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Dr. Parag M Gauande

Urologist, Mumbai

Dr. Parag M Gauande Urologist, Mumbai
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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. Parag M Gauande
Dr. Parag M Gauande is one of the best Urologists in Goregaon West, Mumbai. You can visit him at B.K. Kidney & G.I. Centre in Goregaon West, Mumbai. Book an appointment online with Dr. Parag M Gauande and consult privately on Lybrate.com.

Find numerous Urologists in India from the comfort of your home on Lybrate.com. You will find Urologists with more than 36 years of experience on Lybrate.com. You can find Urologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Jaykar Smruti, Aarey Road, Goregaon West. Landmark: Beside Ambal Mata Temple, MumbaiMumbai Get Directions
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One urethra correction regarding A child 17 age has urethra problem since birth how to resolve and center name for oration. And will it effect married life or not?

LCPS, BAM&S
General Physician, Pune
One urethra correction regarding
A child 17 age has urethra problem since birth how to resolve and center name for or...
Many kids have this kind of urethral problem. Surgery is not very complicated. Any general surgeon (m. S.) can perform the operation. Government hospitals also will do it free.After operation,will have normal life including married one.
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My mother is hypertensive since 2 years, she has hypothyroidism also, her uric acid level is 7 since 1 year it is not coming to normal range, even after taking zyloric 300 tab, now she is complaining increased urination at night time and severe itching all over the body what should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My mother is hypertensive since 2 years, she has hypothyroidism also, her uric acid level is 7 since 1 year it is not...
Drink at least 8-10 glasses of water every day. Drinking water at intervals keeps your body hydrated so that uric acid crystals do not form at all. A healthy intake of water can help flush excess uric acid out of the body. Increase your consumption of antioxidant-rich foods like cherries, blueberries, blackberries, grapes and pineapples. They prevent inflammation of the joints and help in the excretion of uric acid. Try apple cider vinegar. Not only is it known to lower uric acid levels, but it also helps to reduce arthritic pain, even when used as a topical application. Stay away from foods that can cause gout or trigger inflammation. These include beans, mushrooms, meat and fish like salmon, mackerel, sardines and crab. Although patients with gout are advised to limit alcohol intake, the best option would be to eliminate it completely. Alcohol not only increases the risk of gout it also increases the severity of symptoms. take tab. zyloric in 200 mg od only..all other medicines are ok.
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I am not urinating properly. I feel pain after urinating. My bladder is never emptied fully. There is burning sensation as well. Kindly prescribe me some medicine and home remedies as well.

BHMS, CGO
Homeopath, Pune
I am not urinating properly. I feel pain after urinating. My bladder is never emptied fully. There is burning sensati...
First to find out the right cause like - cystitis, urinary tract infections, fibroids /pelvic masses/constipation etc etc. Their is not as such home remedies for this problem, you have to take a proper homeopathic treatment for this, few tips - often mild degrees of difficulty can be managed with simple advice. When sitting on the toilet, make sure that your legs are apart rather than having your knees together. Leaning forwards or even standing slightly may alter the angle of the bladder neck enough to allow better emptying. Waiting for two minutes after the initial void and trying again may help. This is known as the double void technique. 2) more severe symptoms may require actual treatment. There are three approaches to the treatment of voiding difficulties: try to increase the force of the bladder contractions. This can be achieved in some cases using bethanechol, which stimulates the nerve fibres controlling the contraction of the bladder muscle. This may be effective if there are no signs of obstruction at the bladder neck or urethra. Try to reduce outflow obstruction. This method would be used if there was a specific site of obstruction in the urethra such as a stricture, or narrowing, demonstrated during investigation as mentioned above. Third, and probably most commonly, catheters are used. They can either be used occasionally or remain in place long term. 3) occasional self-catheterisation when properly taught in a healthy individual with normal dexterity is the best option. It gives freedom to control bladder symptoms with no more inconvenience than having to change a tampon. But I suggest, you do all these things in the supervision of certified medical person. Homeopathic medicine for temporary relief - equisetum hyemale 30 three times a day, can notharis 30 - three times a day, then let me know after 4-5 days.
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I am suffering from much urine out going in 24hrs approx 12 to 14 times urine out please give me the suggestion for this problem.

