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I was shocked to experience the symptoms of vomitingHe is very patient with all his patients. So many doctors I consulted, but his treatment was the best. Even in case of long queues, the staff was managing people in a very positive manner. I am really grateful as his vomiting treatment has give me a ray of hope. The waiting area in the Doctor's Chamber is very comfortable for elderly patients. Thanks to him I am much better now. In the very first sitting, Mandeep Phukan clearly told us the problem and the what the treatment procedure will be in future.
I have had this hiv aids from quite some time. One of my friends suggested to consult Dr Mandeep Phukan. He is not just friendly, but also is very motivating. I had lost hope, but the HIV treatment given by Dr Mandeep Phukan has helped me regain my confidence. The atmosphere in the Doctor's Chamber is always so positive and full of life. By chance, I approached Dr Mandeep Phukan for second opinion and thank god, i did because, he treated me with full patience. Thanks to him for the h.i.v treatment he gave me has given brilliant results.
Even though Dr Phukan is not from our city, he is still very famous, so we consulted him. The guidance he gave me has helped me immensely with my situation. Even in case of long queues, the staff was managing people in a very positive manner. Doctor's Chamber has all the latest technology in place to handle severe cases. He is not just friendly, but also is very motivating. he did my lithotripsy.
All of sudden I developed therdepression and didn't know what to do. I am almost my normal self post the treatment and for that my Mandeep Phukan is the reason. The staff was very attentive to my needs. I searched therMandeep Phukan online and saw herreviews. Doctor's Chamber has all the latest technology in place to handle severe cases. He is very talented and seasoned doctor.
My son was facing a hydrocele when he was 2 years old. I was worried about his condition but after consulting Dr Mandeep, a known urologist, his condition is better. I thank him for the treatment . I am glad that I chose him for ,my son's treatment. He is really a kind hearted doctor and I would recommend to consult him if anyone facing such issue.
I was suffering from male sexual problems. I was in too much pain because of male sexual problems, but even after consulting a number of doctors, I was not getting any relief. I searched Dr Mandeep online and saw his reviews. I am so thankful to him for giving me the best advice and I am now finally able to get back to my normal self.
I have had this urinary incontinence from quite some time. I thought it was something very normal, but then I realised the problem is something else. My boss referred me Dr Mandeep. The best thing about him is that he prescribes limited no. of medicines. He is not just friendly, but also is very motivating.
I was having this hiv treatment, but the symptoms were not very visible. I consulted Dr Mandeep and I owe him a big thanks for making me fine again. They took very nice care of me, i never felt that I am in a Doctor's Chamber. He ahndled my case with great ease. I am quite benefitted with his treatment.
Thanks to the expert care and guidance, I feel much better than before. I had lost hope, but the premature ejaculation treatment given by Dr Mandeep has helped me regain my confidence. It's been so long, I have lost all hope, but then I met him and I am hopeful again that I will be fine.
Dr Mandeep is not just friendly, but also is very motivating. I consulted him as I was suffering from urinary tract problems. During the treatment, the doctor supported me a lot. Thanks to him I am totally satisfied with the results.
Dr. Mandeep Phukan provides answers that are very helpful. Thank you so much sir for your kind advise. Your advise helps me a lot. Thank you.
I found the answers provided by the Dr. Mandeep Phukan to be very helpful. thanks sir..
He is very nice doctor and motivated me
As men enter their middle age, many of them develop issues with their prostate gland. There are certain symptoms that would tell you that your prostate glands have stopped functioning smoothly. It is recommended that you opt for a thorough check up when you suspect something wrong. This is because untreated prostate issues can lead to prostate cancer later in life. To avoid such a situation, it is best to get it treated as soon as possible.
Here are certain common symptoms which would make you aware of the issues that might affect your prostate gland.
- Bladder Discomfort: When you frequently start experiencing the feeling of your bladder not emptying completely, then it is time to consult an urologist for the problem. Such bladder discomforts are linked to prostate gland malfunctioning.
