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Dr. Pramod Prasad

Urologist, Delhi

Dr. Pramod Prasad Urologist, Delhi
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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. Pramod Prasad
Dr. Pramod Prasad is an experienced Urologist in Paschim Vihar, Delhi. You can consult Dr. Pramod Prasad at Sushruta Maternity & Surgical Centre in Paschim Vihar, Delhi. Save your time and book an appointment online with Dr. Pramod Prasad on Lybrate.com.

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

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I am 67 years old male. I was having B.P since 2000. I was a regular smoker till 2015. occasional drunker also 90 ml per day (20 days a month). Till 2005 I took Amtas 2.5 mg one tab in the morning. From 2006 the dose increased to 5 mg. Till 2012 was not worried about B.P it was 130-136/80-86. In 2012 I check up my health but everything was OK. In 2014 again I check up heart specialist put another medicine extra Telza-20 in evening. My creatinine was 0.8. Till 2015 July the B.P was 140-146/ 90-96. But in August '15 one day evening suddenly the B.P went up to 180/110. Immediately I took Depin 5. B.P came down. Next day I consulted Doctor. The tests were done. Almost all are with in limit except for B.P which was 150/96 and Creatinine was 1.4. By the grace of God I donate have any sugar problem till now. Then Doctor changed the medicine and prescribe TezyAM 40 one tab in the morning. But occasionally after 10-15 days the B.P becomes abnormal 170/100. So, I again checked up with another Heart specialist in February 2016. He advised for angiography which showed that there is one 60% blockade. He prescribed medicine. This time creatinine was 1.7. Doctor did not gave much importance. I consulted one Nephrologist, who changed the medicine prescribed Nexovas O 40 two tabs a day and Telvas Beta 50 one tab & Stator ASP 75 one tab along with Renolog which I am continuing now with controlled diet. Mu B.P now is 116-136/76-86 during the entire day and the creatinine is 1.8. My diet problem is for B.P I need K++, Protein etc. But for Kidney it is harmful. Normally I have noticed that food which are good for B.P are bad for Kidney. How can you help me for curing my problems.

MBBS
General Physician, Jalgaon
I am 67 years old male. I was having B.P since 2000. I was a regular smoker till 2015. occasional drunker also 90 ml ...
Please Don't worry Go for morning and evening walk regularly Take salads and fruits regularly Take vegetables juices and soups more regularly Do meditation regularly Avoid excess thinking. Continue your current medicine Take Punarnavasav 20 ml twice daily with water Gokharu kadha 20 ml twice daily with water Check your sr creatinine and blood urea after 3 wks.
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I am 64 year old I have kidney problem. My creatinine, 4.5 please solve my problem?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Please let me know if you have hypertension and / or diabetes. Because both these conditions affect kidney functioning. If you are already on any drugs let me know the same. To reduce creatinine one has to restrict intake of sodium (table salt), phosphorous, excess protein and reduce physical activity and increase fluid intake.
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I'm 19 years old, last two days I'm facing pain on my right lower end of my stomach, and I'm urinating frequently what is the reason?

MD, BAMS
Ayurveda, Mumbai
I'm 19 years old, last two days I'm facing pain on my right lower end of my stomach, and I'm urinating frequently wha...
Hello Some tests shud b carried out to rule out the reason, urine test and sonography of abdomen and pelvis is important in test. It might b due to reasons like indigestion, urine stone, gynaecological problem or muscle pull etc. Time being you can just apply pain relieving balm. And can take yograj guggul 2 tablets twice daily till your test reports come.
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Urinary Tract Infection (UTI): Prevention and Cure

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
Urinary Tract Infection (UTI): Prevention and Cure

Urinary Tract Infection (UTI) happens when germs infect your urinary system. It includes the kidneys, bladder, and the connecting tubes. Bladder infections are normal and not a huge risk if treated immediately. Further, if the disease spreads to the kidneys, it can bring about very serious problems. In case you're a woman, your chance of getting a urinary tract disease is higher. Experts rank your lifetime danger of getting a UTI as one in every woman. Many women might even have repeated infections.

