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Dr. Gutta Srinivas

Urologist, Hyderabad

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Dr. Gutta Srinivas Urologist, Hyderabad
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Gutta Srinivas
Dr. Gutta Srinivas is a trusted Urologist in Koti, Hyderabad. You can meet Dr. Gutta Srinivas personally at Kamineni Hospital - Koti in Koti, Hyderabad. You can book an instant appointment online with Dr. Gutta Srinivas on Lybrate.com.

Lybrate.com has a nexus of the most experienced Urologists in India. You will find Urologists with more than 44 years of experience on Lybrate.com. Find the best Urologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hi My mother is a diabetic patient and take insulin and she recently was not feeling well so today we got her kidney, culture and urine test. Her kidney test shows Sodium as 134.04 mmol/l range (136-145) Potassium is 5.08 mmol/l range (3.5-5.1) and Chloride is 96.06 mmol/l Range (98.0-107.0). Please let me know is there anything very serious in kidney functionalities?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi My mother is a diabetic patient and take insulin and she recently was not feeling well so today we got her kidney,...
lybrate-user, Thanks for the query In a diabetic patient it is absolutely essential to get blood glucose levels in strict control. Because uncontrolled diabetes affects all the vital organs including kidneys. Since she is diabetic, it is necessary to maintain fasting glucose closer to 100 mg, PP 160 to 170 mg & HbA1c% <7. That will help Her electrolyte levels are with in normal limnit, there is no reason to worry. Thanks.
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I am a 35 year old male. I have been suffering from boils in my anus for the past one year. It will heal itself or on medication after one week or so but keeps coming back after two months or so, a few centimeters away from the first one. It is very painful. The local doctor prescribed an antibiotics for it fixime *0. I have discontinued after taking six tablets. What should I do?

MS - General Surgery, MBBS
General Surgeon, Nagpur
Recurrent anal boils is to be investigated further. I advise you to take medicated sitz bath (sitting in lukewarm tub of water for 10-15 min three-four times daily) please consult a doctor for thorough investigation.
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Hello sir, I am male and my age is 22. Since my childhood, I had a problem that I will urinate for minimum 3 minutes. And also sometimes I will urinate for every 10 minutes. My urine won't come with pressure. So, please help me by giving any suggestion.

Fellowship in Kidney Transplant & Reno Vascular Surgery, Diploma in Urology, M. Ch, MS, MBBS
Urologist,
Hello sir, I am male and my age is 22. Since my childhood, I had a problem that I will urinate for minimum 3 minutes....
You should get ultrasound kub with resi urine, urine routine & uro flow done and come to us for proper investigations.
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If I stand long period of time I get back pain so please help me to resolve this and I have stones in my my both kidneys small size in right kidney but 7 mm in left.

MSPT (Master of Physical Therapy)
Physiotherapist,
If I stand long period of time I get back pain so please help me to resolve this and I have stones in my my both kidn...
Your weigh may be the problem. You should be around 65 kgs. Try to reduce your weight. If your job is to stand for long time. Follow few tips. * take breaks frequently. *place one foot on a small stool or raised area and alternate with other foot every 20 to 30 minutes gap. If your job is in sitting. Follow this tip. *lie at your back - fill the gap under your lower back so that your lower back rests fully on ground - then raise both your legs (without bending knees) just 5 degrees from ground - repeat it for 5 to 10 counts. Important notice -should not be done by holding breath.
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On 15th I had me periods and it lasted for only 4 days. On 23rd I had unproductive sex and I took an ipill within 12 hr. Today during urination I noticed blood and thought it was periods but it stopped within some minutes. Im not bleeding now. Am I pregnant? Please reply.

