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Dr. Kolavali

Nephrologist, Mumbai

300 at clinic
Dr. Kolavali Nephrologist, Mumbai
300 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. Kolavali
Dr. Kolavali is a renowned Nephrologist in Kurla West, Mumbai. She is currently practising at Fauziya Hospital in Kurla West, Mumbai. Save your time and book an appointment online with Dr. Kolavali on Lybrate.com.

Find numerous Nephrologists in India from the comfort of your home on Lybrate.com. You will find Nephrologists with more than 43 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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English
Hindi

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#209, Solanki Apartment, L.B.S. Marg, Kurla West, Landmark: Opposite Kurla Way Bridge & Next to shara hotel, MumbaiMumbai Get Directions
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I have stones in both kidneys. Ranchi in Jharkhand which we go to the doctor. Please tell me the name of the doctor.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have stones in both kidneys. Ranchi in Jharkhand which we go to the doctor. Please tell me the name of the doctor.
Take shool gaj kesari ras twice a day..take gokshuradi guggul & punarnavadi mandoor 1-1 tab twice a day...pranacharya U through capsule and syrup twice a day...drink lots of water....avoid spinach...tea and coffee..tomato...lady finger etc....
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I have low MCH MCV HCT AND LOW monocyte I have albumin traces in urine. What diet should I follow?

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
I have low MCH MCV HCT AND LOW monocyte I have albumin traces in urine.
What diet should I follow?
Use my pack vigour and vatiliy and with use tab zifi cv-200 mg twice a day only seven days response aap ke samne hoga thanks.
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My mother is diabetic patient for last 15 years. Now she has stone and admitted in hospital for stone operation but for last four days her sugar is varing from 135 to 250 and doctors are saying that in case we are unable to operate. Please Suggest me what I do.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Kidney stones treatment depends on the types and size of stone, most kidney stones won't require invasive treatment. You may be able to pass a small stone by: drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless your doctor tells you otherwise, drink enough fluid mostly water to produce clear or nearly clear urine. Pain relievers. Passing a small stone can cause some discomfort. To relieve mild pain, according to your medical history I may prescribe pain relievers such as ibuprofen, acetaminophen or naproxen sodium. Medical therapy. I am a doctor and renal (kidney) dietitian who will aslo prescribe a customized diet plan and medications to help pass your kidney stone quickly and with less pain. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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Hi, I have right shoulder pain, hip pain, right thigh pain. From yesterday. I have pcod taking treatment. First time I took siphene (clomifene). Is my pain related to this? OR I am even diagnosed with kidney stone of 3mm. Is my pain due to this? When I get up in the morning I have heel pain. This heel pain is from 2 days. Can you please say whom should I consult?

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
Hi, I have right shoulder pain, hip pain, right thigh pain. From yesterday. I have pcod taking treatment. First time ...
heel pain could be due to plantar fascitis. the limb pain could be due to harmonal imbalance. take simple analgesics and if they dont help then consult an ortho surgeon
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For about two weeks my urine is yellow in colour of even though I have been drinking so much water. What may be the reason for urine colour?

BHMS
Homeopath, Raebareli
For about two weeks my urine is yellow in colour of even though I have been drinking so much water. What may be the r...
Over exertion and or intake of too much of protein and or urine infection could be one of the reason for dark urine.
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Hi Dr. I'm suffering from UTI and Dr. are giving me anti biotic but I wnt know what else should I do with that tell me sum good diet for my kidney thank you.

BHMS
Homeopath, Faridabad
Hi Dr. I'm suffering from UTI and Dr. are giving me anti biotic but I wnt know what else should I do with that tell m...
Hi, take homoeopathic medicine - can notharis 30/ 3 times a day daily for 4 weeks. Drink 12-14 glasses of water in a day. Maintain hygiene.
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My father in law 's serum creatinine test shows 1.9. He is a diabetic patient. How to maintain it.

