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Dr. Ramesh Jain  - Nephrologist, Delhi

Dr. Ramesh Jain

MBBS, MD(medicine and therapeutics)

Nephrologist, Delhi

29 Years Experience
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Dr. Ramesh Jain MBBS, MD(medicine and therapeutics) Nephrologist, Delhi
29 Years Experience
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Ramesh Jain
Dr. Ramesh Jain is a popular Nephrologist in Rohini, Delhi. He has been a practicing Nephrologist for 29 years. He has done MBBS, MD(medicine and therapeutics) . You can meet Dr. Ramesh Jain personally at Vardhman Dialysis Center in Rohini, Delhi. Book an appointment online with Dr. Ramesh Jain and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Nephrologists in India. You will find Nephrologists with more than 39 years of experience on Lybrate.com. You can find Nephrologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - University of Rajasthan, Jaipur - 1989
MD(medicine and therapeutics) - University of Rajasthan, Jaipur - 1994
Languages spoken
English
Hindi
Professional Memberships
European Renal Association (ERA)
International Society of Nephrology (ISN)

Location

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Vardhman Dialysis Center

5, A-1, Sector-8, Rohini, Delhi 110085, DelhiDelhi Get Directions
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Sir I am 42 years old my creatinine is 1.27 I am diabetic and I have hyper tension also both are always in control I use a tablet called foxiga 10 mg I believe this tablet flushes out excess glucose n the body through urine I suffer with frequent urine infection does creatinine also increased if there is any infection in the body pls advice Regards.

BHMS
Homeopath, Bangalore
Sir I am 42 years old my creatinine is 1.27 I am diabetic and I have hyper tension also both are always in control I ...
its not a must that there should b increase in it..body response varies from person to person,,if urine infection is there will b increase in pus cells,casts cell wbc in urine.. sr creat 1.27 is not high..its normal till 1.30 or 1.32.. so dont worry...
1 person found this helpful
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I lived in hostel for 5 years and in those days I had a very bad food habit like junk food sometimes and skipping breakfast. Now I have frequent urination problem since 1 month where I have the feeling like urinating all the time. At first urination was very frequent (15-30 mins) but very less in quantity. Because of that I did my blood taste twice as I was scared of it as diabetes and results came normal. But since 3-4 days the break is every (1--1.30 hr) but quantity is more than before. And I wake up more hungrier than before in the morning. I'm not thirsty all the time though. At night I didn't go to bathroom in the beginning. Now I'm going twice once at 4 am and another at 6 am. Another thing I've noticed is that when I lie down or sit the urge to urinate is more but when I stand or walk the urge decreases. So I'm again tensed about the symptoms. Can the previous blood tests be faulty? Or can I develop diabetes in the gap? What should I do as I'm unable to concentrate on anything and it's very frustrating? I also have a habit of checking about symptoms whenever I feel sick. Am I being paranoid? Can my mind play tricks like this after reading about the symptoms? Please help.

MBBS
General Physician, Cuttack
I lived in hostel for 5 years and in those days I had a very bad food habit like junk food sometimes and skipping bre...
For your age excessive urination could be due to 1. Drinking lot of water/ excess tea/ coffee/alcohol 2. Urinary tract/bladder infection 3. Bladder stone causing a blockage in ureter/bladder, stone in urinary tract, cystitis, interstitial nephritis 5. Diabetes mellitus/diabetes inspidus, hypertension, 6. Stress/anxiety/nervousness, 7. Do urine re/me, blood sugar testing, take usg kub, and consult urologist for advice.
2 people found this helpful
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I had 16mm ureteric stone in left side. It has been removed through surgery surgery on August 2015. After one month stent has been removed. Ultrasound scanning shows no stone fragments and no hydronephrosis. Urine routine test also normal. Still I am getting dull pain. Why.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I had 16mm ureteric stone in left side. It has been removed through surgery surgery on August 2015. After one month s...
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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I am 32 yrs old female. I suffer from uti frequently once every year or so. But even before culture report is out im prescribed with some broad spectrum anti-biotic like cifran od 1 gm etc. I take full course of the dose of antibiotics, and symptoms are no longer there. Should I go for another urine culture after dose is complete even if I have no symptoms?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , if you symptoms free then only urine test is needed. If it shows pus cells more than 5 then only go for urine culture. Let me know what you meant by complete course. 15 days treatment is needed.
2 people found this helpful
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Hi, my wife got fever, so when consulted to doctor and had urine test, found she had urine infection so doctor suggested some medicines (UTIKIT - probiotic and probiotic capsules and Cefakind 250). Doctor also advised to get urine test done for me to see if there is any infection, so I had too done the urine test but my doctor is unavailable and out of station for 2 weeks. So I am posting the report details here, so please check and suggest me if I too had any infection and if so please suggest what to do. Report Result: Specimen: Urine Smear Report (Gram Strain): 3-5 pus cells, 1-2 epithelial cells and Gram negative Bacilli were seen. Isolate - 1: klebsiella oxytoca COLONY COUNT: >1, 00, 000/ml ANTIBIOTIC SENSITIVITY Highly Sensitive to: Amikacin, Aztreonam, Cefepime, Cefotoxime, Ceftazidime, Ceftriaxone, Cefuroxime, Gentamicin, Imipenem, Levofloxacin, Netillin, piperacillin/Tazobactam. Moderately Sensitive to: Cefoperazone Resistant to: Amoxyclav, Ampicillin/Sulbactam cefaclor, Cefixime cefpodoxime, ciprofloxacin co trimoxazole nalidixic acid, nitrofurantoin, norfloxacin, ofloxacin, tetracycline ********* End of Report ********** Please examine above report and advise me if I too had any infection and if so what medications? Thanks in advance.

