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Dr. Kotwal

Urologist, Delhi

Dr. Kotwal Urologist, Delhi
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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. Kotwal
Dr. Kotwal is a trusted Urologist in Raja Garden, Delhi. You can consult Dr. Kotwal at Handa Nursing Home in Raja Garden, Delhi. Book an appointment online with Dr. Kotwal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 35 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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Handa Nursing Home

Plot 57, Raja Garden. Landmark: Near Raja Garden Crossing, DelhiDelhi Get Directions
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I am 21 year old male and last year I had suffered from jaundice. I took treatment. But still my urine is in yellow color. What I do?

MBBS
General Physician, Cuttack
I am 21 year old male and last year I had suffered from jaundice. I took treatment. But still my urine is in yellow c...
Get your Liver function test done and consult physician. Drink plenty of water(3-4 litres daily) and have bland diet, avoid spicy, oily and fatty food
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I have a kidney stone on both the side of 4 mm .what can I do .does it remove itself or any treatment.

MS - Ophthalmology
Urologist, Mumbai
I have a kidney stone on both the side of 4 mm .what can I do .does it remove itself or any treatment.
If they are not giving pain and no hydronephrosis Drink plenty of water daily with urine output 2liters per day. Parathyroid hormone level.
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I am having after defecation around anus and inside even .during bowel defection also I am feeling much pain can you help me to find out this .am I affected woth hemmorids.

MD - Homeopathy
Homeopath, Aurangabad
I am having after defecation around anus and inside even .during bowel defection also I am feeling much pain can you ...
Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding. Other factors that increase the risk for getting hemorrhoids include constipation, diarrhea, lifting heavy objects, poor posture, prolonged sitting, pregnancy, eating a diet low in fibre, anal intercourse, and being overweight. Liver damage and some food allergies can also add stress to the rectal veins. People who consistently eat a high-fiber diet are less likely to get hemorrhoids, while those people who prefer a diet high in processed foods are at higher risk. A low-fiber diet or inadequate fluid intake can cause constipation, which can contribute to hemorrhoids in two ways: it promotes straining on the toilet People do not consider homeopathy medicine for piles at its early stages and this is one of the reason why they end up under a surgeon's knife. Dr. raj bonde.
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Hi. Libra I have stones in my both kidneys and getting pain some times, how to remove that stones. Please help me.

Net Qualified In Community Health And Social Medicine, M.Sc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Durgapur
Hi. Libra
I have stones in my both kidneys and getting pain some times, how to remove that stones. Please help me.
Eat 15-20 cherries everyday. Drink plenty of water. Reduce junk foods, colddrinks, instant noodles intake. Eat more fibre.
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I am 30 year old male. I have problem in urination. I go for urination in each half hr. My bladder is not completely empty after urination, my test report show 194 ml urine left in my bladder after urination and uroflometry test show 8 ml/sec. What I do right now.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear obviously you have obstruction in your urinary tract. One has to find out where. It could be phimosis, meatal stenosis, urethral stricture or bladder neck obstruction. Cysto-urethroscopy is next logical step and if the diagnosis is confirmed then suitable surgery could be done or even medication in some cases.
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How I remove infection in urine it becomes for 2 week and I use medicine syrp Alcaasip but it dont give better result to me.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
How I remove infection in urine it becomes for 2 week and I use medicine syrp Alcaasip but it dont give better result...
Dear go syrup you are taking is simply an alkaliser and not antibiotic. It will not cure your infection on its own. It is usually given to change reaction of urine to alkaline. If urine shows more than 5 pus cells then one think of infection and then you need to take antibiotic for at least 15 days.
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My friend is 35 years old suffering in urine infection from last 2 week what is the remedy.