- Increased frequency of urination: Ideally a person urinates around six to eight times a day. Depending on the intake of liquid or water it can even rise up to ten times. But if you are urinating more than ten to twelve times, then it is definitely a matter of concern and you should approach medical help for it.
- Dribbling of urine: when you notice that the flow of urine is not stable and it starts dribbling for a long time, then you must understand that the prostate gland is not functioning properly. This is one of the earliest signs of prostate disorders.
- Waking up frequently at night to use the washroom: It is not very normal to wake up frequently at night to use the washroom. But when you notice an increase in your trips to the washroom at night, it can be a sign of prostate malfunctioning.
- Pain in penis or blood in the flow of urine: If you feel pain when you are trying to empty your bladder or anytime during the day, then it is a matter of concern. Similarly, if there is a flow of blood, even in the slightest, in your urine, then it is time to opt for a check up with your medical practitioner.
Hence, these are the major symptoms which reflect that the functioning of your prostate gland is not as smooth as it is supposed to be. If you can relate with any of these symptoms, ideally you must immediately consult your medical practitioner and take an expert opinion. Medical science has progressed a lot in contemporary times and prostate disorders are very much treated by medicines and procedures. It is a very much curable problem provided you get the right help at the right time.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The kidneys are the main excretory organs of the body and are responsible for removing all mineral wastes from the body. This high concentration of minerals predisposes them to form stones- which are small crystals of various minerals they are exposed to. The entire urinary tract starting from the kidneys, the ureters, and the bladder are at risk of developing stones. The risk is higher in people who do not drink enough water, as the minerals are not able to be cleared out.
Depending on the location, stones are named
- Renal: These are formed in the body of the kidneys.
- Ureteric: The urine passes from the kidney to the ureter through the ureters and can form stones, leading to blockage also
- Bladder: When the urine is stored in the bladder for a while, the chances of forming stones are quite high.
- Pain that is sharp, shooting pain on either side of the spine.
- There could be fever, vomiting, etc., but the pain is very indicative.
- Stones less than 4 mm usually pass on their own
- Larger ones may require shock waves from an external source which breaks it into smaller ones, which are then eliminated.
- Intravenous injections of pain relievers; repeat if required.
- Antiemetics to control nausea and vomiting
- Watch for an hour for improved symptoms
- Send the patient home with these prescriptions for continued use
- Increased amount of water consumption (up to 3 liters per day), until the urine is almost colorless
- Strain the urine to check if the stone is passed, this is done.
If the patient presents with the following symptoms, immediate admission may be required:
- Persisting symptoms after an hour of treatment
- Persistently high fever (about 104) with severe shakes and/or chills
- People on dialysis and/or renal failure
- Elderly (greater than 60 year olds)
- Severe dehydration and/or vomiting
Larger kidney stones (>4 mm) are managed as below.
- Extracorporeal shock wave lithotripsy (ESWL): This common treatment uses shock waves from an external source which breaks down the stones. The smaller ones easily pass through the urine.
- Ureteroscopy: In ureteroscopy, a endoscope is passed through urethra to the ureters.
- Open surgery: If the above measures are not feasible, open surgery may be the last option. This is very rarely used though.
Prevention of kidney stones
Sexual problems are very common in men and women. There are various reasons because of which sex may not be as pleasing as it can be. The reasons for this could range from the emotional connect that is shared with the person to actual physical issues which stop you from performing. Read on to know the 3 most common sexual problems in males and females.
- Impotence: When the male cannot attain and/or sustain an erection to allow for a good intercourse, it is termed as impotence. This is one of the most common problems, and it could be due to strained relationships, performance anxiety, smoking, diabetes, hormonal problems, etc. Most often, it is psychological and easy to cure.