MBBS
General Physician, Cuttack
I am suffering from much urine out going in 24hrs approx 12 to 14 times urine out please give me the suggestion for t...
For your age excessive Urination could be due to 1.Drinking lot of water/ excess tea/ coffee/alcohol 2.Urinary Tract/bladder infection 3. Bladder stone causing a blockage in ureter/bladder, stone in urinary tract, cystitis, interstitial nephritis 5.Diabetes mellitus/Diabetes inspidus, Hypertension,Enlargement of prostate 6. stress/Anxiety/nervousness , 7. Investigate yourself after consulting Doctor.Do urine Re/Me, Blood sugar testing,Take USG KUB,USG Prostate and consult urologist for advice
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I am a virgin and desire for sex n I had developed a habit of urine retention as it gives me pleasure. But it is creating problem like uti. How get rid of it?

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
I am a virgin and desire for sex n I had developed a habit of urine retention as it gives me pleasure. But it is crea...
Yes urine retention gives sexual excitement/ pleasure, because of its pressure on sex organs. But it is not a good habit to retain waste material in body, it may cause uti etc or some other problems in future. You must void urine whenever you feel pressure.
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Sir I'm suffering from kidney stone. Lot of pain in urinary bladder I want advise from you please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Sir I'm suffering from kidney stone.
Lot of pain in urinary bladder I want advise from you please help me.
1. Avoid tea, coffee, alcohol, cold drinks, pickles, fish, poultry, meat, spinach, and chocolate. 2. Avoid sour, heavy, and dry food. 3. Increase intake of liquids like water, juice, soup, lime water lemon soda etc. 4. Be sure to drink enough water each day. Usually 1 to 2 liters of water per day is adequate. 5. Drink more if you are perspiring heavily, working outdoors, the weather is hot, etc. 6. Increase the use of barley, horse gram (a type of bean), ginger, and brown rice or parboiled rice. 7. Avoid suppressing urges to urinate and defecate. 9. Boil 10-12 basil leaves in 1 cup of water for 15 minutes. Mix 1 teaspoon of honey in it and take twice a day. Pls send ur USG report becoz medication for stones depends upon size number and location of stones and can be given after USG.
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I am 18 years old. My semen come with urine regularly but in small amount. I doesn't have any night fall. Please help me.

MBBS
Sexologist, Panchkula
I am 18 years old. My semen come with urine regularly but in small amount. I doesn't have any night fall. Please help...
Your semen comes with urine regularly.I advise you to tell me your eating habits and any addiction to alcohol or cigarette,for better guidance and treatment.
3 people found this helpful
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Nephrotic Syndrome: Causes and Treatment

MBBS, MD - Medicine, DM - Nephrology
Nephrologist, Delhi
Nephrotic Syndrome: Causes and Treatment

Glomerulonephritis is a disease that is caused due to inflammation of the small filters that are present within the kidneys or glomeruli. Glomeruli eliminate the excess waste, electrolytes and fluids from the blood, discharged through urine. A glomerular disease can be either acute or chronic. If the condition arises without a combination of any other disease, it is termed as primary glomerulonephritis. Secondary glomerulonephritis is characterized by diabetes or lupus (an auto-immune disorder) being at the root of the disease. Prolonged or severe inflammation can take a toll on the kidneys.

Causes-

Nephrotic syndrome can be primary, being a disease specific to the kidneys, or it can be secondary, being a renal manifestation of a systemic general illness. In all cases, injury to glomeruli is an essential feature. Kidney diseases that affect tubules and interstitium, such as interstitial nephritis, will not cause nephrotic syndrome.

