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Dr. Gawande

Urologist, Mumbai

500 at clinic
Dr. Gawande Urologist, Mumbai
500 at clinic
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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. Gawande
Dr. Gawande is a popular Urologist in Bhandup West, Mumbai. You can meet Dr. Gawande personally at Bothra's Hospital in Bhandup West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Gawande on Lybrate.com.

Find numerous Urologists in India from the comfort of your home on Lybrate.com. You will find Urologists with more than 28 years of experience on Lybrate.com. You can find Urologists online in Mumbai 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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Ramkrishna Co-operative Housing Society, Gadav Naka, T.P. Road,Bhandup West. Landmark: Dagwanak TP Road & Near Kamat Hotel, MumbaiMumbai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

My sister has digestive problem after delivery. After every eating she go for toilet. Please tell me the reason to her problem and remedy as well.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
My sister has digestive problem after delivery. After every eating she go for toilet. Please tell me the reason to he...
hi dear - due to indigestion - take 2 spoons - isabgol husk -- in lassi-- twice a day--3 days and report me back
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I have in-large prostate since last 10 years and taking one Alfatam-D tablet regularly since then. Controlling urination sometimes becomes very difficult when pressure built up. I become restless. Why is this so? Please advise. Anand Kumar.

Felllow in Endourology, MCh Urology, MRCS, MS, MBBS
Urologist,
I have in-large prostate since last 10 years and taking one Alfatam-D tablet regularly since then. Controlling urinat...
Dear, enlarged prostate causes the bladder muscles to work harder to push urine out. Over a long period of time, this leads to thickened bladder wall and overactivity of bladder muscle. Once overactive bladder develops, it can act spontaneously without our voluntary control. This is the common reason for not able to control urine in prostate enlargement. Other reasons are bladder stone or infection. Please get an ultrasound abdomen with post-void residual urine. Based on prostate size, bladder wall, residual urine, serum psa and urine routine examination findings, a urologist will be able to treat you better. If you do not have much residual urine, infection or stone, then you can be started on drugs to relax bladder (anti-cholinergics). This will help you with improving the control of urination.
2 people found this helpful
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My prostrate gland has enlarged and I have problem since last 8-9 years. Is it necessary to go for operation? If so what will be the cost of operation.

MD - General Medicine
Sexologist, Nashik
If you r comfortable with medicines and no other complication is there no need to go for surgery unless your concerned doc,. advices
1 person found this helpful
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Sir, kidney lower calaxy me stone hai 4 or 5 big size 3.9 mm. 4 saal se. Koi medicine bataye. Another medicine process me hai. Please advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Sultanpur
Sir, kidney lower calaxy me stone hai 4 or 5 big size 3.9 mm. 4 saal se. Koi medicine bataye. Another medicine proces...
Sir I have a combination of ayurvedic medicine which removes kidney stones. I have treated many patients successfully please start drinking 3_4litres of pure water avoid tomatoes and leafy vegetables and eggs etc
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MPT-SPORTS MEDICINE, BPTh/BPT
Physiotherapist, Delhi
KEGEL EXERCISES
Kegel exercises are designed to strengthen the pelvic floor muscles. These
muscles support the bladder and bowel openings in both men and women.
Strengthening the muscles of the pelvic floor can aid in preventing leakage of
urine or feces with coughing, sneezing, lifting, and other stressful movements.
Other benefits of kegels include enhanced sexual function, conditioned muscles
to make childbirth easier, decrease and/or prevent prolapse of pelvic organs,
and improve the ability to pass stool.

Who should do Kegel Exercises?
? Women and men with urinary and /or bowel incontinence
? Women and men who have demonstrated weakening of the pelvic floor
? Pregnant women or women who have previously had children
? Middle aged and older women
What you need to know about Kegel Exercises
The success of Kegel exercises depends on the use of proper technique as well
as compliance to a regular exercise program. When doing the exercises, it is
important to identify the correct muscles of the pelvic floor. At first, most
people contract the abdominal or thigh muscles while neglecting the pelvic
floor muscles. This may actually worsen pelvic floor tone and incontinence.
Kegels may be done as a part of biofeedback, when some patients require
assistance. Biofeedback consists of placing a sensor on the abdomen and
around the anal area, which measure the contraction of the pelvic floor
muscles. Occasionally, an electrode may be placed in the vagina in women, or
in the rectum in men.

Three Steps to an Effective Kegel
? Learn to tighten the muscles around the vaginal/anal area
? Contract the vaginal and rectal muscles. Note that when you perform
steps 1 and 2 correctly, you should also feel the muscles around the anus
tighten slightly. This is normal, but do not consciously try to tighten
those muscles.
? In a quiet, relaxed setting with no distractions, practice your Kegels and
determine how long you can hold your contraction and how many you
can do before becoming fatigued. Do not do more than 5-10 reps at time
with a 3-5 second hold.