PGD Maternal Child Health, MBBS
General Physician, Akola
Hi, my wife got fever, so when consulted to doctor and had urine test, found she had urine infection so doctor sugges...
Going by the reports, you need to treat both simultaneously and avoid coitus till future samples from both of you show no growth on culture. Treatment from your physician with a drug from the most sensitive to antibiotic group for sufficient duration is mandatory.
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My father is suffering from polycystic kidneys and multiple liver cysts (largest 6.29 cm*6.11 cm in liver. Will they damage the kidney and liver function in future?

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
My father is suffering from polycystic kidneys and multiple liver cysts (largest 6.29 cm*6.11 cm in liver. Will they ...
Hi yes these may damage the organs in the long run so better you take its medicine course-3-5 months to resolve or rreduce it packages are available.
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My urine culture report is alkaline (ph 7.5), pus cells 4-6/hhpf, epithelial cell 15-20/hpf, r. B. C. 2-4, bacteria, others amorphous ohosphate present.

MBBS
General Physician, Delhi
This seems to be a urinary tract infection. Take tab.norflox 400mg two times a day and syp.alkasol three times a day for 7 days. If problem persists,visit a nearby physician.
1 person found this helpful
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Diabetic Nephropathy - Causes, Symptoms and Treatments

MBBS, MD - Medicine, DM - Nephrology
Nephrologist, Delhi
Diabetic Nephropathy - Causes, Symptoms and Treatments

What is Diabetic Nephropathy?

Diabetic nephropathy (Diabetic Kidney Disease) is defined as the progressive damage to the kidneys caused by diabetes. It is characterised by the scarring of the glomeruli in the kidneys due to prolonged diabetes mellitus.

What Causes Diabetic Nephropathy?

Diabetes is a condition characterized by high concentration of blood sugar. Although the cause of Diabetes Nephropathy is not yet well defined, it is likely that the high sugar levels in the blood damage the blood vessels present in the kidneys that help to filter waste products, thus resulting in decreased kidney function and ultimately, kidney failure.

Not everyone with diabetes suffers from diabetic nephropathy. Although, factors that can increase your chances of getting diabetic neuropathy are-

  1. Smoking

  2. Poor control of blood glucose

  3. High blood pressure

  4. History of kidney diseases

What are the symptoms of diabetic nephropathy?

In the early stages, there may be no symptoms at all, but as the disease progresses, you may notice swelling in the extremities like your feet. Thus it is recommended to get your blood albumin levels tested on a regular basis. If it is diagnosed in early stages, the damage can be reversed. Other symptoms that can indicate damage to the kidneys are-

  1. Severe malaise

  2. Headaches

  3. Nausea

  4. Lack of appetite

  5. Frequent voiding

  6. Itchiness of skin

  7. General feeling of illness

Diagnostic tests that can confirm diabetic nephropathy are-

Routine urine test (urinalysis) - Kidney diseases are detected by the presence of a protein in the urine called albumin and this condition is called albuminuria. Other parameters that must be regularly monitored are-

  1. Blood pressure

  2. Cholesterol levels in your blood

How can you treat/ manage diabetic nephropathy?

