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Dr. Gaurav Sagar

Md- Medicine, DNB

Nephrologist, Delhi

17 Years Experience
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Dr. Gaurav Sagar Md- Medicine, DNB Nephrologist, Delhi
17 Years Experience
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Gaurav Sagar
Dr. Gaurav Sagar is a popular Nephrologist in Sarita Vihar, Delhi. He has had many happy patients in his 17 years of journey as a Nephrologist. He studied and completed Md- Medicine, DNB . You can consult Dr. Gaurav Sagar at Apollo Hospital in Sarita Vihar, Delhi. Book an appointment online with Dr. Gaurav Sagar and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Nephrologists in India. You will find Nephrologists with more than 41 years of experience on Lybrate.com. You can find Nephrologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
Md- Medicine - Delhi University - 2000
DNB - Apollo Hospital - 2001
Languages spoken
English
Hindi

Location

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Apollo Hospital

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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Sir, my wife, aged 46 yrs. Diagnosed with two kidney stones (left side) of less than 3mm size. She feels pain sometimes. Consultation with urologist done. As per him no need to any medication, drink plenty of water. Sir, any medicines are there in homeopathy? if there kindly give your precious suggestions and guide us. Thanking you

BHMS
Homeopath, Delhi
Sir, my wife, aged 46 yrs. Diagnosed with two kidney stones (left side) of less than 3mm size. She feels pain sometim...
Hello, you can take homoeopathic medicines 1. Lycopodium 200 (4 drops in little water) every morning for a week. 2. Berberis vulg q (10 drops in little water) thrice a day for a week and update with the feedback.
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Hi doctor, I has take a medical check up . Problem detected below. DIRECT LDL CHOLESTEROL - 131 MG/ DL CREATININE (SPECTROPHOTOMETRY)- 0.07 MG/DL BILIRUBIN, TOTAL - 1.10 MG/DL HYDEROXYVITAMIN D - 25.86 NG/ML please suggest as per above results. My age is 27 years old.

BHMS
Homeopath, Delhi
Hi doctor,
I has take a medical check up . Problem detected below.
DIRECT LDL CHOLESTEROL - 131 MG/ DL
CREATININE (SP...
Hi all your tests are normal except there is vitamin d insufficiency. The sun's rays provide warmth and light that enhance your general feeling of well-being and stimulate blood circulation. Some uv radiation is essential to the body as it stimulates the production of vitamin d. Vitamin d has an important function in increasing calcium and phosphorus absorption from food and plays a crucial role in skeletal development, immune function and blood cell formation. There is no doubt that a little sunlight is good for you! but 5 to 15 minutes of casual sun exposure of hands, face and arms two to three times a week during the summer months is sufficient to keep your vitamin d levels high. Closer to the equator, where uv levels are higher, even shorter periods of exposure suffice. Hence, for most people, vitamin d deficiency is unlikely. Possible exceptions are those who have very limited sun exposure such as the housebound elderly, or those with heavily pigmented skin who live in high-latitude countries where uv levels are relatively low. Recognising the need for vitamin d, many countries have introduced supplements into common food like flour, cereals and milk. Naturally occurring vitamin d is very rare in our diet, it is present mainly in fatty fish and cod liver oil.
4 people found this helpful
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My Gynaecologist has suggested me to undergo hysteroscopy for examining the uterus? What are its side affects and what is the cost of the procedure?

MBBS, MS -GYNECOLOGIST
Gynaecologist, Varanasi
My Gynaecologist has suggested me to undergo hysteroscopy for examining the uterus? What are its side affects and wha...
It is done under short GA ,generally having no major side effects .It is a day care procedure and its cost depends on cetre.
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My father has stone in kidney and his one kidney is damage fully. Doctor say we cannot do operation because his heart is weak. His urea is also 370 what should we do to protect the other kidney?

