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Dr. S.N Budhiraja

Urologist, Delhi

Dr. S.N Budhiraja Urologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. S.N Budhiraja
Dr. S.N Budhiraja is an experienced Urologist in Bapa Nagar, Delhi. He is currently associated with Sanjeevan Speciality Hospital in Bapa Nagar, Delhi. Save your time and book an appointment online with Dr. S.N Budhiraja on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 26 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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Sanjeevan Hospital, Darya Ganj 24, Ansari Road, Darya Ganj, Delhi - 110 002, DelhiDelhi Get Directions
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She used to masterbate with me and I have also done tongue tornado on her vagina and I have fingered in her anus. Does it will cause any problem to me and my girlfriend? But I have not sexually intercourse with her.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi performing all these acts require high level of hygiene & cleanliness then both will have least chances of getting problem. Like tell her to clean her vagina clearly with dettol soap & dry it before you do tongue tornado. You also have to similarly do that with your penis before she does any oral act. Shaving of private parts also matters a lot. After finger act of rectum immediately thoroughly wash your hands with dettol antiseptic. Thanks regards.
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I am a chronic kidney patient with Serum Creatinine levels of 4.4. I would like to know which kind of Dialysis is convenient and less painful.

MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Mohali
I am a chronic kidney patient with Serum Creatinine levels of 4.4. I would like to know which kind of Dialysis is con...
At a creatinine level of 4, dialysis is usually not required. If and when there is an indication for dialysis, the options are hemodialysis or peritoneal dialysis. Both have their own pros and cons which you should discuss with your nephrologist prior to starting dialysis. Also, renal transplant is another option if there is a suitable donor and you r fit for surgery.
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Hello Dr. I am 41 male and for the last five year I am on medication for BPH and doing fine. Just few days back Dr. advised me for Ultrasound of Abdomen. Every thing comes out normal except it showed partially distended Urinary Bladder and but off course enlarged prostate. Also apart from Prostate and partially distended bladder there is something fatty infiltration of liver mentioned. My Dr. Says its OK and there is nothing to worry about. Kindly suggest.

MBBS
General Physician,
Hello Dr. I am 41 male and for the last five year I am on medication for BPH and doing fine. Just few days back Dr. a...
Fatty infiltration of Liver is the thing which is tickling your mind. Do not take tension and relax . Whatever your Doctor told you is absolutely right. If the infiltrates increase a lot and cross the limit then it leads to Fatty Liver which is a diseased condition. To avoid the increase in infiltrates you need to improve your lifestyle, especially food habbits, don't drink alcohol, restricted fat and sweet deit is needed and regular exercise must be practiced. Hope helped. Regards
3 people found this helpful
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I am feel pain in lower abdomen or pain during urine and for last year after sex my wife feel same problem is it a std. Or other serious disease.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am feel pain in lower abdomen or pain during urine and for last year after sex my wife feel same problem is it a st...
No it is because of cystitis which is very common among married couple and related to sex. She has to start tab nitrofurantoin, syp cital and drink plenty of water.
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It was notified that drinking concoction of parsley leaves and coriander at intervals, it clean kidneys hence I wanted to know as to what a ckd patient with restriction of half litre of water per day should act to cleanse his kidneys.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
Dear, please take professional guidance. A person with kidney disorder should boil vegetables, strain water and then consume the veggies. Coming to fluid intake, total urine output in a day should not exceed the patients fluid intake whether he is taking buttermilk, tea, soup, ganji, water, rasam, etc.
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My vagina is paining and sensitive and there is blood in my urine. While urinating there is excruciating pain. Pls advise.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
My vagina is paining and sensitive and there is blood in my urine. While urinating there is excruciating pain. Pls ad...
It can be vaginally and urinary infection .Please get the checkup done by gynaecologist and do the urine culture and sensitivity
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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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I am a 35 years old female and have urine infection for last one year what should I do?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
I am a 35 years old female and have urine infection for last one year what should I do?
Dear,if you have persistent or recurrent infection there has to a cause like inadequate dosage, inadequate duration of drug therapy, drugs taken wrong way or wrong combination of drugs. Secondly you may stone, obstruction, tumour or inborn defect which need to be detected and treated, urine test is first then urine culture and then sonography. Post these report along with pictures of scan here and let me see them.
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I have pain in my anus area while urinating and during intercourse and I am getting frequent urinating.

MBBS
General Physician, Mumbai
I have pain in my anus area while urinating and during intercourse and I am getting frequent urinating.
Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet and Take syp cremaffin two tsp at night and apply lidocaine ointment at anal area and For pain take tablet paracetamol 650 mg
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Hi sir I have kidney stone could you please suggest me any home remedies to to remove.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Hi sir I have kidney stone could you please suggest me any home remedies to to remove.
What are the size of the stones? stones treatment depends on the types and size of stone, most kidney stones won't require invasive procedures. 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 doctor tells you otherwise, drink enough fluid mostly water to produce clear or nearly clear urine. Passing a small stone can cause some discomfort. To relieve mild pain, according to your medical history I may prescribe pain relievers. I am a doctor and renal (kidney) registered dietitian who will also prescribe a customized diet plan and medications to help pass your kidney stone quickly and with less pain. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I had a stone in the kidney. What should I do? what are the food items that I should not eat?