M.D in Psychiatry
Psychiatrist,
On 15th I had me periods and it lasted for only 4 days. On 23rd I had unproductive sex and I took an ipill within 12 ...
I have gone through your problem. Highly unlikely that you are pregnant. You have taken ipill also. At the time of ovulation some may have spotting about 15 days in the present cycle. In another 15 days, you will have normal periods. Just in case if your periods get delayed and you may have doubts about pregnancy then urine pregnancy test may be done. It will reassure you. Haridas.
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Hello Actually from yesterday I feel ball like below left side near kidney. Some times I feel tight at the same place .I also feel vomiting continues, and more I Wake up early morning. I feel slide pain in my lower abdomen sometimes. Is the pain gradual or sudden? Gradual Any nausea or vomiting? No Any recent weight loss? No Any loss of appetite: No Any bloating of stomach: Yes.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Hello
Actually from yesterday I feel ball like below left side near kidney. Some times I feel tight at the same place...
Have done sonography of abdomen and pelvis pl. Do it, then will discuss. To start with take = Laghu sutshekhar tablet 2-2-2*10 days stop oilly, sour ,fermented food.
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He have diabetes and blood pressure and kidney problem. what should I do? Please help me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
He have diabetes and blood pressure and kidney problem. what should I do? Please help me.
Following are the tips to prevent onset/or control diabetes 1-Losing Extra Weight: helps lower your blood pressure and cholesterol too. waist of more than 80 cm in women & 90 cm in man are at risk 2- Constant and regular food timings :improves metabolic activity and helps reducing weight. 3- Split meals and eat in moderate amount 4- No long Gaps and skipping of meals:-Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time Remember to eat food slowly & chew well. 6- Proper Exercise and work outs: regular brisk walking for 30 min. five times a week is best .Cycling, swimming, dancing can also be done. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods ,meat,fats and sweets.  9- Take high-fibre and complex carbohydrates:-like oats and include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour .Add whole grain foods in your diet. Avoid white bread, pasta, pizza , candies, and snacks . 10-Drink enough fluids:-Keep your body well hydrated.  11.Fresh vegetables and fruits: .Include sprouts in the diet as they are easily digestible
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I have stones in my kidneys at least 10 stones measuring large one 10 mm & some others are 8, 3, 5, 7, 2, mm and please give me any solution to recover this.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
I have stones in my kidneys at least 10 stones measuring large one 10 mm & some others are 8, 3, 5, 7, 2, mm  and ple...
Patient information leaflet on kidney stones. Having a kidney stone can be painful and distressing. Most stones pass out of the body without any treatment. But for those that don't, there are good treatments available. What are kidney stones? kidney stones are solid, stone-like lumps that can form in your kidneys. They are made from waste chemicals in your urine. Stones can also form in your bladder and the tubes that carry urine from your kidneys to your bladder (these are called ureters). Stones can stay in your kidneys without causing problems. But some might travel out of your body in the flow of urine. If they are very small, they can pass out of your body without you noticing. But larger ones can rub against the tubes or even get stuck. This can be extremely painful. There are four types of kidney stones? the most common type contains calcium. These stones are called calcium oxalate stones? uric acid stones form if there is too much uric acid in your urine. Uric acid is a waste product made when food is digested? struvite stones develop after a urinary infection, such as cystitis? cystine stones are caused by a rare inherited condition called cystinuria. It is important to know what kind of stone you have, as this will affect your treatment to prevent future stones. What are the symptoms? the main symptom is pain. This can be a dull ache in your back or side, or an extremely sharp, cramping pain. The pain usually comes on suddenly. It might spread down to your tummy or groin. You might also? feel sweaty or sick? be sick? find blood in your urine. This is caused by the stone rubbing against the walls of the ureter? need to urinate more often or feel a burning sensation when you urinate. Your doctor is likely to suspect you have a kidney stone if you have sudden, severe pain in your side and blood in your urine. You'll probably be sent to hospital for an x-ray. If you have a kidney stone, these tests may show how big the stone is and where it is stuck. If the x-ray does not show a kidney stone, you will probably have more tests to find out what's causing the pain. You may not get any symptoms with a kidney stone. You might find out you have one when you have an x-ray for another reason. What treatments work? stones that are less than 1 centimetre across often pass out of the body without any treatment. It can take two days to four weeks for this to happen. You can help the process along by drinking plenty of water to increase the flow of urine. You'll also need to take strong painkillers for the pain. If you have a stone stuck in a tube (ureter), your doctor might recommend taking a medicine called an alpha-blocker. This type of drug is often used to treat high blood pressure or symptoms of an enlarged prostate, but studies show it can also help stones to pass through the ureters faster. You'll probably be able to stay at home during this time, although you may need x-rays to check on the progress of the stone. Your doctor may ask you to catch the stone with a tea strainer or something similar as it comes out. This is so your doctor can see what type of stone you have. Knowing the type of stone will help them work out what you can do to prevent more stones. Surgical treatments larger stones and those that don't pass out of the body need treatment. All the following treatments work well? shock wave therapy uses shock waves to break up stones into small pieces that can pass out of the body. Many stones are dealt with this way and it avoids any operation. You might sit in a tub of water or lie on a table to have this treatment. You'll have a local anaesthetic to numb the area that's being treated. You may need several treatments to break up hard or large stones. The risk of side effects after this treatment is small. But you could get an infection in your kidney or a stone stuck in your ureter afterwards? you may need a minor operation if a stone in your kidney is large or in an awkward place. It's called a percutaneous nephrolithotomy (pcnl. You will have a general anaesthetic, so you will not be awake for the operation. You will probably have to stay in hospital. The doctor will make a small cut in your back and pass a needle and a very thin tube into your kidney to remove the stone. Like all operations, there can be problems (complications). The main ones are constipation and infections. Kidney stones? if the stone is stuck in a tube (ureter), you may have a ureteroscopy. You don't need any cuts made in your body for this, and you can probably go home the same day. You can have a local or general anaesthetic. The doctor feeds a long, thin wire up through your bladder and into the ureter to reach the stone. The doctor then either removes the stone or breaks it up with shock waves. This procedure works well, but it does have risks. In one study, about 1 out of 10 people who had this treatment had a damaged or torn ureter afterwards. What will happen to me? if you've had a kidney stone you have about a 1 in 2 chance of getting another one within five years to seven years. Your doctor can prescribe medicines to help stop you getting some types of stones. The type of medicine you get depends on the type of stone you've had. For example, you may need to take diuretics (water pills) to reduce calcium in your urine if your stone contained calcium. If you have too much uric acid in your urine you might be given a drug called allopurinol (the brand names are caplenal, cosuric, and zyloric). Your risk of getting more stones may also be affected by what you eat and drink. To reduce your risk, you can? drink more than two litres of water a day? eat a healthy diet, including calcium but not calcium supplements. Foods rich in calcium include milk and other dairy products, peas and beans, leafy green vegetables, nuts, and bony fish like sardines and salmon? avoid using lots of salt? eat more vegetables. Vegetables make the urine less acidic. If you've had a calcium oxalate stone, you may need to reduce the amount of oxalate in your diet. This means cutting down on chocolate, nuts, rhubarb, strawberries, spinach, coffee, and tea. But changes in diet don't work for everyone, and there is not a lot of evidence to show how well they work. So it's important to talk to your doctor before making big changes to what you eat.
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I am 26 years old male I am facing uti problem from 2 years I hv checked up with many urologist but the result is not good In starting I used to feel burning sensation in my bladder but now I feel burning sensation in my penis foreskin too and pain too please tell me any ayurvedic treatment for this

