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Dr. Dhiraj Shah

Urologist, Mumbai

600 at clinic
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Dr. Dhiraj Shah Urologist, Mumbai
600 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Dhiraj Shah
Dr. Dhiraj Shah is a popular Urologist in Mulund West, Mumbai. You can visit him at Paritaj Nursing Home in Mulund West, Mumbai. Save your time and book an appointment online with Dr. Dhiraj Shah on Lybrate.com.

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English
Hindi

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Paritaj Nursing Home

#5/6, Pratap Niwas, Dr Ambedkar Road, , Mulund West. Landmark:-Opposite Kalidas Hall, MumbaiMumbai Get Directions
600 at clinic
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Peritoneal Dialysis - Procedure to be Followed!

DM - Nephrology, MD-Medicine, MBBS
Nephrologist, Delhi
Peritoneal Dialysis - Procedure to be Followed!

No Blood, No needle, No visit to hospital, you can do yourself at home with water. 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 week before performing the procedure.

The catheter has numerous holes in order to facilitate the transformation 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 perform after a short training period and this can be done anywhere in 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 catheters 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 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 and excess fluid and dextrose absorption. If you wish to discuss about any specific problem, you can consult a doctor.

2066 people found this helpful

Enlarged Prostate - 10 Warning Signs To Watch Out For

MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Bangalore
Enlarged Prostate - 10 Warning Signs To Watch Out For

The prostate gland in males surrounds the urethra, through which urine and sperm are passed out of the body. Its function is to secrete a fluid, which provides nourishment to the sperm. It is about the shape of a walnut and is present between the pubic bone and the rectum.

As a man crosses 40, the prostate gland begins to increase in size due to an increase in the number of cells. This is known as hyperplasia. The condition is usually benign and therefore the name benign prostate hyperplasia (BPH). As it continues to grow, there is an increased pressure on the urethra. Therefore, there can be problems with urination. The bladder, being a muscular organ, compensates to some extent and so the problems with urination are mostly managed. If left untreated, this can continue to be a major problem and the bladder may not be able to compensate. In men who are 60-plus, BPH is very common.

Signs and symptoms 

  1. One of the initial symptoms of BPH is when the urine stream begins to grow weak.
  2. There could also be a reduced speed of passing urine.
  3. Men with BPH never have a feeling of complete emptying of the bladder.
  4. On the other hand, there is also a constant difficulty in initiating a urine stream. There could be intermittent breaks in the urine stream.
  5. The person may feel the need to strain to initiate the stream and to ensure complete emptying.
  6. There could be dribbling of urine after passing urine.
  7. The duration between two bathroom visits can constantly reduce, with the constant urge to urinate.
  8. There is a constant urge to visit the bathroom, which is more common in the night. One of the most annoying features of BPH is the walking up at night to urinate, but with an inability to initiate a stream and an inability to completely empty the bladder, it leaves the person very irritated and frustrated.
  9. There could be blood in the urine. In fact, blood in the urine accompanied by fever, chills, nausea and vomiting are indications of an emergency.
  10. There could be blockage of urine completely, if the enlargement is quite severe.

Diagnosis
If you are having any of these symptoms, then the doctor will first test for an enlarged prostate through a digital rectal exam. Then a test is done to check a chemical called prostate specific antigen.  Increased levels of this chemical is almost always indicative of BPH. In addition, X-rays and scanning may be used to confirm diagnosis. 

Treatment
Though medications are available, confirmatory treatment is through surgical removal. The procedure needs a inimum of 2 to 3 days. If you wish to discuss about any specific problem, you can consult a urologist and ask a free question.

2988 people found this helpful

I am frequently going to urine. I am just 22 year old. What to do? Please help me.

MBBS, cc USG
General Physician, Gurgaon
I am frequently going to urine. I am just 22 year old. What to do? Please help me.
Hi, We have to investigate rule out infection in urine so kindly get Urine R/M done and contact again with reports and also tell me if you are having symptoms like burning/ pain/ fever while urination Consult Physician for further Management
2 people found this helpful
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When I poop, anus pains alot (happens generally after eating chicken). It has started from last 4 months.

FMAS, MS
General Surgeon, Gandhinagar
Respected lybrate-user hi it seems fissure. Avoid all oily spicy nonveg stuffs at all Have more liquids, fibers,fruits, curd for better digestion. Take Sitz bath (sitting in a tub filled with leuk warm water for 10-10 min mor & eve & additionally after passing stool. Thanks Dear consult later after 1 week.
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I am having snap fissure problem at starting stage facing a problem of constipation and having pain in Anus and stomach help me provide me medicine and ointment for anus.

MS - General Surgery, MBBS
General Surgeon, Guwahati
I am having snap fissure problem at starting stage facing a problem of constipation and having pain in Anus and stoma...
Avoid constipation. Add some stool softener like syp duphalac or cremaffin plus at bed time. Take a tub. Add luke warm water in it. Sit in it after passing stool atleast twice daily.
1 person found this helpful
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Mu puss cells and epithal cells in urine is 1-2hpf and RBC absent. Is it normal or any infection.

BHMS, MD - Homeopathy
Homeopath, Delhi
Mu puss cells and epithal cells in urine is 1-2hpf and RBC absent.
Is it normal or any infection.
Hello Yes, there is nothing to worry about as in the absence of symptoms or antibiotics 1-2 pus cells/hpf in urine is normal.
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I went to the doctor for frequent urination problem. They tested CUE, FBS, PLBS. The reports for CUE is nil. And the report for FBS is 72 test value and for FLBS the test vale is 162. Now I gave another test HBALC what does it mean its really diabetes.

BHMS
Homeopath, Raebareli
I went to the doctor for frequent urination problem. They tested CUE, FBS, PLBS. The reports for CUE is nil. And the ...
The term HbA1c refers to glycated hemoglobin. It develops when hemoglobin, a protein within red blood cells that carries oxygen throughout your body, joins with glucose in the blood, becoming 'glycated'. By measuring glycated hemoglobin (HbA1c), clinicians are able to get an overall picture of what our average blood sugar levels have been over a period of weeks/months. For people with diabetes this is important as the higher the HbA1c, the greater the risk of developing diabetes-related complications. HbA1c is also referred to as hemoglobin A1c or simply A1c.
1 person found this helpful
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Sir I am aalarasan how to cure the kidney Stone. I have so pain so please tell me the solution for curing this.

BHMS
Homeopath, Delhi
Sir I am aalarasan how to cure the kidney Stone.
I have so pain so please tell me the solution for curing this.
Hello,take homoeopathic medicines 1.Lycopodium 30 (4 drops in little water) twice a day for 15 days. 2.Berberis Vulgaris Q (10 drops in little water) thrice a day for 15 days and revert. Increase fluid intake, especially water. Recommended intake of water is 12-15 glasses per day
1 person found this helpful
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Sir when should patient confirm that he was suffering from prostate enlargement please say me main symptoms.

MBBS
General Physician, Indore
Sir when should patient confirm that he was suffering from prostate enlargement please say me main symptoms.
Hello lybrate user basically prostrate problem comes in 4~5 decade of life as main symptom is patient have multiple urge for urine but it will not come but I wonder at your age why you asking..
1 person found this helpful
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Some 1 please help 40 dYs no period not pregnant suffering from kidney stone little bit breastfeeding ovaries nd uterus shows normal in last month sonography.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Some 1 please help 40 dYs no period not pregnant suffering from kidney stone little bit breastfeeding ovaries nd uter...
Since you are breast feeding it is very normal to have delayed periods, if pregnancy test is Negative there will be no need to take any medication to induce your periods.
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