitches and cramps • Hiccups • Swelling of feet and ankles • Persistent itching • Chest pain, if fluid builds up around the lining of the heart • Shortness of breath, if fluid builds up in the lungs • High blood pressure (hypertension) that's difficult to control Signs and symptoms of kidney disease are often nonspecific, meaning they can also be caused by other illnesses. And because your kidneys are highly adaptable and able to compensate for lost function, signs and symptoms may not appear until irreversible damage has occurred. HOW TO MAINTAIN OUR KIDNEY HEALTH 1.Keep your blood pressure at the target set by your Doctor. For most people, the blood pressure target is less than 140/90 mm Hg. This can delay or prevent kidney failure. 2.If you have diabetes, control your blood glucose level. 3.Keep your cholesterol levels in the target range. 4.Take medicines as per your Doctor advise and don’t go for OTC drugs like combiflam,Disprin,Asprin without your Doctors recommendation. 5.Cut back on salt. Aim for less than 2,300 milligrams of sodium each day. 6.Choose foods that are healthy for your heart: fresh fruits, fresh or frozen vegetables, whole grains, and low-fat dairy foods. 7.Limit your alcohol intake. 8.Be more physically active. 9.Lose weight if you are overweight. 10.If you smoke, take steps to quit. Cigarette smoking can make kidney damage worse.
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