BAMS
Ayurveda, Sonipat
My father has stone in kidney and his one kidney is damage fully. Doctor say we cannot do operation because his heart...
I give to answer before your father in risky condition u may use varunadi qwath with gokhruadi gugal2-2 and niri tab1-1 for long time
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My wife is suffering from diabetis for the last 10 years and recently formed two cysts of 40/20 mm in kidney is it harmful?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Nope. But diabetes can affect kidney in long term so check serum creatinine and urine albumin baseline and every year thereafter. And also check blood. Pressure, cholesterol - lipid profile. Is your diabetes under control?
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How can be brought to normal Creatinine 2.6 .is diabetic .is taking glimy 2.has hypertension. Taking aztor 10. Urine albumin is 2.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
How can be brought to normal Creatinine 2.6 .is diabetic .is taking glimy 2.has hypertension. Taking aztor 10. Urine ...
Hello, Thanks for the query. When a person has long standing diabetes, it does affect kidney function, even when it is very well controlled. But if the blood glucose levels are not in proper check then damage to kidney is much earlier and more. Since you have not mentioned any thing about blood glucose levels and HbA1c%, it is difficult to know. Further if the patient also has hypertension, then unless that is well controlled (120 to 130 /70 to 80 mm Hg), there can be more stress on kidney. To reduce creatinine, first and foremost is to achieve a strict blood glucose control with FBG :<100 mg, PP :160 to 170 mg & HbA1c% <7. Plus if patient is not on either ACE inhibitor or ARB, then it should be started. Secondly protein intake should be restricted to about 0.6 g / kg body weight per day. Plus should do less vigorous physical activity and drink enough liquids. Thanks.
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Kidney Stone Disease Recurrence

Kidney Stone Disease Recurrence

Try to maintain daily urine output around 2.5 -- 3.0 litres a day. This is the most important tip for prevention in stone recurrence.

1 person found this helpful

I recently got tested and The pus cells count in my urine test came out to be 5-7 WBC/HPF. I'm on medication as I have PCOS since last month. I'm also taking medicine for thyroid. Please suggest me what does 5-7 wbc/hpf indicate? I've no pains in passing urine.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I recently got tested and The pus cells count in my urine test came out to be 5-7 WBC/HPF. I'm on medication as I hav...
It means you are having urinary tract infection, for which you need to take a course of antibiotics if needed or drink lots of water to flush out the Infection.
2 people found this helpful
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Muje left hydroureteronephrosis ki problem hai or left uretric calculus hai koi medicine Please suggest btao urgent.

MS - General Surgery
General Surgeon, Pune
Muje left hydroureteronephrosis ki problem hai or left uretric calculus hai koi medicine Please suggest btao urgent.
The Ureteric stones Of less than 7 mm, moving down are likely to pass. Adequate quantity of water intake is the key to success. For the stones which are larger, one which don't progressively descent may need intervention to avoid progressive backpressure on the kidneys.
1 person found this helpful
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I pass urine every 1 to 1.5 hr during day and night. There is some burning in the beginning of passing urine. Diabetes is in control. no infection. Only mild enlargement of prostate. Medicine for prostate doesn't help

MBBS, MD - General Medicine
General Physician, Delhi
Hi, need to see your sugar reports, your urine routine and microscopy report , what is your prostate size in ultrasound report
1 person found this helpful
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I am 23 years old women. Due to abdominal pain I consult a doctor. After urine test doctor said that you have urine infection. The result contain ep cell 30-40 pus cell 8-10 rbc 1-2.what is the condition? doctor gave tablet for infection. Now I feel a pain on left and right side upper abdomen when I stand from bent. And also my menses is not occurred. What is the reason?

BHMS
Homeopath, Kochi
I am 23 years old women. Due to abdominal pain I consult a doctor. After urine test doctor said that you have urine i...
Many of antibiotics cause abdominal pain due to increased acidity and indigestion caused by medicine. If you are getting more trouble from current Tablets, you can opt Homoeopathic medicines for UTI. Homoeopathic medicines never cause any acidity, but also it will help yo speedy recovery. It is very easy and safe to use too. If you want detailed information about this you can contact me privately. Do not worry about your missing periods.  It is possible for a UTI to cause you to have a late period. Illnesses and infections can delay ovulation (the release of an egg from your ovaries), and this can make your period come later than expect.
1 person found this helpful
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MPT-SPORTS MEDICINE, BPTh/BPT
Physiotherapist, Delhi
KEGEL EXERCISES
Kegel exercises are designed to strengthen the pelvic floor muscles. These
muscles support the bladder and bowel openings in both men and women.
Strengthening the muscles of the pelvic floor can aid in preventing leakage of
urine or feces with coughing, sneezing, lifting, and other stressful movements.
Other benefits of kegels include enhanced sexual function, conditioned muscles
to make childbirth easier, decrease and/or prevent prolapse of pelvic organs,
and improve the ability to pass stool.

