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Dr. Pradeep Chatree

Nephrologist, Delhi

Dr. Pradeep Chatree Nephrologist, Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Pradeep Chatree
Dr. Pradeep Chatree is a trusted Nephrologist in Bapa Nagar, Delhi. He is currently associated with Sanjeevan Speciality Hospital in Bapa Nagar, Delhi. Book an appointment online with Dr. Pradeep Chatree and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Nephrologists in India. You will find Nephrologists with more than 44 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.

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Hindi

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Sanjeevan Hospital, Darya Ganj 24, Ansari Road, Darya Ganj, Delhi - 110 002, DelhiDelhi Get Directions
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I am 26 years old and suffering from urinal problem i.e I have frequent urination (peeing) after drinking water. I went to doctor they suggest me to have xray of penis urethra and uroflowmetry .in xray report shows there is blockage in urethral opening and in uroflometry my urination is slow. Also there is a xray of kidney they showed no prostate in kidney. Pls suggest any non surgical method to resolve this issue.

PGD Maternal Child Health, MBBS
General Physician, Akola
I am 26 years old and suffering from urinal problem i.e I have frequent urination (peeing) after drinking water. I we...
As your urethra shows a blockage and uroflowmetry shows slow evacuation of bladder you need dilatation of urethra by catheters or if strictures are detected, by resection. Continuation without treatment will affect kidneys due to backflow pressure and may also cause total obstruction.
6 people found this helpful
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Sir since 5 days j have a stomach pain isn't a pain or its sign of stone in kidney.

MBBS, House Surgeon- Urology
General Physician, Kolkata
Sir since 5 days j have a stomach pain isn't a pain or its sign of stone in kidney.
Renal pain generally occurs in the back and it radiates from loin to groin.(from back to anteriorly) depending on the location of the stone in the kidney it may radiates to testes or scrotum or in to your thigh.
1 person found this helpful
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I have two stone in my kidney left side appx 2 or4 mm. Dr. Said take maximum drinking water it will be ok. Is it right decision or not?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi, good to know you got little pain n reason behind the same, yeah, its very true that it may shade of by hydro-therapy, but what about the pain n bleeding may be caused due to d same following infections, anupam there may chances of recurrent kidney stone formation so to drop this habit you can consider to consult ayurveda Dr. For that he may suggest some medicinal ghee n therapy with medicines to have for 45 days.
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I am suffering from calcium deficiency. Osteoporosis which is the best calcium tablet that I can take for lifetime. I heard some calcium tablets give a bad impact on the kidney. Tell me a safe one that can be taken in daily life without any side effect.

General Physician, Hyderabad
I am suffering from calcium deficiency. Osteoporosis which is the best calcium tablet that I can take for lifetime. I...
as you have osteoporosis you need to take calcium supplements as long as you live .also do 1. take vitamin D along with calcium 2.do weight bearing exercise 3.include calcium rich food in the diet like custard apple 4. there are medications available to support bone health , if the osteoporosis is bad . Take Care .
4 people found this helpful
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I am 52 years and have urinary problem & also have hernia what should I do?

Fellowship in Kidney Transplant & Reno Vascular Surgery, Diploma in Urology, M. Ch, MS, MBBS
Urologist,
Please get ultrasound kub wth residual urine trus for prostate , s psa free& total , urine r& m , uroflo done
2 people found this helpful
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Hi, im asking about my mother she is suffering from urine infection, after the treatment she is having huge acidity now she can not eat any things she is vomit continue after having food. Please suggest me what is the best solution for her. She is now 48 years old. Please help us.

MD - General Medicine
General Physician, Delhi
Hi, im asking about my mother she is suffering from urine infection, after the treatment she is having huge acidity n...
She can take pantocid DSR one capsule empty stomach for seven days and syrup gelusil Two teaspoon three times after meals...
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I am 19 years old. I am suffering from a stomach ache. I did a sonography. The report said that there is a mild free fluid in the pouch of douglas. What must be done in order to remove this water and get rid of this stomach ache ?

MBBS, DNB
General Physician,
I am 19 years old. I am suffering from a stomach ache. I did a sonography. The report said that there is a mild free ...
Mild free fluid in pouch of douglas (pod) for a mensturating female is normal. Its the normal fluid which gets collected in pod after ovulation (14th day of menstural cycle). It will resolve in the next cycle and it will recur after the next ovulation. You do not have to do anything for that. Its a normal physiological phenomenon.
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I have delay in urinating. I feel the urge but urine will not start. It becomes painful as I feel my bladder is full but it won't start.

