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Dr. Martin D'souza

Nephrologist, Mumbai

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Dr. Martin D'souza Nephrologist, Mumbai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Martin D'souza
Dr. Martin D'souza is one of the best Nephrologists in Andheri East, Mumbai. You can consult Dr. Martin D'souza at Holy Spirit Hospital in Andheri East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Martin D'souza 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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Hindi

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Holy Spirit Hospital

Mahakali Caves Road, Andheri East, Landmark: Near Canossa High School, MumbaiMumbai Get Directions
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PDDM, MHA, MBBS
General Physician, Nashik
Drinking lots of water and going to pee frequently is normal. Whereas, drinking less of water and feeling the urge to pee frequently is certainly abnormal. You can identify it on your own if you feel the pain or burning sensation while urinating with an immediate call to urinate. Sometimes, you may be infested with the pain in your back or pubic area. A tip for preventing exacerbating pain is kegel exercise. Kegel exercise is performed by repeatedly contracting and relaxing the muscles around the pelvis; this exercise strengthens the muscles around the bladder and urethra and prevents urinary incontinence and problems.
Dr surbhi agrawal
consultant physician, diabetologist and wellness expert
8 people found this helpful

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

Renal Stones - The Ayurvedic Way of Treating Them!

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Renal Stones - The Ayurvedic Way of Treating Them!

A rolling stone may gather no moss, but a kidney or renal stone can cause a lot of pain! As a matter of fact, the pain is quite common as statistics say that 10% of women and 20% of men have experienced this painful issue at some point in their lives.

Ayurvedic solutions to treat renal stones are quite effective. As a matter of fact, a lot of the treatment is customised to suit the case at hand. This makes this ancient system of medicine more effective and works in such a way that those suffering from renal stones are able to get out of pain quite sooner than they would have normally expected, had they she followed the course of conventional medicine.

Following the Ayurvedic diet

  • It is to be noted that changes to a person’s food and liquid consumption, when it comes to following the Ayurvedic course of treatment for renal stones, is part and parcel of the treatment. Some of the things that a person who makes the choice to follow this form of treatment can expect to find in his or her diet include ash gourd juice along with the trunk of the banana tree as well as coconut flower. Quite exotic indeed! It can be said that if a person makes the effort to adhere to the diet which is set out by his or her Ayurvedic consultant, he or she will be expediting his or her return to the pink of health.
  • One of the most elementary things which is to be done by a person who either has renal stones or is at a threat of having renal stones is to make sure that they are well hydrated. While five glasses of water are often considered by many to be sufficient, a person who has eight goes the proverbial extra mile to make sure that he or she is cutting the risk of being affected by renal stones.
  • Talking about liquids to be consumed, it can be said that a glass of the juice of radish leaves can make a big difference, if the frequency of the consumption of the same is maintained at two glasses a day, in a consistent manner.

In addition to this, incorporating fruits such as watermelon into the diet of a person can really go a long way. By moving away from a diet rich in oily food, you will be doing yourself a big favour.

My mom recently started doing urine in her bed only. Mostly it happens in the night when she is asleep. Sometimes in day also when she is sleeping. Also to mention when she is awake she remembers to do the urine in bathroom.

C.S.C, D.C.H, M.B.B.S
General Physician,
My mom recently started doing urine in her bed only. Mostly it happens in the night when she is asleep. Sometimes in ...
This is age related incontinence and she needs a urology checkup . Or using adult diapers etc.. Also stop giving water 2 hours before bed and wake up in between and take her to bathroom
1 person found this helpful
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Hi doctor, please let me know is there any treatment for kidney failure apart from dialysis and transplant. My creatinine is 7. 4.

PDDM, MHA, MBBS
General Physician, Nashik
Drug nephrosave have some benefits but dialysis has to be continued. Kindly consult privately for details on drugs that do kidney remodeling.
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My brother is 12 now but he still is wetting his bed. What is the problem why is he still bedwetting? What is the cure?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My brother is 12 now but he still is wetting his bed. What is the problem why is he still bedwetting? What is the cure?
It appears, probably your brother had never been dry since birth. in such cases there are chances of defect in urinary path way. If he has restarted bed wetting after a good dry period of years, get him investigated for urinary infection and look for any stress. Cure is according to cause.
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How does gal stones affect on kidney? Is there any mechanical injuries by these stones?