If this type of nephropathy is diagnosed in the early stages, the damage to the kidneys can be reversible. The key to managing diabetic nephropathy are-

  1. Diet: Reduce the dietary intake of salt, phosphorous and potassium in the advanced stages.

  2. Glycemic Control: Monitor your blood glucose levels regularly

  3. Management of Hypertension: It is important to manage your blood pressure as it can have a direct effect on the coronary blood vessels which in turn pump blood to the various blood vessels of the body

  4. Renal Replacement Therapy: In chronically ill patients, renal replacement therapy is the best option. This can include haemodialysis (a procedure to flush out toxins from the blood, such as urea), peritoneal dialysis or ultimately renal transplantation.

3074 people found this helpful

What Are Urinary Tract Infections (UTIs)?

MBBS, MS - General Surgery
General Surgeon, Kota
What Are Urinary Tract Infections (UTIs)?

Urinary tract infections (UTIs) are bacterial infections in the urinary system. They’re very common and usually not serious, though there can be exceptions.

Your urinary tract includes your bladder, kidneys, ureters (two tubes that go from your kidneys to your bladder), and urethra (how urine goes out of your body from your bladder).

If you have a UTI in your kidneys, doctors call it pyelonephritis. If it’s in your bladder, the medical term is cystitis.

Who Gets Urinary Tract Infections?

Anyone can. But UTIs are more likely if you:

  • Are a woman
  • Have had UTIs before
  • Have a condition that affects your bladder's nerve supply (including diabetes, multiple sclerosis, Parkinson's disease, and spinal cord injuries)
  • Have been through menopause
  • Are overweight
  • Have something that blocks the passage of urine, such as a tumor, kidney stone, or an enlarged prostate
  • Use a contraceptive diaphragm or spermicide for birth control
  • Have a catheter, a tube placed into the bladder to drain urine from the bladder into a bag outside the body
  • Are a man who has sex with men, has HIV infection, or hasn’t been circumcised

Most of these traits also raise the chance that a simple bladder infection may become a more serious kidney infection, or turn into sepsis (an infection that has gotten into your bloodstream). For pregnant women, a kidney infection can raise the odds of delivering a baby too early.

Causes

  • Most UTIs are due to bacteria that are normally found in your gut, such as E. coli. Other bacteria that can cause them include staphylococcus, proteus, klebsiella, enterococcus, and pseudomonas.
  • Some bladder infections in both men and women are linked to two sexually transmitted bugs: Chlamydia trachomatis and mycoplasma. Another parasite, trichomonas, can cause similar symptoms.
  • Women are more likely to get urinary tract infections, because the tube that goes from the bladder to the outside (the urethra) is much shorter than in men. Because the urethral opening is closer to the anus in women, it’s easier for bacteria from stool to get into the female urethra. A urinary tract infection may be linked to sex.
  • In men, a bladder infection is almost always a symptom of another condition. Often, the infection has moved from the prostate or some other part of the body. Or it may mean that a tumor or something else is blocking or interfering with the urinary tract.
  • Chronic kidney infections in children sometimes happen because of a structural problem that allows urine to flow back from the bladder to the kidneys (reflux), or because the bladder doesn’t empty completely.
1 person found this helpful

I drink too much water and therefore I go to bathroom more oftenly. Is it right for me? Or should I lessen my water intake.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I drink too much water and therefore I go to bathroom more oftenly. Is it right for me? Or should I lessen my water i...
Hello, Thanks for the query. Excess water drinking will definitely increase ones visits to toilet. Which is absolutely normal. But some times in unrecognised diabetes a person is likely to get more urination, increased amount of thirst, increased hunger, tired feeling plus there may be unexplained weight loss. It is better for you to get your blood glucose tested, just to rule out the possibility of diabetes. Thanks.
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I am 21 years old. I am having burning sensation while urinating. Most probably its gonorrhea. Which medicine should I take?

BHMS
Homeopath,
I am 21 years old. I am having burning sensation while urinating. Most probably its gonorrhea. Which medicine should ...
Dear lybrate user, take homeopathic mother tincture can notharis q, 30 drops, thrice daily, after meals, in a cup of water.
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Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best water to drink?

BHMS
Homeopath, Faridabad
Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best...
Hello, lemon water is helpful in removing kidney stones. You should drink RO water in drinking. Take care.
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I am 35 year old male and have dandruff in head since 15 year. Lot of medicine used from doctor but all in vain and semen pass in urine for 6 month with headache every day so what should I do?

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Homoeo treatment take heper sulph 30 / 1 dose in morning / 7 days buy german medicine available in homoeo med shop mixed fruit juice daily 2 times dry coconut daily milk cream daily 2 boiled eggs daily morning cheese. Yellow papaya multi vit a-z tab 1 tab at night daily after dinner/ get it in chemist shop report me after 7 days You may consult for your any kind health support also there are nutritional treatment very effective.
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I am suffering from frequent urination like crazy even though my sugar level is perfect and not suffering from diabetes I am healthy playing games ,gyming done check up many times every time reports are coming normal but no solution for problem what may be the reason please help me give solution.