UTIs are a key reason why we are frequently advised to wipe ourselves from front to back while or after using the bathroom. That is because of the urethra - the tube that carries the urine outside the body. It is found near the anus. If the infection isn't dealt with, the kidneys are likely to be affected.

Symptoms: To recognize a UTI, watch out for the following side effects:

  1. Burning sensation while urinating
  2. A regular urge to urinate, despite the fact that little turns out when you do
  3. Pressure in your belly
  4. Pain in the lower abdomen
  5. Dark, bleeding or odd smelling urine
  6. Feeling drained or shaky
  7. Fever or chills (a sign the disease may have come to your kidneys)

Home Remedies: Some of the home remedies for UTI are:

  1. Drink lots of water: One of the main things to do when you have a urinary tract infection is drink a lot of water.
  2. Load Up on Vitamin C for a Healthy Urinary Tract: Getting a lot of vitamin C is important, since a lot of vitamin C make your urine more acidic. This prevents bacteria from developing.
  3. Cure UTI Pain with Heat: Applying a warming cushion can calm the region.
  4. Cut Bladder Irritants from Your Diet: Avoid caffeine, liquor, nicotine, carbonated beverages, and fake sweeteners.
  5. Empty Your Bladder Again: Each time you exhaust your bladder - regardless of the possibility that it's only a little, you get rid of bacteria every time. So continue making those washroom runs.
  6. Consider Herbal Remedies: You may discover some relief from taking the herb uva ursi (bearberry leaf)
  7. Switch to Healthier Habits: Change in lifestyle can make a lot of difference. For instance, quit smoking and wear cotton clothing.

Other Treatment: In case, you have 3 or more UTI bouts in a year, request your specialist for a special treatment plan. Some treatment choices include:

You can take an anti-toxin in low dosage, over a more extended period to avoid repeated infections.

You can also take a single dosage of anti-biotic after sex, as prescribed by your specialist.

A patient can also take anti-toxins for 1 or 2 days as the symptoms show up. The treatments should be only be taken after concerning the specialists. You can also use an at-home urine test kit when you see the symptoms appearing.

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I am having tight and hard feeling in anus and pinching pain and cold sensation around penis, groin and inner thighs. Blood n urine test r normal. Doctor advised me 10 days doxycycline 100 mg which I have taken for 8 days but not much improvement. Please help.

MS
General Surgeon, Panipat
I hope you have anal fissure, please sit in warm water 2 times a day. Take normal three meals plenty of fluids and stool softener you may improve.
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I have stone in my kidney. what should i do to relief from that pain? please advice

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have stone in my kidney. what should i do to relief from that pain? please advice
Homoeeopathic medicine for pains due to renal stones DIOSCOREA Q ( Dr Reckeweg) Drink 10 drops in 20 ml luke warm water every 10-20 minutes till pains subsides.
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While urination getting severe pain and burning sensation in vagina also. Please suggest above prescribed medicine is fine or any other medicine require for that.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
While urination getting severe pain and burning sensation in vagina also. Please suggest above prescribed medicine is...
Hi. It can be UTI or PID. Get a urine routine test & urine culture senstivity done. Get a ultrasound KUB and pelvis. Drink lot of water, use barrier contraceptives. You have not mention any medicines you are already taking. For medicines you can consult online and review again with reports.
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Hai sir. When I go to a general doctor for urine problem he tell My penile urethra is small that was the reason your urine is break in the prostate now I am using veltam 0.4 tables is any cure of long length of my penile urethra and is any effect of small penile urethra in future for urinate and sex life.

FMAS, MS
General Surgeon, Gandhinagar
Hai sir.
When I go to a general doctor for urine problem he tell
My penile urethra is small that was the reason your ...
Respected hi sorry to tell but you have been conveyed wrong information regarding length of penile urethra. There are no medicines to increase length of penile urethra & only glans penetrates deepest in vagina to give sex pleasure to female not whole penis dear thanks regards.
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There is a patient in my family who is suffering from kidney problem. N I have his ultra sound report. please help me to understand that. And suggest me specialist Doctor for that in patna, bihar.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Hello welcome here - you need kidney cure course-4-6 months for improvement and final recovery. Its packaagiongs are avail; able.
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I am a 74 year man with diabetes since 25 years and it is under control by medicines and insulin injections. If I make long travels by car, I want to urgently use toilets on the way for passing stools. If I could not see a toilet I usually passes in my underwear and pants while in the car itself. It has become a regular habit now resulting in difficult situations. Kindly advise whether it is due to irritable bowel syndrome and what is the remedial measure I can follow before or in a journey. When the urge comes I cannot control it.