B.H.M.S ( Mumbai) (Silver Medalist), Certificate In Gyn and Obstetric
Homeopath, Noida
How does gal stones affect on kidney? Is there any mechanical injuries by these stones?
Dear lybrate-user, gallstones are hardened deposits of digestive fluid that can form in your gallbladder. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver. Gallstones do not affect your kidneys in anyway. They are two separate organs. Gallstones can block the tubes (ducts) through which bile flows from your gallbladder or liver to your small intestine. Jaundice and bile duct infection can result. If blocked these stones can cause severe pain.
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I am a 21 year old male. Over the past three months whenever I urinate, my urine stream splits in two (one continuous stream and one stream which is basically drops of urine.) Is there something wrong? And if there is something wrong, it's treatment may include surgery?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am a 21 year old male. Over the past three months whenever I urinate, my urine stream splits in two (one continuous...
Hello, Urine incontinence is quite common where the elasticity of the urinary muscles is affected, consult an urologist and try doing kegel exercises it should help you.
1 person found this helpful
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Hi. I Go for The Urine Test. But It Is Totally Ok. In starting There is some dots& lase. Kindly It impact On My marriage life Next. Kindly tell me some medicine for this twice.

MBBS
General Physician, Jalgaon
Hi. I Go for The Urine Test. But It Is Totally Ok. In starting There is some dots& lase. Kindly It impact On My marri...
Please Take Chandnasav 20 ml Twice a day for 3 weeks Ashwagandharistha 20 ml Twice a day for 3 weeks Best of luck.
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Sir, I go to toilet 5-6 time in one day. What types disease indication. But am suffering for PILES. I am doubt this type indication to COLON Cancer. More time go to toilet symptoms of cancer. Mere ko doubt hai ki toilet ki nali me cancer to nahi hua hai. Kyonki har 4 hrs me toilet lagta hai. please help me sir.

BHMS
Homeopath, Chennai
Sir, I go to toilet 5-6 time in one day. What types disease indication. But am suffering for PILES. I am doubt this t...
Homeopathic medicines permanently cure piles without surgical intervention. The conventional system of medicine, on the other hand, does not promise complete cure even after surgery. Homeopathic medicines work at the constitutional level to set right disturbances in the venous system that have caused piles in the first place,similarly irritable bowel syndrome has permanent cure in homoeopathy
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I am suffering from borderline hepatomegaly, kidney stone and I feel very much pain in my left upper abdomen.

BHMS
Homeopath,
I am suffering from borderline hepatomegaly, kidney stone and I feel very much pain in my left upper abdomen.
Dear lybrate user, a kidney stone is mainly formed due to the accumulation of the minerals present in urine. Such accumulation occurs mainly due to low intake of fluids. Continous low fluid intake results in the deposits of the minerals over the stone & eventually leads to an increase in the size of the stone. If the size of the kidney stone is below 3mm then it is possible to get rid of it without any surgery. Take homoeopathic mother tincture berberis vulgaris q, 30 drops, thrice daily, after meals, in a cup of water for 15 days. The stone will be expelled through urine in between the span of 15 days of medication. But if the size of the stone is more than 3mm then you should surely go for surgery. For your hepatomegaly take homoeopathic liver tonic liv-t (sbl company). Take 20 ml of the liver tonic, thrice daily, after meals.
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I am Having a sudden forceful urge to must urinate. If held back dripping starts. I am healthy taking no medicine and 67+ years old. Is it a sign of Prostrate Enlargement? Any natural remedial measure?

BSc, Diploma In Human Nutrition, Certified Diabetes Educator, MBA, Lifestyle Medicine
Dietitian/Nutritionist, Bangalore
I am Having a sudden forceful urge to must urinate. If held back dripping starts. I am healthy taking no medicine and...
Yes. Please get it checked. Also please reduce or stop all white sugar based products, packed foods and take more natural foods. Dates & flaxseeds are considered beneficial for prostate enlargement.
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Doctor sahib, I am 58 years old male having high urinating problem. I drink much water too but I need to urinate after every 30-40 minutes. Once I drink water than feel to urinate imm. I feeling this problem since long. Pls inform what is this problem and how to stop this Everytime urinating problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
Doctor sahib, I am 58 years old male having high urinating problem. I drink much water too but I need to urinate afte...
Human needs only 3-4 litre water in a day. If your taking excess water then your body will react in form of frequent urination. Avoid over drinking.
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Treatments For Kidney Stones

DNB (Urology), MS - General Surgery, MBBS
Urologist, Delhi
Treatments For Kidney Stones

Treatment for Kidney stones varies depending on the size and type of the stone or the symptoms caused by it. In case of small stones, medication and simple changes in lifestyle can be enough to treat it, but surgeries and extensive treatments are required if symptoms are severe. Following are treatment options for kidney stones:

Small stones with minimal symptoms:  

  1. Drinking water: Drinking around 3 liters of water a day will regulate your urinary system and can effectively eliminate small stones. Unless your doctor advices otherwise, drinking ample amount of fluids, usually water, is one of the commonest way to get rid of small kidney stones. 
  2. Pain relievers: There might be a considerable amount of pain and discomfort associated with passing the stone through urine. Your doctor may recommend pain killers like Ibuprofen, Naproxen sodium or acetaminophen. 
  3. Medical therapy: In order to eliminate the kidney stone, your doctor may administer medical therapy. Medication like alpha blocker helps in passing the kidney stone with least pain and more quickly. It relaxes the muscles in the ureter and makes the process relatively easy. 

