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Dr. Jai Desai

MBBS

Nephrologist, Mumbai

650 at clinic
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Dr. Jai Desai MBBS Nephrologist, Mumbai
650 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Jai Desai
Dr. Jai Desai is an experienced Nephrologist in Bandra East, Mumbai. He studied and completed MBBS . You can meet Dr. Jai Desai personally at Guru Nanak Hospital in Bandra East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Jai Desai on Lybrate.com.

Find numerous Nephrologists in India from the comfort of your home on Lybrate.com. You will find Nephrologists with more than 37 years of experience on Lybrate.com. You can find Nephrologists 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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MBBS - - -

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Guru Nanak Hospital

#S/341, MIG Colony, Kala Nagar, Bandra East,Landmark: Near Chetna College, MumbaiMumbai Get Directions
650 at clinic
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Guru Nanak Hospital

#S/341, MIG Colony, Kala Nagar Landmark : Near Chetna College.Mumbai Get Directions
650 at clinic
...more
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I have acidity problem from last six months and also burn in urination.Please do help

Fellowship in Minimal Access Surgery, F.I.A.G.E.S, M.S. ( General Surgery)
Gastroenterologist, Lucknow
What do you do? A lot of your acidity problem is related to your excessive weight. Your bmi is 40. That's too much. If you wont loose your weight. You will start facing a lot of problem. Drink a lot of water for your burning micturition problem.
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Lithosun 600 or lithosun sr which of this two medicines effects the kidney. I have a creatinine of 2.0 so which will effect my kidney more? Please help.

FMAS, MS
General Surgeon, Gandhinagar
Lithosun 600 or lithosun sr which of this two medicines effects the kidney. I have a creatinine of 2.0 so which will ...
Respected Roma , hi Welcome to Lybrate.com I have evaluated your query thoroughly . Both are going to affect kidney with creatinine 2.0 So not recommended to take to further damage the kidney , rather than discuss with the doctor for other molecule which is not going to affect the kidney. Wishing you fine health ahead. Thanks dear regards take care .
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I have a problem of urine odour or smell. Whats the reason behind this kind of uncertainty?

MS - General Surgery, MBBS
General Surgeon,
I have a problem of urine odour or smell. Whats the reason behind this kind of uncertainty?
Unless proved otherwise, it is due infection. In males if there is accumulation smegma under the foreskin of penis it should be cleaned everyday. This also could be the cause of foul smelling urine.
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Doctor my age is 31 and I am female and I am having frequent urination problem, I consume 3 to 3.5 liters of water everyday, but wen I go for urine I feel to stay for sometime waiting as if it wil come more n more, I m not satisfy iin one time n I will sit for some time. N my flow is good it is fast also. I am not sugar patient. please suggest me wat to do? Any natural remedy.

MBBS, cc USG
General Physician, Gurgaon
Doctor my age is 31 and I am female and I am having frequent urination problem, I consume 3 to 3.5 liters of water ev...
1.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 and follow advises given below: 1.drink lot of water 2. maintain hygiene 3.Avoid synthetic undergarment and prefer cotton consult physician for further management
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I have stomach pain for last two weeks with continuous dysentery and yellowish urination for past two days.

MBBS
General Physician, Cuttack
I have stomach pain for last two weeks with continuous dysentery and yellowish urination for past two days.
1.Get your stool and urine examined. 2.Do a liver function test to exclude Jaundice. 3.Consult physician with report. 4.Drink plenty of water with ORS. 5.Take bland diet, avoid oily/spicy/fried/junk food
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I have pain during urination and slow urination. Last one day passed. I took uriliser.

Advanced Aesthetics
Ayurveda, Gulbarga
I have pain during urination and slow urination. Last one day passed. I took uriliser.
due to urin infection use ayurvedic medicene 1.chandraprabhavati 2-2tab 2times a day... 2. chandanasava 3spoon 3times a day
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How to reduce weight on body. And please tell me the symptoms of jaundice. From last 6month my urine colour is yellow colour. Please suggest what to do?