Primary causes of nephrotic syndrome include the following, in approximate order of frequency:

  1. Minimal­-change nephropathy

  2. Focal glomerulosclerosis

  3. Membranous nephropathy

  4. Hereditary nephropathies

Secondary causes include the following, again in order of approximate frequency:

  1. Diabetes mellitus

  2. Lupus erythematosus

  3. Viral infections (e.g., hepatitis B, hepatitis C, human immunodeficiency virus [HIV] )

  4. Amyloidosis and paraproteinemias

  5. Preeclampsia

  6. Allo-antibodies from enzyme replacement therapy

Nephrotic-­range proteinuria may occur in other kidney diseases, such as IgA nephropathy. In that common glomerular disease, one-third of patients may have nephrotic-­range proteinuria.

Nephrotic syndrome may occur in persons with sickle cell disease and evolve to renal failure. From a therapeutic perspective, nephrotic syndrome may be classified as steroid sensitive, steroid resistant, steroid dependent, or frequently relapsing.

Treatment-

  1. Whether one is suffering from acute or chronic nephrotic glomerular , with symptoms moderate or severe, the treatment lies in treating high blood pressure and other underlying conditions of the disease.

  2. Water pills help control sweating, thus increasing the fluid flushed from the kidneys.

  3. Statins reduce cholesterol level.

  4. Blood thinners such as anticoagulants lower the risk of blood clots.

  5. Corticosteroids regulate the immune system and ease the inflammation that results from kidney disorders.

  6. Incorporating certain lifestyle changes such as opting for lean proteins, cutting on the intake of fat in the diet and consuming lesser amounts of salt can treat inflammation and swelling.

  7. For kidney failure, dialysis can come to the aid in eliminating excess fluids and regulating hypertension.

15 people found this helpful
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I am 35 years old married. I have suffering since last 10 days. I have burning sensation in my urine place after ejaculation.

PDDM, MHA, MBBS
General Physician, Nashik
Just wash your private parts after the act. And consult further for detailed assessment and management.
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I hv stone in my kidney. Of 4mm of 12. How can I get ride of them please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
I hv stone in my kidney. Of 4mm of 12. How can I get ride of them please help me.
Dear Lybrate User, Diet & Lifestyle Advice Avoid tea, coffee, alcohol, cold drinks, pickles, fish, poultry, meat, spinach, and chocolate. Dear Lybrate User, *Avoid sour, heavy, and dry food. *Increase intake of liquids like water, juice, soup, lime water, etc. *Be sure to drink enough water each day. Usually 1 to 2 liters of water per day is adequate. *Drink more if you are perspiring heavily, working outdoors, the weather is hot, etc. *Increase the use of barley, horse gram (a type of bean), ginger, and brown rice or parboiled rice. *Avoid suppressing urges to urinate and defecate. *Make a powdered preparation of equal quantities of the bark of three-leaved caper tree (varun), puncture pine (gokhru), thatch grass (kas) and horse gram (kulthi). Have 1 teaspoon of this powder 3-4 times a day with water. This is one of the best home remedies for kidney stones. *Soak 2 teaspoon of radish seeds in a glass of water, boil and reduce it to half. Strain and drink 1/2 cup of it twice a day to assist in dissolving kidney stones.
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I am 64 man my liver shows a size of16by14mm and lefy kidney lower pole cyst of size 19.7by17.5 mm and prostate wt. Is29.4gms is grade 1. Medial lobe of prostrate projecting into the ub on 17/4/15. I am feeling sweet pain in my lower abdomain andlower back pain. Stiffness in lower back I feel. Please give your opinion. Thanks.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please seek an opinion from general surgeon or urologist on your usg findings first, your back pain may actually be due to degenerative changes in spine or it can also be due to secondary issues. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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I have been suffering from stones in kidney for the last three months please suggest me a better treatment.