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
I am 26 years old male I am facing uti problem from 2 years I hv checked up with many urologist but the result is not...
Dear lybrate-user, U need to have your Urine investigation done first. To find out the cause of UTI. It may take 1-1.5 months to cure the UTI with herbal medications. Meanwhile start drinking at least 3-4 liters of water every day so that kidneys maintain proper flushing. Also have fresh juices / fruits. Coconut water is best for you – have plenty of it. Strictly avoid all junks, oily -spicy food, pickles if you r eating, drink lots of water, juices or daily have fresh fruits. Try to keep your bowel clear. Avoid – tomatoes, beet root, leafy vegetables, cauliflower, beans, milk and other dairy products, yellow of egg. Have more of these – lemon / lime / Pineapple and its juice / Water melon. Drink Coconut water regularly - very good diuretic.
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She is 35 years old she has attack by kidney problem doctor consulted to her for dialysis she want to know what should she eat? Now a days her health getting down .

C.S.C, D.C.H, M.B.B.S
General Physician,
In addition to enjoying a variety of nutritious foods, the hemodialysis diet will introduce a higher amount of high-quality protein into your eating plan. Foods containing high amounts of sodium, phosphorus and potassium are restricted.
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Sometimes when I go to pee after I'm done. I feel like I have a little bit left. So I push so as to let the rest out. I can feel it coming out like usual when I finish. But here lately when I do this a white substance comes out. What is that stuff and what is causing it. Do I need to go see my doctor about this? It also happens when I am doing potty.

MBBS
General Physician, Jalgaon
Sometimes when I go to pee after I'm done. I feel like I have a little bit left. So I push so as to let the rest out....
Please It is prostatic fluid Take Plenty of water daily Take salads and fruits more Take Tab himplasia by Himalaya 30 1 1 Chandnasav 20 ml twice a day Re Consult me on Lybrate after 15 days.
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Sir I am feeling burning sensation in urine and find difficult to pass it and it is dark yellow in colour and I also getting urge to urine I think it is uti that I encounter again .plz prescribe me some immediate medicine to get rid of it.

M Ch Urology, DNB (Genito-Urinary Surgery)
Urologist, Mumbai
Sir I am feeling burning sensation in urine and find difficult to pass it and it is dark yellow in colour and I also ...
You are dehydrated and your concentrated urine may promote urinary infection. So start drinking more water to keep the urine dilute. Get a Urine analysis done to confirm an infection and accordingly a culture test if necessary as per the report. For now you can start drinking a Syrup Cital 15 ml diluted in a glass of water after meals, twice a day till the burning senation stops and the reports arrive.
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My son is 5 years old. I think his urinal way is smaller than boys of similar ages. Will it be a problem in future.

