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Dr. Rajesh Birman

Urologist, Delhi

500 at clinic
Dr. Rajesh Birman Urologist, Delhi
500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Rajesh Birman
Dr. Rajesh Birman is a renowned Urologist in Dwarka, Delhi. You can meet Dr. Rajesh Birman personally at S R Mental Health & Deaddiction Clinic in Dwarka, Delhi. Book an appointment online with Dr. Rajesh Birman on Lybrate.com.

Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 43 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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Hindi

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59, 1st Floor, Vardhman Crown Plaza Mall, Sector ? 19, DwarkaDelhi Get Directions
500 at clinic
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What I do I have stone of 4mm in kidney. Dose I have to operate or it will ok after taking medicine ?

MD - Paediatrics
Pediatrician, Delhi
What I do I have stone of 4mm in kidney. Dose I have to operate or it will ok after taking medicine ?
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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Rt renal calculus 10 MM in pelvis at PUJ with minimal hydronephrosis. Normal Lt. Kidney. Kindly suggest ayurvedic remedies to solve the said problem.

MBBS
General Physician, Mumbai
Rt renal calculus 10 MM in pelvis at PUJ with minimal hydronephrosis. Normal Lt. Kidney.
Kindly suggest ayurvedic rem...
Medicine are useful if the stone size is less than 5mm and so for 10mm stone it's better to get it removed through lithotripsy
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I feel itchy sometime around the anus. It generally happens in summers. I spotted very minor droplets of blood on toilet roll as well. Can you help me for this?

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi it seems dry skin. You can try out to apply vaseline 2 times a day & then if problem persists consult with symptoms of pain burning amount of bleeding its frequency hard stool etc details thanks regards.
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Hy. My urine passes white like something I don't know what's tht in all time pls tll me something for rid get this.

MBBS
General Physician, Jalgaon
Hy. My urine passes white like something I don't know what's tht in all time pls tll me something for rid get this.
Please don't worry Take plenty of water daily Clean your penis with soap and water twice a day Take Chandnasav 20 ml twice daily with water Tab chndraprabha Vati 2..2... 2 for 3 weeks Reconsult if needed.
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I am 30 Year old. And I hav two kidney stones in my right kidney. Both r dissolved but I feel little bit pain some time. So what I will do. Hav I take medicine or not.

MBBS
General Physician, Faridabad
I am 30 Year old. And I hav two kidney stones in my right kidney. Both r dissolved but I feel little bit pain some ti...
drink 3-5 litre of water daily, it will help to wash out any small stone i kidney, no medicine required. thanks
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Hello doctor. Few days back my aunt was having pain in her anus area. And since Monday her pain was severe and was having fever as well. We took her to a clinic were doctor has giver her some fever medicine and a pain killer and said she is having low blood pressure. She is not having any bleeding no constipation only pain in her anus area feeling tightness over there and fever as well. Please suggest an appropriate solution. Thanks.

BHMS
Homeopath,
Dear lybrate user, your aunt should take the following medications as directed:- 1) 5 drops of homoeopathic sulphur 200 once in a week. 2) 5 drops of homoeopathic aesculus hip 30 at early morning daily before brushing teeth 3) 5 drops of homoeopathic podophyllum 30 before going to bath daily. 4) 5 drops of homoeopathic hamamelis 30, just one hour before dinner daily.
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I am suffering from prostate b.p.h. P.s.a.is o.o9 nd prostate size is 36 c.c.nd difficult urination it takes around 10 mins for urine to pass. I am a sugar patient and my sugar levels are around 150 to 180 after meal please kindly suggest me the medication.

