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Dr. Sharad.r.shah

Urologist, Mumbai

Dr. Sharad.r.shah 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. Sharad.r.shah
Dr. Sharad.r.shah is an experienced Urologist in Bandra West, Mumbai. You can consult Dr. Sharad.r.shah at Lilavati Hospital and Research Centre in Bandra West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Sharad.r.shah 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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#A - 791, Bandra Reclamation, Bandra West. Landmark:Opposite Mumbai Educational Trust, MumbaiMumbai Get Directions
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I am 23 old male today when I urinated I saw blood is there any problem contactbkebas soon as possible.

MBBS
General Physician,
I am 23 old male today when I urinated I saw blood is there any problem contactbkebas soon as possible.
you may have UTI that is urinary tract infection or you coul have a polyp of urinary bladder .get your urine culture done .and consult a doctor near your locality. it will be alright.
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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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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.
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Hello doctor, recently 2 months back I had a surgery for renal stones (pcnl), still i am getting pain during urination. Please give me a solution to get rid of my problem.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hello doctor, recently 2 months back I had a surgery for renal stones (pcnl), still i am getting pain during urinatio...
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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My 3 years son is suffering with UTI 3rd time in last 6 months. Want to seek specialist advice in Delhi/NCR as my paediatric is unable to get the root cause of infection. Kindly help at earliest.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
My 3 years son is suffering with UTI 3rd time in last 6 months. Want to seek specialist advice in Delhi/NCR as my pae...
You shall consult pediatric urologist for the same. And for which bigger institute is always better. As finding out root cause would need sonography. And sometimes test known as mcu. Fortis. Medanta etc would be a better choice.
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Sir, I have a anal fissure. I tried lots of Medicine for it but some of them work temporarily. Now I am using soframycin cream from last 3 days. Its a skin cream. So can we apply skin cream on anal fissure?

DM - Gastroenterology, MD - Internal Medicine, MBBS
Gastroenterologist, Hyderabad
Sir,
I have a anal fissure.
I tried lots of Medicine for it but some of them work temporarily. Now I am using soframy...
Hello, healing of anal fissure is delayed due to reasons like -bacterial infection from exposure to rascal matter. -spasm of anal sphincter muscles causing delay in healing. Have you tried sitz bath? sitz bath with potassium permanganate or betadine solution twice a day is very helpful in healing. Soframycin is an antibacterial ointment and there is no harm in using it. You may require ointment to release sphincter spasm. Meet a surgeon. Sphincter release surgeries are useful in refractory cases.
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Hi Dr. My wife is 4 month pregnant and have stones in both kidneys and one 11 mm stone block the urine in left kidney. But at that time she is fine, if any time she gets pain what pain killer recommended to eat.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Hi Dr. My wife is 4 month pregnant and have stones in both kidneys and one 11 mm stone block the urine in left kidney...
Whatever medicine given to your wife get sure that medicine is safe for pregnancy and not cause any side effect on fetus. So, always do follow -up while taking medicine during pregnancy for stone or any other diseases.
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How to protect my kidney? I have taken practice and decadan so I want to that medicine discontinue. If tjat medicine discontinue then face very problem face so how to discontinue. Tell me dear sir.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How to protect my kidney? I have taken practice and decadan so I want to that medicine discontinue. If tjat medicine ...
If you wants protects kidney pl. Avoid more salt, oily and fatty foods. Avoid alcohol. Avoid cold drinks. Avoid more proteins foods. Avoid soda water, avoid more pain killer medicines. Take 7 to 8 glass water daily. Take proper sleep at night. Tjat medicines continue but pl. Send kft reports of you for better advice.
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I am a girl. and have kidney stone problem from two years, For me is operation a suitable solution or not?

MBBS
Nephrologist, Kolkata
I am a girl. and have kidney stone problem from two years, For me is operation a suitable solution or not?
The tratment will depend upon the site size n composition of the stone your age your symptoms. Considering all of dese d decision for outline of treatment will b taken. Your case can be treated by operation or simple medicines may suffice also. For further queries send your detailed symptoms history n reports privately. I can surely help u. Thanks stay healthy stay happy.
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Sir/ma'am. I've been suffering from constipation for the past four days. Lately I noticed my stools to be green but only twice. Now the green colored stools have reduced. Also i've been taking naturolax powder for last four days but it is not doing any good. Also there is itching in the anus for 3-4 hrs after passing stools. Recently I was on medication for typhoid n urine infection for ten days. Kindly advise. Also guide on what specialist should I see?

MS - General Surgery, MBBS
General Surgeon, Delhi
Sir/ma'am. I've been suffering from constipation for the past four days. Lately I noticed my stools to be green but o...
Maintain proper hygiene, take filter water only. No smoking, no alcohol if any. Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2 hrs after dinner and sleep. Small and frequent meals is of help chew your food properly at time of lunch and dinner. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done. Tab nexpro-l 1 tab empty stomach.
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I'm 28 years old I have stone problem in my both kidney I have gone through operation also again this problem arises what to do.

