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Dr. Ashwini Sabarwal

Urologist, Delhi

600 at clinic
Dr. Ashwini Sabarwal Urologist, Delhi
600 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Ashwini Sabarwal
Dr. Ashwini Sabarwal is a trusted Urologist in Karol Bagh, Delhi. You can meet Dr. Ashwini Sabarwal personally at Shree Jeevan Hospital in Karol Bagh, Delhi. Save your time and book an appointment online with Dr. Ashwini Sabarwal on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 39 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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Shree Jeevan Hospital

#67/1, New Rohtak Road, Karol Bagh. Landmark: Near Liberty Hall, DelhiDelhi Get Directions
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I am suffering from Benign Prostate Hyperplasia. I underwent two month course of Urimax followed by 6 month course of Finasteride but the frequency of urination is not reduce. I am 68 and have no Diabetes. Walk 10 KMs per day and follow healthy lifestyle. Am a total teetotaler. What is the solution now ? Sonography has revealed only a very minor prostate enlargement.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Dear Sir, this is typically BPH where as urimax and finasteride are not showing adequate results. We can add ayurvedic tablets simultaneously and urinary frequency and retention reduces significantly.
1 person found this helpful
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I have 1.5 mg/dl creatinine. I have seen my physician and he told me to drink 3 ltrs of water and check the reading after 1 week along with ultrasound of abdomen, calcium - phosphorus ratio, urine routine. My hbl1c is 6.5. Had 10.5 in 2001 and in control. 9 months back went up to 7.8.Any suggestions about what to do about creatinine levels? Physician suggested that we will change the drug which is 250 mg in the morning and night of metformin after the results of creatinine readings after 1 week if it is still elevated.

MBBS
General Physician, Cuttack
I have 1.5 mg/dl creatinine. I have seen my physician and he told me to drink 3 ltrs of water and check the reading a...
A) Drink Herbal/green tea (2 glass daily), drink 6-8 glasses of water (not excess), b) Restrict salt intake, Reduce protein intake like meat/fish/chicken/egg, diary product (cheese/milk/yogurt/butter), white bread, white flour, sweet/tea/coffee/ beer/wine. C) Avoid strenuous physical activity/Exercise (Go for light exercise like Yoga, Walking instead of strenuous exercise like running/playing basket ball/foot ball), d) sleep well (7-8) hours daily e) Avoid nephro toxic drugs like Ibuprufen/Ace inhibitor, cyclosporine, f) Control Diabetes/Hypertension, g) Do thyroid function test to rule out hypothyroidism, h) Avoid potassium containing food like orange, banana, potato, brocoli, spinach, bean, peas dry fruits. I) Take low potassium containing fruits like apple, blue berry, corn, cucumber, J) Avoid excess salt/salty food, excess protein like Red meat/ Diary product. K) Avoid phosphorous rich food like cheese/fish/pumpkin/soybeans. L) Take cabbage, cauli flower, carrot cucumber, omega 3 rich food, raw onion, garlic, turnip, raddish, m) Consult physician for medicine if the creatine level is still high…
1 person found this helpful
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Strong Smelling Urine - 5 Common Reasons Behind it!

MBBS , DGO , FIMAS
Gynaecologist, Delhi
Strong Smelling Urine - 5 Common Reasons Behind it!

Many people are embarrassed to talk about their urine colour or urine problem with anybody, including their doctor. But, what people always forget is that strong smelling urine and the change in the colour of the urine is a serious issue. Your urine colour directly tells you about your health, especially your inner body. So, without being embarrassed you should consult a doctor, if and when, you find foul odour in your urine. Following are some of the reasons for the causes of strong smelling urine.

