Find numerous Nephrologists in India from the comfort of your home on Lybrate.com. You will find Nephrologists with more than 32 years of experience on Lybrate.com. You can find Nephrologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Submit a review for Dr. Umesh KhannaYour feedback matters!
Urinary tract stone disease has been a part of the human condition for millennia; in fact, bladder and kidney stones have even been found in Egyptian mummies. Some of the earliest recorded medical texts and figures depict the treatment of urinary tract stone disease.
Acute renal colic is probably the most excruciatingly painful event a person can endure. Striking without warning, the pain is often described as being worse than childbirth, broken bones, gunshot wounds, burns, or surgery. Renal colic affects approximately 1.2 million people each year and accounts for approximately 1% of all hospital admissions.
Formation of stones
Urinary tract stone disease is likely caused by two basic phenomena. The first phenomenon is supersaturation of the urine by stone-forming constituents, including calcium, oxalate, and uric acid. Crystals or foreign bodies can act as nidi, upon which ions from the supersaturated urine from microscopic crystalline structures. The resulting calculi give rise to symptoms when they become impacted within the ureter as they pass toward the urinary bladder.
The overwhelming majority of renal calculi contain calcium. Uric acid calculi and crystals of uric acid, with or without other contaminating ions, comprise the bulk of the remaining minority. Other, less frequent stone types include cystine, ammonium acid urate, xanthine, dihydroxyadenine, and various rare stones related to precipitation of medications in the urinary tract. Supersaturation of the urine is likely the underlying cause of uric and cystine stones, but calcium-based stones (especially calcium oxalate stones) may have a more complex etiology.
The second phenomenon, which is most likely responsible for calcium oxalate stones, is deposition of stone material on a renal papillary calcium phosphate nidus, typically a Randall plaque (which always consists of calcium phosphate). Evan et al proposed this model based on evidence accumulating from several laboratories.
Calcium phosphate precipitates in the basement membrane of the thin loops of Henle erodes into the interstitium and then accumulates in the subepithelial space of the renal papilla. The subepithelial deposits, which have long been known as Randall plaques, eventually erode through the papillary urothelium. Stone matrix, calcium phosphate, and calcium oxalate gradually deposit on the substrate to create a urinary calculus.
Homoeopathy for renal stones
It is the best way to get rid of this tendency forever since stone is only the after effect of the disease even if we remove it mechanically it may form again but through homeopathic medicines, it not only cures the condition but makes the patient more resistant to any futuristic diseases too.
Some of the homeopathic medicines for kidney stones are lycopodium, berberis Vulgaris, cantharis, benzoic acid, sarsaparilla etc.
Medicine should be selected based on totality of symptom only to cure the disease.
I am72 plus. I experience a burning sensation in my anal as well the urinary passage. Occasionally I get bouts of nausea also What will be the remedy?
My father have a 15 mm stone in left kidney Pls consult me whether operate or do homeopathic treatment.
My mother age 60. She is suffering from urine inf. Her leg was swelling all the time. Due to swelling she cant walk long n due to swelling she cant sit properly at the time of potty. Every test has been done but no result has been so far. To know the problem. Just she do home remedies. Put hot water on legs to get relex. Sir please help me with your suggestion.
Urinary tract infections (UTIs) are rare in adult males younger than 50 years but increase in incidence thereafter. Causes of adult male UTIs include prostatitis, epididymitis, orchitis, pyelonephritis, cystitis, urethritis, and urinary catheters. Owing to the normal male urinary tract’s many natural defenses to infection, many experts consider UTIs in males, by definition, to be complicated (ie, more likely to be associated with anatomic abnormalities, requiring surgical intervention to prevent sequelae).
Signs and symptoms:
Dysuria is the most frequent chief complaint in men with UTI. The combination of dysuria, urinary frequency, and urinary urgency is about 75% predictive for UTI, whereas the acute onset of hesitancy, urinary dribbling, and slow stream is only about 33% predictive for UTI.
Relevant clinical history includes the following:
Nocturia, gross hematuria, any changes in the color and/or consistency of the urine
Urinary tract abnormalities: Personally and within the family
Comorbid conditions (eg, diabetes )
Human immunodeficiency virus (HIV) status
Immunosuppressive treatments for other conditions (eg, prednisone)
Any previous surgeries or instrumentation involving the urinary tract.
Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best water to drink?
Doctor I have one problem jab mai subah bathroom jata hu so muje jalan hoti hai so what I do now please help me.
Heavy pain or burn during urination and stomach Problems like food digesting very late and feeling weakness always.
I am having frequent urination for every 2-3 hours. I am not diabetic.. Checked for tests. Whom do I consult.
Steps for maintaining a healthy kidney
Kidney performs the central role in a human body. It is as important as heart or lungs. Many organs of the body are dependent on kidney to function healthily. Kidney removes toxic waste and excessive fluid from blood.
Primary risk for kidney disease includes factors like high diabetes, high blood pressure, family history, heart disease etc. Obesity; autoimmune diseases; urinary tract infections and systemic infections are the secondary risks.
Kidney damage occurs in stages and in most of the cases, body does not show any kind of symptom till kidney is damaged up to 90%.
Steps for maintaining a healthy kidney
1. Keep a control on the blood pressure and take every preventive measures against its increased level.
2. For people suffering from diabetes, have a control on your glucose level.
3. Keep the cholesterol level in the appropriate range.
4. If on medications, take the prescriptions on time.
5. If you have a high salt intake, cut-off the intake and aim for less than 1, 500 milligram sodium per day.
6. Maintain a healthy fluid intake
7. Eat healthily and keep your weight in check.
8. Have a limit on your alcohol intake
9. Exercise should be a compulsory part of daily routine
10. For those who are overweight; need to work on reducing the weight
11. Smokers need to quit it slowly and gradually as smoking would led to serious kidney damages
12. Do not take over-the-counter pills on a regular basis.
13. Check your kidney function if you have one or more of the ‘high risk’ factors consult your doctor.