MBBS, Diploma in Family Medicine, Fellowship Diabetology
General Physician, Firozpur
My friend is 35 years old suffering in urine infection from last 2 week what is the remedy.
Hello. Here I would like to tell you that best remedy for Urinary Tract infection is to Drink Plenty of water, a good Hygiene. More you Drink Water. More You will Pass urine and more rapidly the urine infection will be gone. But if Infection is resistant then Medicine need to be started. Till then you can get your Urine tested in Lab to see the amount if Infection. You can consult me if you need my Assistance. Hope I helped. Wishing you good health.
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I have stones in my kidneys at least 10 stones measuring large one 10 mm & some others are 8, 3, 5, 7, 2, mm and please give me any solution to recover this.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
I have stones in my kidneys at least 10 stones measuring large one 10 mm & some others are 8, 3, 5, 7, 2, mm  and ple...
Patient information leaflet on kidney stones. Having a kidney stone can be painful and distressing. Most stones pass out of the body without any treatment. But for those that don't, there are good treatments available. What are kidney stones? kidney stones are solid, stone-like lumps that can form in your kidneys. They are made from waste chemicals in your urine. Stones can also form in your bladder and the tubes that carry urine from your kidneys to your bladder (these are called ureters). Stones can stay in your kidneys without causing problems. But some might travel out of your body in the flow of urine. If they are very small, they can pass out of your body without you noticing. But larger ones can rub against the tubes or even get stuck. This can be extremely painful. There are four types of kidney stones? the most common type contains calcium. These stones are called calcium oxalate stones? uric acid stones form if there is too much uric acid in your urine. Uric acid is a waste product made when food is digested? struvite stones develop after a urinary infection, such as cystitis? cystine stones are caused by a rare inherited condition called cystinuria. It is important to know what kind of stone you have, as this will affect your treatment to prevent future stones. What are the symptoms? the main symptom is pain. This can be a dull ache in your back or side, or an extremely sharp, cramping pain. The pain usually comes on suddenly. It might spread down to your tummy or groin. You might also? feel sweaty or sick? be sick? find blood in your urine. This is caused by the stone rubbing against the walls of the ureter? need to urinate more often or feel a burning sensation when you urinate. Your doctor is likely to suspect you have a kidney stone if you have sudden, severe pain in your side and blood in your urine. You'll probably be sent to hospital for an x-ray. If you have a kidney stone, these tests may show how big the stone is and where it is stuck. If the x-ray does not show a kidney stone, you will probably have more tests to find out what's causing the pain. You may not get any symptoms with a kidney stone. You might find out you have one when you have an x-ray for another reason. What treatments work? stones that are less than 1 centimetre across often pass out of the body without any treatment. It can take two days to four weeks for this to happen. You can help the process along by drinking plenty of water to increase the flow of urine. You'll also need to take strong painkillers for the pain. If you have a stone stuck in a tube (ureter), your doctor might recommend taking a medicine called an alpha-blocker. This type of drug is often used to treat high blood pressure or symptoms of an enlarged prostate, but studies show it can also help stones to pass through the ureters faster. You'll probably be able to stay at home during this time, although you may need x-rays to check on the progress of the stone. Your doctor may ask you to catch the stone with a tea strainer or something similar as it comes out. This is so your doctor can see what type of stone you have. Knowing the type of stone will help them work out what you can do to prevent more stones. Surgical treatments larger stones and those that don't pass out of the body need treatment. All the following treatments work well? shock wave therapy uses shock waves to break up stones into small pieces that can pass out of the body. Many stones are dealt with this way and it avoids any operation. You might sit in a tub of water or lie on a table to have this treatment. You'll have a local anaesthetic to numb the area that's being treated. You may need several treatments to break up hard or large stones. The risk of side effects after this treatment is small. But you could get an infection in your kidney or a stone stuck in your ureter afterwards? you may need a minor operation if a stone in your kidney is large or in an awkward place. It's called a percutaneous nephrolithotomy (pcnl. You will have a general anaesthetic, so you will not be awake for the operation. You will probably have to stay in hospital. The doctor will make a small cut in your back and pass a needle and a very thin tube into your kidney to remove the stone. Like all operations, there can be problems (complications). The main ones are constipation and infections. Kidney stones? if the stone is stuck in a tube (ureter), you may have a ureteroscopy. You don't need any cuts made in your body for this, and you can probably go home the same day. You can have a local or general anaesthetic. The doctor feeds a long, thin wire up through your bladder and into the ureter to reach the stone. The doctor then either removes the stone or breaks it up with shock waves. This procedure works well, but it does have risks. In one study, about 1 out of 10 people who had this treatment had a damaged or torn ureter afterwards. What will happen to me? if you've had a kidney stone you have about a 1 in 2 chance of getting another one within five years to seven years. Your doctor can prescribe medicines to help stop you getting some types of stones. The type of medicine you get depends on the type of stone you've had. For example, you may need to take diuretics (water pills) to reduce calcium in your urine if your stone contained calcium. If you have too much uric acid in your urine you might be given a drug called allopurinol (the brand names are caplenal, cosuric, and zyloric). Your risk of getting more stones may also be affected by what you eat and drink. To reduce your risk, you can? drink more than two litres of water a day? eat a healthy diet, including calcium but not calcium supplements. Foods rich in calcium include milk and other dairy products, peas and beans, leafy green vegetables, nuts, and bony fish like sardines and salmon? avoid using lots of salt? eat more vegetables. Vegetables make the urine less acidic. If you've had a calcium oxalate stone, you may need to reduce the amount of oxalate in your diet. This means cutting down on chocolate, nuts, rhubarb, strawberries, spinach, coffee, and tea. But changes in diet don't work for everyone, and there is not a lot of evidence to show how well they work. So it's important to talk to your doctor before making big changes to what you eat.
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Top 10 Foods To Cleanse Colon