  1. You are dehydrated: Urine is not supposed to leave odour. It should be odourless, but if you find strong smell in your urine, you should consult a doctor immediately. The most common reason of foul odour in your urine is dehydration. If the amount of water needed in your body is not enough then, there will be less water in your body as a result the waste products will not be diluted in water being more concentrated making the urine darker and more odour. But once you start drinking water, it should go normal. Normally, this kind of situations occur in early morning when your water intake is less or not at all. But drinking lot of water will solve this issue immediately.
  2. More alcohol or caffeine intake: If you are habituated to drink a lot of coffee then it may happen that you find strong smell of coffee in your urine. Although it is not very problematic yet it is healthy if you reduce the intake of coffee in your daily life in order to have a healthy digestive system. Not just coffee but even alcohol could be the reason of irregular or need to urinate a lot more than usual.
  3. Bacterial Infection: There could be bacterial infection or kidney infection which could lead to strong smell of urine. In order to ensure you should go to a doctor and get important tests done. Then the doctor can suggest treatment according to your results and if all the results are normal then you could be suggested to maintain a balanced diet on regular basis.
  4. Imbalanced Diet: The problem can sometimes come from the use of certain vitamins from imbalances in your diet. There are substances like nitrates and phosphates in the urine which can give dark colour and odour. You should always have a proper diet and follow it in order to have a healthy digestive system. Eating lot of garlic and onion can also bring odour in your urine.
  5. Diabetes: If you are diabetic, it may be possible that you find dark urine and odour in your urine. It indicates that your sugar level is not normal and gone much high than normal. If you are not diabetic then it may be a sign of diabetes so you should get diagnosed immediately with your doctor.

There are multiple causes of strong smelling urine but most of them could be cured easily if diagnosed immediately. But in order to avoid this issue it is better to be careful with your diet and drink a lot of water. At least three litres of water a day is an absolute necessity!

3960 people found this helpful

Nephrotic Syndrome - 9 Surprising Causes Behind it

Advanced Short Course Training in Kidney Transplantation, DM - Nephrology, MD - Nephrology , MBBS
Nephrologist, Delhi
Nephrotic Syndrome - 9 Surprising Causes Behind it

Nephrotic syndrome is a type of kidney disorder wherein, the body passes out excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes.

Common causes behind it

  1. Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys
  2. Excess deposit of amyloid proteins in the organs, thus taking a toll on the filter mechanism of the kidneys.
  3. Diabetes affecting the glomeruli (capillaries present in the nephrons of the kidneys).
  4. Systemic lupus  erythematous causing chronic swelling of your kidney.
  5. Membranous nephropathy wherein the membranes in your glomeruli thicken.
  6. Infections such as malaria, hepatitis C, hepatitis B and HIV.
  7. Medications to combat infections and nonsteroidal anti-inflammatory drugs.

Treatment Available

  1. Kidney Biopsy is an essential part of disease assessment.
  2. Angiotensin-converting enzyme inhibitors bring down blood pressure levels as well as the amount of protein discharged from the urine.
  3. Water pills help control sweating, thus, increasing the fluid flushed from the kidneys.
  4. Statins reduce cholesterol levels.
  5. Blood thinners such as anticoagulants lower the risk of blood clots.
  6. Corticosteroids regulate the immune system and ease the inflammation that results from kidney disorders.
  7. Incorporating certain lifestyle changes such as opting for lean proteins, cutting on the intake of fat in the diet and consuming lesser amounts of salt can treat inflammation and swelling. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
2057 people found this helpful

I have got small stones in kidney. So what precautions should I take to get rid of stones.

MBBS
General Physician,
I have got small stones in kidney. So what precautions should I take to get rid of stones.
There are several medicines for dissolving stones but treatment depend on size type and cause of formation of stone. Prevention of renal stones also depend on type of stone. Also there are various diseases and drugs that can predispose to stone formation. A usg, complete metabolic panel and urine cytology and ph check up is needed in young aged patients. To prevent oxalate stones thats very commonly found you need to restrict oxalate rich foods like: peanuts, rhubarb, spinach, beets, chocolate and sweet potatoes. To prevent uric acid stones, cut down on high-purine foods such as red meat, organ meats, and shellfish, and follow a healthy diet that contains mostly vegetables and fruits, whole grains, and low fat dairy products. Limit sugar-sweetened foods and drinks, especially those that contain high fructose corn syrup. Limit alcohol because it can increase uric acid levels in the blood and avoid crash diets for the same reason. Eating less animal-based protein and eating more fruits and vegetables will help decrease urine acidity and this will help reduce the chance for stone formation. Take plenty of water also.
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I had fever last week and I took 2 tablets of Crocin in 15 hours of gap. I got relief from fever but I am getting a burning sensation while urinating 2 days have passed since I got relief from fever but still I am having this problem. Also I am getting bit difficulty while urinating. I tried drinking lots of water but couldn't see enough change. I am 21 year old (Male)