BHMS
Homeopath, Faridabad
I'm 28 years old I have stone problem in my both kidney I have gone through operation also again this problem arises ...
Hi. You may reduce your risk of kidney stones if you: drink water throughout the day. For people with a history of kidney stones, drink 12-14 glasses of water everyday. If you live in a hot, dry climate or you exercise frequently, you may need to drink even more water to produce enough urine. If your urine is light and clear, you're likely drinking enough water. Eat fewer oxalate-rich foods. If you tend to form calcium oxalate stones, restrict foods rich in oxalates. These include rhubarb, beets, bhindi (okra), spinach, swiss chard, sweet potatoes, nuts, tea, chocolate and soy products. Choose a diet low in salt and animal protein. Reduce the amount of salt you eat and choose non animal protein sources, such as legumes. Consider using a salt substitute. Continue eating calcium-rich foods, but use caution with calcium supplements. Calcium in food doesn't have an effect on your risk of kidney stones. Continue eating calcium-rich foods unless your doctor advises otherwise. Ask your doctor before taking calcium supplements, as these have been linked to increased risk of kidney stones. You may reduce the risk by taking supplements with meals. Diets low in calcium can increase kidney stone formation in some people. Medication: take homoeopathic medicine (if the size of the stone is less than 7mm) - berberis vulgaris q/ 10 drops in 1/2 cup of water/ thrice daily for 4 weeks. Revert me back.
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What is creatinine level? Mine is 9.5. And how to decrease it. please help me out.

MD - General Medicine
General Physician, Delhi
What is creatinine level? Mine is 9.5. And how to decrease it. please help me out.
It's the byproduct of body's metabolism, it's a thing to be excreted in urine by kidneys if it's high then kidneys are having some problem, either acute or chronic kidney disease. You need to consult a physician for this.
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I am 70 years old, not having any health problem. But I am facing little difficulty in passing urine when bladder is over filled. Is it usual in ols age or need any treatment.

MBBS
General Physician, Cuttack
I am 70 years old, not having any health problem. But I am facing little difficulty in passing urine when bladder is ...
It could be due to enlargement of prostate. Take USG Abdomen and consult urologist for advice and treatment.
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Hi I was suffer from kidney stone 1 year ago. But some time feel light pain in stomach. Tell me what I have to do. For remove kidney stone permanently. I am waiting for you reply. Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
A lots of fluid intake is the choicest thing. Ayurvedic preparations also bring much urination without loss of essential salts. Cystone and neeri tabs are most similar in action and try to disintegrate renal stone. 2 tds suffices. Kalmi shora 20 gm+ yav kshar 20 gm should be homogenously powdered and mixed. Take 1gm thrice a day with water chandanasasav 20 ml + equal water twice a day after meals. Revert after 3-4 weeks no side effects' kulth' decoction may also be taken for added benefit. In some states kulth is used as daal with rice eaten as food. It helps removal of kidney stone.
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Sir/Madam, Iam 45 Y/M. I am suffering from anal pain and burning sensation for nearly 2 months. Iam not diabetic. Please suggest me. Thank you.

PGDMLS, PGDHHM, LLB, PhD Surgery, MS - General Surgery
General Surgeon, Gurgaon
Sir/Madam, Iam 45 Y/M. I am suffering from anal pain and burning sensation for nearly 2 months. Iam not diabetic. Ple...
Yes, this could well be a fissure. Anal fissure improves 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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How take care after stone operation. Which food avoided in stone daises. Thank you.

BAMS
Ayurveda, Sonipat
How take care after stone operation. Which food avoided in stone daises. Thank you.
Avoid onion garlik meat fish chicken palak leaf curd rice Take more water khera kakri giya tarbooj kharbuja
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My father aged 77 has recently done his psa test result is 6. 42. He has no complication of prostrate gland what to do.

M B B S, M. D (Internal Medicine)
General Physician, Nellore
Most of the time, it is asymptomatic. 6. 42 is not significant elevation (you must refer to the lab range, in any case). Repeat psa after few months. If it continues to rise, you will have to consult a urologist to get prostate biopsy.
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I m rafooz ahmad bhat from tral (kashmir). I m 21 year old my problem is about urine. My urine color is always yellow. I have small stones in my kidney. Please help me doctor.

MD - Homeopathy, BHMS
Homeopath, Yamunanagar
I m rafooz ahmad bhat from tral (kashmir). I m 21 year old my problem is about urine. My urine color is always yellow...
You should aim to drink 2-3 litres per day so you are well hydrated. Limit salt intake. Reduce intake of animal protein. Avoid food high in oxalate such as spinach, nuts & get enough calcium from food if your body have tendency to form renal calculi again &. Again its better to go for scientific homoeopathic treatment in which medicine is selected after detailed history.
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What is prostate? What are the reasons for its enlargement, and what is the treatment.

PDDM, MHA, MBBS
General Physician, Nashik
What is prostate? What are the reasons for its enlargement, and what is the treatment.
The prostate is a gland in men. The prostate grows larger due to an increase in the number of cells (hyperplasia). However, the precise reason for this increase is unknown. A variety of factors may be involved, including androgens (male hormones), estrogens, growth factors and other cell signaling pathways. Once the diagnosis of prostate enlargement is made, your doctor may not recommend immediate treatment if symptoms are mild. Likely, one or more exams will be conducted per year to be sure that you are not developing any complications from prostate enlargement. Should your symptoms become more severe, both medical and surgical treatments are available.
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