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Dr. Umesh Khanna

Nephrologist, Mumbai

1000 at clinic
Dr. Umesh Khanna Nephrologist, Mumbai
1000 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Umesh Khanna
Dr. Umesh Khanna is one of the best Nephrologists in Borivali West, Mumbai. You can consult Dr. Umesh Khanna at Lancelot Medical Centre & Dialysis Unit in Borivali West, Mumbai. You can book an instant appointment online with Dr. Umesh Khanna on Lybrate.com.

Find numerous Nephrologists in India from the comfort of your home on Lybrate.com. You will find Nephrologists with more than 25 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.

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#111 C, Lancelot Building, S V Road, Borivali West. Landmark: Opp. to Kalyan Jewelry, MumbaiMumbai Get Directions
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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 facing dead pain and burning while urine an sometimes blood, cloudy flows from my penis. Please. Suggest me a good medicine for my problem.

MBBS
General Physician, Cuttack
I am facing dead pain and burning while urine an sometimes blood, cloudy flows from my penis.
Please. Suggest me a go...
1. It could be due to stone in kidney, ureter, bladderor pyelonephritis 2. Get your urine examined for re/me, culture&sensitivity test. Take usg kub 3. Consult urologist with report for advice and treatment.
1 person found this helpful
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I have kidney stone in both kidneys about 5.5 mm what to do. Is surgery is better than taking medicine.

BAMS
Ayurveda, Ambala
I have kidney stone in both kidneys about 5.5 mm what to do. Is surgery is better than taking medicine.
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. 8. You can also take neeri syrup 1-2 table spoon with a glass of water at least for 1 month.
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My sister 38 years old female. She is suffering from anti gbm antibody disease from last 4 months. Initially she has only symptoms of renal involvement she used immunosuppressants and prednisalone for 2 months. Her renal function not improved because of side effects she stopped those tablets. After 10 days pulmonary symptoms began (severe cough, sputum with blood streaks, low grade fever) now she is using cyclophosphamide and on regular dialysis. Is there any other way to improve her condition? please suggest a solution for this problem.

MBBS
General Physician, Mumbai
As it is a known auto immune disease which is affecting the kidney and lungs and we have already seen that once you stopped the treatment pulmonary symptoms had developed and if we discontinue the treatment than there can be death due to kidney and lung failure and with ongoing treatment we are clearing the auto antibodies and making her survive for more years to come
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I am 20 yrs old male I have kidney stone problem what should I do?

Homeopath,
What is the size dear? had you done usg? is there any abdominal colic? go for usg if not done. Do urine r&m do creat.
1 person found this helpful
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Hello. Doctor I always have leakage of some sticky fluid for about 2-3 times in a day even though after urinating. It is always around 1 drop at a time. I always feel messed up when it comes out when I am engaged in any task especially while praying my namaaz which leads to breaking purity of a person in our religion. Please advice me what to do? How to solve this problem?

MBBS, cc USG
General Physician, Noida
Hello. Doctor I always have leakage of some sticky fluid for about 2-3 times in a day even though after urinating. It...
It may be due to infection or fistula follow advises given below: 1. Drink lot of water 2. Maintain hygiene 3. Avoid synthetic undergarment and prefer cotton antibiotic and other medication may be required after complete evaluation.
1 person found this helpful
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From last two days, urine colour turns to light green or somewhat mountain dew in colour.

MBBS
General Physician, Cuttack
From last two days, urine colour turns to light green or somewhat mountain dew in colour.
It could be due to concentrated urine. Drink plenty of water. If there is no change in colour, get your urine examined for re/me and consult doctor.
1 person found this helpful
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I am 77 years old and my serum creatinine tests shows 0. 90 what does that mean ?

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist, Delhi
Your reports suggest that you are at moderate risk for developing further kidney damage. Take due precautions like no tobacco, alcohol, painkillers, antibiotics. Maintain salt restricted diet, present body weight.
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I am having burning sensation after urination. Also a foul smell is coming out from my vagina. Before six months I had done 4 times calitrophy. Even then my urine infection problem is not solved. Kindly suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am having burning sensation after urination. Also a foul smell is coming out from my vagina. Before six months I ha...
There may be urine infection and you need to culture urine and decide antibiotic and vagina need to be shown to a doctor
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During urinating its paining at the end. And am feeling weak and feverish type. What can I do?