pg general medicene
Ayurveda, Hyderabad
I had fever last week and I took 2 tablets of Crocin in 15 hours of gap. I got relief from fever but I am getting a b...
You are suffering from urinary tract infection get your urine examined and consult your physician. If no relief. Use following chandra prabha vati 2tabs twice a day chandanadi vati 2tabs twice a day chandanasava 20 ml with equal quantity of water after meals.
2 people found this helpful
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Hi doctors My wife (age 25 yrs) is 60 days pregnant and she is having urinary tract infection and the test showed most of the bacteria as resistant. Antibiotics are not good at this point of time. Is there any safe treatment in Allopathy, Ayurveda or homeopathy . Kindly suggest I want my wife and baby to be safe.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi doctors My wife (age 25 yrs) is 60 days pregnant and she is having urinary tract infection and the test showed mos...
Hi lybrate user, ask her to drink lots of water. Start antibiotics. Regards to antibiotics please share culture report for further guidance.
1 person found this helpful
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What are the symptoms of prostate enlargement and what are the steps to take to overcome it, if I have it?

MD - General Medicine
Sexologist, Nashik
What are the symptoms of prostate enlargement and what are the steps to take to overcome it, if I have it?
inability to control, urine, means urgency, frequency, and poor stream, are basic symptoms. rest may get recurrent UTI,
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Hi, am urinating within short interval. I.e in one night am urinating three to four time. I took all the checkups related to blood sugar bp kidney but everything is normal. How can I control.

MBBS
General Physician, Mumbai
Hi, am urinating within short interval. I.e in one night am urinating three to four time. I took all the checkups rel...
Dear Lybrateuser, - Frequent urination could be due to urinary tract infection, get urineRE/ME done & if bacteria present then culture & antibiotic sensitivity test done if you have not got these tests done earlier - restrict intake of water from 2-3 hours before bedtime, do not consume caffeinated drinks, tea, coffee after three or four O clock in the afternoon, avoid alcohol if you consume - some high fibre foods like fruits & vegetables also may irritate the bladder & cause frequent urination - since your basic reports are normal, observe your dietary & fluid consumption habits if they are contributing to your problem.
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Overactive Bladder - Know Everything About It!

MBBS MS DNB MNAMS NYAMS
Urologist, Mohali
Overactive Bladder - Know Everything About It!

A problem pertaining to the storage function of the bladder that results in bouts of sudden, often uncontrollable urge to urinate is referred to as an overactive bladder. This condition which is marked by unconditioned or involuntary loss of urine can sometimes be quite difficult to stop. People who experience such a condition often feel humiliated and as such tend to limit their social and work life. Despite such, only a few are conscious that a brief evaluation can help them manage and overcome an overactive bladder.

Mechanism of Urination

During urination, the urine proceeds from the bladder and flows into the urethra which is located at the tip of the penis in men and above the vagina in women. As the bladder fills, the nerve signals in the brain prompts urination by coordinating the relaxation and contraction of the urinary sphincter muscles.

Causes and Symptoms of an Overactive Bladder

Primarily caused due to involuntary contraction and relaxation of sphincter muscles, several conditions can lead to overactive bladder. 

Some of them are: 
1. Parkinson's disease, Alzheimer's and other neurological disorders
2. Poor kidney function due to diabetes
3. Medications that lead to increased production of urine
4. Bladder abnormalities like tumors or stones
5. Constipation
6. Excessive consumption of caffeine or alcohol

Some of the common signs of an overactive bladder are:
1. Bouts of sudden, uncontrollable urge to urinate
2. Awakening at night frequently to urinate
3. Urinating more than eight times a day

Risks
The risk of an overactive bladder gradually increases with age. Conditions, such as diabetes and an enlarged prostate results in the increased likelihood of an overactive bladder. People who have previously faced strokes and heart attacks experience cognitive decline, which often times lead to the development of an overactive bladder.