MD - Medicine, MBBS
Cardiologist, Panchkula
My father in law 's serum creatinine test shows 1.9. He is a diabetic patient. How to maintain it.
A proper control of diabetes and high BP is essential to arrest rise in serum creatinine. Any urine infection must be treated.
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General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Tips on Treating Urinary Incontinence:

Many people are hesitant to see a doctor for incontinence as they feel embarrassed or believe it can't be treated or that the problem will eventually go away by itself. This may be true in a few cases, but many cases can be successfully treated or managed. The treatment of incontinence will vary according to whether it is faecal or urinary incontinence and will depend on the cause, type and severity of the problem.


1. Stress incontinence

Non-medical treatment

• Weight loss
• Cessation of smoking
• Pelvic floor exercises
• Vaginal weights
• Biofeedback
• Electrical stimulation

Non-medical treatment can be very effective in motivated patients with minor degrees of stress incontinence. The short-term results are often very good, but this isn't always maintained in the long term. Published studies quote cure/improvement rates of 50-80% for pelvic-floor exercises.

Medical treatment

• Oestrogens
• Alpha-agonist
• Combination of the above

Medical treatment doesn't have a great role in stress incontinence. Postmenopausal atrophy affects the closure of the urethra. Oestrogens, which can be taken orally or applied locally, restores the bulk of urethral tissue leading to more effective closure. Alpha-agonist s increase the tone in the bladder neck, thereby increasing outflow resistance. Some studies indicate a beneficial effect using a combination of oestrogen and an alpha-agonist in older post-menopausal women.

Surgical treatment

• Periurethral injections of bulking agents
• Suspension operations
• Sling operations
• Artificial urinary sphincters

Periurethral injections involve the injection of bulking agents into the urethra to improve effective urethral closure. Commonly used agents include fat, collagen, Teflon paste and silicon particles. Injection therapy is suitable for women with intrinsic sphincter deficiency rather than hyper mobility, as well as for men with post-prostatectomy incontinence. The major advantage of injection therapy is that it's a minor procedure. Short-term results are good, but often not maintained long-term.

The various suspension operations restore the normal anatomy in patients with hyper mobility and improve the support of the urethra and the bladder neck. Open suspension operations like the Burch copo suspension provide the best long-term results. The various needle suspensions have fallen into disuse due to high failure rates.

Urethral slings can be used in people with intrinsic sphincter deficiency as well as those with hyper mobility. It involves the placement of a strip of tissue or artificial substance that supports the urethra and bladder neck like a hammock. It increases outflow resistance and improves urethral closure by supporting the mid urethra. The vast majority of patients can be rendered dry in this way, but the operation does carry the risk of difficulty with passing urine afterwards. Other complications include infection or erosion of the synthetic sling material which then has to be removed.

An artificial urinary sphincter (AUS) made of silicone can be used in someone with total incontinence resulting from irreparable damage to the sphincter. The AUS consists of a small cuff that is placed around the urethra (bladder tube), with a reservoir (balloon) that is placed in the lower belly next to the bladder. Both of these are connected with a small tube to a valve placed in the scrotum, which the person then uses to inflate or deflate the cuff. An AUS is very effective, but it is quite expensive, and there is a risk of infection or erosion of the synthetic material.

2. Urge incontinence

Non-medical treatment

• Bladder training
• Biofeedback
• Pelvic floor exercises

Voiding by the clock and progressively increasing the time between voids can improve the symptoms of patients with urge incontinence and otherwise normal bladders. This can be combined with biofeedback and pelvic floor exercises.

Medical treatment

• Oxybutynin
• Tolterodine
• Imipramine

Drug therapy forms the mainstay of treatment for patients with urge incontinence due to bladder instability. These anti cholinergic agents relax the bladder muscle and increase bladder capacity. Side effects include a dry mouth, constipation and blurred vision.

Surgical treatment

Injection of botulinum A toxin (Botox) into the bladder muscle (detrusor) can be used if the urge incontinence is due to a neurological disease causing overactive bladder contractions.

Tiny bladders due to radiation or tuberculosis can be enlarged surgically. A segment of intestine is patched onto the opened bladder, thereby increasing the capacity. Patients with intractable bladder instability who have failed medical treatment can also be treated in this way.

