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Dr. Mukund Nandankar

Urologist, Mumbai

Dr. Mukund Nandankar Urologist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Mukund Nandankar
Dr. Mukund Nandankar is a trusted Urologist in Mumbai, Mumbai. You can consult Dr. Mukund Nandankar at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Mukund Nandankar on Lybrate.com.

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Bombay Hospital & Medical Research Centre

#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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I am 31 years male. I urinate properly but at end of urinating when I apply some pressure some urine come out. H/O multiple sclerosis since 2009.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
I am 31 years male. I urinate properly but at end of urinating when I apply some pressure some urine come out.
H/O mu...
I believe you should not be excessively concerned about residual urine unless it is more than 300 ml. If you fee like there is only" some" urine that comes our if you apply pressure after voiding is completed, you do not need medical help. The fact that you have a h/o multiple sclerosis since 2009 has nothing to do with your current problem. I hope this helps. Take care and have a lovely day!
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Urine flow slow. Slight improvement with silodal 8. Motion (stool) urge with urine. Age 56. Male. Taking sartel am. Lopressor 50, r2 10.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Urine flow slow. Slight improvement with silodal 8. Motion (stool) urge with urine. Age 56. Male. Taking sartel am. L...
Dear , your doctor has prescribed the drug so he must have investigated you with urine usg (kub) please post them here. But at the same time make sure you are not constipated and do not have fissure. It seems you have bladder outflow obstruction.
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I had uti due to proteus mirallis bactria confirm on urine culture report and I had taken seven days of antibiotic ceftum 250mg bd. But still having problem of burning feeling of urine & frequency is more is there along with back pain. Should I take same medicine for more days & wait or go for usg. Please advice.

MBBS
General Physician, Cuttack
I had uti due to proteus mirallis bactria confirm on urine culture report and I had taken seven days of antibiotic ce...
Change to some other antibiotic after repeating urine re/me, culture &sensitivity test and consulting physician. Drink plenty of water (8-10 glasses) daily.
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My husband got fever again n again we did urine test on n which pus cell are 30-50hpf and RBC 5-10 .Is it serious what should we do? He is 31 year.

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
My husband got fever again n again we did urine test on n which pus cell are 30-50hpf and RBC 5-10 .Is it serious wha...
Recurrent infections are due to low immunity and buildup of toxins in the body. Antibiotics will not be able to cure it. Pls see a good ayurveda expert, who can guide in improving digestion and immunity.
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How to prevent creatine rise level in urin for my wife who is 20 year old sugar patient taking 6 units insulin each morning.

PDDM, MHA, MBBS
General Physician, Nashik
I recommend the following 1. Find out how much of protein she is losing in the urine. Protein in urine rises the creatinine. Tablets like ace/arb can reduce protein in urine 2. Avoid red meat 3. Avoid stressful exercises 4. Tab nephrosave twice daily has given good results in my patients 5. Most importantly make sure bp is within 130/70 at all times.
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I started insulin from 22 January two times. My blood urea was 53 & creatinine was 1.67 at that time. My urea is 45 & creatinine is 2.02 now. I have started loosing my memory 2-3 times a day. Is this side effects of insulin or shall I approach a neuro physician? I have been suffering from high sugar for last 18-20 years.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
Hi dear madam, - it is side effects of allopathic medicines. - it will be better, if you replace these drugs with herbal drugs, for your long life. -today you r at a critical stage, but still it is possible to cure/ improve, and a little wrong step-- will cost you very much in future. - -its remedy course may need 4-6 months and its packagings are available @ 1500--3000--5000/- rs pm - any query you can consult me privately here.
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To lower CREATININE, SODIUM etc what is the good to be taken and what to be avoided.