MBBS
General Physician, Mumbai
How to reduce weight on body. And please tell me the symptoms of jaundice. From last 6month my urine colour is yellow...
Vomitting with loss of appetite with yellow colour urine output are few symptoms of jaundice and get your urine checked in a laboratory and to reduce weight eat food with low fat content in your diet and exercise regularly.
1 person found this helpful
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I have 5 mm kidney stone. Please suggest me medicines and steps to follow in food to prevent this.

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
I have 5 mm kidney stone. Please suggest me medicines and steps to follow in food to prevent this.
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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Renal Scan - What To Expect?

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Renal Scan - What To Expect?

There are two kidneys in the body on the right and left sides, which have a significant role in metabolism, as outlined below. 

  1. Regulation of minerals, including sodium and potassium 
  2. Production of urine through which metabolic wastes, including urea, are cleared out 
  3. Production of the hormone renin which is essential for controlling blood pressure 
  4. Production of the hormone calcitriol which ensures the bones receive the required calcium 
  5. Production of the hormone erythropoietin which is essential for proper red blood cell growth. 

Any impaired kidney function leads to all these associated organs being affected, such as increased blood pressure, improper bone functioning and blood cell formation. So, whenever a kidney disease is suspected, early diagnosis and treatment is very essential. This results in minimal treatment and better prognosis. 

Most people undergo an annual chemical test to check the blood and urine, which would indicate increase in protein levels or other abnormalities. When there is increase in the protein level, a kidney disease needs to be ruled out. One of the best ways to identify renal issues is to do a renal scan. Some of the common reasons for getting a renal scan done are listed below:

  1. To assess the blood flow through the kidneys. Improper flow often is a result of arterial narrowing and high blood pressure. This could be the first step in diagnosing hypertension. This is usually followed by a blood chemical test, which indicates the increased amount of protein and urea in the blood. 
  2. To check the abnormalities in the shape, size, and structure of the kidneys. 
  3. To assess kidney disorders like tumours, cysts, abscesses, etc. 
  4. To assess the effect of injury on the kidney from a trauma or injury. 
  5. To identify renal stones, the size, number, location, etc., which is essential for planning the treatment. 
  6. To find and assess any growth in the kidney. To assess the efficacy of the treatment for kidney diseases. 
  7. To assess how well a transplanted kidney is functioning. 
  8. The good thing about a renal scan is that it can help identify more than one problem during a single scan. 

What is done? 

A radioisotope material is injected into a vein and the flow of this material is then monitored. This scan evaluates the blood flow through and to the kidneys; how the urine flow takes place; and the size/structure of the kidneys. The scan will take about two hours to complete. A renogram is a graph that shows the flow of the tracer through the kidney. 

A different density of uptake indicates different disease conditions. It is usually a painless procedure other than the slight discomfort caused by the needle prick. The results are usually available within two days for the doctor to interpret and take appropriate action.

3 people found this helpful

Kidney Stones Risks and Their Prevention

MBBS, DNB (General Medicine)
General Physician, Delhi
Kidney Stones Risks and Their Prevention

Kidney Stones

What are kidney stones


Kidney stones are tiny, hard masses that form inside the kidneys. These stones are made of acid salts and minerals.

Causes

Kidney stones may get created when an imbalance of minerals, salts, water and other materials found in urine occurs. Things that cause the imbalance include:

Insufficient drinking of water
Different types of medical conditions

A person can form kidney stones due to his/her family history as stones frequently occur within the family over several generations.

In rare cases, kidney stones are formed due to excessive production of a hormone by the parathyroid glands.

Symptoms

Symptoms of a kidney stone may not be found until it proceeds to the ureter or moves around inside the kidney. When any of these occur, the following symptoms can be noted:

Pain that advances to the groin and lower abdomen
Acute pain in back and side, beneath the ribs
Brown, pink or red colored urine
Pain on urination
Vomiting and nausea
Foul-smelling or cloudy urine
More urination than normal
Continual need of urination
Urinating little amounts of urine
Fever and chills when there is an infection
Diagnosis

If the presence of a kidney stone is suspected by the doctor, the following diagnostic procedures and tests may be prescribed:

Blood tests
Imaging tests
Urine tests
Examination of passed stones
Diagnosis

Treatment

Treatment for kidney stones differs, depending upon the cause and type of stone. Most kidney stones can be cured by home treatments and don't require invasive treatment. Home treatments include:

Drinking enough water
Use of pain relievers

If conservative measures fail to treat kidney stones, extensive treatment may be required. Such procedures can include:

ESWL (extracorporeal shock wave lithotripsy)
Surgery
Use of ureteroscope
Parathyroid gland surgery

Prevention and controllable risk factors

A merger of medications and lifestyle changes may help prevent the formation of kidney stones.