Large stones with severe symptoms: 

  1. Using sound waves to break up stones: In this technique, a procedure called Extracorporeal Shock Wave Lithotripsy (ESWL), is employed. ESWL uses the help of sound waves to create vibrations which breaks the stones in smaller pieces. This procedure takes about an hour and can cause mild pain and discomfort. Your doctor may administer sedatives to reduce your sensitivity. ESWL has side effects like blood in urine or bruising in the abdomen. 
  2. Surgical removal of kidney stones: Surgical removal of stones is done with the help of a procedure called nephrolithotomy. It uses small telescopes and other instruments which are inserted in your back through a small incision. It is generally done in case of large stones and when ESWL fails. 
  3. Ureteric Calculi (Using a scope to remove stones): A thin illuminated tube called ureteroscope is used to remove a comparatively smaller stone in the kidney or ureter. The ureteroscope is equipped with a tiny camera which determines the location of the stone which is then broken into pieces with the help of other instruments. It may require general or regional anesthesia.

Related Tip: "Kidney Stones and Your Diet"

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I had piles and fissure operation before 8 months and after this I am not having proper smooth toilet many times. Due to this, I need to take Isapgol husk powder to make toilet smooth. If I avoid taking this powder then toilet is not getting smoother and due to this I can have fissure from outside. Please tell me what should I do here? What care I need to take to avoid this issue? Thanks in advance!

PGDM In Cosmetology, Trichology & Weight Managmen, MD, BHMS
Homeopath, Mumbai
I had piles and fissure operation before 8 months and after this I am not having proper smooth toilet many times.
Due...
Drink 2-3 litres of water. A glass of warm water morning and bedtime. Have buttermilk, soups. Eat fresh fruits especially chickoo and papaya. Lot of green leafy veg. Eat small meals frequently. It helps in bowel movements. Avoid spicy and if in case you are eating non veg avoid. Stroll after meals in the house. Exercise regularly or walk 30 minutes. After you follow this regime make your isabgul alternate days and then slowly further reduce it to once a week and then stop.
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After waking up there is lot of puffiness under my eye, family doc said it might be kidney infection I checked all the report every thing is normal at time this puffiness is all day.

C.S.C, D.C.H, M.B.B.S
General Physician,
After waking up there is lot of puffiness under my eye, family doc said it might be kidney infection I checked all th...
You need to go for a detailed check up again. Could be allergic angioedema which is of no trouble. Anyway check up and inform me.
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In a daytime suddenly I have to rush to the toilet for 2/3 times for for cleaning my bowl. It has increased recently. What is the reason behind it?

BHMS
Homeopath, Vadodara
In a daytime suddenly I have to rush to the toilet for 2/3 times for for cleaning my bowl. It has increased recently....
this is might be due to acute gastroentrites and it will be solve from taking light diet for 3-4 days and consuming coffee also for 2-3 days
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My mother creatinine level is 5 Now her stomach is quite swelling, so what should I do now.

MBBS, MD - General Medicine, FCCS,USA, DIPLOMA IN HOSPITAL MANAGEMENT, POST GRADUATE DIPLOMA IN JOURNALISM AND MASS COMMUNICATION
Sexologist, Jaipur
My mother creatinine level is 5
Now her stomach is quite swelling, so what should I do now.
Probably she is having ascitis due to chronic kidney disease. Tapping of ascitic fluid necessary for therapeutic and diagnostic purposes. Go for some blood test. Like total protein, s. Albumin and urine routine examination. And liver function test also.
2 people found this helpful
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What food I need to avoid in kidney stone. I know about tomato and spinach (palak)

MBBS, MS - General Surgery, MCH- Urology
Urologist, Kolkata
What food I need to avoid in kidney stone. I know about tomato and spinach (palak)
During 3-4 l fluid orally. Decrease Animal protein intake. Decrease salt intake. Increase Citrus fruit intake.
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I am taking Fourrts ED SAVE5 mg tablet with a 2.5 mg dose on regular basic, these tablet can effect on kidneys?

PDDM, MHA, MBBS
General Physician, Nashik
I am taking Fourrts ED SAVE5 mg tablet with a 2.5 mg dose on regular basic, these tablet can effect on kidneys?
Due to increased tadalafil exposure (auc), limited clinical experience, and the lack of ability to influence clearance by dialysis, cialis for once daily use is not recommended in patients with creatinine clearance less than 30 ml/min.
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