Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 31 years of experience on Lybrate.com. You can find Urologists online in Jalandhar 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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A kidney stone may not be as big as the stones in your garden, but can be quite a pain. Kidney stones are actually mineral crystals that are usually a combination of calcium and phosphates. The size of a kidney stone ranges from the size of a sugar crystal to a ping pong ball. While some kidney stones pass out of the body along with urine, others can block the urethra and become painful.
In addition to being painful, a kidney stone can cause permanent damage to your kidneys. Since large kidney stones are usually painful, they rarely go undiagnosed. However, if a kidney stone is left untreated, it could cause the kidney to atrophy and lower the functionality of the kidney. Kidney stones that are related to an infection can also lead to chronic urinary tract infections and damage the kidney through scarring and inflammation. This could eventually lead to kidney failure.
Not all kidney stones need to be treated with surgery. If the kidney stone is very small, your doctor may prescribe plenty of water and medication to treat the pain. With plenty of water, you should be able to pass the stone in your urine. Ideally, you should take plenty of rest until the stone is passed.
Larger kidney stones may need you to be hospitalized for treatment. These are:
- Extracorporeal shock wave lithotripsy (ESWL): To begin this of treatment, a painkiller is administered. Ultrasonic waves are used to determine the location of the kidney stone. Shock waves are then passed through the kidney stone to break it into smaller pieces, which can then pass out of the body through urine.
- Ureteroscopy: This is also called retrograde intrarenal surgery and is performed when the kidney stone is stuck in the ureter. A ureteroscope is passed through the urethra and bladder into the ureter. Laser energy may then be used to break the stone into smaller pieces to unblock the ureter.
- Percutaneous nephrolithotomy (PCNL): This surgery is performed under general anesthesia. It involves a small incision being made in the back and a nephroscope passed into the kidney through it. Laser or pneumatic energy is then used to break up the stone into smaller pieces and pull them out.
- Open surgery: Open surgery is performed only in the case of an abnormally large stone or abnormal anatomy of the person. An incision is made in the back that allows the doctor to access the kidney and manually remove the stone.
- Retrograde intrarenal surgery: In RIRS, the scope is placed through the urethra (the urinary opening) into the bladder and then through the ureter into the urine-collecting part of the kidney. The scope thus is moved retrograde (up the urinary tract system) to within the kidney (intrarenal). RIRS may be done to remove a stone. Consult an expert & get answers to your questions!
Hi, I'm a 14 years old girl. I am a boyish type of girl, I don't really go out of the house don't have a boyfriend since birth, I'm very focused on my study, and I'm an achiever in our school as well, And when I go out my parents are always w/ me, I masturbate w/ my pants and panties on but just rubbing it not fingering. So I have this very strange feeling, & I don't even want to mention it cause it's very impossible. Because after I go biking on thursday my nipples hurt when they're slightly touched, is it because I only wear sando bras instead of bras? And also my pimples are coming out. I didn't get my period yet but there's also a problem in my period, Cause when I got it It's like a flood flowing and lasts until 1-2 months and skips form 3-4 months that's also the reason why we go to a ob gyn for a check up last summer, And then the ob gyn gave me some trust pills which has numbers of days in it and has yellow and brown color. But still my period skips 1 month now only and when I got it it only lasts 5 days. Then in the evening I only ate a little amount for dinner and just ate breakfast w/ one scoop of rice only in the 10/11am, I didn't ate lunch, But I take snacks SOMETIMES in the afternoon (That's the way I eat and been months since I do this) And I also often drink soft drinks. I drink them like water when I get thirsty. So later on in that evening. I slept at 11pm and just suddenly woke up at 1am w/ sort of nausea, A little Abdominal pain, I got cold, I urinate frequently but a just a little amount of urine, I farted a lot, My tummy is bloating, I cannot finish a yawn, I have a little blood in my rectal, I have hard and liquid stools, And I cannot go back to sleep so I stay awake until 6am. Then when I take my breakfast I like to vomit it but I forced myself to eat it but then I didn't vomit it but I had hard time chewing it. Pls help me. I'm very worried and confused now!
I have right renal calculus I want to know about its treatment and what diet should I take to get dissolve that calculi.
My gall bladder was removed in 2010. Now a stone 3.2mm has entered the bile duct and I had to go for ercp. Why the stone did't pass to stomach. When the gall bladder has been removed, from where this stone have come up. Can it happen again. What is the treatment that stone does not come again.
Soak 1/2 tsp of coriander and jeera in half liter water over night and drink next whole day.
I have problem in urination, the pressure made by my bladder doesn't affect much, but my weight is also too low. I have sometime pain in testis too. Help.
I have recently started getting pain while passing stools and sometimes it bleeds as well. The pain remains till first half of the day and subsides by night. The pain is just inside the anus opening and due to which its impossible at times to sit continuously and have to walk to ease out the pain. It feels like as if there is some wound which has come up inside and gets aggravated in morning after passing stools.
Dear Doctor, After waking up from afternoon's sleep I passed urine after that my eyes become blank and I was shivering and I was sweat. Today noon I had heavy meal in that some items were not present added with vanaspati. Now I am laying on bed. please give suggestions to become normal.
About 15 days ago my Gf was complaining me about burning sensation and lil blood in her pee. She had this problem for 2 to 3 days then after everything got normal. What could be the cause?
Doctor I am suffering from penile pain. Me Jab urine karta hu bahut burning hot hai. Aur ek Milky si foul smell aati hai. Aur urine k baad bahut pain hota h. please help me sir. Urine culture test, blood test, xray, are normal.
Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner’s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.
These are called Hunner’s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner’s ulcers are seen only in people with intestinal cystitis, it’s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.
Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there’s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the ‘loo’ as much as 40, 50, or 60 times a day.
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner’s ulcers are both a diagnosis of exclusion. This means that they’re diagnosed only after a number of other conditions have been ruled out.
Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.
There's no cure for IC, but Hunner’s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner’s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.
Pain medicines are the first line of treatment to manage Hunner’s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner’s ulcers.
In case you have a concern or query you can always consult an expert & get answers to your questions!