Medications can help maintain the balance of acid and minerals in the urine. They can also be helpful for those having certain types of stones.

Lifestyle changes too can help prevent this disease. They include:

Drinking water round the clock.
Having diets low in animal protein and salt.
Avoiding oxalate-rich foods.

Controllable risk factors that elevate the risk of forming kidney stones include:

Intake of diets high in sodium, protein and sugar. A high-sodium diet is especially risky as excessive sodium in your diet increases the quantity of calcium your kidneys must filter, thus significantly boosting your risk of kidney stones.
Dehydration: Inadequate intake of water increases your risk of kidney stones. People who sweat a lot and those living in warm climates are at higher risk than their counterparts in other, more comfortable regions.
Being obese: Several studies have linked weight gain, large waist size and high BMI (body mass index) to an increased risk of kidney stones.

A merger of medications and lifestyle changes may help prevent the formation of kidney stones.

Medications can help maintain the balance of acid and minerals in the urine. They can also be helpful for those having certain types of stones.

2 people found this helpful

Right testicle and scrotum area getting wicked pain. No bleed in urine and no other symptoms. Pls advise.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
Right testicle and scrotum area getting wicked pain. No bleed in urine and no other symptoms. Pls advise.
Just sit in cold water tub for 15 minutes twice a day. Take painkillers, v type support and avoid wrong posture.
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My two kidneys are not properly working please tell me what I want to do for properly to function.

MBBS
General Physician,
If you two kidneys are not working properly then there are possibility of chronic kidney disease like acutenor chronic nephritis. Should consult a nephrologists. For assessment as and further management.

Hi I am 28 year old male, from last 9 month I am taking bone tb potts spine treatment tablets which are 600 mg r-cinex and 1000 mg ethambutol tablets from last one week I am suffering form inflation during urine sometime and Frequent urge to urinate without being able to pass much urine (frequency. And some time Leaking urine drop lets also. I am drinking lots of water also now days but this problem still happens please suggest what to do. thanks.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Hi I am 28 year old male, from last 9 month I am taking bone tb potts spine treatment tablets which are 600 mg r-cine...
If you are only on these two medicine since begining then your treatment is wrong. Need pyrazinamide in first 2 months of your treatment and also dose of ethambutol is not as per yout weight. Get urine examination routine and culture to r/o urine infection.
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I have suffering from hydronephrosis from last few months now it has been operated so please tell me what I can eat or what I have to avoid.

DM in Nephrology, MD in Internal Medicine, MBBS
Nephrologist, Ghaziabad
Hydronephrosis per se doesn't need any dietary advice. If the urea level is high you will require low protein in diet as per your weight and dietary preferences.
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I read one of your article about stricture of urinary tract. I have a problem of passing urine many times during night perhaps 5 to 6 times and the flow is very low. Yet during day it is normal. What may be the problem and can it be cured. I was successfully operated for prostrate gland about 15 years ago. Possible.

BAMS, MD, Panchakrma
Ayurveda, Nashik
I read one of your article about stricture of urinary tract. I have a problem of passing urine many times during nigh...
diabetes ,prostate, urine infection & stricture might be the possibilities . consult privately to guide u properly. 1) Avoid hard water to drink, drink sufficient boiled water or purified water only. 2) Avoid fruits containing small seeds like tomato, guava, vegetables like brinjal, 3)Take 4 crushed Elaichi (cardamom) add 2 cup of water boiled to become half filter it, add 2 spoons of cow ghee take on empty stomach.
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Diabetes - How It Impacts Your Kidney?

MBBS, CCEBDM
Diabetologist, Bangalore
Diabetes - How It Impacts Your Kidney?