3. Overflow incontinence

Overflow incontinence due to bladder outflow obstruction is treated by surgically alleviating the obstruction. The most common example would be a man with prostatic enlargement treated by resection of the prostate gland. If the incontinence is due to failure of the bladder to contract then intermittent clean self-catheterisation is the most appropriate treatment. Permanent indwelling catheters should be avoided if at all possible.

4. Total incontinence

Total incontinence due to a vesico vaginal fistula or auretero vaginal fistula is treated by surgical repair of the defect.

Treating faecal incontinence

Once your doctor has established the underlying cause of faecal incontinence, they will decide on the most suitable treatment, which could involve a combination of medication, exercise and other methods.

Let’s look at some of the treatment options available for FI:

Dietary changes: If your FI is caused by diarrhoea or constipation, making changes to your diet may sometimes help to normalize and regulate bowel movements. Your doctor may ask you to keep a food diary to monitor the impact of dietary changes. For example, he or she may suggest increasing your intake of high-fibre foods and fluids, or to eliminate foods that may exacerbate the problem.

Medications: Your doctor may recommend specific medication or bulking agents such as fibre supplements to change stool consistency, depending on whether you suffer from diarrhoea or constipation. Another option is Solesta, an injectable FDA-approved gel that's injected into the anus and effectively reduces or completely treats FI in some people. This gel narrows the anal opening by increasing the growth of rectal tissue and helping it to remain tightly closed.

Bowel retraining: This routine encourages normal bowel movements and helps you achieve greater control by becoming more aware of the need to use the toilet. It may incorporate various aspects such as making a conscious effort to have a bowel movement at a specific time of day and using suppositories to stimulate bowel movements.

Biofeedback: This improves the strength and coordination of the anal muscles that help control bowel movements, and heightens the sensation related to the rectum filling with stool. It usually involves a specially trained physiotherapist teaching you simple exercises to strengthen your pelvic-floor muscles, sense when stool is ready to be released and contract the muscles if it's not appropriate to have a bowel movement at a specific time.

Kegel exercises: Also called pelvic-floor exercises, these focus on strengthening the muscles of the anus, buttocks and pelvis. When done correctly, they can be effective in improving or resolving FI. They involve a routine of repeatedly contracting muscles used when making a bowel movement. Hold these muscles as if you're trying to stop the flow of stool or passing gas for a slow count of five, and then relax. Kegel exercises should be done in a series of 30 contractions three times a day. They usually strengthen the pelvic-floor muscles within a few weeks.

Surgery: In some cases, surgery may help people with severe FI who haven't responded to other treatments or people with an underlying condition causing incontinence that need surgery to regain control. There are various surgical options and your doctor will probably refer you to a specialist.
13 people found this helpful

I am suffering from kidney stones since last 6 years. I feel more pain in kidneys day and night. Stones in both kidneys. Please solve my problem. And tell me medicine. My age 32 years. Male.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Greater Noida
I am suffering from kidney stones since last 6 years. I feel more pain in kidneys day and night. Stones in both kidne...
Dear what is the size? you may take ayurvedic medicines for stone removal without surgery. You may seek consultation in person/private. Kind regards, Dr. Jyoti gupta, ayurvedic consultant ayurveda for sure cure.
3 people found this helpful
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Mujhe Sneezing aur khansi aur laughing me urine pass ho jaati hai. Please help me.

MBBS, MBA (Healthcare)
General Physician, Delhi
Mujhe Sneezing aur khansi aur laughing me urine pass ho jaati hai. Please help me.
take sinarest one tab at night for 3 days. take honitus 2 tsf 2 times a day for 5 days. do gargle, take steam. consult physician if not ok.
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What is the causes of frequent urination? Please suggest some home remedies to get rid of it and also to get rid of white discharge problem.

MBBS
General Physician, Mumbai
What is the causes of frequent urination? Please suggest some home remedies to get rid of it and also to get rid of w...
U r likely to have a urine infection, plenty of liquids, cranberry juice, barley water can help you to some extent.
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My father has done prostate biopsy test on 22 April, after that one or two drop blood comes through urine. He is a diabetic patients. Is there any medicine or what we will do.