BAMS
Ayurveda, Ambala
I have been suffering from stones in kidney for the last three months please suggest me a better treatment.
You should follow these very important and simple things to prevent stone formation & to get sure treatment of kidney stones: 1. First take a lot of fluid daily. The more you drink water and fluid, the less amount of deposit accumulate in kidney. So you have to make your kidneys healthy just only by drinking 2-3 liters (10-12 glasses) of water. 2. Stones are mainly formed of calcium and oxalate. So take very low quantity of milk, cheese, cream and dairy products. 3. Do not take strawberry, plum, spinach and tomatoes. These fruits and vegetables are rich in oxalate. So avoid them to prevent from kidney stones. 3. Stop taking supplementary vitamin d and calcium medication. 4. Avoid animal protein diet- eggs, red meat, fish in diet. 5. Take less amount of salt, pickle and western foods. They have high amount of sodium. So avoid it. 6. Urinary infection are also one of the cause of stone. So take proper antibiotic treatment of urinary infection on time. Even when you feelburning sensation or pain during urination, don't avoid it. Take medication as soon as possible. I hope you follow them in your life andstay healthy. 7. You can take gokshur tablets of himalaya for 3 months. It definitely get relief from kidney stones.
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I am 26, years old I don't have left kidney I try for pregnancy 3 years complete marriage life.

PDDM, MHA, MBBS
General Physician, Nashik
You can get pregnant with one kidney. Kindly mention if you have any other known medical conditions.
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Elevated PSA I am a 75 years old. My PSA last year was 4.03 this year it has elevated to 5.83. This has me stressed and worried. My urologist has recommend I have a biopsy. I have been reading and go ogling about prostate cancer and biopsies. The more I read and learn, the more confused I get. I am 50- to get a.

MS-General Surgery, MBBS
General Surgeon, Hyderabad
Elevated PSA
I am a 75 years old. My PSA last year was 4.03 this year it has elevated to 5.83. This has me stressed a...
Your reading is no substitute for doctors' knowledge and experience. Stop reading and get biopsy done as advised by your urologist. Raised psa is a dangerous sign. Don't ignore it. It could be cancer. Luckily, prostate cancer is a curable disease if detected in time.
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Hello sir, I am 56years old man, approx two months ago I had a prostrate operation, still I had irritation in my penis (at tube) whenever I pee at pressure what could be the reason.

MS - General Surgery
General Surgeon, Kanpur
Hello sir, I am 56years old man, approx two months ago I had a prostrate operation, still I had irritation in my peni...
I think that is very much natural to have some pain after turp. Most likely it will go away with time. Pls consult your urologist to rule out uti.
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My friend's husband both kidneys have failed and 38 years old. Other than dialysis, transplant is there any natural method to retrieve kidney function by consumption of leave etc.

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
Dear lybrate-user, Allopathy has dialysis and transplant as only alternative. Dialysis should be started if kidney power calculated GFR is less than 10. Transplant is better than dialysis if age less than 60. For further Detailed consultation, you can consult with me privately.
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What is symptoms about kidney stones? I have lot of stomach pain so please give me particular suggestions about it.

PGDHHM, MBBS
General Physician, Delhi
What is symptoms about kidney stones? I have lot of stomach pain so please give me particular suggestions about it.
Symptoms of kidney stones are-- pain at lumbar region or lower abdomen, blood in urine, painful urination, nausea, vomitting. Hope these helps you to recognise the symptoms.
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Hi. I am 30 years old male. From few days I have pain in my lower part of stomach and my toilet is not coming properly. And doctor prescribe me to do ultra sound and blood test.in ultra sound I know that their is 5 mm. Stone in my left kidney. I want to remove this without operation. So please suggest me. I am leaving alone in delhi. please tell me what can I do. Plz.

MBBS, MD - Aerospace Medicine, Eular Certification in Rheumatology
General Physician, Pune
Hi. I am 30 years old male. From few days I have pain in my lower part of stomach and my toilet is not coming properl...
dear mr Kunal 5mm is a very small stone but since you have not told us the location of the stone it will not be possible to tell you with confidence that if it will either pass out on its own or grow, please drink a lots and lots of fluids so that you have a high urine output depending on the site the likely chances is that the stone may pass out if it is favourably placed
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