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Dr. Vineet Narang

Urologist, Delhi

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Dr. Vineet Narang Urologist, Delhi
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Vineet Narang
Dr. Vineet Narang is a trusted Urologist in Lajpat Nagar, Delhi. He is currently practising at Aastha Medical Centre in Lajpat Nagar, Delhi. Book an appointment online with Dr. Vineet Narang on Lybrate.com.

Lybrate.com has top trusted Urologists from across India. You will find Urologists with more than 32 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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Aastha Medical Centre

C-81, Lajpat Nagar. Landmark: Near C Block Mother Dairy, DelhiDelhi Get Directions
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Nephrotic Syndrome: Know Its Causes and Treatment!

DM - Nephrology, DNB (Nephrology), MBBS , MD - Medicine
Nephrologist, Mumbai
Nephrotic Syndrome: Know Its Causes and Treatment!

Glomerulonephritis is a disease that is caused due to inflammation of the small filters that are present within the kidneys or glomeruli. Glomeruli eliminate the excess waste, electrolytes and fluids from the blood, discharged through urine. A glomerular disease can be either acute or chronic. If the condition arises without a combination of any other disease, it is termed as primary glomerulonephritis. Secondary glomerulonephritis is characterized by diabetes or lupus (an auto-immune disorder) being at the root of the disease. Prolonged or severe inflammation can take a toll on the kidneys.

Causes-

Nephrotic syndrome can be primary, being a disease specific to the kidneys, or it can be secondary, being a renal manifestation of a systemic general illness. In all cases, injury to glomeruli is an essential feature. Kidney diseases that affect tubules and interstitium, such as interstitial nephritis, will not cause nephrotic syndrome.

Primary causes of nephrotic syndrome include the following, in approximate order of frequency:

  1. Minimal­-change nephropathy
  2. Focal glomerulosclerosis
  3. Membranous nephropathy
  4. Hereditary nephropathies

Secondary causes include the following, again in order of approximate frequency:

  1. Diabetes mellitus
  2. Lupus erythematosus
  3. Viral infections (e.g., hepatitis B, hepatitis C, human immunodeficiency virus [HIV] )
  4. Amyloidosis and paraproteinemias
  5. Preeclampsia
  6. Allo-antibodies from enzyme replacement therapy

Nephrotic-­range proteinuria may occur in other kidney diseases, such as IgA nephropathy. In that common glomerular disease, one-third of patients may have nephrotic-­range proteinuria.

Nephrotic syndrome may occur in persons with sickle cell disease and evolve to renal failure. From a therapeutic perspective, nephrotic syndrome may be classified as steroid sensitive, steroid resistant, steroid dependent, or frequently relapsing.

Treatment-

  1. Whether one is suffering from acute or chronic nephrotic glomerular , with symptoms moderate or severe, the treatment lies in treating high blood pressure and other underlying conditions of the disease.

  2. Water pills help control sweating, thus increasing the fluid flushed from the kidneys.

  3. Statins reduce cholesterol level.

  4. Blood thinners such as anticoagulants lower the risk of blood clots.

  5. Corticosteroids regulate the immune system and ease the inflammation that results from kidney disorders.

  6. Incorporating certain lifestyle changes such as opting for lean proteins, cutting on the intake of fat in the diet and consuming lesser amounts of salt can treat inflammation and swelling.

  7. For kidney failure, dialysis can come to the aid in eliminating excess fluids and regulating hypertension.

2 people found this helpful

Kidney - 5 Things To Keep Them Healthy & Fit!

MBBS, D.N.B. (General Surgery), D.N.B. (Genito Urinary Surgery)
Urologist, Mumbai
Kidney - 5 Things To Keep Them Healthy & Fit!

When we talk about health, the kidneys are rarely spoken of. These unsung heroes are responsible for filtering waste out of our bodies and ensuring that only clean blood flows through our system. The kidneys are a pair of small, bean-shaped organs located at the back of the abdomen. Along with removing waste from the blood, the kidneys also balance electrolytes and control the fluid balance in the body. Thus, keeping the kidneys healthy is as important as keeping the heart and lungs healthy.