At the point when our bodies process the protein we eat, the procedure creates waste products. In the kidneys, millions of tiny blood vessels act as filters since they have even tinier holes in them. As blood flows through these vessels, little molecules such as waste items may press through the gaps. These waste items turn out to be a part of the urine. Helpful substances such as protein and red blood cells are too enormous to go through the gaps in the filter and stay in the blood.

Diabetes and kidneys: Diabetes can harm the kidneys. Abnormal amount of glucose make the kidneys filter a lot of blood. After a couple of years, they begin to spill and helpful protein is thereby lost in urine. Having low protein levels in the urine is called micro albuminuria.

Medication: When kidney disease is analyzed on time, during micro albuminuria, a few medications may keep kidney disease from getting worse. Having elevated levels of protein in the urine is called macro albuminuria. When kidney disease is looked up some other time during macro albuminuria, end-stage renal disease (ESRD) usually follows.

Causes: Strain on the organs may cause the kidneys to lose their filtering capacity. Waste items then begin to develop in the blood. Finally, the kidneys start to fail. This failure, ESRD, is intense. A patient with ESRD needs a kidney transplant or a blood filtration by a machine (dialysis).

Other complications: Individuals with diabetes will probably have other kidney-related issues such as bladder infections and nerve damages in the bladder.

Preventing complications: Not everybody with diabetes goes through a kidney disease. Elements that can impact kidney disease improvement include genetics, blood sugar control and blood pressure. The more a person keeps diabetes and blood pressure under control, the lower the chances of getting a kidney disease.

Keeping your glucose levels high can counteract diabetic kidney problems. Research has demonstrated that blood glucose control diminishes the danger of micro albuminuria by 33%. For individuals who suffer from micro albuminuria have now a reduced danger of advancing to macro albuminuria. Different studies have recommended that blood glucose control can reverse micro albuminuria.

Treatment: Essential treatments for kidney infection include control of blood glucose and blood pressure. Blood pressure dramatically affects the rate at which the condition progresses. Indeed, even a gentle increase in blood pressure can rapidly aggravate a kidney infection. Four approaches to bring down your blood pressure are:

  1. Shedding pounds
  2. Eating less salt
  3. Maintaining a strategic distance from liquor and tobacco
  4. Exercising regularly

A low-protein diet can decrease the amount of lost protein in the urine and increase the protein levels in the blood. Never begin a low-protein diet without talking to a physician.

3950 people found this helpful

My grand mother (age 66), got kidney Infection, doctor given treatment and prescribed some medicines after 1 week she told kidney infection is cured but she recommended to use calcium tablets 3-6 months, is it necessary to use calcium tablets such a long time?

FMAS, MS
General Surgeon, Gandhinagar
My grand mother (age 66), got kidney Infection, doctor given treatment and prescribed some medicines after 1 week she...
Respected Gk , hi depending upon the clinical evaluation it must be consumed without fear for the better recovery of her . Thanks regards
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Which is best option for varicocele treatment: surgery or percutaneous embolization.

FMAS, MS
General Surgeon, Gandhinagar
Which is best option for varicocele treatment: surgery or percutaneous embolization.
Hello dear Sai Srikanth , hi Warm welcome to Lybrate.com I have evaluated your query thoroughly . * Both options are best in hands of experts , still embolisation scores more over surgery . Hope this clears your query . Wishing you fine recovery . Welcome for any further assistance . Regards take care .
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I am having pain while urine and yellow urine is coming. Also little pain below nabhi and weakness. Now only I shifted to Noida from shirdi. Also had sex 3 times daily from 4 days. Can this condition cause pain while urinating. Please suggest what it might be. please help me for that

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I am having pain while urine and yellow urine is coming. Also little pain below nabhi and weakness. Now only I shifte...
There may be urine infection do following get urine re/me and blood cbc done 1.Pass urine whenever you feel a desire, empty bladder completely. 3.Take lots of water so as to have clear urine 4.Do not use any spray, scented bath products 6.Clean genitals before sex and pass urine after sex to flush out any bacteria 7.Keep genital area dry- wear cotton, loose under garments, avoid tight clothes like jeans for medicine contact on private consultation.
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