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Dr. Rajesh Kumar

Nephrologist, Mumbai

650 at clinic
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Dr. Rajesh Kumar Nephrologist, Mumbai
650 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Rajesh Kumar
Dr. Rajesh Kumar is a trusted Nephrologist in Malad West, Mumbai. He is currently associated with Apex Kidney Centre in Malad West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Rajesh Kumar on Lybrate.com.

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Apex Kidney Centre

3rd Floor,Abhishek Commercial Complex,SV Road,Malad West, MumbaiMumbai Get Directions
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Self Tips For Preventing Kidney Diseases!

Interventional Nephrology, DM - Nephrology, MD - General Medicine, MBBS
Nephrologist, Bangalore
Self Tips For Preventing Kidney Diseases!

Chronic kidney disease, also called chronic kidney failure, describes the gradual loss of kidney function. Your kidneys filter wastes and excess fluids from your blood, which are then excreted in your urine. When chronic kidney disease reaches an advanced stage, dangerous levels of fluid, electrolytes and wastes can build up in your body.

In the early stages of chronic kidney disease, you may have few signs or symptoms. Chronic kidney disease may not become apparent until your kidney function is significantly impaired.

Treatment for chronic kidney disease focuses on slowing the progression of the kidney damage, usually by controlling the underlying cause. Chronic kidney disease can progress to end-stage kidney failure, which is fatal without artificial filtering (dialysis) or a kidney transplant.

The kidney has multiple functions, and one of it is to act like a filter and remove out waste substances. These filtered out substances are excreted through the urine.

Common kidney diseases including infections, kidney stones, diabetic effects, hypertensive effects, tumours, chronic kidney disease (effects of both hypertension and diabetes) and kidney failure.

Features of kidney diseases:

  1. Infections usually start with symptoms like burning with urination, change in colour of urine, and low abdominal pain.
  2. Kidney stones are usually identified by their characteristic pain in the sides of the back
  3. Smaller stones up to about 4 mm are passed through urine on their own.
  4. However, for larger stones, external shock waves are used to break them into smaller ones, which are then eliminated by the kidneys.

How Can I Prevent Kidney Disease?

The key to prevention or delay of severe kidney disease is early detection and aggressive intervention -- while there's still time to slow down the progression to kidney failure. Medical care with early intervention can change the course of chronic kidney disease and help prevent the need for dialysis or a kidney transplant.

Diabetes and high blood pressure account for two thirds of all cases of chronic kidney disease. By aggressively managing diabetes and high blood pressure with diet, exercise, and medications, you may be able to prevent kidney failure and help keep as much kidney function as possible.

Infections:

  • To prevent urinary tract infections, proper hygiene is very important.
  • Thorough washing of the external urinary tract and use of clean underwear and toilet facilities is very important.

Kidney stones:

  • Intravenous injections of pain relievers to help in pain control immediately on seeing the patient. If pain persists, an additional shot may also be required.
  • Patients also have accompanying nausea and vomiting and may require antiemetics to control these.
  • At the time of discharge, these medications can be continued at home.
  • Hydration is very important, so drink at least 3 litres of water.
  • Urine should be strained to ensure the stones have been passed
  • Monitoring urine output including quantity and colour for any changes is also important. If urine is turbid, water intake should be increased.
  • Avoid oxalate-rich foods. Most kidney stones are composed of calcium oxalate, and therefore foods rich in oxalate should be avoided. Beets, spinach, okra, tea, chocolate, soy, etc., should be minimised
  • Reducing intake of salt and animal protein also helps in preventing recurrence. Legumes are a good option for proteins.
  • Calcium supplements, if being taken, may need to be reduced or stopped. This can be managed by including enough calcium in the diet.

Chronic kidney disease: This is seen as a side effect of hypertension and diabetes.

  • Constant monitoring of both BP and sugar levels is very essential.
  • Keep cholesterol levels under check as suggested by your doctor
  • Medicines should be taken as prescribed and not altered without medical supervision
  • Quit smoking if the habit is still being continued
  • Improve physical activity levels, which will also help control BP, sugar, and cholesterol levels
  • Weight monitoring is essential to keep check, not just on kidneys but overall health.
  • Kidney diseases put a person in a vicious cycle of health problems, so early detection and prevention are advised.