Kidney stones are the most common condition that can affect these organs. Other conditions that can affect the kidneys include inflammation of the kidneys, renal failure, nephrotic syndrome and cysts. Thankfully, keeping the kidneys healthy is easy. Here are a few things you can do to improve the health of your kidneys.

  1. Drink plenty of water: Keeping your body hydrated is crucial to kidney health. Ideally, a person should drink a minimum of 8-10 glasses of water a day. Water helps control the production of aldosterone- a hormone that regulates blood pressure- by the adrenal glands and helps the kidneys retain enough water and sodium to balance blood volume levels. If the kidneys do not get enough water, the adrenal glands are stressed into increasing blood pressure levels.
  2. Limit consumption of caffeine: We drink caffeine in many ways- sodas, coffee, tea etc. While caffeine may act as a stimulant and keep you focused on what you are doing in the short run, in the long run, it dehydrates the body. Dehydration can also lead to the formation of kidney stones. Hence reduce your caffeine intake and instead drink more water and fresh juices.
  3. Quit smoking: Smoking not only affects the lungs but also damages blood vessels thus decreasing blood flow to the kidneys thus preventing the optimal functioning of the kidneys. Smoking can also increase one’s risk of suffering from renal cancer.
  4. Get regular exercise: Exercise benefits all parts of your body including the kidneys. Regular exercise reduces blood pressure and helps keep the blood moving. This can help prevent kidney diseases and a number of other conditions. Ideally, aim for half an hours exercise a day at the least.
  5. Eat plenty of fresh fruits and vegetables: Fruits like grapes, apples and blueberries and vegetables like spinach, beets, garlic and red bell peppers help improve kidney functioning. Women should also include oestrogen boosting foods like chickpeas, fennel, tomatoes, cherries and carrots in their diet to protect themselves against kidney damage and fibrosis. Foods that are low in gluten, sugar and soy also help reduce the risk of kidney inflammation. If you wish to discuss about any specific problem, you can consult an urologist.
6216 people found this helpful

How to protect my kidney? I have taken practice and decadan so I want to that medicine discontinue. If tjat medicine discontinue then face very problem face so how to discontinue. Tell me dear sir.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How to protect my kidney? I have taken practice and decadan so I want to that medicine discontinue. If tjat medicine ...
If you wants protects kidney pl. Avoid more salt, oily and fatty foods. Avoid alcohol. Avoid cold drinks. Avoid more proteins foods. Avoid soda water, avoid more pain killer medicines. Take 7 to 8 glass water daily. Take proper sleep at night. Tjat medicines continue but pl. Send kft reports of you for better advice.
2 people found this helpful
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I am a girl. and have kidney stone problem from two years, For me is operation a suitable solution or not?

MBBS
Nephrologist, Kolkata
I am a girl. and have kidney stone problem from two years, For me is operation a suitable solution or not?
The tratment will depend upon the site size n composition of the stone your age your symptoms. Considering all of dese d decision for outline of treatment will b taken. Your case can be treated by operation or simple medicines may suffice also. For further queries send your detailed symptoms history n reports privately. I can surely help u. Thanks stay healthy stay happy.
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Changes You Have To Make When Suffering From An Enlarged Prostate!

MD - General Medicine
Sexologist, Delhi
Changes You Have To Make When Suffering From An Enlarged Prostate!

It can be frustrating suffering from enlarged prostate. When you are suffering from the condition one thing for sure is that you need to make a number of changes in your life. Some of these changes include:

Reduce your fluid intake

To reduce the number of times that you have to go to the bathroom, you need to reduce your fluid intake. As rule of thumb, you shouldn't take any water before going to bed. You also shouldn't take coffee or beer before going to bed. Even when you avoid the fluids it's common to feel the urge to urinate. When you are in the bathroom, you should try "double voiding." This is where you urinate, relax, then wait for a moment then resume your urination. Doing this ensures that you empty your bladder at once thus not requiring you to go to the bathroom a second time.

Cold weather is attributed to the need for regular urination. You should keep your house warm. You do this by staying warm. Ensure that your house is warm by installing furnaces and other heating units. Also, avoid regularly going out at night in cold weather.