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
My father has done prostate biopsy test on 22 April, after that one or two drop blood comes through urine. He is a di...
Some blood in urine is expected after prostate biopsy. Drink lot of water. It ll get fine. Don worry. If it continues than please contact the urologist as diabetic patients has high risk of uti.
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What are the symptoms of kidney stones I have pain in my lower back and lower abdomen please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
What are the symptoms of kidney stones I have pain in my lower back and lower abdomen please help me.
It could be. Some time if stone r there, it might passed also because of that only you r getting pain. Get one abdominal scan. By that you will come to know.
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I recently tested my urine sample, which shows everything thing normal except phosphorus trace, on higher side, what it means, I am a diabetic patient.

MBBS
General Physician, Malappuram
I recently tested my urine sample, which shows everything thing normal except phosphorus trace, on higher side, what ...
Hi lybrate-user The kidneys  help control the amount of phosphate in the body. Extra phosphate is filtered by the kidneys and passes out of the body in the urine. If there is not enough phosphate, less is found in the urine. Kidneyproblems can cause high or low levels of phosphate in the urine. High levels of phosphate in the urine also may be caused by eating a meal high in phosphorus, having high levels of vitamin D in your body, or having an overactiveparathyroid gland. In your age, if you see mild phosphate trace do not wory its trace, if you need evaluation do 24 hr urine sample test for phosphate and show to me. Thank you.
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I didn't here this type of benefits by drinking beer. I have a small kidney stone. Shall I have moderate quantity of beer in order to melt them. Please guide me in order to resolve my problem. Thanks & Regards Ramesh.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
I didn't here this type of benefits by drinking beer. I have a small kidney stone. Shall I have moderate quantity of ...
Beer does not melt any stones. This is a common misconception. For stones have plenty of water generally. Stones smaller than 6mm can pass spontaneously usually, larger stones may obstruct and may require some procedures. Medicines are available which help in passing small stones but please get ultrasound kub, for confirmation of diagnosis.
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Whenever I go out for urination I fell a problem. After finishing droplets continue to flow.

BHMS
Homeopath,
Whenever I go out for urination I fell a problem. After finishing droplets continue to flow.
Dear lybrate user, follow the given medication as directed:- 1) 5 drops of homoeopathic causticum 30 at early morning daily before brushing teeth 2) 5 drops of homoeopathic conium mac 30 before going to bath daily. 3) 5 drops of homoeopathic baryta carb 30 just one hour before dinner daily.
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My mon suffering with kidney stone, she has very pain in stomach, can you suggest me for remove to kidney stone.

BHMS, Master of Science in Pharmaceutical Medicine
Homeopath,
My mon suffering with kidney stone, she has very pain in stomach, can you suggest me for remove to kidney stone.
Hello, homoeopathic medicine prescription requires details about sleep, sweat, diet, bowel, ect. Please explain in detail or leave a private msg for the same. Thank you.
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Hi sir I have kidney stone could you please suggest me any home remedies to to remove.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Hi sir I have kidney stone could you please suggest me any home remedies to to remove.
What are the size of the stones? stones treatment depends on the types and size of stone, most kidney stones won't require invasive procedures. You may be able to pass a small stone by: drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless doctor tells you otherwise, drink enough fluid mostly water to produce clear or nearly clear urine. Passing a small stone can cause some discomfort. To relieve mild pain, according to your medical history I may prescribe pain relievers. I am a doctor and renal (kidney) registered dietitian who will also prescribe a customized diet plan and medications to help pass your kidney stone quickly and with less pain. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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It takes longer time to pass urine ,I have mega ureters ,and take Flotral tablet daily ,

MBBS
General Physician, Jalgaon
It takes longer time to pass urine ,I have mega ureters ,and take Flotral tablet daily ,
Please have plenty of water daily take tab himplasia by himalaya 1 1 chandnasav 2tsf 3 times in water all for 3 months minimum continue your flotral do usg abdomen after one month of above treatment and send report on lybrate to me.
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I have problem of frequent urination. What should i do?

Diploma in Diabetology, Master of Hospital Administration, MBBS
General Physician,
I have problem of frequent urination. What should i do?
Kindly get your blood sugar levels done and revert back to me for further assistance. Dr. Surbhi agrawal consultant physician and diabetologist
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