Here are some self-tips to prevent kidney diesease:

  1. Get Tested Regularly - At your next checkup, and at least within the next year if you haven't had these tests done:
    • Ask for a urine test to see if you have excess protein, glucose, or blood in the urine.
    • Ask for a blood pressure reading
    • Ask for a fasting blood glucose test
    • Ask for a creatinine test. 
  2. Control Diabetes - If you have diabetes, work with your health care provider to keep your blood sugar levels under the best possible control. A program of diet, regular exercise, glucose monitoring, and medications to control blood sugars and protect kidney function can help.
  3. Control High Blood Pressure - If you have high blood pressure, work with your health care provider to get your blood pressure within target ranges. A program of diet, regular exercise, and medications can help.
3546 people found this helpful

Hi doctor, I have kidneys stones. I did ultrasound and report says that I have 9.2 mm stone in lower calyx of right kidney with fullness of pelvicalyceal system. What does fullness of pelvicalyceal system means? And secondly it says that Lt. Ovary is bulky and shows multiple small peripherally arranged follies with echogenic stoma. It's volume is 7.6 cc. What does it mean?

FMAS, MS
General Surgeon, Gandhinagar
Hi doctor, I have kidneys stones. I did ultrasound and report says that I have 9.2 mm stone in lower calyx of right k...
Respected Shikha hi fullness of pc system means back pressure due to stone . Ovary issue is hormone related changes with fluid collection. Dear thanks regards
1 person found this helpful
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I have stone problem shown in my sonography report about 11mm but I don't want to do operation any other option to cure it please tell me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), diploma in anorectal disease
Ayurveda, Kolhapur
Ayurvedic medicine has good result. And no recurrency. I will suggest you a formula which you can make it in home.
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CBC. 4900 neutrophil 61.0 Lymphocytes 35.0 eosinophil 3.0 monocyte 1.0 Basiphils 0.0 Haemoglobin 12.9 PCV. 35.1 Total RBC. 3.97 RDW CV. 13.7 MCV. 88.4 MCH. 32.5 MCHC 36.8 Platelet 2.15 ESR. 10 Blood GLUCOSE 111 UREA 23.5 CREATININE 1.00 T3 84, T4 9.00, TSH 0.76 HbA1c. 6.5.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
CBC. 4900
neutrophil 61.0
Lymphocytes 35.0
eosinophil 3.0
monocyte 1.0
Basiphils 0.0
Haemoglobin 12.9
PCV. 35.1
Total...
Magji, I have gone through the details, every thing looks fine. RBC number is low (3.97 million/cc) Rest of the parameters look normal. But glucose (if fasting) then it is in the pre-diabetes range, similarly HbA1c% 6.5 shows there may be diabetes. So it is better if you get a OGTT done in you local pthology lab. Thanks.
3 people found this helpful
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33 yrs male. Multiple stones in kidney. Having this problem from last 14-15 yrs. Urinated many without medicines. Sometimes took homeopathic berberis vulgaris Q. But medicines did not work from last 3 years. Went through Lithotripsy in December 2014 for 15 mm stone. Now I have 2-4 stones in both kidneys size between 4-8 mm. I drink 3-4 ltr water in a day, but can not drink on daily basis. Feels moderate pain both side of stomach at times. Please suggest.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
33 yrs male. Multiple stones in kidney. Having this problem from last 14-15 yrs. Urinated many without medicines. Som...
BERBERIS VULGARIS Q ( Dr Reckeweg) HYDRANGEA Q ( Dr Reckeweg) Drink 10 drops in 20 ml fresh water 3 times daily at a minimum difference of 20 minutes from each other and eating. For Kidney pain start taking below given homoeopathic medicine in between DIOSCOREA Q ( Dr Reckeweg) Drink 10 drops every 1-2 hrly in 10 ml luke warm water depending on severity of pain Start drinking atleast 3-4 bottles of soda water daily. Report after 15 days Avoid stone-forming foods: Beets, chocolate, spinach, rhubarb, tea, and most nuts they are rich in oxalate, and colas are rich in phosphate, both of which can contribute to kidney stones. Avoid meat , chicken and other nonveg items. Take less salt and drink 3 litre water per day.avoid milk products. Further guidance can be done if we know the type of renal stone you have. This can be identified by stone analysis of the passed stone. ONCE TONES ARE OUT OF YOUR KIDNEY,THENAAGAIN CONSSULT ME FOR RECURRENT KIDNEY SSTONE. We will start homoeopathic medcines so that thiss recurrence of kidney stoness stop altogether.
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I am suffering from foul smell of urine, like ammonia come from body every time please suggest treatment.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am suffering from foul smell of urine, like ammonia come from body every time please suggest treatment.
This is dhatuksheenta or prameha. You should take chandraprabha vati 1-1 tab with milk twice a day. And pranacharya dhatupaushtik churna with milk twice a day. Avoid tea and coffee.
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Hiii doctor im a urine infection patient but in testing report there is no infections. Many times my urine burn heavily how can I recove from this disease and which medicine I will use.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear, if urine test does not show any infection then you do not have urinary tract infection one has to look for the cause somewhere else. Mostly you could have anal fissure due to constipation with oassage of hard faeces which can give same symptoms. So treat constipation and refere to my suggestions given to other patients in this section. Dr. Kiran mehta.
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I am facing burn issue and pain at the end while urinating from last some day. Please suggest some natural treatment for it. I am unmarried.