- Reduced libido: A man not being “in the mood” may be something hard to associate with, but many a time, it happens. This is largely due to psychological causes, and if the partners don’t strike a chord, that could be the reason too. Other reasons could be hormonal imbalance, high blood pressure, etc.
- Ejaculation issues: There could be disorders which could be due to ejaculation that is premature, inhibited, or retrograde. These lead to improper release of sperms, either premature or delayed or back into the bladder. The underlying problem usually is easily identified by the doctor and is treatable.
- In all of these, admitting the problem is the first and most effective step towards treatment.
- In addition to counseling, which usually involves the partner, hormones may be needed in some.
- Quitting smoking, beginning exercise, blood sugar and pressure control, etc. are also required.
- In very rare cases, vacuum devices and penile implants may be required.
- Dyspareunia: The most common sexual problem in females is painful sex, which makes it difficult for the couple. This could be due to vaginal dryness, UTIs, pelvic area infections, etc. This is one of the main reason for reduced libido. Topical lubricants are often useful, in addition to counseling to allay fears and improve overall relationship.
- Reduced libido: This is very common in women, and could be due to relationship issues, painful sex, hormonal imbalance, etc. This is also possible due to the multiple roles that a woman plays, so much so that she never has time to think about it.
- Anorgasmia: Women have more difficulty in achieving orgasm, which is also more psychological and often a combination of sex education and counseling helps.
- Includes combination of medications, hormonal therapy, and sex education.
- Vaginal dryness is improved using lubricants
- Supplement hormones are very useful.
- Sex counseling also involving the partner
- Infections or inflammation in the pelvic tract need to be treated with medications. If you wish to discuss about any specific problem, you can consult a Urologist.
Penile cancer occurs when cancerous cells form on tissues of the penis. If caught early, penile cancer is treatable. In early stages, a cancerous tumour can be removed with little or no damage to the penis. But if it is diagnosed late, a man may lose part of or all of his penis and sometimes his life too. Hence, it’s vital that you know more about this cancer.
But first, a small primer on the penis.
The penis has two types of erectile tissues, the spongy tissue that gets engorged with blood leading to an erection:
- Corpora cavernosa: This tissue forms most of the penis.
- Corpus spongiosum: This tissue forms a small portion of the penis. It also surrounds the urethra, a tube that transports urine and sperm to outside.
The erectile tissue comes wrapped in connective tissue and skin to form the organ.
Penile cancer is usually found on the ‘glans’ or tip of the penis, but can also occur on the shaft of the penis. Some of the common symptoms of penile cancer include sores and lumps on the penis, redness or irritation on the penis and blood discharge.
Factors that increase the risk of developing penile cancer
- Infection with human papillomavirus (HPV): This virus causes cervical cancer in women. Unprotected skin-to-skin contact as well as unprotected sex with multiple partners, increases the risk of a man getting HPV infection.
- Not being circumcised at birth: Circumcision, an operation in which a part or the entire foreskin is removed surgically is a big protection from penile cancer.
- Phimosis: This is a condition in which the foreskin cannot be pulled back over the glans or tip of the penis.
- Poor hygiene
- UV treatment for psoriasis
- Use of tobacco: The chemicals in tobacco smoke lead to genetic changes in cells of the penis, thereby leading to cancer.
Diagnosis and Treatment
Detection and diagnosis are done using tests like a biopsy in which a small sample of tissue is removed from the penis and tested for abnormalities due to cancer.
Chances of Survival
Treatment of penile cancer depends on what stage it is detected at and so is prognosis. The location and size of tumour, and whether cancer has just been diagnosed or has recurred also affect prognosis.
For stage I and II penile cancer or cancer that is limited only to the penis, the five-year survival rate is 85%.
The survival rate dips substantially if cancer is diagnosed after it has spread to surrounding tissues or lymph nodes in stage III or IV. The five-year survival rate is just about 59%.
