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Dr. Paranse

Urologist, Mumbai

Dr. Paranse Urologist, 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. Paranse
Dr. Paranse is an experienced Urologist in Goregaon West, Mumbai. Doctor is currently associated with D.K.Kidney Center in Goregaon West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Paranse on

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Jaykar Smruti Building, Aarey Road, Goregaon West. Landmark: Near to Rajstan Hall, MumbaiMumbai Get Directions
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Sir Mujhe kuch Dino SE pesab SE jhag nikalta hai aur pani kam pine PE pesab pila hojata hai. Aur Jada pine SE pesab thik rahta hai. BP normal hai Yes qu hai bataye aur ho sake to dawa bhi bataye.

General Physician, Jalgaon
Please It is not a serious problem Take plenty of water daily Take seasonal fruits like water melon etc more Take Chandnasav 20 ml Twice a day for 3 weeks.
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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 42 years old and for the past two year I noticed there is a pungent smell in my urine. I had done blood test and urine routine checkup but can't find any problem except my spgt value of blood is 72 (max limit 70 unite). I used to take alcohol 3 peg - twice a week. Please let me know your opinion about the probable reason?

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist, Delhi
The smell is due to concentarated urine. Increase water intake to about 3litres daily. Stop consuming alcohol, tobacco, paan masala, excessive coffee/tea.
1 person found this helpful
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Dear Sir/madam, How should I control frequent urination which causes during at night sometimes till 4 days everything's normal.

Bachelor of homoeopathic Medicine and Surgery (BHMS)
Homeopath, Amravati
Hi Mr.sagar, Mostly frequent urination is due to Diabeties melitus Daibeties insipidus BHP-in old age male only But if u drink more water urination If u sleep in ac or cooler u have frequent urination So don't drink water 1hr before u going to sleep
1 person found this helpful
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Hi i am Suffering from frequent urination from a month. Sometimes pain in right lower abdomen. Taking aboff medicine but problem still unresolved. Please suggest. All medical report like urine test. Sr.creatine. Hemoglobin and ultrasound are normal. Sugar is also in control.

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
hellow vikash ,your persistent problem of frequent urination is due to some weakness in muscles and nerves of penis effecting the control power of can be completely treated with some special blend of natural and herbal medicines which will regain ur control power of penis,controlling urine frequency.u can consult me back for permanent solution to ur problem.results start out of medicines within starting days...
4 people found this helpful
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Hi. I am 40 years young male person. Since 2 month I am suffering from urine burning. Ie while passing the urine from my penis it pains more.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , it is likely that you may have infection, stone in lower ureter, bladder outflow obstruction, anal fissure due to passage of hard faeces or not drinking enough fluids one has to differentiate between these conditions by investigations to arrive at the correct diagnosis.
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Hi, its jaspreet kaur, I want to know regarding my urine problem, actually I have problem of frequent urination, there is an urge but urine come in drop, I m 27 years old.

Homeopath, Faridabad
Hi. If the quantity of post-void residual urine is more then a person feels like to urinate frequently. Is there any family history of diabetes? Get your blood sugar (fasting & PP both) and urine examination (routine & microscopic) done to rule out any infection. Drink at least 10-12 glasses of water everyday.
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I usually face blooding from my anus at the time of my daily routine. What should I do?

MBBS, MS - General Surgery
General Surgeon, Hyderabad
As you are mentioning that you only have blood while passing stool, you need to visit a surgeon for examination, and treatment depends on the findings of the surgeon, you may have a fissure in ano or piles, or some other pathology which can be diagnosed by doing internal examination by proctosigmoidoscopy or colonoscopy only.
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I urinate very often. After taking extra glass of water I urinate more amount than intake of water. My general consumption of water is only 6 to 7 glasses per day. Any extra glass of water means running to bathroom several times. I do not have diabetes and urine test is also normal. What should I do? Please suggest.

MCH-Urology, M.S. (General Surgery) , MBBS
Urologist, Gurgaon
I presume when you say that you don not have diabetes that you got yourself tested for same and ruled it out. I would like you to maintain an input output chart for 48 hours. Please note down your fluid intake for 48 hours with time at which fluid was taken be it tea, coffee or plain water. Also maintain an output chart. You should write down your urine output for next 48 hours. Each act of voiding should be noted with time and amount. Revert back with it for further treatment.
2 people found this helpful
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I am suffering from UTI from last week. Its a most common infection catching me. What are the treatment I should perform.

Alternative Medicine Specialist,
Take 30 drops of uvaursiq in half glass of water thrice a day after food for 15 days and crammed 1 cap twice daily and revert back.
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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
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.
1 person found this helpful
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My urine is yellow nd I am experiencing itchiness in body. I bath daily twice then also itchiness is there what should I do?

