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Dr. Shriram Joshi S

Urologist, Mumbai

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Dr. Shriram Joshi S Urologist, Mumbai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Shriram Joshi S
Dr. Shriram Joshi S is a popular Urologist in Mumbai, Mumbai. You can meet Dr. Shriram Joshi S personally at Jaslok Hospital & Research Centre in Mumbai, Mumbai. Book an appointment online with Dr. Shriram Joshi S 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 37 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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Jaslok Hospital & Research Centre

#15 - Dr. Deshmukh Marg, Road No - 2, 2nd Floor, Pedder Road. Landmark: Near Safiya College, MumbaiMumbai Get Directions
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Hi, I have been suffering from a problem which is as follows Whenever I am in the toilet for a loo, after the urination there is a white sticky fluid coming out when I exert pressure. It never comes out if I don't exert any pressure in the toilet. Also, it does not happen if I am just urinating. However, happens only if I am in a loo. Also there is no pain at all. Please suggest remedies for the same & what are the consequences of this? What all will effect with this problem? Is this is very serious problem?

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
Hi,
I have been suffering from a problem which is as follows Whenever I am in the toilet for a loo, after the urinati...
This is no problem. this is cooper gland secretion. It is white color thick sticky fluid. This is always present in urethra canal. When you exert or when you have little arousal , this 3-4 drops may appear on the penis mouth. There role is to keep urethra open so that when you want too pass urine the tract is open. The frist part of urine and last part of urine there is some bubles of whitish appearence. It is this only. This will normally be present all the time. So not to worry. Relaxxxx.
2 people found this helpful
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What is the best medicine for anal fissure? I am suffering from same & diagnosed feo surgeons however no medicine found suitable.

MBBS, MS - General Surgery, FIAGES(Fellowship In Minimal Access Surgery), FMAS (Fellowship In Minimal Access Surgery)
General Surgeon, Ghaziabad
hi. you have got anal fissure due to your poor dietary habits. you have to leave masala. i am afraid that you may require surgery. meanwhile stop all kind of masala and spices. eat more of green vegetables, fruits and salads. start doing Sitz bath( sit in a tub filled with luke warm water for 15min and make your anal region squeeze and relax) thrice a day. if stool is hard then you require a laxative. for further queries and medication you can consult me online.
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Urinary Incontinence: Types, Causes and Treatment

FMAS, M.Ch - Urology, MS - General Surgery, MBBS
Urologist, Ernakulam
Urinary Incontinence: Types, Causes and Treatment

Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

  1. Stress Incontinence– when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
  2. Urge Incontinence– when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
  3. Overflow Incontinence (chronic urinary retention)– when you're unable to fully empty your bladder, which causes frequent leaking.
  4. Total Incontinence– when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking.

It's also possible to have a mixture of both stress and urge urinary incontinence.

What causes urinary incontinence in men?

Urinary incontinence in men results when the brain does not properly signal the bladder, the sphincters do not squeeze strongly enough, or both. The bladder muscle may contract too much or not enough because of a problem with the muscle itself or the nerves controlling the bladder muscle. Damage to the sphincter muscles themselves or the nerves controlling these muscles can result in poor sphincter function. These problems can range from simple to complex.

A man may have factors that increase his chances of developing UI, including

  1. birth defects—problems with development of the urinary tract
  2. a history of prostate cancer—surgery or radiation treatment for prostate cancer can lead to temporary or permanent UI in men

UI is not a disease. Instead, it can be a symptom of certain conditions or the result of particular events during a man’s life. Conditions or events that may increase a man’s chance of developing UI include

  1. benign prostatic hyperplasia (BPH)—a condition in which the prostate is enlarged yet not cancerous. In men with BPH, the enlarged prostate presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty, leaving some urine in the bladder. The narrowing of the urethra and incomplete emptying of the bladder can lead to UI.
  2. chronic coughinglong-lasting coughing increases pressure on the bladder and pelvic floor muscles.
  3. neurological problems—men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
  4. physical inactivity—decreased activity can increase a man’s weight and contribute to muscle weakness.
  5. obesity—extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
  6. older age—bladder muscles can weaken over time, leading to a decrease in the bladder’s capacity to store urine.

Treating Urinary Incontinence

Initially, your GP may suggest some simple measures to see if they help improve your symptoms. These may include:

  1. lifestyle changes – such as losing weight and cutting down on caffeine and alcohol
  2. pelvic floor exercises – exercising your pelvic floor muscles by squeezing them, taught by a specialist 
  3. bladder training – where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
  4. You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
  5. Medication may be recommended if you're still unable to manage your symptoms.
  6. Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
  7. Surgical treatments for stress incontinence, such as tape or sling procedures, are used to reduce pressure on the bladder or strengthen the muscles that control urination.
  8. Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles.
3 people found this helpful

My kid was suffering from uti. She s 2 years old. Her urine culture reported she had 1 lac nd above bacteria. Taking oxoflacin nd martifur for 1mnth now it reduced to below 10 thousand bacteria. doctor prescribed her for again oxoflacin and martifur Mr. for 30 days. Is it safe for her to take that medicine again.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
My kid was suffering from uti. She s 2 years old. Her urine culture reported she had 1 lac nd above bacteria. Taking ...
Take Can notharis 200 once a day for 3 days Sarasap 30 once a day for 4 days Lyco 12c 3tims day for 5 days Than report again see your self what happens.
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I am 28 years old and I am suffering with diabetes and urine Infection from last 2 years please suggest me sugar 280 right now.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am 28 years old and I am suffering with diabetes and urine Infection from last 2 years please suggest me sugar 280 ...
please let me know your current treatment, dosage and other details like weight, height, waist circumference, fasting and pp sugar levels, hba1c% & dietary pattern.
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How To Treat Kidney Stones?