Who should do Kegel Exercises?
? Women and men with urinary and /or bowel incontinence
? Women and men who have demonstrated weakening of the pelvic floor
? Pregnant women or women who have previously had children
? Middle aged and older women
What you need to know about Kegel Exercises
The success of Kegel exercises depends on the use of proper technique as well
as compliance to a regular exercise program. When doing the exercises, it is
important to identify the correct muscles of the pelvic floor. At first, most
people contract the abdominal or thigh muscles while neglecting the pelvic
floor muscles. This may actually worsen pelvic floor tone and incontinence.
Kegels may be done as a part of biofeedback, when some patients require
assistance. Biofeedback consists of placing a sensor on the abdomen and
around the anal area, which measure the contraction of the pelvic floor
muscles. Occasionally, an electrode may be placed in the vagina in women, or
in the rectum in men.

Three Steps to an Effective Kegel
? Learn to tighten the muscles around the vaginal/anal area
? Contract the vaginal and rectal muscles. Note that when you perform
steps 1 and 2 correctly, you should also feel the muscles around the anus
tighten slightly. This is normal, but do not consciously try to tighten
those muscles.
? In a quiet, relaxed setting with no distractions, practice your Kegels and
determine how long you can hold your contraction and how many you
can do before becoming fatigued. Do not do more than 5-10 reps at time
with a 3-5 second hold.

Detailed Instructions on how to do Kegels:
Step #1: The urethra?The Functional Stop Test
After partially emptying your bladder, stop your urine flow in a slow controlled
manner, paying attention to how it feels.
Note: Stopping and starting the urine repeatedly as an exercise can be harmful
and should not be done. Holding your urine can contribute to bladder
infection, causing damage to normal urinary reflexes. The Functional Stop Test
is useful for assessing what it feels like to gradually stop urine flow, and should
not be done more than once per urination.
Step #2: The vagina and rectum as your window to the pelvic floor
For this step, you will internally assess the ability to squeeze and elevate the
muscles around the opening of the vagina or rectum, while lying on your back.
This is accomplished by inserting one finger into the vaginal or rectal opening
while you try to lift and squeeze with the muscles. Pay attention to how this feels.
Step #3: Putting it all together
Begin practicing while lying on your back with your knees bent, or lying back
with pillows under your head and shoulders. When your knees are bent you
should have pillows under them so that the muscles around the hips and
buttocks can relax. In this position, you can practice the actual Kegel, which
involves lifting and tightening the pelvic floor all at one time. This will be a
combination of what you felt when you gradually stopped urine flow, with the
feeling squeezing and elevating the muscles around the vaginal or rectal area.

How long and how many?
When you are first starting out, it is common to find that you can only hold a
Kegel for 3-6 seconds, and that performing 3-6 repetitions causes muscle
fatigue. When this happens, you are usually performing the exercise correctly.
If you find you can hold it for much longer right away, recheck your technique.
For patients with incontinence or pelvic floor weakness, it is important to
concentrate on correctly performing the technique and gradually improving the
muscle quality and tone, even though you may be weak first starting out.
Making Kegels a part of your life
After you have become experienced in performing these exercises, you will
want to do them as follows:
? A series of strong, steady squeezes for 8-10 seconds each ? Try to do 8-10 at a time
? For most people, 30 repetitions per day are adequate.
As they get easier, you will find you can do them while sitting or standing, for
example, you can do them while driving, working on the computer, or waiting in
long lines.
Please note that you may not see any noticeable change in bowel / bladder
control for a while. In some cases it may be many months.
4 people found this helpful

My 5 months daughter get urine infection. Her reports tell" pus cells" and "luecocyle esterase" so what we do? Is anything serious. Pls give me proper advise.

MBBS
General Physician, Jalgaon
My 5 months daughter get urine infection. Her reports tell" pus cells" and "luecocyle esterase" so what we do? Is any...
Please Give her plenty of water daily Give Sy citralka 2.5 ml three times a day with water Sy zefu 5 ml twice a day for 5 days Reconsult if needed.
1 person found this helpful
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Sir if I drink a glass of water. I get urine. If I dnt drink water. I can control it fr a day. I'm 42 years old. Women. Please suggest.

pg general medicene
Ayurveda, Hyderabad
Sir if I drink a glass of water. I get urine. If I dnt drink water. I can control it fr a day. I'm 42 years old. Wome...
Dear madam controlling urine will lead to several problems. Don't control urine when there is an urge. Take sufficient water.
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I have stone in kidney right side 4 mm and left side 6 mm it is paining so much kindly suggest medicine.