Bsc(Med.), DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Mohali
Take 8 to 10 glasses of water. You can apply mild moisturiser after the bath and if the skin is oily then mild talc may help after bath. This will relieve itching. If loss of appetite with yellow urine then get your urine test done for bile salts and bile pigments. Blood test for s.bilirubin is required.
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What are the causes of stone formation inside a body and what are responsible for it.

General Physician, Jalgaon
Please Poor water intake, excess of eggs, non veg food, recurrent urinary tract infections, are common causes.
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I have severe pain on extreme left of my abdomen and above the belly button. Recently I was diagnosed with duodenal ulcer, urine infection and very minute stone like particles in left kidney. This pain is related to which of the above and what should I have to reduce it.

M. sc Psychology, BHMS
Homeopath, Hyderabad
According to the location u hav mentioned,looking like from Duodenal ulcer..but that will be depended on the diet nature&intake too.For this complaint&renal stones also,u can get Homeo T/t well without side effects;but u neeed to stick&follow up regularly with check ups to assess properly.&While geting T/t u need to follow few health tips which will help to mmake u free from these sufferings&will help to boost up stamina.
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My name is sreehari. I am 26 male. I have 5 mm kidney stones. I have used berberis vulgaris for one month. But my my kidney stones was not gone. I am afraid that kidney stones lead to kidney failure. Is it true. Please suggest me any medicine to get rid of kidney stones.

DNB (Urology), MS, MBBS
Urologist, Delhi
Dear lybrate-user. Renal stones less than 5 mm have tendency to pass out naturally. You don't need to any medicine for that. And small stones that are not obstructing urine flow from kidney do not cause renal failure. Just have plenty of fluids and don't waste your precious money on unnecessary treatment.
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I am a 24 year old male. I have a severe pain on my lower abdomen is this symptom of kidney stones.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
No,as the kidney pains start in lower back and extend forwards whereas you pains are in your lower abdomen and not in the back.
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Painful Bladder Syndrome - Know The Signs!

MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Bangalore
Painful Bladder Syndrome - Know The Signs!

The kidneys make urine, which is a fluid through which wastes from the body including urea are eliminated from the body. There are two kidneys on the right and left side, which make urine, and pass it down to the bladder through tubes known as ureter. The bladder acts as a reservoir of the urine that is formed in the kidneys. It is stored temporarily there before being excreted out of the body through the urethra. The urinary bladder is a highly muscular organ and has a rich connective tissue.

Interstitial cystitis (IC) or painful bladder syndrome (PBS) is a very common condition, which affects females more than males. While the exact etiology is not known, it could be age-related and also lifestyle related. People who are used to controlling the urge to pass urine are highly likely to develop this condition. The simple logic is that there is additional pressure on the bladder from the urine that is contained for longer period of time. As such, the muscular wall stretches and begins to feel stressed.

When this habit continues over a period of time, the bladder wall may become irritated or inflamed or even scarred in severe cases. There is no role of bacteria in this condition, and antibiotics are of no help in managing this condition (though the name cystitis usually indicates infection).

The following symptoms are seen as a result of this constant irritation and inflammation.

  1. One may suffer from pain and pressure in the bladder as it continues to collect more and more urine.
  2. This pressure in the bladder also puts pressure on the surrounding tissues in the abdomen including the pelvis, urethra, abdominal organs, uterus, etc.
  3. Women may experience pain in the vaginal tract including vulva and behind the vagina.
  4. Men may experience pain in the area of the scrotum, testicles, prostate, and penis.
  5. There is an increased urge to urinate, which may be as much as 9 to 10 times a day. As the condition progresses, there could be more visits, as many as 40 to 50 visits a day.
  6. This tendency and urge to urinate increases during nighttime.
  7. For women, this urge to urinate and other symptoms including pain are worse during menstruation.
  8. There could be pain during intercourse for both men and women.
  9. There could be pain even otherwise, which can range from a mild dull ache to a piercing pain.
  10. At a structural level, this constant pressure leads to pinpoint bleeding (glomerulations) and sometimes even ulcers in the bladder wall.

There is no definitive treatment for IC or PBS. However, bladder distention and instillation are proven methods of increasing bladder capacity, which therefore helps in relieving symptoms. If you wish to discuss about any specific problem, you can consult a Urologist.

1 person found this helpful

My dearest friend have kidney stone and took surgery. After 8 month he have kidney stone again. What do he to permanently cure?

MBBS, MBA (Healthcare)
General Physician, Delhi
there is some disease , in which recurrent stone formation., go for detail check up with urologist and endocrinologist.
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Hi I am 25 years old male and have a stone problem in my kidney. What should I do. I have a lot of pain.

Ayurveda, Ambala
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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L am 23 years of age and I have being blood in my anus when dedicate and I don't know what to do, and I also feel pain in my tummy and I don't know what wrong with me. Please help.

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
This could be piles or fissure or worm infestation. However, anal problems improve with general measures but may require surgery. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Atleast once get it examined by a general surgeon.
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