BHMS
Homeopath, Faridabad
My son is 5 years old. I think his urinal way is smaller than boys of similar ages. Will it be a problem in future.
Hello, yes there may be any problem in future so that you should consult a doctor personally.take care.
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My grandfather is a CKD patient and he is in renal diet. Creatinine level is 3.0 n urea is 38. These were two months ago, now reducing. As per the renal diet we are giving him only rice, idli, dosage and ravaged upma. Only few vegetables n leaves. In fruits only apple and papaya. Recently he had a PBS test, there we came to know his sugar level become high, Which is 250 mg/dl. Blood was taken for testing an hour after the lunch. Am confused, if I follow renal diet his blood sugar level increases, if not creatinine n urea level increases. Could you please suggest me how both can be balanced? Thanks in advance.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
My grandfather is a CKD patient and he is in renal diet. Creatinine level is 3.0 n urea is 38. These were two months ...
Hello, in order to control both the levels you need to maintain a strict food diary. When you have CKD along with sugars, it becomes all the more important to keep a count on what and how much you are eating. In CKD, basically you need to cut down the total proteins from the diet and the minimum proteins that is given should come from first class proteins like egg white and milk, paneer. You could schedule an appointment to further know the details of diet.
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There was pain in anus took antibiotic course relief was there. But urge to pass stool is still there now pain in testicle has started at times left at times right what can be problem and which specialist to consult.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
It appears that you fave fissure due to constipation with passage of hard faces. Keep away from constipation.
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HELLO Dr, I am 65 years male. I have problem of gross prostate enlargement. Weighs 72 gms Urologists suggested to undergo operation. Is there any sure treatment in ayurveda. I want to avoid operation. Pre void volume - 340 cc. Post void residual urine -71 cc. Pl suggest treatment and any hospitals in bangalore, Karnataka, India. Thanks.

MS
General Surgeon, Panipat
HELLO Dr, I am 65 years male. I have problem of gross prostate enlargement. Weighs 72 gms Urologists suggested to und...
There are an other ways to keep thing under control you please tell your urologist to please put me on medication and then see the result but the size of your prostate is definitely enlarge.
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Sir 5 to 6 years after defecation urination gender implies something like saliva.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Sir 5 to 6 years after defecation urination gender implies something like saliva.
Homoeopathic medicine LYCOPODIUM 30 ( Dr Reckeweg) Drink 5 drops direct on tongue daily night ACID PHOS 30 ( Dr Reckeweg) Drink 5 drops 3 times daily direct on tongue. Daily brisk exercise or walking for half hour. Drink plenty of water Have a sound sleep Daily BRAMARI PRANAYAM for 5 minutes.
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Bladder Inflammation - Effective Homeopathic Treatment for it!

BHMS
Homeopath,
Bladder Inflammation - Effective Homeopathic Treatment for it!

Cystitis is a condition which is characterized by bladder inflammation that is usually a result of bladder infection. This disorder is very common among women. The condition tends to get better in a few days without any treatment. In case of chronic cystitis, long term treatment may be required.

Symptoms
Common symptoms include excessive urination (may be dark in color) and a burning pain during urination. One might feel generally unwell, tired and may experience cramps in the lower abdomen. In case of children, there may be a rise in the body temperature, coupled with weakness and vomiting.

Causes

  1. Engaging in sex (irrespective of whether one is using protection or not) can result in this condition.
  2. Inserting objects such as tampons into the urethra to release the bladder can most definitely result in this condition.
  3. Using contraceptive measures such as diaphragm.
  4. It occurs when bacteria which is present in the bowel or on the skin comes in contact with the bladder via the urethra. Women are at an increased risk as their urethra is shorter and the anus is close to the urethra.

Homeopathy and Cystitis
Homeopathy is a system of treatment that is natural and holistic. It does not have any side effect like the other conventional treatments. The various homeopathic remedies for cystitis are –

  1. Cantharis: Cantharis is a homeopathic remedy that is very effective in treating infections. In case of bladder inflammation and pain while urinating, this remedy is preferred. For cystitis with an inflamed bladder as the root cause, this remedy is very effective.
  2. Apis Mellifica: In case of chronic bladder infection, Apis Mellifica is administered. It cures the inflammation and also gets rid of the swelling. This also helps in relieving any burning symptom that you may experience while passing urine.
  3. Staphysgaria: Staphysgaria is a homeopathic remedy which is used to treat symptoms of cystitis that include a sharp pain in the urethra accompanied by involuntary discharge of urine. There may also be a constant urge to urinate. If you wish to discuss about any specific problem, you can consult a homeopath and ask a free question.
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I am 37 years old. I am suffering from left side kidney stones. Please prescribe me proper treatment.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am 37 years old. I am suffering from left side kidney stones. Please prescribe me proper treatment.
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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