Advanced Aesthetics
Ayurveda, Gulbarga
I am facing burn issue and pain at the end while urinating from last some day. Please suggest some natural treatment ...
use these ayurvedic medicenes 1. chandraprabha vati 2-2tab 2time a day 2. chandanasava 3spoon with water 3times a day for 15 days...
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Urinary Problems In Men - 3 Treatment Methods

DNB (Urology), MS - General Surgery, MBBS
Urologist, Delhi
Urinary Problems In Men - 3 Treatment Methods

The prostate gland is a male reproductive organ at the base of the urinary bladder and urethra is a thin tube that carries urine out of the penis. It runs through the prostate gland. A fluid produced by this gland helps to carry sperms produced by the testes outside during intercourse.

Cause of urinary problems in men:

Men experience urinary symptoms either due to inflammation of the prostate gland or prostatitis or symptoms may be the result of a blockage of the passage due to enlargement of the prostate gland.

Symptoms of urinary problems:

1. The need to urinate frequently during the night.

2. Urinating more often during the day.

3. Urinary urgency is the urge to urinate can be so strong and sudden that one may not reach the toilet in time.

4. The urine stream is slow to start.

5. Urine dribbling for some time after finishing urination.

6. A sensation that the bladder is not fully emptied after urination.

7. A lack of force to the urine flow, which makes directing the stream difficult.

8. The sensation of needing to go again soon after urinating

Treatment:

1. A long course of antibacterial medication (for bacterial prostatitis) is prescribed, because infection is difficult to get rid of, the antibacterial medication will need to be taken for many weeks.

2. Medication to improve urine flow and other symptoms (for obstruction caused by an enlarged prostate).

3. Surgical procedures (for blockage caused by an enlarged prostate), such as Transurethral Resection of the prostate(TURP), Laser Resection of prostate, Transurethral Incision of the prostate(TUIP).

UroLift: A new method of treatment for men, where medication has not been successful, but their prostates are not so enlarged that they need more invasive surgery. It involves the Transurethral Insertion of staples to separate the lobes of the prostate. It has minimal side effects and preserves ejaculatory and erectile function.

A number of other procedures that have been developed to reduce urinary symptoms.

Medication for urinary problems:

1. Medications to reduce the tone of the muscles of the urethra and prostate to minimize any obstruction to urine flow caused when these muscles contract.

2. Medication to reduce the size of the prostate gland. These drugs work by blocking the action of male hormones produced by the prostate gland.

3. Medications to relax the bladder, making unwanted contractions less likely and reducing the symptoms of urgency and frequency of urination.

4. Over-the-counter medicine 'Saw Palmetto' (Serenoa repens) is used sometimes. This may help some men, especially if frequent urination at night is a problem. However, recent reviews of the evidence for using Saw Palmetto as a treatment for mild or moderate urinary symptoms did not show any improvement compared to no treatment, in men with BPH. If you wish to discuss about any specific problem, you can consult a Urologist.