Urinary incontinence as well as a host of associated factors can be detrimental to your life. Emotional distress, interrupted sleep cycles and depression are some of the observed complications of this condition. If you wish to discuss about any specific problem, you can consult a Urologist.

 

3343 people found this helpful

Coming greasy urine. Is it semen problem or not? Due to this, my brain is not working properly. I can't study, not explain something, not remind something, not understanding teacher's lecture, not think too much. Is this mentally weakness? I am also physically weak now a days. Please help me for this problem Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
Coming greasy urine. Is it semen problem or not? Due to this, my brain is not working properly. I can't study, not ex...
Study Tips to Improve Your Learning Study Tip 1: Underlining Underlining is one of the simplest and best known study tips. It’s easy to highlight the most significant parts of what you’re reading. One key sentence per paragraph and a few important phrases here and there. You can only retain a certain amount so it’s best to retain the most important information. Study Tip 2: Make your own note and taking notes is one of the most widespread study skills out there. Essentially the aim of note-taking is to summarise lectures or articles in your own words so you can easily remember the ideas. Study Tip 3: Mind mapping A good Mind map can save you many hours of study and further consolidate your knowledge for your exams. Mind Maps are an extremely versatile tools. They can be used for brainstorming, outlining essays or study topics and for general exam preparation, ExamTime offers the ability to create Mind Maps quickly and easily which makes them the ideal tool when it comes to exams. Study Tip 4: Flash cards:- Using these are a particularly effective method of learning when trying to assimilate different facts, dates, formulas or vocabulary. Subjects such as History, Physics, Maths, Chemistry, Geography or any language are made much easier if you incorporate Flashcards in to your study. Study Tip 5: Case Studies Sometimes it can be difficult to grasp the implications of some theories. This is where studying case studies can be a big help. Case studies can help you visualise a theory and place it in a more familiar and realistic context. This is especially useful in business or law subjects. Study Tip 6: Quizzes are an excellent way to review study notes in the weeks and days before an exam. Quizzes can show where your strengths and weaknesses are, so it allows you to focus your efforts more precisely. Moreover, if you share your Study Quiz with your classmates and test each other as much as possible you can discover even more details and areas you may have overlooked. So before any exam, make sure you create and share a bunch of different Quizzes with your Friends. Study Tip 7: Brainstorming This is another study technique that is ideal for studying with friends and/or classmates. Brainstorming is a great way to expand every possible idea out of any topic. Just get a bunch of friends together and shoot the breeze, there are no wrong answers when brainstorming – just talk and capture the ideas, you can review afterward. Study Tip 8: Mnemonic Rules Mnemonics are especially useful when memorising lists and sets. Mnemonics rules basically work by associating certain concepts with other concepts that are more familiar to us. There are many different ways to make mnemonics and these can be individual to the person. Study Tip 9: ORGANISE your study One of the most effective study skills is also one of the most often overlooked; this is organising your study. Creating a TIME TABLE gives you goals and a time in which to achieve them. Having a study timetable as you study is greatly motivational Study Tip 10: Drawing Many people find it easier to recall images rather than text that is why they are better able to memorise concepts if they associate them with pictures or drawings. If you find answer helpful please click on “helpful” tab for knowing my efforts are useful.
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The water which I drink have salt content is there any problems if I drink it? And how about kidney stones?

C.S.C, D.C.H, M.B.B.S
General Physician,
The water which I drink have salt content is there any problems if I drink it?
And how about kidney stones?
Usually the salt will not cause any issue . You have to check the water potability in water supply department
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Kidney Disease - How It Is Related With Anaemia?

Interventional Nephrology, DM - Nephrology, MD - General Medicine, MBBS
Nephrologist, Bangalore
Kidney Disease - How It Is Related With Anaemia?

A healthy kidney produces a hormone known as the erythropoietin. The latter assists the bone marrow to produce an adequate amount of RBC that carries oxygen to every nook and corner of the body. A damaged kidney results in less RBC production, thereby, creating a condition known as anaemia. The hemoglobin count in the blood reduces significantly in this condition.

Anaemia is characterized by shortness of breath, weakness and tiredness. It can affect sleep and a loss of appetite. A patient suffering from anaemia reports of frequent headaches and a faster heart rate. These symptoms also surface when a person suffers from chronic kidney diseases (CKD). The condition gets worse as the disease progresses.

