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Dr. Sanjay

Urologist, Delhi

900 at clinic
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Dr. Sanjay Urologist, Delhi
900 at clinic
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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.
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Dr. Sanjay is a trusted Urologist in Ashram, Delhi. You can consult Dr. Sanjay at Vimhans Hospital in Ashram, Delhi. Save your time and book an appointment online with Dr. Sanjay on Lybrate.com.

Lybrate.com has an excellent community of Urologists in India. You will find Urologists with more than 37 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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Vimhans Hospital

#1, Institutional Area, Nehru Nagar. Landmark: Behind DAV College, DelhiDelhi Get Directions
900 at clinic
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Alport Syndrome - How It Can Be Diagnosed?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - General Medicine, DM - Nephrology
Nephrologist, Ahmedabad
Alport Syndrome - How It Can Be Diagnosed?

Alport Syndrome, first detected by Dr. A. Cecil Alport and named after him is a rare inherited disease. It affects the kidney and also the inner cochlea or ear and the eyes. Passed down through families, it is caused by genetic mutations that affect the type IV collagen family of proteins. Collagen is an important tissue that forms the basement structure of the kidney, inner ear and eye.

Types of Alport syndrome
X-Linked Alport Syndrome: A most common form of Alport Syndrome, boys who are affected with this type tend to develop serious complications and kidney failure.
Autosomal recessive Alport syndrome (ARAS): When both the parents carry the abnormal gene and pass it down to their offspring, this type of syndrome is caused. If affects the male and female with equal severity.
Autosomal dominant Alport syndrome (ADAS): This happens when the child inherits the abnormal gene from one of the parents. Only one copy is needed to cause a mutation.

Signs and symptoms of Alport syndrome
With all types of Alport Syndrome, the tiny blood vessels of the kidney called glomeruli are damaged and the kidney will be unable to filter the toxins from the body. The most common symptoms include:

  1. Hematuria – Blood in the urine
  2. Proteinuria – Protein in the urine
  3. High blood pressure
  4. Edema – Swelling in the legs, ankle, feet and around the eyes
  5. Hearing and vision problems
  6. Flank pain

Diagnosis
The following tests and examinations can be performed to assess the condition and type of Alport Syndrome:
1. Urine test – It helps in finding the presence of blood or protein in your urine
2. Glomerular Filtration Rate – The blood work assesses the levels of waste and protein in your blood
3. Kidney Biopsy – A tiny piece of kidney is removed with special needle and analyzed
4. Hearing Test – It checks, if hearing is affected
5. Vision Test – This is conducted to check any abnormalities in vision
6. Genetic Test – It determines the type of Alport syndrome and confirm the diagnosis

Treatment
There is no specific treatment for Alport Syndrome. However, treatment aims to relieve the symptoms and slow the progression of kidney disease.

  1. Medications to control high blood pressure
  2. Diuretics or water pills
  3. Limiting salt or sodium intake in your diet
  4. Kidney transplantation if patient is progressing towards kidney failure
  5. Medications to slow down the onset of kidney damage


Awareness of family history of this disorder will help in detecting Alport Syndrome at an early stage and also help you take the right steps to prevent any further complications. Seek medical attention and contact a nephrologist immediately if you have a family history of this disease.

1823 people found this helpful

I saw few drops of blood in urine at last doctor advice me whole abdomen especially kvb what is this.

MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Mohali
I saw few drops of blood in urine at last doctor advice me whole abdomen especially kvb what is this.
KUB refers to kidney, urinary bladder. ultrasound is to look for any abnormality which could lead to blood in urine.
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6 Tips For Your First Visit With A Gastroenterologist

Fellowship Minimal Access Surgery(FMAS), DNB ((Surgical Gastroenterology), MS (General Surgery), MBBS
Gastroenterologist, Delhi
6 Tips For Your First Visit With A Gastroenterologist

A Gastroenterologist is a physician with dedicated training and unique experience in the management of diseases of the gastrointestinal tract and liver. If you are planning to visit one, you most likely have a problem in one or many organs like esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. 

Visit your doctor to understand the severity of your condition and the course of treatment, as it is obvious that during this time you must be suffering from anxiety and you may not ask the questions arising in your mind. That is why you need to prepare in advance for your first visit with a gastroenterologist.

Being an active partner in the doctor patient relationship is bound to have its benefits. Here are some handy tips:

  1. Come mentally prepared: Don't let the anxiety get to you. If you need some extra help calming down, try yoga or meditation. You can simply go out on a walk alone to help you focus your thoughts. This is just like any other doctor visit. The good part is that you are taking the first step in easing your discomfort and starting treatment, so go with a positive mind.
  2. Maintain a diary of symptoms: It is likely that you are experiencing discomfort from past few days or weeks before you finally realize the need to seek out a specialist. Try to remember as much as possible about the symptoms you experienced in a chronological order. Write down any over the counter medicines you've tried or anything unusual that you may have consumed in the past week. 
  3. Take stock of your medical history: It is likely that your doctor may want to know about any historic conditions you've suffered that may or may not relate to your present condition. Many ask you to fill out forms during your first time patient registration which includes many minor details about your medical past. List down any allergies, especially food allergies you have. 
  4. Take stock of your recent medical tests: Bring your latest blood tests and imaging tests (X-rays, ultrasounds, MRIs, and CT scans) with you for the doctor's visit. If you have a pre-existing condition like diabetes, thyroid or you suffer from other chronic conditions like increased uric acid, carry your most recent medical reports with you. 
  5. Make a list of questions for the doctor: In most cases, the first visit is a crucial factor in determining whether you want to continue the course of treatment with a particular doctor. This comes out of your ability to trust the doctor, his knowledge and diagnosis and an overall comfort level that comes with how well he handles your questions. Start by making a list of questions you want to ask about your specific condition and course of treatment and see if you get satisfactory answers. 
  6. Brace yourself: If you want to suggest a treatment option, make sure you read up all about it before you tell the doctor.