MBBS
General Physician, Jalgaon
To lower CREATININE, SODIUM etc what is the good to be taken and what to be avoided.
Please Avoid pain killers Avoid high protein diet, oily, spicy, non veg food Avoid excess salt in foods, avoid processed foods, pickles etc Send me details about your current medicine Take Gokharu kadha 20 ml twice daily with water Punarnavasav 20 ml twice daily with water.
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Echogenic kidney ke baare me btaye. Mere beta ka right kidney cortical echogenic by birth hai. Kya ye apne aap thik ho jata hai.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Increased echogenicity of the kidney in the newborn has many causes, some of which reflect serious renal disease. The major abnormal imaging pattern is the large, diffusely hyperechoic kidney with abnormal architecture. The various cause of echogenic kidney are 1. Heriditary the family history and ultrasonic screening of the parents and siblings are essential in the evaluation. The identification of associated nonrenal abnormalities is important to the recognition of syndromal cystic disease. 2. Second cause of the enlarged hyperechoic kidneys with abnormal architecture include renal vein thrombosis and congenital nephrotic syndrome. A second pattern is the hyperechoic small kidney with abnormal architecture. Many of these kidneys are dysplastic and associated with urinary tract obstruction. The combination of hyperechoic parenchyma and pyelocaliceal dilatation suggests obstructive cystic dysplasia. 3. Cortical and medullary necrosis in the newborn also causes hyperechogenicity in small kidneys. A third pattern contains those kidneys with medullary hyperechogenicity, the most common cause of which in the newborn is nephrocalcinosis associated with furosemide therapy treatment of echogenic kidneys depends upon the effects it causess to the kidneys and some of the effect are 1. Renal dysplasia 2. Acute glomerulonephritis 3. Chronic glomerulonephritis 4. Acute tubular necrosis 5. Hemolytic-uremc syndrome 6. Chronic renal failure 7. Nephrotic syndrome 8. Glycogen-storage disease 9. Sickle cell anemia 10. Polycystic renal disease so the treatment depends upon what type of condition kidney is suffering from and management given accordingly.
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For kidney problems it is suggested to boil the coriander and parsley leaves and to drink the water. Please inform on what frequency it is to be consumed and how many times to be consumed per day and what is the quantity to be consumed each time.

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
For renal problems not only these two but we have boil all varieties of vegetables greens, exclude water and then use the vegetables.
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Urinary Tract Infection in Childhood - What Parents Need To Know?

MD - Paediatrics, MBBS, FISPN & FISPN - Pediatric Nephrology
Pediatrician, Delhi
Urinary Tract Infection in Childhood - What Parents Need To Know?

Many children all over the world are affected by urinary tract infections or UTIs that can be resolved with simple antibiotics, but might also lead to complications at times. Most often, kids under 2 years of age are affected by it, and either the bladder or the kidney might be infected leading to cystitis or pyelonephritis , in smaller children kidneys are presumed to be infected unless proved otherwise.

Causes of UTIs

Though bacterial infections are the most common cause, viral or fungal infections might occur in some cases as well. Most UTI in infants are caused by structural abnormalities of urinary tract. Uncircumcised male infants or children with poor toilet habits, or female children with poor toilet hygiene are susceptible to this disease. Children suffering from a weak immune system might also be at a risk.

Symptoms and signs

Symptoms of UTI are very difficult to differentiate from any other illness in small kids under 2 years of age, symptoms include high fever, diarrhea vomiting, and dehydration. Basically any fever for which no cause is apparent must be evaluated for UTI. UTIs in older children beyond 5 years of age come with different signs including pain during urinating (dysuria), frequent urination, abnormal urge for urination, or bedwetting. Sometimes, fever, abdominal pain, blood in urine or vomiting might be signs as well.

Which doctor to consult?

In most cases, UTIs in children are treated by pediatricians, but if kidney function is troubled then a pediatric nephrologist needs to be contacted immediately. Pediatric Nephrologist to be consulted once the fever is over to look for cause of UTI.

  1. Tests carried out: To understand the underlying cause of the infection and any anatomical or functional risk factors, several examinations or tests are carried out. Vital signs like blood pressure, body temperature, and breathing rate are checked. The abdomen is palpated to find tenderness near the kidneys. Genital areas are also examined for signs of trauma, redness, discharge and such. Urine cultures are essential for diagnosing UTIs finally and this helps in assessing the antibiotic sensitivity profile too.
  2. Good to know: Right after an antibiotic is administered, UTI in children starts getting resolved. But recurrent UTIs might lead to urinary tract abnormalities like kidney malformation. Also note that UTI is not contagious, and cannot be passed on if children share a bath or if you sit on an infected toilet seat.