General Physician, Pune
I am suffering from frequent urination like crazy even though my sugar level is perfect and not suffering from diabet...
Hello lybrate-user, If all reports are normal then I feel you should not be worried. Anxiety may also lead to such symptoms. So relax. Also keep a watch on the amount of water you drink. U can always get back for any further queries.
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Dear sir, my father is a ckd patient. His last creatinine level was 4.5. He once undergone paracentesis 3 months back. Again doctor recommending him to go for paracentesis. My question is whether paracentesis is to be done on regular basis. Is there any side effects? How many times this process can be performed.?

PGD Maternal Child Health, MBBS
General Physician, Akola
Dear sir, my father is a ckd patient. His last creatinine level was 4.5. He once undergone paracentesis 3 months back...
Haemodialysis is done 3 times a week. The a v fistula created for this may get blocked and need to be done again. Peritoneal dialysis is another way to do it but frequency to do it is dependent upon creatinine levels.
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I am a patient of blood infection through out year and acnes are seen always on body at the same time I have a problem of urinary infection which gives burning sensation after ejection sever treatment done nothing got cleared please advise me weather my blood culture is related to both this problem.

DHMS (Hons.)
Homeopath, Patna
I am a patient of blood infection through out year and acnes are seen always on body at the same time I have a proble...
Hello, Lybrate user, Tk, plenty of water to hydrate your body reducing burning sensations while passing urine. Go for meditation to reduce your stress to nurture urinary system ,purifying blood at the same time. Your diet be non-irritant ,simple, easily digestible on time to avoid gastric disorder to check skin erruption. Tk, Homoeo medicine:@.Azadirechta Q-10 drops, thrice with little water. Avoid, junkfood, Alcohol, nicotine, caffiene, piza, burger, dust,scorching Sun. Report fortnightly. Your feedback matters for further follow-up, please. Tk, care.
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Today blood come with my urine please advice why this happen, there is no pain and happen first time. What should i do Please advise.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Today blood come with my urine please advice why this happen, there is no pain and happen first time. What should i d...
Dear , painless passage of urine has many causes. Some of them are benign like infection, stone, obstruction etc while other are more sinister like tulour. So get it investigated. Blood count, urine test and sonography with full bladder volume, bladder wall thickness on full bladder and post-void residual urine volume. Post reports along with pictures of the scan here.
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I have 12 mm kidney stones in my right kidney and 3.4mm in left kidney. What should I do?

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
I have 12 mm kidney stones in my right kidney and 3.4mm in left kidney. What should I do?
3.4mm stone cane removed by medicines only but 12 mm stone can only be removed by surgery. Now minimal invasive procedures are available.
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My face is suffering from stone type acne which is caused by masturbation I think. Plzzz suggest me any medicine which really reduced my acne problem.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
My face is suffering from stone type acne which is caused by masturbation I think. Plzzz suggest me any medicine whic...
Dear user, use tea tree face wash and toner twice daily. Use aha glow face wash once in a day. Use sunscreen with spf 30 daily. Use natural face pack of multani mitti and lemon 2 times a week. You can also use apple cider vinegar for 5 minutes after washing your face and splash it clean with water. Most important is diet- do not eat junk, eat more vegetables and fruits especially with vitamin c.
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I'm facing urination urge very frequently since few months. Although I urinated more frequently than normal since childhood but since few months it's been increasing. I am 19 year old, Weight around 45-50 kgs. Height 5'6" long. Do I have diabetes? Or it could be some other problem?

MS - General Surgery, MCh Urology
Urologist, Hyderabad
I'm facing urination urge very frequently since few months. Although I urinated more frequently than normal since chi...
Respected Sir 1.Increased frequency of micturition has many causes including a) Urinary Tract Infection, b) Overactive Bladder, c) Systemic causes like diabetes, d) Increased intake of oral fluids over 3-4 litres a day, e) Psychological. 2.A detailed history need to be taken and also a voiding diary needs to be maintained for 24 hours time to reach a proper diagnosis. 3.Please consult a Urologist for further advice and management. 4.Physical Examination is also essential to rule out Phimosis or stricture urethra. 5.Make sure you do not drink large quantities of water at a single point of time. 6.Space your water intake adequately, like 150 ml every hour or so. 7.Restrict intake of tea as it might result in diuresis Hope this helps Thanks.
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