PDDM, MHA, MBBS
General Physician, Nashik
I am a 74 year man with diabetes since 25 years and it is under control by medicines and insulin injections.
If I mak...
There are many potential causes of fecal incontinence, including: diarrhea (possibly due to an infection or ibs) impacted stool (due to severe constipation, often seen in people of your age group) inflammatory bowel disease (crohn's disease or ulcerative colitis) nerve damage (due to diabetes or spinal cord injury) more than one cause for fecal incontinence is a strong possibility. Alot of cases of bowel incontinence, occur without a clear cause. First things first is to figure out the cause, if at all possible. This is a process, no single simple test will be able to figure it out. You will need to see a gastroenterologist and discuss your entire medical history. During a physical examination, a the gi may check the strength of the anal sphincter muscle using a gloved finger inserted into the rectum. Some of the tests that may be needed for figuring this out are: stool testing endoscopy anorectal manometry. A pressure monitor is inserted into the anus and rectum. This allows measurement of the strength of the sphincter muscles. Endosonography. An ultrasound probe is inserted into the anus. This produces images that can help identify problems in the anal and rectal walls. Nerve tests. These tests measure the responsiveness of the nerves controlling the sphincter muscles. They can detect nerve damage that can cause bowel incontinence. Let me try and give you an overview of what kind of treatment options you have. Recommended treatments vary according to the cause of course. Often, more than one treatment method may be required to control symptoms. Diet changes may be helpful: eat 20 to 30 grams of fiber per day. This can make stool more bulky and easier to control. Avoid caffeine. This may help prevent diarrhea. Drink several glasses of water each day. This can prevent constipation. Medications. Try these medicines to reduce the number of bowel movements and the urge to move the bowels: imodium lomotil hyoscyamine methylcellulose can help make liquid stool more solid and easier to control. For people with a specific cause of diarrhea, such as inflammatory bowel syndrome, other medications may also help. Exercises. Begin a program of regularly contracting the muscles used to control urinary flow (kegel exercises). This builds strength in the pelvic muscles and may help reduce bowel incontinence. Bowel training. Schedule bowel movements at the same times each day. This can help prevent accidents in between. Surgery may be recommended for people whose bowel incontinence is not helped by noninvasive treatments. There are many different surgeries that can be done. But I don; t want to get into this unless we know its really necessary. I strongly suggest you look into instituting the dietary changes mentioned above, after that medication may be needed. But above all, you need to be in touch with a good gi. I hope this helps. Feel free to follow-up and I will do my best to talk you through all this.
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Dear doctor, I am 51 years old male. In dec2014, while doing the regular medical checkup, it was found that? two calculi both measuring 4 mm are seen in right kidney and another calculus of 6 mm size is seen in left kidney. Since then I have been taking homoeo medicine and take lot of water. In april 9th, again ultrasonography was carried out. Then it is found that? two calculi measuring 8 mm and 5 mm are seen in right kidney and two other calculi of 6 mm size are seen in left kidney. Since homoeo medicine is not effective, I stopped taking the same. I have started taking? cystone? tablets (1-0-1). Is this medicine is o. K? what are the changes I have to make in food habit?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Kidney stones treatment depends on the types and size of stone, most kidney stones won't require invasive treatment. You may be able to pass a small stone by: drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless your doctor tells you otherwise, drink enough fluid mostly water to produce clear or nearly clear urine. Pain relievers. Passing a small stone can cause some discomfort. To relieve mild pain, according to your medical history I may prescribe pain relievers such as ibuprofen, acetaminophen or naproxen sodium. Medical therapy. I am a doctor and renal (kidney) dietitian who will aslo prescribe a customized diet plan and medications to help pass your kidney stone quickly and with less pain. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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I am suffering a urine problem I am going every 15 min to toilet and pain in stomach what the problem?