Treatment for Kidney stones varies depending on the size and type of the stone or the symptoms caused by it. In case of small stones, medication and simple changes in lifestyle can be enough to treat it, but surgeries and extensive treatments are required if symptoms are severe. Following are treatment options for kidney stones:
Small stones with minimal symptoms:
- Drinking water: Drinking around 3 liters of water a day will regulate your urinary system and can effectively eliminate small stones. Unless your doctor advices otherwise, drinking ample amount of fluids, usually water, is one of the commonest way to get rid of small kidney stones.
- Pain relievers: There might be a considerable amount of pain and discomfort associated with passing the stone through urine. Your doctor may recommend pain killers like Ibuprofen, Naproxen sodium or acetaminophen.
- Medical therapy: In order to eliminate the kidney stone, your doctor may administer medical therapy. Medication like alpha blocker helps in passing the kidney stone with least pain and more quickly. It relaxes the muscles in the ureter and makes the process relatively easy.
Large stones with severe symptoms:
- Using sound waves to break up stones: In this technique, a procedure called Extracorporeal Shock Wave Lithotripsy (ESWL), is employed. ESWL uses the help of sound waves to create vibrations which breaks the stones in smaller pieces. This procedure takes about an hour and can cause mild pain and discomfort. Your doctor may administer sedatives to reduce your sensitivity. ESWL has side effects like blood in urine or bruising in the abdomen.
- Surgical removal of kidney stones: Surgical removal of stones is done with the help of a procedure called nephrolithotomy. It uses small telescopes and other instruments which are inserted in your back through a small incision. It is generally done in case of large stones and when ESWL fails.
- Ureteric calculi (Using a scope to remove stones): A thin illuminated tube called ureteroscope is used to remove a comparatively smaller stone in the kidney or ureter. The ureteroscope is equipped with a tiny camera which determines the location of the stone which is then broken into pieces with the help of other instruments. It may require general or regional anesthesia. If you wish to discuss about any spIfecific problem, you can consult an urologist.
The urinary tract starts from the kidneys to the urethra where urine is passed out. Given the rich concentration of minerals and toxic wastes, it is highly prone to multiple infections. UTI, as urinary tract infections are often referred to, is one of the most common infections. In women, especially, every 1 in 2 women is affected by an UTI. Whichever part of the tract is affected, the symptoms and treatment are mostly the same. Read on to know some of the most common symptoms and treatment options for these.
- A burning sensation with urination
- Pain with urination
- Burning sensation or pain in the urethra or vagina
- Frequent urge to urinate, though not much urine is passed out
- Sense of incomplete emptying of the bladder
- Pain in the lower back on the sides of the spine
- Change in the urine characteristics color, smell, or appearance
- Fever or chills, maybe associated with shivering, nausea and vomiting
Most urinary tract infections are bacterial in nature, and these could find their way into the body through multiple ways.
- The most common is through the urethra, which could happen due to unclean toilet habits.
- Women especially are advised to wipe the urethra after each toilet visit. The bacteria from the feces can also enter the urethra due to close proximity
- Use of unclean public toilets is another reason for UTIs
Though most often UTI does not require specific testing, the following are useful in confirming the diagnosis.
- Culture and sensitivity: The urine is sent for a culture to identify the exact organism that has caused the infection. It also helps identify the right antibiotic which will help bring the infection under control.
UTIs are very common infections and though there is nothing to worry, it should be cleared completely.
- Antibiotic course to get rid of the infection. Though you begin to feel better, the complete course should be completed to clear the infection.
- Following culture testing to ensure the infection is cleared
- Improve water intake to get rid of the toxins
- Fever and pain to be controlled with medications
- Healthy hygiene habits to ensure clearing of infection
Recurrent UTIs is a common problem, and the following can help prevent.
- Ensure complete emptying of the bladder
- Drink adequate water
- Safe toilet habits, including before and after sex
- Comfortable and clean underwear to prevent infection
If you wish to discuss about any specific problem, you can consult an urologist.