Treating anaemia:
A patient suffering from anaemia should be treated on time as there are many pitfalls of a lower hemoglobin level. The treatment will give instant relief from other symptoms that might have arrived with CKD. Doctors frequently prescribe Erythropoiesis Stimulating Agent (ESA) for patients suffering from CKD and suffering from anaemia due to the shortage of erythropoietin. ESAs can be injected through an injection or intravenously. These injections stimulate the bone marrow to produce more RBCs. However, studies have revealed that ESAs increase the chance of strokes, heart attacks and blood clots. Furthermore, they aggravate tumor growth and shorten life expectancy for cancer patients. People undergoing ESA treatment should have periodic check-ups to ensure that the hemoglobin count is normal and under control.

Iron
Iron count in the body has an important role in treating patients suffering from anaemia and CKD. In case the level of iron is too low in the body, ESAs fail to improve the condition of an anaemic patient. The ferritin count of a patient should be in the range of 100-800 mcg/L. One more test known as TSAT reveals the number of iron required to produce RBCs in the body. In case the iron count is less, doctors often suggest iron pills to bring the count to a more accepted level.

Other causes
There could be other reasons for anaemia as well. A doctor might further investigate the level of B12 and folic acid present in the body. Even an inflammatory condition can lead to anaemia. A decreased count of any of the above mentioned ingredients can cause anaemia to a patient suffering from EKD.

Food items necessary to improve the condition
A healthy diet helps in improving the condition of an anaemic patient. Iron deficiency is best addressed by fish and beef. Food rich in vitamin C helps the body to absorb more iron in the body. Certain food items that block the entry of iron in the body include tea, milk, albumen (egg white) etc. Therefore, you should be strictly avoid these items from your diet.

Hi What are the symptoms 9f an enlarged prostate gland? can the same be treated naturally?

MD - Alternate Medicine, BHMS
Homeopath, Surat
A weak or slow urinary stream. A feeling of incomplete bladder emptying. Difficulty starting urination. Frequent urination. Urgency to urinate. Getting up frequently at night to urinate. A urinary stream that starts and stops. Straining to urinate. Yes. This can be treated best with homoeopathic medicines.
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I have stone in my kidney since last three years and sometimes I have pain from stomach to back bone its uncontrollable pain.

BAMS, YIC, DEC
Ayurveda,
I have stone in my kidney since last three years and sometimes I have pain from stomach to back bone its uncontrollab...
Hi what is the size of kidney stone, avoid tomatoes, sea foods like fish prons, avoid or lessen the intake green leafy vegetables, drink plenty of water, tender coconut water, you can try ayurvedic medicines for more details you can massage me in private.
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Hi, I am suffering from fissure. Once stool will be tight then bleeding will be started and anus get swelling. Its very painful. I am also suffering from gassy headache. So could you please suggest any medicine or yoga or something else through which I can got relief. I am 36 years old and I am in sitting job. Thanks Pravin Kumar Tiwari.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Hi, I am suffering from fissure. Once stool will be tight then bleeding will be started and anus get swelling. Its ve...
U have to improve your food habits do 1. Take 2/ 3 glass of warm water in the morning 2. Take more water in day 3. Take meals at fixed hrs 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation 8. Use nibu pani (lemon water) 2/ 3 times a day in addition do 1 eat more fruits and green vegetables 2.No tea/ coffee/ cold drinks 3.No alcohol 7.Reduce wt if over wt 8.Daily morning walk for 30 mts 9.Deep breathing exercise for 10 mts daily 10.Fiber Foods that are high in insoluble fiber include whole grains, fruits, and vegetables. Try wheat bran, brown rice, or whole grain bread. Soluble fiber- Prunes and figs can be added to breakfast or eaten as a snack. 11. Take – Probiotic for medicine contact on private chat.
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After every 5 days im getting infection in urine n burning why it's happen toh me.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
After every 5 days im getting infection in urine n burning why it's happen toh me.
Please do simple urine routine test and let us know why you are getting infection maintain hygiene of private parts, take fresh fruits 7 plenty of water also you can contact us
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