BHMS
Homeopath, Raebareli
I am suffering a urine problem I am going every 15 min to toilet and pain in stomach what the problem?
Please do a urine test r/e & culture. Drink plenty of water and fluids. Get back to me with the reports - may be you are having a uti. For pain in stomach take mag phos 6x - twice daily.
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I had 3mm stones in kidney by medicine they were cleared, is any future reappear of it sir, give me tips to take preventive steps. Kapil.

BAMS
Ayurveda, Ambala
I had 3mm stones in kidney by medicine they were cleared, is any future reappear of it sir, give me tips to take prev...
You should follow these very important and simple things to prevent stone formation & to get sure treatment of kidney stones: 1. First take a lot of fluid daily. The more you drink water and fluid, the less amount of deposit accumulate in kidney. So you have to make your kidneys healthy just only by drinking 2-3 liters (10-12 glasses) of water. 2. Stones are mainly formed of calcium and oxalate. So take very low quantity of milk, cheese, cream and dairy products. 3. Do not take strawberry, plum, spinach and tomatoes. These fruits and vegetables are rich in oxalate. So avoid them to prevent from kidney stones. 3. Stop taking supplementary vitamin d and calcium medication. 4. Avoid animal protein diet- eggs, red meat, fish in diet. 5. Take less amount of salt, pickle and western foods. They have high amount of sodium. So avoid it. 6. Urinary infection are also one of the cause of stone. So take proper antibiotic treatment of urinary infection on time. Even when you feelburning sensation or pain during urination, don't avoid it. Take medication as soon as possible. I hope you follow them in your life andstay healthy. 7. You can take gokshur tablets of himalaya for 3 months. It definitely get relief from kidney stones.
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Me and my girlfriend had sexual intercourse. She asked me to ejaculate inside her. I did it. Now she is asking for a birth control pill. Can you suggest some cheap and effective one? She is also complaining she gets the urge to pee frequently. Is this some side effect?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Bangalore
Me and my girlfriend had sexual intercourse. She asked me to ejaculate inside her. I did it. Now she is asking for a ...
Please. As a couple don't get into trouble by having unprotected sex. Please use condoms every time without fail. Meet a gynaecologist asap for emergency contraception and regular contraceptive advise.
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What are the symptoms of urine infection and I am suffering with cold and fever. Please tel me what should be done.

MBBS
General Physician, Chennai
What are the symptoms of urine infection and I am suffering with cold and fever. Please tel me what should be done.
Urinary tract infection usually presents with high fever, pain or irritation at the time of urination you must take a urine routine and culture test.
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Diet In Chronic Kidney Disease

MBBS, MD - Medicine, DM - Nephrology
Nephrologist, Delhi
Diet In Chronic Kidney Disease

What is Chronic Kidney Disease?

Chronic Kidney Disease (also known as Chronic Renal Failure) is the progressive loss of kidney function occurring over a span of several months to several years and is characterised by the replacement of kidney architecture with interstitial fibrosis.

Chronic kidney disease is classified into five stages on the basis or proteinuria (presence of protein in large amounts in the urine) or Glomerular Filtration Rate (GFR) - 1 being the mildest with no distinct symptoms and 5 being end stage renal failure.

Causes and Risk Factors of Chronic Kidney Disease-

The various reasons (called risk factors) that can increase chances of Chronic Kidney Diseases are:

  1. Diabetes mellitus, hyperlipidemia (excess fat proteins in the blood)
  2. Hypertension

  3. Family history heritable renal disease

  4. Older age, smoking

  5. Autoimmune disease

  6. Past episodes of acute renal disease

The direct causes of Chronic Kidney Diseases are-

  1. Diabetic nephropathy (leading cause)

  2. Hypertensive nephropathy

  3. Glomerulonephritis (swelling of the glomerulus in the kidneys)

  4. Reno-vascular disease (ischemic nephropathy)

  5. Polycystic kidney disease

  6. HIV-associated nephropathy

  7. Transplant allograft failure

  8. Exposure to drugs and toxins

Diet that you must maintain in Chronic Kidney Disease-

It is essential to make dietary as well as lifestyle amends once you are diagnosed with CKD. The main purpose of this diet is to maintain the levels of carbohydrates, fluids and minerals. This is done to prevent the buildup of waste products in the body as the kidneys are unable to fulfil its function properly.