BHMS
Homeopath, Hyderabad
It is known that colon cleansing helps to improve the overall health as well as wellness levels of the body. It may even reduce the risk for colon cancer. The main benefits of colon cleansing are mentioned below.

Improving the digestive system – When the colon is cleansed, it pushes out the undigested waste from the system and improves digestion.
Helps in prevention of constipation – Constipation is chronic and can cause a sluggish response in digestion which in turn leaves the wastes in the system for a longer time.
Increase of energy – When toxins are released from the body one feels rejuvenated as energy is refocused from forcing wastes through the intestines and from other parts of the body.
Increasing the absorption of vitamins and nutrients – When the colon is detoxified, it allows the essential nutrients to be filtered into the bloodstream.
Improving concentration – When one has ineffective vitamin absorption and a poor diet they are often distracted and lose their concentration.
Kick-starts weight loss – With the help of colon cleansing weight loss is aided greatly and one can lose upto 20 pounds in a month.
Colon cancer risks are decreased – Most of the toxins we eat, breathe in or drink are absorbed and processed by the gastrointestinal system including the liver. They need to be forced out from the colon and the liver as quickly as possible or the body system is affected.
Fertility increase – When one increases their fiber intake and healthy food diet, colon cleansing is done more regularly and that helps to rid the body of unwanted toxins and chemicals which can affect the health of the sperm and the egg.
PH balance is maintained – Food that block out the colon is acid forming and that throws the pH levels out of balance.
Improving the feeling of well being – When the colon is rid of toxins and wastes that in turn leads to strength, a feeling of lightness and a general feel good factor.
Colon cleansing is important for the system as well as for the skin. When the impurities are removed from the body it enhances the beauty of the outer skin. When the colon does not function properly, one may suffer from different digestive problems and ailments. Food that consists of fiber and are soluble will aid in digestion and to fight constipation. The colon cleansing food items need to be added to one’s diet.

Top ten foods that help to cleanse the colon are:
1. Lemon
Citrus fruits like lemon are good for cleansing the system. A glass of lemon juice every morning will help to detoxify and cleanse the system.

2. Spinach
Consuming green leafy vegetables like spinach will help to clean the colon and protect the digestive tract from different ailments.

3. Broccoli Sprouts
These are known to be beneficial for cleansing the liver and aiding in digestion along with cleansing the colon.

4. Fruit Juices
One needs to make fruit juices a part of their daily diet as it helps in cleansing the colon with their rich content of fiber, enzyme and cleansing salts.



5. Garlic
This spice is not only heart healthy but this pungent ingredient in most dishes is beneficial for cleansing the colon.

6. Fish
Unlike animal meat, fish meat is rich in omega-3 fatty acids and other essential oils that help to cleanse the system and improve digestion.

7. Avocado
This beneficial fruit is rich in omega-3 fatty acid and oils that help to lubricate the walls of the intestines. That in turn prevents the toxins from sticking to the walls and they get flushed out.

8. Whole Grains
Whole grain food items like bread, pasta and flour are rich in fiber, low in calories and cholesterol. They enable colon cleaning and aid in better digestion.

Lentils and kidney beans are known to aid digestion and cleanse the colon for which they need to be made part of one’s diet.

10. Green Tea
If you wish to detox your liver as well as lose weight, you need to consume green tea.

Sir, I have problem of bleeding while toilet. Its so painful, one side of my anus is swollen. Therefore I uncomfortable. Please prescribe some medicine to vure my problem. Waiting in anticipation. Thank you.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
Hi. It's a classical case of anal fissure. Stop spicy/oily food. Drink lot of water. Do regular sitz bath thrice a day for atleast 15 min by sitting in Luke warm water.
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Urine color is yellowish since last 6 years. BP remains high everyday for last two years. Cough generates excessively in chest. Right side in chest pain remains regularly since last 3 years. Please suggest that this problem is how much serious?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Urine color is yellowish since last 6 years. BP remains high everyday for last two years.
Cough generates excessively...
I think you should consult a local doctor as you require a thorough physical examination -----------do not waste time--------
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My wife is getting bleeding from bottom (anus), doctor without checking says it is symptom of piles. Is it?