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
How To Treat Kidney Stones?

Our kidneys are an important organ in the body and are responsible for the filtration of blood and creation of urine. Sometimes, during this process salt and other chemicals get stuck together to form small crystals also known as kidney stones. The size of a kidney stone can range from the size of a sugar crystal to the size of a ping pong ball. However, it is noticed only if it is large enough to cause a blockage. Smaller stones may pass out of the body without you realizing it.

Kidney stones can be a very painful experience. Some of the symptoms exhibited by patients suffering from kidney stones are:

1. Severe back pain
2. Pain in the belly or groin
3. Painful urination
4. Frequent urination
5. Nausea and vomiting
6. Blood in the urine

Excruciating pain is usually the symptom that makes a patient consult a doctor in cases of kidney stone problems. A confirmed diagnosis can then be made by using a series of tests that include an X-ray, ultrasound, CT scan and urine analysis. A blood test may also be conducted to check the mineral levels in the body.

Kidney stones are a common condition faced by many people, but some people are at a higher risk of suffering from this than others. Some of these factors are:

1. Family history of kidney stones
2. High uric acid levels in the blood
3. Being between 20-50 years of age
4. A previous kidney stone
5. Chronic diseases such as diabetes and high blood pressure
6. Some medication such as diuretics and antacids with calcium
7. Inadequate fluid intake

Between men and women, the former are at a higher risk of suffering from kidney stones. Asians and Caucasians also suffer from this condition more than people from other races. Hormone changes during pregnancy can also trigger the formation of kidney stones.

The first thing to do if you suffer from a kidney stone is to increase your water intake. This can help dissolve some of the minerals in the stone and make it a small enough to pass through the urethra. Injectable anti-inflammatory drugs and pain relievers may be used to ease the pain caused by kidney stones.

If the kidney stone does not pass on its own, a process known as lithotripsy may also be used. This involves the administration of shock waves that can break a large stone into smaller pieces. In extreme cases, surgical techniques may also be used. However, Lithotripsy in only one of the ways of treatment and given in only selected cases nowadays. Better ways of treatment are: 

  1. Ureteroscopy- seeing the stone through a long telescope through the urine passage and removing it.
  2. PCNL- removing kidney stone by a small puncture into the kidney through the skin.
  3. RIRS- visualising the stone in the kidney with a bendable telescope and breaking the stone using laser.

    If you wish to discuss about any specific problem, you can consult an urologist.

1794 people found this helpful

Healthy Prostate - 4 Things You Must Follow!

MBBS, MS - General Surgery, DNB (Urology)
Urologist, Ghaziabad
Healthy Prostate -  4 Things You Must Follow!

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.

Following things can be done for maintaining a healthy prostate:

  1. Eat fruits and vegetables - Including fruits and vegetables in your diet can help to maintain a healthy prostate. Guava, papaya, tomato and watermelon are some of the options that spell good for your prostate. Vegetables like cabbage, cauliflower, broccoli and Brussels sprouts should also be included to boost the health of the gland. Ideally, you should have about 5 servings of fruits and vegetables daily.
  2. Have selenium-rich foods - Having foods rich in selenium (a powerful trace mineral) like tuna, eggs, cashews, onions, garlic, etc can reduce your risk of developing prostate cancer.
  3. Workout to stay fit - Exercising regularly and maintaining an optimum weight can help to keep your prostate gland at an optimal health. Several types of research have revealed the beneficial aspects of exercising. It's said that physically active men are less likely to suffer from enlarged prostate if they performed a physical activity of low to moderate intensity. Likewise, physically active men who ran for 90 to 108 minutes are 20% less likely to develop erectile dysfunction.
  4. Have more soy products - Eating more soy products like tofu, soy flour, soy nuts can help to keep cancer of the prostate at bay. A study published in the British Journal of Urology International revealed that men who had soy products saw a 40% decrease in their risk of developing an enlarged prostate. If you wish to discuss about any specific problem, you can consult an urologist.
2849 people found this helpful

I am 36 years old male having several crystallize stone in both kidney sizes about 5-6 mm is there any such medicine for the crushing of said stone and can be remove permanently and non re occurrence of stone kindly help me and let me know is there any alopathic or homeopathic for the same kindly prescribe me.

BHMS
Homeopath, Howrah
I am 36 years old male having several crystallize stone in both kidney sizes about 5-6 mm is there any such medicine ...
Yes there are medicines in homoeopathy which can remove the stone completely. Consult privately with your ultra sonography report. Drink as much as water daily. Kidneys get affected if stone remains for long time. Start treatment as early as possible.
1 person found this helpful
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Protein loss 2+ in my urine puss cells 10to 15 BP 145/90 on telma20 whether protein loss 2+ is serious issue? I am alcoholic smoker.

MBBS
General Physician, Jalgaon
Protein loss 2+ in my urine puss cells 10to 15 BP 145/90 on telma20 whether protein loss 2+ is serious issue? I am al...
Please Stop alcohol and smoking Take plenty of water daily Take Chandnasav 20 ml twice a day for weeks Tab chndraprabha Vati 2 2 for 3 weeks Reconsult after 1 week.
1 person found this helpful
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