Treatment

In most cases, UTIs respond well to oral antibiotics, though Pyelonephritis may require hospitalization and intravenous drip. Some studies are also carried out to check if the child is susceptible to renal scarring or kidney failure. These are as below:

  1. Renal ultrasound: Defines the location of the kidneys and their size and shape clearly.
  2. Voiding cysto-urethrogram: The bladder is filled with a dye through a catheter in this method. Then the catheter is removed to study if the bladder is getting emptied without any reflux or obstruction.
  3. Renal scan: To test the functioning of the kidneys and the risk of renal scarring, a bit of radioactive material is used.
  4. Intravenous pyelogram: Though rarely used, in this method, a dye is injected into the bloodstream and X-ray images are obtained.

Prevention

  1. Maintaining proper hygiene: Girls should wipe from front to back and uncircumcised boys should be able to gently retract the foreskin to reveal the urethral opening.
  2. Complete voiding of bladder: Encourage kids to urinate every two to three hours, since they often ignore a full bladder to carry on playing.
  3. Consumption of fluids: Drink plenty of fluids and avoid constipation.

My urine is yellow color in last one month and also I suffering pain in my penis in urine time.

MBBS
General Physician, Cuttack
My urine is yellow color in last one month and also I suffering pain in my penis in urine time.
1. It could be either due to jconcentrated urine because of inadequate water intake/urinary tract infection or jaundice 2. Drink plenty of water (8-10glass daily) 3. Get urine examined for re/me, culture sensitivity 4. Do liver function test 5. Consult doctor/me for advice and treatment.
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I'm am facing some kidney stone problem and diabetes problem how can it manage diet give some tips.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
I'm am facing some kidney stone problem and diabetes problem how can it manage diet give some tips.
Hi dear, welcome to lybrate. Stones remedy/ diet/ and for diabetes ------------ you should take care of diet. Do not take non veg, meat, fish, eggs and fried foods, fast foods, leafy vegetables/ spinach etc.-- sweets, sweet fruits -add plenty of fresh clean and healthy water -add sufficient vegetables/ fruits to daily diet. -avoid excessive semen/ raj- loss - best way -u can purchase -- tibetan/vaidic- pathrihar course- - remedy--1-months- for complete cure- and get rid off stones in a short period- if you want to avoid surgery/ lithotripsy etc.
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Bladder Infections - Decoding one of the Most Common Gynae Problem in Women

DGO, MAOGD, MBBS
Gynaecologist, Panchkula
Bladder Infections - Decoding one of the Most Common Gynae Problem in Women

A bladder infection is a bacterial infection within the bladder. Some people call a bladder infection a urinary tract infection (UTI). This refers to a bacterial infection anywhere in the urinary tract, such as the bladder, kidneys, ureters, or the urethra. While most cases of bladder infection occur suddenly (acute), others may recur over the long term (chronic). Early treatment is key to preventing the spread of the infection.

What causes Bladder Infection?
Bacteria that enter through the urethra and travel into the bladder cause bladder infections. Normally, the body removes the bacteria by flushing them out during urination. Men have added protection with the prostate gland, which secretes protective hormones as a safeguard against bacteria. Still, sometimes bacteria can attach to the walls of the bladder and multiply quickly. This overwhelms the body’s ability to destroy them, resulting in a bladder infection.
Bacteria that enter through the urethra and travel into the bladder cause bladder infections. Normally, the body removes the bacteria by flushing them out during urination. Men have added protection with the prostate gland, which secretes protective hormones as a safeguard against bacteria. Still, sometimes bacteria can attach to the walls of the bladder and multiply quickly.

Other factors can increase the risk of bladder infections for both men and women. These include:

  • Advanced age
  • Insufficient fluid intake
  • Surgical procedure within the urinary tract
  • A urinary catheter
  • Urinary obstruction, which is a blockage in the bladder or urethra
  • Urinary tract abnormality, which is caused by birth defects or injuries
  • Urinary retention, which means difficulty emptying the bladder
  • Narrowed urethra
  • Bowel incontinence
  • Pregnancy
  • Diabetes

Symptoms for Bladder Infections

  • Cloudy or bloody urine
  • Urinating more often than usual
  • Foul-smelling urine
  • A frequent sensation of having to urinate, which is called urgency
  • Cramping or pressure in the lower abdomen or lower back

Bladder infections can also cause back pain. This pain is associated with pain in the kidneys. Unlike muscular back pain, you might experience pain on both sides of your back or the middle of your back. Such symptoms mean the bladder infection has likely spread to the kidneys. A kidney infection can also cause a low fever. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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I am a male member aged 76 years. I was a high blood pressure patient since last 30 years and under medical supervision and under control. My creatinine shown as 2.8. Please advise me what vegetables and fruits I can take to keep the creatinine under control.