MBBS
General Physician, Cuttack
I have stone in kidney right side 4 mm and left side 6 mm it is paining so much kindly suggest medicine.
Take one tablet of meftal spas DS 2-3 times daily, drink plentyof water (8-10 glass daily) .Take USG KUB and consult urologist for further advice and treatment.
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White thin odorous particles deposited on head of my even after cleaning it regularly. No pains, no erection problems. Problem is from last 8 yrs. Feel sudden n uncontrollable urge to urinate and some even drips escapes so. This prob has developed from 1 yrs. Pl diagnose n suggest cure.

MBBS
General Physician, Chandigarh
White thin odorous particles deposited on head of my even after cleaning it regularly. No pains, no erection problems...
Seems like fungal infection from your discription apply cotrimoxazol cream on the area twice a day after cleaning it properly.
1 person found this helpful
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Sir I am 27 years old male. For the last 3 years I am having urine leakage type of sensation. It makes difficult to sit in office or travel as always it makes me feel to urinate. Endoscopy is done but it showed nothing. Consulted urologist and they gave duoflo. Bt nothing happening. Pl suggest the issue and how to overcome.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), diploma in anorectal disease
Ayurveda, Kolhapur
Sir I am 27 years old male. For the last 3 years I am having urine leakage type of sensation. It makes difficult to s...
Hi lybrate-user According to Ayurveda it is due to vitiated vata. So if it cured by root then totally illuminated. Take Hingvashtak churn 1//2spoon before food two times. Tab Chandraprabha vati 2 tab before breakfast and dinner.
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I have a stone in my urine pipe near about 8 mm what kind of medicine I take for through out.

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
I have a stone in my urine pipe near about 8 mm what kind of medicine I take for through out.
If it's really 8 mm then it's very hard to be removed by itself or by medicines. It will eventually require endoscopy.
1 person found this helpful
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4 Procedures To Treat Large Kidney Stones

MBBS, MS - General Surgery, DNB - Urology
Urologist, Delhi
4 Procedures To Treat Large Kidney Stones

A kidney stone may not be as big as the stones in your garden but can be quite a pain. Kidney stones are actually mineral crystals formed that are usually a combination of calcium and phosphates. The size of a kidney stone ranges from the size of a sugar crystal to a ping pong ball. While some kidney stones pass out of the body with urine, others can block the urethra and become painful. 

In addition to being painful, a kidney stone can cause permanent damage to your kidneys. Since large kidney stones are usually painful, they rarely go undiagnosed. However, if a kidney stone is left untreated, it could cause the kidney to atrophy and lower the functionality of the kidney. Kidney stones that are related to an infection can also lead to chronic urinary tract infections and damage the kidney through scarring and inflammation. This could eventually lead to kidney failure.
Not all kidney stones need to be treated with surgery. Of the kidney stone is very small, your doctor may prescribe plenty of water and medication to treat the pain. With plenty of water, you should be able to pass the stone in your urine. Ideally, you should take plenty of rest until the stone is passed. 
 Larger kidney stones may need you to be hospitalized for treatment. These are:

- Extracorporeal Shock Wave Lithotripsy (ESWL)
To begin this form of treatment, a painkiller is administered. Ultrasonic waves are used to determine the location of the kidney stone. Shock waves are then passed though the kidney stone to break it into smaller pieces. These can then be passed out of the body through urine.

- Ureteroscopy
This is also called retrograde intrarenal surgery and is performed when the kidney stone is stuck in the ureter. A ureteroscope is passed through the urethra and bladder into the ureter. Laser energy may then be used to break the stone into smaller pieces to unblock the ureter. 

- Percutaneous Nephrolithotomy (PCNL)
This surgery is performed under general anesthesia.  It involves a small incision being made in the back and a nephroscope passed into the kidney through it. Laser or pneumatic energy is then used to break up the stone into smaller pieces and pull them out. 

- Open Surgery
Open surgery is performed only in the case of an abnormally large stone or abnormal anatomy of the person. An incision is made in the back that allows the doctor to access the kidney and manually remove the stone. If you wish to discuss about any specific problem, you can consult a Urologist.

1751 people found this helpful

I am 28 years old and now I have done my surgery for stone at my urine bag (don't now name part of body) now feeling better. So kindly suggest diet chart for better health in future.

MBBS
General Physician, Jalgaon
I am 28 years old and now I have done my surgery for stone at my urine bag (don't now name part of body) now feeling ...
Please Recurrence of stones are common Please take plenty of water regularly Avoid paneer, dairy products, tomatoes, spinach, for few days Take Gokharu kadha 20 ml twice daily with water for 3 mths Reconsult me on Lybrate after 3 mths.
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