MS - General Surgery
General Surgeon, Kanpur
I am suffering from prostate b.p.h. P.s.a.is o.o9 nd prostate size is 36 c.c.nd difficult urination it takes around 1...
U appear to be suffering with bph. Pls consult a urosurgeon for further evaluation. Prostate size is not of much concern here.
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What is reason of growth stones in kidney and what solution of it and how we relax it?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
What is reason of growth stones in kidney
 and what solution of it and how we relax it?
What's the position of stones in kidney. Send x-ray or usg report and any lab tests if any. We will tell you.
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I Have been suffering from kidney Stones formed in my left Kidney. How are stones formed? And what are the remedied to cure the kidney stones of size 5mm of 4 stones.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I Have been suffering from kidney Stones formed in my left Kidney. How are stones formed? And what are the remedied t...
Take shool gaj kesari ras twice a day..take gokshuradi guggul & punarnavadi mandoor 1-1 tab twice a day...pranacharya U through capsule and syrup twice a day...drink lots of water....avoid spinach...tea and coffee..tomato...lady finger etc...
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Hello sir I had some kindly problem due Dr. took my kidney out means now I have just one kidney My operation done on 20/07/2016 Few days before and now I want to know that can I use viagra (sildenafil) or not If not then why which kind or problems can be occur if I use viagra Is there any alternate medicine for this which I can use or any ointment or bream for instant power.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
Hello sir
I had some kindly problem due Dr. took my kidney out means now I have just one kidney My operation done on ...
Hello- You have only one kidney and you are thinking of taking Viagra for sex, it is absolutely a unsafe decision. Start ayurvedic aphrodisiacs instead if want top increase your sex power. It is a safe and effective method for you.
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Is it advisable to drink lots of water before going to the toilet in the morning? Will it make my stool loose and easy to pass?

MBBS
General Physician, Cuttack
Is it advisable to drink lots of water before going to the toilet in the morning? Will it make my stool loose and eas...
One should drink 8-10 glasses of water daily, but drinking lot of water in the morning will notmake the stool loose and easy to pass.
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Hai Dr. My urine colour it will comes light yellow. I dnt have urinary infection am taken ultra sound its normal study. Urea 35 creating 1.0. Can you advice.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hai Dr. My urine colour it will comes light yellow. I dnt have urinary infection am taken ultra sound its normal stud...
your creatinine is higher side . take plenty of water, avoid protein diets, oily foods, take syp. alksol 15 ml thrice a day with in 1 glass of water. tab. bencid 500mg once a day for 15 days. and repeat test kft. and consult again.
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What is the perfect medicine to erect kidney stone? And what is injurious for kidney?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
What is the perfect medicine to erect kidney stone? And what is injurious for kidney?
Expelling kidney stone is achieved by the herbal n minerals combo to crush and dissolve the stone. Drinking liquid is necessitated in huge qtys while these are used. Kulthi kwath made at home is also good.
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While having continues a week physical relationship with my partner i'm getting a saviour pain in my private place and feeling like have to go washroom urgently but it just feels like dat but nothing is results in washroom. please suggest.

Advanced Aesthetics
Ayurveda, Gulbarga
While having continues a week physical relationship with my partner i'm getting a saviour pain in my private place an...
Ayurvedic medicines are: 1. Chandanasava 3 spoon mix with 1 glass of water 3 times a day 2. Tab-chandraprabha vati 2-2 tab 2 times a day for 15 days.
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I am curious and confused I secretly penetrate perfume tubes and toothbrushes and bananas into my rectum But I also have fantasies of having sex with girls especially fellow school mates I hate feeling gay and I want to stop but I can not I watch porn lots of them ,but never watch gay porn .gayporn does not arouse me Also I masturbates alot like everyday. I started with only masturbation but now both. I have started doing this gay staff 2007 I did it once till 2012. But it had gotten worse last year that I did it once every week except during very busy weeks like exam weeks. But now I do it like four times a week. I hate doing it .i realy hate it. I am not interested in having sex with guys. I always fantasize doing it with girls but after that this urge of gays comes over me. I do not picture myself a gay but I do not see how to stop it. I do gay staff when masturbating its like it helps me gate to orgasm fast. I am a christian and I hate myself for doing it. I have never spoken to anyone about it coz its immoral. I watch female orgasm porn match. Do you think I am gay? How do I stop it? I hate doing this coz it is eating up my confidence especially when initiating intimate relationship with girls.

