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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment of H.I.V
Hydrocele Treatment (Surgical)
Urinary Incontinence (Ui) Treatment
Urology Minimally Invasive Surgery
Kidney Transplant Treatment
Blood In Urine (Hematuria) Treatment
Reconstructive Surgery Procedures
Transurethral Resection Of The Prostate (Turp) Pro
Reconstructive Urology Surgery
Minimally Invasive Urology Surgery
Transurethral Incision Of The Prostate (Tuip) Proc
Percutaneous Nephrolithotomy Procedure
Open Prostatectomy Surgery
Submit a review for Dr. Dinesh JoshiYour feedback matters!
I am 63 years diabetic. Type 1 since 15years having sugar level 190 ad 260pp taking humalog 20units morning 16 units night. I am bhp grade 1 with right renal lithiasis having stones of 7ad 9mm in right kidney. Due to enlarged prostrate I am facing frequent urination ad bladder is empty at one time. My hbaic is 8. 50 also having bp problems. One serious concern is erectile dysfunction ad premature ejaculaton. Can you suggest some safe medicine for ed ad premature ejaculate. For enlarged prostrate I am taking flotral alfuzion salt ad in addition to insulin I am taking vysov-, m ad diapride m-2. Please suggest safe medicine to cure the above problems. My lipid profile ad renal profile is normal. Please advise.
My wife is suffering fromAuto Immune disease called Idiopathic perpera plus she has diabetic plus she says she has CRP high? Is it too risky for her kidneys to take a lot of medicines.
Sir meri mother ko kidny stone thi aur unka operation kar usko hata di gayi hai but unki right kidny bhi hatani padi hai to sir ye batay ki unki kidny kyo hatani padi aur kya mujhe bhi kidny stone hone ka risk hai mere bhai ko ureter ki stone thi 1 or 2 year pahle but abbi pain nahi hota hai to kya unki stone khatam ho gayi hai.
Most of the time it happens that I feel burning while urine discharge and it continues for 2-3 days and after every half an hour I feel like to go to the washroom. Please help me to know the exact reason of it and also provide me the solutions that will not affect me adversely.
Hello doctor, I suffered from chills and later fever 4 nights back. The doctor diagnosed me with a urinary tract infection. However I do not have pain or inflammation while urinating. The doctor howsoever prescribed me azithromycin 500mg and some pre and pro biotic caps. I was ok after taking 2 doses of it. But today I feel the fever and headache coming back again. I also have pain in my eyeballs while I roll them sidewise. Is there a chance that I have some other problem like typhoid etc as I don't see the symptoms of uti clearly? how long does it take for the uti to be cured?
I am 39 years male. From 9 months sometimes I felt pain in urination and ejaculation and importantly my penis size deceases by length and breadth and well my cock too. Please help. Am I suffering from prostate or prostate cancer?
I am suffering from Knee pain without injury. I've gained 6 kg weight in a year. Also I can't control urine pressure. Am I suffering from higher Uric Acid? Please suggest!
I am 37 year old male. From last 6 months approx, I am suffering from a problem of frequent urge of urination. When I go for urination, quantity of urine is very less. After few mins again I urge for urination but very less quantity of urine passed out. Please suggest what is the issue.
Dear Dr. My mother taking Lasix (half a tablet in the morning). After started to taking Lasix serum creatinine and urea become high. What is the reason for this?
I am a retired w. Rly engineer aged 85, my wife 76 yrs. Have no children, living at cheruvannur -calicut kerala. My wife gets repeated urine infections and some medicines like norflox 400, niftas and now furant 100 mg are given for 1 month since 2 days. Clinical test report indicate:-albumin trace; sugar nil; pus cells6-8; rbc 0-2; epcells. Nil; bacteria. Present. She is diabetic for the last30 years on metformin tablets, daonil etc but now swiched over to insulin inj since15 days and blood sugar level in under control. Other medicines are eltroxin 100. 1per day, premarin 0. 625, veloz 20mg tab 1 per day are now given since 2 weeks. She do not have pain, urination is adequate due to more water intake. I request expert openion for controlling bacteria infection. Being very old we are not very mobile to visit distant places, railway do gives free treatment in railway hospitals, but at calicut only a dispensory exists. No lab facility etc. Your valued opinion fot this old couple is sought.
Sir I want to know about prostate cancer, is it related to masturbation. What are the symptoms of prostate cancer.
My mother's age is around 75 years. Suddenly her urine is not come out. Please suggest the solution?
Chronic kidney disease is categorized under various stages and your doctor will periodically assess the severity of kidney damage. Thankfully, the good news is that kidney disease progresses slowly and early detection will help to deter further complications.
How stages of Chronic Kidney Disease are Determined?
The stages are determined by glomerular filtration rate or GFR that measures kidney function. The glomerular filtration rate is a calculation that estimates how well the blood is filtered by the kidneys. It is usually calculated using a formula that takes into account the individual’s age, gender, race and serum creatinine levels. The lower the GFR, the worse the kidney function and more the damage.
Five Stages of Chronic Kidney Disease
The National Kidney Foundation has created a guideline for nephrologists to help identify the severity of kidney damage and provide the right care accordingly. Each stage calls for different tests and treatments:
|Stage||Description||GFR||What Can Be Done|
|Stage 1||Early kidney damage||90 or above||The exact cause of the kidney disease will be determined by your doctor. Your blood pressure and sugar levels are to be constantly watched out for. Opt for a kidney-friendly diet.|
|Stage 2||Mild kidney damage||60 to 89||Continuously monitor your condition and check how quickly the disease is progressing. Manage high blood pressure and diabetes.|
|Stage 3||Moderate kidney damage||30 to 59||Any complications like anemia, bone disease will be checked and treatment will be administered by your doctor|
|Stage 4||Greater kidney damage||15 to 29||Continue treatment and monitoring. If you are progressing towards kidney failure, consult the best treatment options you have based on your condition|
|Stage 5||Kidney failure||Below 15||Start dialysis, consider kidney transplant and choose the right treatment|
How is Chronic Kidney Disease Treated?
The first step is to determine the cause of the disease and then take the right measures to alleviate it. In most cases diabetes and high blood pressure are the prime reasons. So, simple lifestyle changes can help to prevent the progression of the disease and reduce your symptoms. Here’s what you can do:
- Follow a diet that is easy on your kidneys: Watch your protein and sodium intake. Drink the right amount of fluids and incorporate super foods that will not deter your kidney function
- Weight Management: Make exercise a routine part and find the right exercise program that works for you. The more active you are, the lesser health problems you will have
- Avoid tobacco, smoking and alcohol
The first four stages of chronic disease focus on preserving the kidney function for as long as possible. The stages will help you analyze where you stand and what can be done to prevent kidney failure.