1902 people found this helpful

Sir/MAM, I have stone problem 2 stone in left kidney and 2 in right kidney both stones are 2 mm but 1 stone is in the way of urine and blockage which is 7 mm stone. 7 mm create very hard pain please tell the solution to remove and avoid things. I drink water 4-5 ltr daily. Please please tell best solution.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Sir/MAM, I have stone problem 2 stone in left kidney and 2 in right kidney both stones are 2 mm but 1 stone is in the...
Take 1 cup of horse gram + Add ½ L water + Heat the mixture till water level reduces to 1/5th + Strain and collect the soup + add 2 tsp of crushed pomegranate + Mix well + Drink once a day
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Hi I am 24 years old I have kidney stone from last 4 months. Now what should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
Hi I am 24 years old I have kidney stone from last 4 months. Now what should I do?
It depends on the size of the kidney stone but there are homeopathic medicines which help in its removal. Please see a homeopathic doctor, drink atleast 16-18 glasses of water daily.
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Heart ka niche wala right gall bladder sikud gya h or uske karan niche wale left gall bladder mai sujan aa gyi h?

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
hi dear - urs is a serious problem - pls send details/ reports/ symptoms / history for full and final opinion of mine-- if u want some help from here. -u can consult me privately also
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I have stone in kidney over 2months and I have severe stomach ache. What should I do.

Ex Sen.V.Surgeon/Research Scientist, M.D.(Alternative Medicine/tibetan/chinese/acupuncture), Vaida/ Unani, Homeopath
Unani Specialist, Moga
I have stone in kidney over 2months and I have severe stomach ache. What should I do.
Hi dear, welcome to lybrate. Clinc stones remedy ------------ you should take care of diet. Do not take non veg and fried foods. -add plenty of fresh clean and healthy water -add sufficient vegetables/ fruits to daily diet. -avoid excessive sex/ loss of semen, if any ----------------------------------- - best way at present is -u purchase from some tibetan vaid expert in your area -- tibetan pathrihar course- -a tibetan remedy--1-months for complete cure- and get rid off stones in a short period- if you want to avoid surgery/ lithotripsy etc. At later stage. 100%- results/ cure- a little costly. ----------------------------- for the time being, you can start with;- tab cystone-1-1 with hot kulthi dal water-- 7 days.
1 person found this helpful
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In summer I am getting problem of urine normally. It giving pain after all I drink more water.

BAMS
Ayurveda, Bangalore
In summer I am getting problem of urine normally. It giving pain after all I drink more water.
Hi, Consume 3-4 litres of fluid per day like water, tender coconut, buttermilk, fruit juices,etc. and take Alka 5 syrup 2 tsf 3 times a day for 2-3 days. Avoid hot and spicy and oil fried food.
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I am 29 years old. I got married before a mnth. After marriage am suffering with urine infection And also allergies. please tell me what can I do.

DNB (Urology), MS, MBBS
Urologist, Delhi
I am 29 years old. I got married before a mnth. After marriage am suffering with urine infection And also allergies. ...
Hi lybrate-user. This kind of infection can occur after marriage. Please wash your private parts properly after activity and take plenty of fluids. In case you develop urinary problems or fever then you can take medicines after consulting doctor.
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I am 46 years male and I am facing problem that while passing urine, I didnt get satisfaction and again I have to go and pass some drops of urine just after that. This problem I m facing for last 20 yrs. Besides when I take liquidlike water /tea, I feel to go for urine within 20-30 minutes. There was nothing came in urine culture report kft or urine routine.

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear first if you are having the problem for the last twenty years rest assured that it is not a life threatening illness. Because no serious problem can go untreated for such along period of time. Tea coffee etc are natural diuretics that is they make you produce more urine so it is quite normal in many people. Have you ever done any ultrasound of your prostate. It is unlikely that you would have prostate problem for the last twenty years but it is one 9th the options to look into regarding the dripping of urine.
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What is the cause of stone problems in kidney, is it due to hard water or too much calcium intake?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
What is the cause of stone problems in kidney, is it due to hard water or too much calcium intake?
There are many reasons of stone. Hard water. Lot of calcium intake. Tobacco chewing. Less drinking water.
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I pee a lot and there's also a little bit of stiffness in my stomach when I get up in the morning as if I have not peed for hours and also I think I have problem of premature ejaculation.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I pee a lot and there's also a little bit of stiffness in my stomach when I get up in the morning as if I have not pe...
Actually your pelvic floor muscles are weak may be due to excessive masturbation and weakness------------in my routine practise I have come across many cases of pe and in 80 % cases the reason was the same and that was h/o masturbation frequently or sexual excesses along with erection problems. If yours is also such kind of a case then please feel free to consult me as myself being a homoeopathic physician with a experience of 20 years in this field, can assure you that your problem of pe or any other problem regarding sex will be permanently cured with some very effective homoeopathic treatment and management.------------
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