It is recommended to refer a dietician who can make you a diet chart that helps you adhere to your diet.

Here is a list of food items that you may avoid or may consume if you are suffering from Chronic Kidney Disease:

  1. Carbohydrates : Carbohydrates are a good source of energy. If the intake of protein has been restricted, then it is recommended to replace that with carbohydrates as a source of energy. Fruits, vegetables, grains and bread can be consumed as they are rich source of fibres, minerals and various types of vitamins. You can indulge in some hard candies or sweets as well.

  2. Fats: Fats can provide a good amount of calories as well. Ensure that you only stick to healthy fats such as the monounsaturated and polyunsaturated fats that are good for your cardiac health.

  3. Reduce your phosphorus intake: A diet with no more than 800 mg of phosphorus can help reduce the risk of too much phosphorus building up in your blood.  Limit intake of foods with high levels of phosphate or phosphate additives such as organ meats, whole grain breads, processed foods, cola beverages, cheese, dried beans, liver, peanut butter, dairy products and chocolate. Many beverages and processed foods have these additives. Other high-phosphorus foods to limit include:

    • Cheese
    • Chocolate
    • Ice cream
    • Legumes
    • Milk
    • Nuts
    • Seeds
    • Yogurt
  4. Monitor your potassium levels: Usually, potassium is not restricted in stage 3 CKD unless lab tests show potassium is too high. Your doctor may make medication changes or prescribe a low-potassium diet. Reduce an elevated potassium level by limiting some high-potassium foods and potassium chloride (found in salt substitute and many low-sodium processed foods), such as avocado, bananas, cantaloupe, honeydew, legumes, milk, nuts, potatoes, seeds, tomato products and yogurt. Some high-potassium foods to limit or avoid include:
    • Avocado
    • Bananas
    • Cantaloupe and honeydew melon
    • Dried fruit
    • Legumes
    • Milk
    • Nuts and seeds
    • Oranges and orange juice
    • Potatoes
    • Pumpkin and winter squash
    • Tomato products (juices, sauces, paste)
    • Yogurt
  5. Proteins: Usually, before undergoing dialysis, it is recommended to adhere to a low-protein intake diet. However when you are undergoing dialysis, it is necessary to consume a certain amount of protein. This detailed information can be obtained from your dietician.
  6. Fluids: In the early stages of CKD, your fluid intake is not monitored. But as the disease progresses, you need to check your intake of fluids as too much fluids may accumulate in your body and create pressure on your kidneys.

  7. Sodium Or Salt Intake: Keeping a check on your salt intake reduces the risks of high blood pressure. Also, having food low on salt can reduce your thirst and prevent fluid retention in your body. If you wish to discuss about any specific problem, you can consult a nephrologist.
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I have frequent urine problem as I drink a glass of water I get urge of going bathroom after 15 mins usually I go 8 to 10 times a day. Is there any problem with my kidney or something wrong with my bladder?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
I have frequent urine problem as I drink a glass of water I get urge of going bathroom after 15 mins usually I go 8 t...
Dear , get urine and usg with full bladder volume, bladder wall thickness on full bladder and post-void residual urine volume measurement. This is to rule out or confirm if you have genuine problem in your urinary system. If they turn out to be negative then we can think about habit or conditioned reflex giving you trouble
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I am 31 year old married woman my problem is: at night I frequently (5-6 times) go for urinating. And since last one week facing headache also my hair is also falling a lot. Also feeling shortness of breathing. Please suggest is it symptoms of what and which specialist should I consult.

Pain Management Specialist, Chennai
I am 31 year old married woman my problem is: at night I frequently (5-6 times) go for urinating.
And since last one ...
Urinary frequency is one of the symptoms of deranged sugars in the body. Stress might be another cause of the symptoms what you are presenting with. Viz. Hair loss and headaches. Kindly have a check of your blood sugars and see a good diabetolgist.
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