Detailed Instructions on how to do Kegels:
Step #1: The urethra?The Functional Stop Test
After partially emptying your bladder, stop your urine flow in a slow controlled
manner, paying attention to how it feels.
Note: Stopping and starting the urine repeatedly as an exercise can be harmful
and should not be done. Holding your urine can contribute to bladder
infection, causing damage to normal urinary reflexes. The Functional Stop Test
is useful for assessing what it feels like to gradually stop urine flow, and should
not be done more than once per urination.
Step #2: The vagina and rectum as your window to the pelvic floor
For this step, you will internally assess the ability to squeeze and elevate the
muscles around the opening of the vagina or rectum, while lying on your back.
This is accomplished by inserting one finger into the vaginal or rectal opening
while you try to lift and squeeze with the muscles. Pay attention to how this feels.
Step #3: Putting it all together
Begin practicing while lying on your back with your knees bent, or lying back
with pillows under your head and shoulders. When your knees are bent you
should have pillows under them so that the muscles around the hips and
buttocks can relax. In this position, you can practice the actual Kegel, which
involves lifting and tightening the pelvic floor all at one time. This will be a
combination of what you felt when you gradually stopped urine flow, with the
feeling squeezing and elevating the muscles around the vaginal or rectal area.

How long and how many?
When you are first starting out, it is common to find that you can only hold a
Kegel for 3-6 seconds, and that performing 3-6 repetitions causes muscle
fatigue. When this happens, you are usually performing the exercise correctly.
If you find you can hold it for much longer right away, recheck your technique.
For patients with incontinence or pelvic floor weakness, it is important to
concentrate on correctly performing the technique and gradually improving the
muscle quality and tone, even though you may be weak first starting out.
Making Kegels a part of your life
After you have become experienced in performing these exercises, you will
want to do them as follows:
? A series of strong, steady squeezes for 8-10 seconds each ? Try to do 8-10 at a time
? For most people, 30 repetitions per day are adequate.
As they get easier, you will find you can do them while sitting or standing, for
example, you can do them while driving, working on the computer, or waiting in
long lines.
Please note that you may not see any noticeable change in bowel / bladder
control for a while. In some cases it may be many months.
4 people found this helpful

My father got stones in kidneys. He got surgery Twice for dat. Now in kidney he has 1. 5criterion. Hw can he get that to normal level.

MBBS, M.S. (General Surgery), MBA (Healthcare), M.Ch - Urology/Genito-Urinary Surgery
Urologist, Gurgaon
My father got stones in kidneys. He got surgery Twice for dat. Now in kidney he has 1. 5criterion. Hw can he get that...
Creatinine could increase because of kidney insult due to obstructive causes such as stone and due to either direct stress such as due to infection, medical diseases like diabetes and hypertension. Assuming that he has no stones which need to be taken care of now, a physician/nephrologist would be the right person to address creatinine levels.
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I have problem of stone in kidney due to this I have great pain in my penis when I do masturbation is this for my stone or another reason of this pain please tell me the reason of this pain please provide me information regarding that.

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
I have problem of stone in kidney due to this I have great pain in my penis when I do masturbation is this for my sto...
Dear lybrate user. If stone is below urinary bladder then this pain is upto penis. A) take 30 ml of fresh lemon juice along with 30 ml of lukewarm water early in the morning and at evening before meal half an hour. B) take 2-2 tablets of sheetprabha vati along with lemon juice. C) take 30 ml of audumbaravleha and 30 ml of aloe vera juice at night before sleep. Do all these things for 15 days. It gives you good result. Consult to me for further suggestions. Thanks.
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I have kidney stone problem, what should I do. Please tell me solutions about this problem.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have kidney stone problem, what should I do. Please tell me solutions about this problem.
Homoeopathic medicine BERBERIS VULGARIS Q ( Dr Reckeweg) HYDRANGEA Q ( Dr Reckeweg) Drink 10 drops in 20 ml fresh water 3 times daily at a minimum difference of 20 minutes from each other and eating. For Kidney pain start taking below given homoeopathic medicine in between DIOSCOREA Q ( Dr Reckeweg) Drink 10 drops every 1-2 hrly in 10 ml luke warm water depending on severity of pain Start drinking atleast 3-4 bottles of soda water daily. Report after 15 days
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Hello sir I am mastrabute from past some years I used to feel happy but from past 3 1/2 years I am suffering from frequent urination and heart palpitation after that in that next year I got anxiety phobia panic attack depression anxious .when ever Il do masturbation this all symptoms with worry me please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
Hello sir I am mastrabute from past some years I used to feel happy but from past 3 1/2 years I am suffering from fre...
Dear lybrate-user, it is not abnormal to have sexual feelings at this age, self masturbation has no side effects, due to something else you are becoming unhealthy, come to online counselling so that we can analyse and give you guidance. Have nice day.
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Sir I am 26 year old male I have urine infection problem every 1.30 to 2 hours urine will come no pain in that time I have no sugar no Bp how can I relive from it.