Watch the food that you eat:

Experts report that the food you take can make or break your prostate. When you are suffering from enlarged prostate you need to avoid the food that would worsen the condition. Some of the food you need to stay away from include:

Red meat and processed meat: Meat that isn't properly done has been shown to contain high levels of heterocyclic amines that are carcinogenic and worsen your enlarged prostate. To be on the safe side you should avoid foods such as sausage, beef, hot dogs, lunch meats, pork, and others.

Daily and calcium: A research study published by the Journal of nutrition, drinking whole milk increases the progression of fatal prostate cancer. To keep your condition in check you should avoid taking plenty of milk. If you have to take it, you should stick to fat-free milk. To be on the safe side you should take salmon, sesame seeds, bell peppers, tomatoes, avocados, tofu, and vegetables.

Engage in exercises

If you have never exercised before, now it's the time to start as experts have reported that doing so relieves nervousness thus you are able to urinate without any problems. Exercising also relieves stress. The cool thing is that you don't have to engage in strenuous exercises to reap the benefits. Simple exercises such as walking are enough.


 

5 people found this helpful

I am suffering from kidney stone problem please advise precautions and diet for the stone problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am suffering from kidney stone problem please advise precautions and diet for the stone problem.
hi 1. have a kulti soup 1 bowl at the time of lunch and dinner 2. have 1 tsp ghee in meal 3.have pomegranate juice weekly 3 time a day 4.avoid over eating and sweating
1 person found this helpful
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I am 24 years old. I am suffering from frequent urination. My testes are also swollen and every morning I am suffering from minute fever. My scalp has also become dry. I went for sonography but everything seems normal to them. Please help me out what needs to be done next?

MBBS
General Physician, Mumbai
I am 24 years old. I am suffering from frequent urination. My testes are also swollen and every morning I am sufferin...
If your testis are swollen than usg scrotum should have revealed something (so please check ) and I will suggest you to take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
1 person found this helpful
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My daughter is of 3 years. From past 1 week she is having anal pain mainly while sleeping.in a day she will tell pain 4-5 times. Had given her medicine for worm two weeks back. No pain while passing stool/urine. No blood stain. She's getting a relief when she sits. What do I need to do? No redness outside her anus.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My daughter is of 3 years. From past 1 week she is having anal pain mainly while sleeping.in a day she will tell pain...
To know reason of anal pain in peculiar circumstances, it require proper history and examination. You have already dewormed 2 weeks ago. I suppose she is not constipated also. It is advisable to consult pediatrician.
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Last month I suffered from ecoli . Now I am ok but I developed arthritis . Doc told me it is reactive arthritis. This is post UTI. My query is will this reactive arthritis will go automatically because I am not taking any med for this. Also I went for BMD n result says I have pesto potosi sat L1 - L4. I am 62 years old.PLease tell.

MD - Ayurveda, Bachelor of Ayurvedic Medicine
Ayurveda, Ernakulam
Last month I suffered from ecoli . Now I am ok but I developed arthritis . Doc told me it is reactive arthritis. This...
Reactive arthritis needs medication and otherwise symptoms will persist and could complicate the whole body in due course of time.
2 people found this helpful
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I have frequent urination problem, I went for lab test for kidney stone , there is no problem in it still I have to go at least every 40 minutes in day and 2-3 times sometime 5 times at night which some times cause premature ejaculation also.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
I have frequent urination problem, I went for lab test for kidney stone , there is no problem in it still I have to g...
Drink only water when thirsty that too warm. Avoid all cold foods drinks and ac. Run for half an hour daily and sweat out all toxins and stress.
4 people found this helpful
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I am suffering from enlarged prostrate gland with psa 11.25 my age is 77.5 years. Frequency of urination at night is some times once during day also 2-3 times. Your advice is solicited on the treatment I should undertake.

B.H.M.S
Homeopath, Patna
1. Sabal serulatta q take 20 drop in a glass of water twice daily 2. Baryta carb 1 m one drop in a cup of water once only.
1 person found this helpful
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For back pain I was prescribed Painkillers 10 days back. After that I a, m getting semisolid stools, nearly 3 times a day. The stolls are not loose, only semi solid. Now I am having severe itchiness in the area around the anus. I am fat and my hands I cannot reach there to scratch too. What could be the line of treatment in this issue. I want immediate relief as the itchiness keeps me very disturbed constantly.