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist, Delhi
You seem to have developed CKD. You should restrict salt, proteins,fluids,potassium,phosphorus intake. Safe fruit/vegs Apple, pineapple, papaya, guava, jamun, pears Baingan,cabbage,cauliflower,tinda,parwal,pumpkin,bhindi,lauki,tauri Pulses(triple boil leeching)- Moong,arhar,chana,masur.
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How many times urinating in a day is normal? I can control my urine for an hour or so but it is bit painful. But I go around 3-4 times a day? Is it normal?

MD - Homeopathy, BHMS
Homeopath, Ahmedabad
How many times urinating in a day is normal?
I can control my urine for an hour or so but it is bit painful. But I go...
It depends on how much water you consume per day. Your atmosphere if you have hot around you will lose more water in perspiration. Anxiety may cause increased urination. Many people passes urine 2-3 times per day and many 15-20 times per day both are normal. Untill you have pain and any other discomfort it is normal. If then also you feel to check it out go for usg abdoman and pelvis. It will give you proper diagnosis.
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I am 21 years old. I am having burning sensation while urinating. Most probably its gonorrhea. Which medicine should I take?

BHMS
Homeopath,
I am 21 years old. I am having burning sensation while urinating. Most probably its gonorrhea. Which medicine should ...
Dear lybrate user, take homeopathic mother tincture can notharis q, 30 drops, thrice daily, after meals, in a cup of water.
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I am having lower back pain and tigh pains and slight body pains frequent and suddenly. And slight burning and uncomfortable near my anus. And mild stomach cramps frequently and headaches. And before two days I had a little clear white discharge from my nipples when squeezed and yesterday onwards I got a small lump begning under my arm pit and its having slight pain when pressing. Can you plzzz help me why I am having all these.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am having lower back pain and tigh pains and slight body pains frequent and suddenly. And slight burning and uncomf...
Homoeopathy has good treatment for your problem, without causing adverse effects. Take homoeopathic medicine bryonia 200 daily in the morning and in the evening and give feedback after 6 days.
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I am 42 years old woman and my foot and legs and belly are swelling. It is the cause of kidney failure or so. What can I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 42 years old woman and my foot and legs and belly are swelling. It is the cause of kidney failure or so.  What c...
There are many reasons for swelling occurring in feet, legs and in abdomen. Please tell me if you have any of the problems like hypertension (high bp), liver disease, hypothyroidism or any cardiac or kidney disease, because any of these conditions can give rise to the swelling.
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Can Acute Tubular Necrosis Cause Kidney Failure?

MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
Can Acute Tubular Necrosis Cause Kidney Failure?

Causes and symptoms of acute tubular necrosis

Damage or destruction to tube-like structures known as tubules in the kidneys can bring about the development of acute tubular necrosis (ATN) and subsequently, acute kidney failure.

What causes acute tubular necrosis (ATN)?

A lack of supply of oxygen to the cells in the kidney is the most common cause of this condition. The reason as to why oxygen may not reach the cells and tissues of this organ could be restriction or blockage of the pathways. When this happens, the kidneys get damaged. Dehydration is the most important cause of ATN which may be because of loose motions, vomitings, heat stroke etc.

Health conditions such as diabetes, heart attack, and stroke can bring about a decrease in blood flow to the organs resulting in ATN and death of cells. Similarly, the presence of toxic substances in the blood can also lead to tubules damage and change the way the cells function in the tubules.

Other causes that may lead you to develop ATN may be medications, radiology dyes, anesthetics and chemicals that cause your body to react adversely.

In addition to these causes, a number of factors can put you at risk of ATN and there are:

- An injury to the body, more specifically your kidneys can cause clotting of the blood vessels
- An adverse response to blood transfusion
- Instances of septic shock can slow down blood flow to the organs
- A major surgery that can interrupt blood supply to the organs

What are the symptoms of the condition?

The symptoms associated with the condition can vary depending on the severity of the problem.

You may experience:

- Troubles in waking up
- Drowsy feeling even during daytime
- Feelings of lethargy
- Feelings of excessive thirstiness
- Problems with urination
- Fluid retention problems
- Instances of confusion
- Feelings of nausea

'Consult'.

Related Tip: 3 Causes of Acute Kidney Failure

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