BHMS
Homeopath, Raebareli
Sir I am 26 year old male I have urine infection problem every 1.30 to 2 hours urine will come no pain in that time I...
Please do a urine test for r/e & culture. Take Can nothris 200 at least 4 times a day for next 7 days Do the test and revert back for further treatment.
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Any medicine to completely cure Kidney failure. My wife is suffering from Kidney failure and is undergoing Dialysis.

MD - Pathology, MBBS
Pathologist, Ahmedabad
With the details you gave reveals that she has diabetic nephropathy.Is there bilateral failure? What are the renal function tests reports? you may think to go for renal transplant
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I am 61 yrs. Old. In the morning, the colour of my urine is red without using beetroot etc. I am having hyper acidity. Kindly tell me the answer.

MBBS
General Physician, Mumbai
I am 61 yrs. Old. In the morning, the colour of my urine is red without using beetroot etc. I am having hyper acidity...
Take tablet Pan-D before breakfast on empty stomach for three months and always to take a gap of a week before starting it again only if necessary and Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and get your urine checked in a laboratory and follow up with reports.
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I had anal fissure, it used to pain during excretion but I had been using pilex creme on prescription from doctor. It's probably has been fixed. But now I've got a lot of itching in and around the anus, more in the perineal raphe area. It's also red. It becomes difficult to bend sometimes. What is it? Can you please suggest some home remedies or precautions. I don't wanna undergo anymore surgeries. I had pilonidal sinus surgery in May this year.

MS
General Surgeon, Panipat
I had anal fissure, it used to pain during excretion but I had been using pilex creme on prescription from doctor. It...
As you have mentioned that you got surgery for pilonidal sinus this shows that you have more hair then normal. I simply suggest you to keep cleanliness of area by washing with soap and water and apply some moisturiser or home remedies coconut oil. Another suggestion is to keep your stool soft by taking three full meals which has lot of veg. Fruits and plenty of water and if needed add stool softener to it. i hope you will improve.
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I am 62 years old male. I am having problem of urinating. The flow is not uniform it comes with slow interrupted flow. Also need to apply force. Frequent urge of urination but comes very little. My sugar levels are fasting 145 and pp 165

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist, Delhi
You are likely having prostate problem &/or diabetic bladder. Please get complete hemogram, kft, lft, hba1c, lipid profile, ultrasound-kub, 2 d echo, urine tests
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My urine becomes slight pale when I intake alcohol or fast food or meat. My throat gives me pain sometimes when I awake from sleep. Lft test k normal, kidney test normal. No diabetes, no cholesterol. Pl advice what I should do.

DORL, MBBS
Ear-Nose-Throat (ENT) Specialist, Faridabad
My urine becomes slight pale when I intake alcohol or fast food or meat. My throat gives me pain sometimes when I awa...
Yes this is due to dehydration of the body, improve your diet with boiled vegetables and fresh fruits and salads, juices and lots of water daily with ors, this will help you in hydrating your body.
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Sugar since 20 years and pressure also 150/80. Sugar 180 ppbs. Her serum creatinine 2.80.and heart heavy problem. Back pain hemoglobin 7.80.so wick I am worried about her health. Serum creatinine problem last to years whom I consult and which type of medical report suddenly do? I am about her kidneys. Local doctors give treatment but nothing changes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sugar since 20 years and pressure also 150/80. Sugar 180 ppbs. Her serum creatinine 2.80.and heart heavy problem. Bac...
Mr. lybrate-user, Please understand that long standing diabetes even with very good glycemic control, does lead to kidney damage. Further if a patient has consistent hyperglycemia (high blood glucose over the years) then damage more severe. One of the indicators of reduced kidney function is increased creatinine level. Apart from diabetes persistent high blood pressure also adds to kidney damage. Plus she has very low hemoglobin, that again puts stress on heart. In such a situation only local expert clinicians can help. Because patient needs constant monitoring. If she is not on insulin then it is essential that she is shifted on to insulin. Properly planned diet should be given avoiding high protein intake. Very regular blood glucose monitoring is also required. So please consult a good competent physician. Surat has really good doctors. Thanks.
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Hi sir, i am 28 years old, my heart beating is increasing when i am passing urine. Please help me.

MBBS, cc USG
General Physician, Gurgaon
Hi sir, i am 28 years old, my heart beating is increasing when i am passing urine. Please help me.
are you having fever/ burning/ pain while urination? 2.For how long this problem is present? 3. turbid urine present or not? we have to investigate you to rule out infection in urine so kindly get Urine R/M done and consult again with reports
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I am 19 years old boy & I am having high burning sensation while passing urine in pennis (from 10 mm from starting pennis of ejectory place) from 4 days please sugest can cure from home remedies or to consult a doctor.

BHMS
Homeopath, Chennai
I am 19 years old boy & I am having high burning sensation while passing urine in pennis (from 10 mm from starting pe...
A burning sensation with urination can be caused by infections (including sexually transmitted infections, or STDs such as chlamydia and gonorrhea) and noninfectious conditions, but it is most commonly due to bacterial infection of the urinary tract affecting the bladder.
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