BHMS
Homeopath,
I have delay in urinating. I feel the urge but urine will not start. It becomes painful as I feel my bladder is full ...
Dear lybrate user, take the following medication as directed:- 1) 5 drops of homoeopathic lycopodium 200 at early morning. 2) 5 drops of homoeopathic staphysagria 200 just one hour before dinner.
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In my urine, 420000 e-coli bacteria present. Is any relation for digestive problems? My stomach is swelling, even am not taking water. I don't know reason? Please help me.

MBBS
General Physician, Jalgaon
In my urine, 420000 e-coli bacteria present. Is any relation for digestive problems? My stomach is swelling, even am ...
Please Take plenty of water daily Avoid oily spicy and fast food, non veg food, maida containing items like biscuits toast bread khari etc for few days Take Cap wokride 5 1 on empty stomach Tab ceftum 10 500 mg 1 1 Sy citralka 2 tsf three times a day with water Cap vitagut 10 1 1 Reconsult after 5 days.
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I want to know burning sensation in urine. What is the cause of this. And I want to increase my sperm count. Which medicine is best for this. My age is 20. Thanks.

MBBS
General Physician, Vijayawada
I want to know burning sensation in urine. What is the cause of this. And I want to increase my sperm count. Which me...
There are many causes for burning sensation in urine. You may be suffering with an infection. Use must have your urine tested for confirmation. And use antibiotics if required.
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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…
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I'm 23 year old male (Currently staying in bangalore), From last 8 months while sitting on the toilet tub small white substance is passing through the urin and i'm very scared and shy to consult doctors about this issues. Please help me with this issues. Please tell me surgery is needed or can cure with tablets. I'm very scared about this and i'm from Bangalore so how can I contact doctors over the phone or gmail.

DHMS (Hons.)
Homeopath, Patna
I'm 23 year old male (Currently staying in bangalore), From last 8 months while sitting on the toilet tub small white...
Dear lybrate user, relax! your bowel movement is irregular, and you might b suffering from constipation and indigestion. Take, plenty of water to eliminate toxins and to restore metabolic action to complete your digestion & to soften your stool to b evacuated smoothly refraining excretion of prostatic fluid while passing stool. Take, easily digestible, simple, non irritant diet on time. Take homoeo medicine. @ nux vom 20-6 pills, thrice a day. @ lycopodium 1000-6 pills, wkly go for a walk in the morning to restore blood circulation. Report, wkly, please. Take care, no surgery is required.
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
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.
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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 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.

MBBS
General Physician,
My uncle got operated in kidney stones in urology. His stones are of uric acod type after is getting the same problem...
avoid meat,seafood,fish,pulses ,all high protein foods,alcohol,sugar and also cabbage,spinach etc they also contain high uric acid.have plenty of water.i hope in a proper diet stones will not come back.
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Sir, I am suffering from with pressure of passing the urine. I already check the sugar test, it indicates normal, but I am suffering from this disease. Sugar test reports: Plasma glucose fasting: 79 mg/dl Plasma glucose post prandial: 103 mg/dl. Please suggest me the solution.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Sir, I am suffering from with pressure of passing the urine. I already check the sugar test, it indicates normal, but...
Get urine tested re/me and report 1.Pass urine whenever you feel a desire, empty bladder completely. 2.Wipe from front to back after toilet 3.Take lots of water so as to have clear urine 6.Clean genitals before sex and pass urine after sex to flush out any bacteria 7.Keep genital area dry- wear cotton, loose under garments, avoid tight clothes like jeans for medicine contact on private consultation.
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I have a big problem. Every night I am doing urine in my pant automatically. What can I do to stop this?

BAMS
Ayurveda, Ambala
I have a big problem. Every night I am doing urine in my pant automatically. What can I do to stop this?
To treat the incontinence of urine- *Take very less ampunt of fluid after 6 pm & go for urination after every hour. * Do urination before bed time & wake up in the midnight for urination. * During daytime, while you are urinating, once take a pause then start urinating again & repeat it 2-3 times. It increase the muscle tone of bladder muscle. * Sit in the possition of PADMASANA or SIDHASANA in morning for 8-10 minutes.
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Hello I have stone in kidney 5.6 and 5.4 And uterus 4 mm So please what can I do And suggestion for diet plan.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Hello
I have stone in kidney 5.6 and 5.4
And uterus 4 mm So please what can I do And suggestion for diet plan.
Drink 3-4 litres of water daily. Avoid guava, brinjal, tomatoes and all such items with seeds. Take kulthi ki dal everyday once. Start with 1. Cystone syrup 2 tsp three times a day 2. Tab chadraorabha vati-2-2-2 with water 3 times a day with water 3. Gokshuradi guggulu-2-0-2 two times a day with water drink lemon juice 3-4 times without sugar. Drink water melon juice freshly prepared daily 1-2 times.
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