Related Tip: "5 Shocking Reasons Drinking Water Along With Meals Is The Biggest Mistake Ever!"

5047 people found this helpful
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Hi sir. My mother has a stone of 4 mm in her kidneys. And we are following some medicines and syrup. Can you please suggest some foods that burns the stone in the kidneys. Thank you.

CCAH, BHMS
Homeopath, Palakkad
Hi sir.
My mother has a stone of 4 mm in her kidneys.
And we are following some medicines and syrup.
Can you please s...
Lemon contains citric acid which decreases the acidity of urine; this prevents the formation of calcium oxalate and uric acid stones. Lemon juice helps break up kidney stones and dissolves them so they can pass easily from the Kidney to the bladder through urination. Too much intake of lemon juice in a day is not good. Normal water you can drink. Daily 3-4 litres of normal water intake is recommended. Boiled and then properly cooled or Luke warm water is preferable to drink. Homoeopathic medicine like berberis, Lycopodium, Hydrangea, etc which helps to dissolve stones easily and eject out through urine. No side effects in HOMOEOPATHIC MEDICINES.
2 people found this helpful
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Prostate Biopsies - Ways You Can Avoid It!

Urologist
Urologist, Gurgaon
Prostate Biopsies - Ways You Can Avoid It!

One of the most common issues with old age in men is the enlarged prostate. Any difficulty with urination (no constant stream, difficulty initiating, or incomplete emptying of the bladder for instance), and the first suspect is an enlarged prostate. These symptoms are followed by a digital rectal exam to check for an enlarged prostate. Once confirmed, the next step is to check for levels of prostate-specific antigen (PSA). If both the exam and the PSA are positive, it could mean prostate cancer. As with any cancer, it is believed that sooner it is diagnosed and the treatment is started, the better.

Historically, the best way to rule out the prostate cancer had been to do a prostate biopsy. This is a minor invasive procedure, wherein biopsies are taken from various regions of the prostate which are known to develop cancer (about 12). A disadvantage of this procedure includes missing out on the front part of the prostate which can also develop cancer. Secondly, it is not a very pleasant experience and given a chance, most men would not want to have it done.

There is good news for these men who would like to avoid prostate biopsies. The first is the multiparametric MRI which uses no x-rays and is considered very safe with extremely accurate results. This MRI exam requires about an hour, and once the images are obtained, the doctor will analyse these images and check for several parameters to assess for prostate cancer. The absence of cancer can be confirmed with up to 90% accuracy, which is far greater than with usual biopsies. If there is a possibility of cancer, then a biopsy can be done to confirm it.

Also, these images indicate the exact region where cancer likely is, and this guides the doctor to biopsy only where absolutely essential. The chances of false positive and false negative results are reduced drastically. The one disadvantage here is that MRI detected biopsies usually tend to be of a higher grade which requires immediate treatment.

Another way to reduce chances of the biopsy by 30% to 50% is by the 4K test. It helps detect a variety of prostate issues including cancer. It can be used once higher levels of PSA is identified and before going for a biopsy. It combined 4 prostate-specific biomarkers with clinical information to accurately provide men with a risk of developing prostate cancer. It can be used even after negative biopsies to confirm the diagnosis of prostate cancer.

These two measures can drastically reduce the incidence of prostate biopsies, which is neither pleasant for the patient nor very effective for the doctor.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3399 people found this helpful

I have lump in anal opening and before 3 to 4 weeks I have a blood in stool and this lump is also there before the 4 to 5 month after it is cure itself and this lump is felt by me is more than 5 times. So there is any emergency and should I have cure it?

MBBS
General Physician, Mumbai
Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and Take syp cremaffin two tsp at night and apply lidocaine ointment and if necessary get it operated
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My dad have kidney stone and he have kidney swelling also And he also gets hiccups due to high Power tablets and he gets skin infections and he soon get suffered from jaundice also He's getting sweat.Please tell.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My dad have kidney stone and he have kidney swelling also And he also gets hiccups due to high Power tablets and he g...
Take 1 cup of horse gram + Add ½ L water + Heat the mixture till water level reduces to 1/5th + Strain and collect the soup + add 2 tsp of crushed pomegranate + Mix well + Drink once a day...take shool gaj kesari ras twice a day
2 people found this helpful
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My mother has frequent urination problem from last 4-5 yrs. Urine comes in very less quantity in drops with burning pain. USG and urine test gives no symptoms of problem. She is not diabetic. Blood found in urine which is not seen by eyes directly. Doctor says that it may be shrinkage of the tube (narrow urethra. Please advice some medicine to cure.

B.H.M.S
Homeopath, Patna
My mother has frequent urination problem from last 4-5 yrs. Urine comes in very less quantity in drops with burning p...
Lycopodium cm one drop in a cup of water. If burning before pasing urine than can nothris 30 one drop twice daily if burning is after passing urine than sarsaparilla 30 one drop twice daily report in 5 days.
1 person found this helpful
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