MBBS
Nephrologist, Kolkata
I had a stone in  the kidney.
What should I do?
what are the food items that I should not eat?
What exactly is your problem like burning sensation during urination or like you have to go to loo frequently tell me in detail and I will surely advise you to the best of my knowledge. Also send me your usg report as treatment will depend upon the site size n composition of stone. Till then drink plenty of water n avoid high calcium, phosphate, protein diets. Thanks.
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I am suffering from phosphate problem immediately after my toilet (urine). After that my hydrocele get increases and start paining approx 1-2hour.

MBBS, MBA (Healthcare)
General Physician, Delhi
I am suffering from phosphate problem immediately after my toilet (urine).
After that my hydrocele get increases and ...
do ultrasound scrotum and consult with report. you can consult your family physician if pain is more.
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Is that prostate is life threatening disorder in male ?

MBBS
General Physician,
No, you should take regular medicines or go for prostate surgery if it create major problem or in grade 2, grade 4
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How to do kegel exercise? I am searching on net but didn't find a proper video for that. Some say just stop the urination fir few sec while urinating. Other say just sit in the chair or floor inhale the air and contract the buttock portion and then release it .please suggest a proper format or any proper steps to do it?

MBBS
General Physician, Mumbai
How to do kegel exercise? I am searching on net but didn't find a proper video for that. Some say just stop the urina...
Kegel exercise is a pelvic floor exercise and we need to regularly contract and relax the muscles supporting the pelvic floor and it needs to be done multiple times each day And both the methods you mentioned are right and can be practiced.
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I am 33 years male and have been suffering from minute multiple colonel ulcers from 2011. After 3 years with vegas od1.2 and mesacol 8 mg, my dozes has been stopped. But don't feel ok. My stomach sometimes upset with constipation and loss motion. When I talk to my doctor, he told me it's a infection and prescribed normaxim rt. My bad food habits. 3 packs alcohol and 4 cigarettes.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 33 years male and have been suffering from minute multiple colonel ulcers from 2011. After 3 years with vegas od...
Take 2-tab. Charcol at night before bed. Syp. Livoluk 10 ml at night.This can help cure in constipation. take green veg., salaad in meal.grapes at night,one apple daily in morning. Banana in morning, juice,whole grain ,oats,more fiber meal,digestive foods, plenty of water during day and 1 glass of water before meal, avoid bad habits...stress ,alcohol, smoking, non-veg.,avoid fatty meal,oily foods. To confirm cause of constipation you may go for tests stool r/m, stool c/s,lft,blood sugar,cbc,usg whole abdomen ,x ray barium meal for examination for rectum,sigmoid, best tests is endoscopy for large intestine . Do not eat papaya if you diabetic. go for walk daily in morning.
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I have a 25 day old baby boy. He is passing motion every time he passes urine or strains in very small amounts. Is it normal or is there a remedy for it?

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 a 25 day old baby boy. He is passing motion every time he passes urine or strains in very small amounts. Is it...
This is normal for such a small child. Still a rectal examination may done to rule out any congenital abnormality.
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I have problem while passing urine. Only few drops come out. Along with the fire felling. My ultrasound report is k. I am sending you along with it. Please help me. I get pain too.

Fellowship in Kidney Transplant & Reno Vascular Surgery, Diploma in Urology, M. Ch, MS, MBBS
Urologist,
I have problem while passing urine. Only few drops come out. Along with the fire felling. My ultrasound report is k. ...
Dear , I think you are suffering from bladder outlet obstruction with urinary tract infection pl get in touch after getting uroflow, urine routine microscopic and xray abdomen kub done.
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My dad's kidney is leaking protein abnormal. He had high blood pressure and diabetes also. After doctors concern he is taking steroids as a drug for cure. All the doctors are saying that there is no cure for this except steroids. Doctors also saying that steroids is not good for health. Now please suggest me what to do for complete cure. I don't wanna loose my dad. please help me. Its a humble request. please do something.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My dad's kidney is leaking protein abnormal. He had high blood pressure and diabetes also. After doctors concern he i...
high blood pressure combined with diabetes going on for a number of years are invariably dangerous to the kidney. These conditions lead to a chronic kidney damage then to chronic kidney failure. The treatment options are limited. Most important thing is to have strict sugar and bp control. Because if these diseases are ot fully controlled then damage is progressive, can cause complete failure. So make sure that his sugar levels and bp are as normal as possible. Reduce excess salt and protein intake. Drugs like nsaids (pain killers) should be avoided. If need be dialysis should be used to help kidney functioning.
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I am suffering from itching in urethral opening. Also when I urinate it feels like inflammation for some time from 3 days. Also I got fever. But I do not know whether it is due to this problem or cold. I went to doctor and he gave me paracetamol and antibiotics for fever. Tell me what can I do for itching and inflammation problem.

MBBS
General Physician, Chandigarh
I am suffering from itching in urethral opening. Also when I urinate it feels like inflammation for some time from 3 ...
You have yo specify which antibiotics you are taking and since how long you are taking it it looks like more of urinary tract infection rather than cold for which you should get your urine tested for culture and sensitivity and then take the antibiotics according to sensitivity report.
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