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
If there is no bleeding then nothing to worry. Infact you should avoid scratching. Keeep the area clean and dry and apply any dusting powder. Keep diabetes well controlled. Avoid scratching because once you scratch then itching never goes.
1 person found this helpful
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Hey iam 17 years old. I used to have a stone in kidney when I was 14 years old its was 24mm it was removed by a surgery so nowadays my kidney started paining like before so is it possible that i've a stone again?

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Hey iam 17 years old. I used to have a stone in kidney when I was 14 years old its was 24mm it was removed by a surge...
Yes it is possible to have stone again. You need to get an ultrasound to see if there is a recurrence of stone then you should get yourself investigated by pediatric nephrologist for the cause of stone.
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Peritoneal Dialysis - How Is It Performed?

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Peritoneal Dialysis - How Is It Performed?

No Blood, No needle, No visit to hospital, you can do yourself at home with sterile fluid. A thin layer of transparent screen like structure hangs in front of the abdominal muscles known as peritoneum. This peritoneum protects the abdominal structures and the muscle. This can also be used for performing dialysis which is carried out when the functioning of kidney gets affected. In peritoneal dialysis a thin and soft catheter is placed in the person’s belly one-two weeks before performing the procedure. 

The catheter has numerous holes in order to facilitate the infusion of fluids. Dialysis solution is prepared in a bag and the tubing is connected to the catheter placed in the abdomen thereby, the fluids absorb the waste materials from the body. The fluid is allowed to stay in your body for a particular period of time which is commonly referred as dwell time and later the fluid is drained out

There are two types of peritoneal dialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. This is the simple form of dialysis which anybody can be performed after a short training period and this can be done anywhere in a clean private place like hotels, home and even in office. 

Procedure followed during Peritoneal Dialysis 

All you need to perform a peritoneal dialysis is catheter and transfer set, cycler, dialysis solution and safety precautions materials to stay away from getting infections. 

Step 1 - Perform a sterile aseptic technique. Wear a glove and surgical mask before connecting the catheter and transfer set. Clamp the tubing and remove the catheter once the dialysis solution enters your abdomen 
Step 2 - Allow the solution to remain in your abdomen for a particular period of dwell time 
Step 3 - Drain the fluid from the abdominal cavity into the drain bag. You may feel a mild tugging sensation when an adequate amount of fluid is drained. 
Step 4 - After drain close or clamp the transfer set and later flush a fresh solution directly to drain bag so as to remove the air from the tubing. 
Step 5 - Close your drain bag and open your transfer set and refill your belly with fresh solution. 

Make sure you perform without giving way for infection by following the procedure. If you wish to discuss about any specific problem, you can consult a Nephrologist.

3652 people found this helpful

I am suffering from kidney stones. Can you suggest me precautions and instant relief techniques to it?

BHMS
Homeopath,
I am suffering from kidney stones. Can you suggest me precautions and instant relief techniques to it?
Dear lybrate user, a kidney stone is mainly formed due to the accumulation of the minerals present in urine. Such accumulation occurs mainly due to low intake of fluids. Continuous low fluid intake results in the deposits of the minerals over the stone & eventually leads to an increase in the size of the stone. Formation of stone leads to pain along the kidney region. If the size of the kidney stone is below 3 mm then it is possible to get rid of it without any surgery. Take homoeopathic mother tincture berberis vulgaris q, 30 drops, thrice daily, after meals, in a cup of water for 15 days. The stone will be expelled through urine in between the span of 15 days of medication. But if the size of the stone is more than 3 mm then you should surely go for surgery.
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I am 20 years old male. I am having painful defecation. Doctor told me of anal fissure with internal haemorrhoids. I take betadine bath.

PGD Maternal Child Health, MBBS
General Physician, Akola
I am 20 years old male. I am having painful defecation. Doctor told me of anal fissure with internal haemorrhoids. I ...
Eat high fiber diet to have smooth and soft motions, this will help in healing of the fissure and aggravation of piles. Drink plenty of fluids. If fissure does not show relief, you may need surgical intervention under anaesthesia.
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