DNB (Gastroenterology), MD - General Medicine, MBBS
Gastroenterologist, Delhi
Most commonly bleeding per rectum is due to haemorrhoids (piles). There are other causes also. You should consult a gastroenterologist get proper evaluation.

Hello doctor, I am 21 years old male, workout daily and lift heavy. Consume 1.8g protein per kg of bodyweight. From last couple of weeks, I am having pain in my anal region and it kept increasing. It stays for 6-7 hours after bowel movement in the morning and hurts allot while sitting and during pushing in the toilet. Today I checked and there is something like skin tag at opening of the anal. Don't know if it is hemorrhoids or warts but it hurts allot. I did not find any blood during movements. Please help.

MS - General Surgery
General Surgeon, Kanpur
Hello doctor,
I am 21 years old male, workout daily and lift heavy. Consume 1.8g protein per kg of bodyweight. From l...
You may be having fissure so you need to be examined by a general surgeon and proctoscopy to be done to find out what exactly it is, keep your stool soft by taking plenty of fluids orally and high fibre diet even you can take syp cremaffin 3 to 6 tsf hs, use ointment lox anally before defecation, proper treatment follows according to examination.
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I am 21 years old male facing a problem of frequency of urination. I need to urine in the interval of every 30-40 mins. And I do not drink much water.

BHMS
Homeopath, Jaipur
I am 21 years old male facing a problem of frequency of urination. I need to urine in the interval of every 30-40 min...
There is no disease. It is physiology of your body, it doesn't require much water so you get urge very frequently.
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I think I am having uti once again but my parents are not sending me to doctor so what should I do to cure it.

Homeopath, Noida
I think I am having uti once again but my parents are not sending me to doctor so what should I do to cure it.
Don't use public toilet. Flush bafore using toilet. Clean your private areas with warm water. Take can notharis 200 twice a day for 15 days. Consult back accordingly.
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Feeling burning sensation in urine, does it a urinal infection or its due to heat, there is no itching, I am drinking lots of water but when I drink lesser water I am feeling burning sensation in urine.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Feeling burning sensation in urine, does it a urinal infection or its due to heat, there is no itching, I am drinking...
Drinking lot of water is good. Avoid masalas and hot foods. Don't expose to direct sun. Homoeopathy has good treatment for your problem, without causing adverse effects. Take homoeopathic medicine can notharis 30 daily in the morning and in the evening and give feedback after 6 days.
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I'm 30 years female. I use to have constipation. Becoz of which I have developed an anal fissure. I'm taking medicine for constipation. I get relief from constipation and fissure. But whenever I stop medicine within couple of days my fissure problem reoccur. Pls suggest me some good medicine. I have changed my diet to veg diet n fiber rich diet. Pls pls pls help me. I'm really worried abt all this.

FMAS, MS
General Surgeon, Gandhinagar
I'm 30 years female. I use to have constipation. Becoz of which I have developed an anal fissure. I'm taking medicine...
Respected lybrate-user hi along with what r you doing you have to regularise your bowel pattern through multiple modes. Have more abundant liquids green leafy veg fruits curd. Have adequate sleep of 8 hrs. Avoid stress anxiety by yoga for 20 min early mor walk before sunrise for 20 min. Apply xylocaine (5) jelly over anal part after passing stool & sitz bath (sitting in leuk warm water filled tub for 10-10 min mor & eve). Consult if required after 10 days dear thanks regards.
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Hello doctor, recently 2 months back I had a surgery for renal stones (pcnl), still i am getting pain during urination. Please give me a solution to get rid of my problem.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hello doctor, recently 2 months back I had a surgery for renal stones (pcnl), still i am getting pain during urinatio...
Take 1 cup of horse gram + Add ½ L water + Heat the mixture till water level reduces to 1/5th + Strain and collect the soup + add 2 tsp of crushed pomegranate + Mix well + Drink once a day.
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Sir, I am 62 years age. When I am urinating it is not coming continuously and it is coming number of times with less quantity and it is taking 2-3 minutes for each time. Please help me to overcome this problem. Regards..

PDDM, MHA, MBBS
General Physician, Nashik
You are probably suffering from bph. Kindly consult privately for personalised assessment and management.
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