MS
General Surgeon, Panipat
I am curious and confused
I secretly penetrate perfume tubes and toothbrushes and bananas into my rectum
But I also h...
Mr ishnegoma God has given you recognition as male in this word he never tells any body to adopt this path or that it is upon human beings to take the path in which our Lord is happy with us . Ultimately we will be going back to him . So is I'll suggest you to study hard make your carrier and leave every thing on God .stop other practices all will put you in lot of trouble.
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My father is suffering from diabetes n bp he is 62 years old, bp is now 140/90 n sometimes it will b fluctuating so we consulted his regular check up doctor as well he has given trilosar tablet n sometimes sugar level will b fluctuating, n sometimes normal but he is suffering from creatinine problem it is 3.01. So we are worried about it so is there any best home remedy or medicine to get grid of this crecreatinine problem. Et.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
My father is suffering from diabetes n bp he is 62 years old, bp is now 140/90 n sometimes it will b fluctuating so w...
Controlling the dietary protein along with ketoanalogues is the way to reduce the creatinine level in the body.long-standing diabetes,uncontrolled BP Shuts the renal function. U can personally have a consultation for a detailed diet therapy
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After using "Today's women contraceptive" my wife feels some pain while passing urine like something stopping from urine to come out. Any solution to this?

MBBS, DGO, DNB Gynecology)
Gynaecologist, Delhi
After using "Today's women contraceptive" my wife feels some pain while passing urine like something stopping from ur...
Two reasons first sponge is not applied properly so exerting pressure on the urine bag (urinary bladder. Or she is allergic to today's women contaceptive. Condom or oral contraceptive pills r better and safer option.
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I have loose rectum on sitting there is pain in rectum and left side of my intestine is always strained. I take normal food. But I take laxatives for passing stools. Can it will be treated by exercise or surgery. Can I know surgery of loose rectum is successful.

FMAS, MS
General Surgeon, Gandhinagar
hi I would suggest to take more liquids, green leafy vegetables, fiber contains in diet, papaya, curd helping in your normal digestion & gradually decrease habit of laxatives onwards so far as surgery is concerned let it be decision of examining surgeon only thanks regards.
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Hi, I have been recently diagnosed with multiple calculi in my left kidney. And the largest one is of 17 mm. Should I go for surgery (as doctors have suggested) or shall I wait to see the effect of ayurvedic medicines which I am eating now. Banana with camphor is what I have been taking till now. Are there chances of getting the stone dissolved, there is no pain now in my abdominal region.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
Hi,
I have been recently diagnosed with multiple calculi in my left kidney. And the largest one is of 17 mm.
Should I...
Stone size is big. It won't dissolve. Camphor causes slow poisoning like lead/arsenic. Should not take that. You should undergo ESWL or PCNL. Since there are multiple stones PCNL will be better. PCNL is a key hole endoscopic surgery. You can consult me or any urologist regarding this. Thanks.
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Hi Being 78 years of age suffering from 9I0 Prostatic Problem and (ii) Rt Kidney calculi, one calculi is stuck in ureter thus highly infecting the kidney with Pain I am a Sr Gp "A" officer retired from Govt. Of India and hold a CGHS Card valid for whole life. Not suffering from any other prob like BP, Sugar etc. Seek urgent remedial process / action pl.

MS
General Surgeon, Panipat
Hi Being 78 years of age suffering from 9I0 Prostatic Problem and (ii) Rt Kidney calculi, one calculi is stuck in ure...
Mr. lybrate-user. As you have mentioned you have enlarged prostate with stone in rt. Kidney, rt. Ureter. Please get your few investigation done like kidney function test, IVP to see the condition of your stone and function of your kidneys. Get urine culture done with ultra sonogram of your prostate. Please take it on priority bases and consult a urologist.
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