MD - Alternate Medicine, BHMS
Homeopath, Surat
During urinating its paining at the end. And am feeling weak and feverish type. What can I do?
Take Sarsaparilla 30C one dose and Cosmos 30C daily for 2 weeks. It will be alright. Still if you have any queries, please let me know. Take care. :)
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I have stone problem from two month please help me from this problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I have stone problem from two month please help me from this problem.
Hi thanks for choosing lybrate. Com can you please do confirm the size of the stones if its 5mm and below. Multiple you can use following medicines tab cpv mirnibg and nite 2 tabs varanadi kwatha 10ml two times acday after food cap crush or stonvil 2 caps two times a dsy punarnavadi kwatha 10ml mixed with 10ml water two times a day follow the precription for 40 days with diet of renal calculus and do the sonography of abdomen and pelvis to rule out size of calculus thank you.
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I'm 31 years old female suffering from dysurea and frequent urination since my second cesarean surgery please tell me solution.

MBBS
General Physician, Cuttack
I'm 31 years old female suffering from dysurea and frequent urination since my second cesarean surgery please tell me...
It could be due to Urinary tract infection. Do Urine re/Me and culture sensitivity test 2.Consult doctor for advice and treatment 3.Drink plenty of water
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I am a kidney patient my both kidneys are shrink so what medicines you prefer and test reports are normal so what can I do please tell me?

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Please get renal function test done. If they are normal nothing to be done except that the cause of shrinkage needs to evaluated to prevent further agrevation. Complete body profile should be done like hemogram, blood sugar, blood pressure, urine tests etc.
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Hello. I want to know that why urine comes a lot of time in a day.

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist,
Hello. I want to know that why urine comes a lot of time in a day.
Dear 1. You may be drinking a lot where you would be passing good quantity at a time but more often. 2. You may be drinking much less then your body needs hence you may be passing small quantity of concentrated urine more frequently. 3. You may urinary infection acute or chronic. 4. You may have stone or bladder outlet obstruction. 5. Same thing can happen in diabetes or even in stressful lifestyle or conditions
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My both of septum of nose have got widened, I feel any foul smell and get mentally upset, my voice becoming worse. My are decaying too fast. No history of long sexual relations, frequent sensation of urine, lack of proper digestion, I want to diagnosis and treatment of these problems.

C.S.C, D.C.H, M.B.B.S
General Physician,
My both of septum of nose have got widened, I feel any foul smell and get mentally upset, my voice becoming worse. My...
yoUR NOSE NEEDS septoplasty or similar treatment and urine sensation canbe infection, diabetes or prostate . Digestion will be slow in 61 years . You need a check up of nose of urinary problem
2 people found this helpful
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I am 42 year old woman, some time I suffer from UTI, is this relate to diet. What should I eat to keep my kidney healthy ?

MBBS
General Physician,
I am 42 year old woman, some time I suffer from UTI, is this relate to diet. What should I eat to keep my kidney heal...
Uti is not related to kidney. It is related to urinary tract only. Drink plenty of water along with healthy food avoid spicy fried foods.
1 person found this helpful
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Sir, I have stones in kidney and I am getting back pain, so please help me to get out of it fast.

BAMS
Ayurveda, Ambala
Sir, I have stones in kidney and I am getting back pain, so please help me to get out of it fast.
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.
2 people found this helpful
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My sister is 16 years old and she has been diagnosed with Blood and Urine Infection. She has a high fever and headache from last few weeks. We got her tests done and her resorts are: ESR test report 96, Red Blood Cells 40-50, Pus cells 10-15. Please let me know what medicines and Precautions we need to take care. Is this something serious? Regards, Bhawna Sharma.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
My sister is 16 years old and she has been diagnosed with Blood and Urine Infection. She has a high fever and headach...
She has to take medicine for a few days. Do following 1.Pass urine whenever you feel a desire, empty bladder completely. 2.Wipe from front to back after toilet 3.Take lots of water so as to have clear urine 4.Do not use any spray, scented bath products 5.Try to take shower rather than bat 7.Keep genital area dry- wear cotton, loose under garments, avoid tight clothes like jeans
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