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Dr. Ambike

Nephrologist, Pune

Dr. Ambike Nephrologist, Pune
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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. Ambike
Dr. Ambike is one of the best Nephrologists in Nagar Road, Pune. Doctor is currently associated with Kataria Hospital in Nagar Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Ambike on Lybrate.com.

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Pune Nagar Road, Yerawada. Landmark : Above Uco Bank, PunePune Get Directions
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I have problem related to urology department, do not fully open upper side of my pennis, so what should I do?

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , you have phimosis and being adult there is no sense in hoping that it would correct as it does in some children by hydrostatic dilatation. I think it is better to have circumcision done
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Now I have kidney stone. So what are the steps taken for these disease?? Pls suggest a treatment for these.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Now I have kidney stone. So what are the steps taken for these disease?? Pls suggest a treatment for these.
Take plenty of oral liquids. Donot try holding urine for a longer time. Have barley water thrice a day and avoid taking palak, brinjal and nonveg foods. Milk products need to be restricted for some time. If the stone size is big, then it may have to be removed surgically.
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I am 31 years male. I urinate properly but at end of urinating when I apply some pressure some urine come out. H/O multiple sclerosis since 2009. My stream is also gud.

Member of Royal College of Emergency medicine, Certd course in evidence based diabetes management
General Physician, Bangalore
I am 31 years male. I urinate properly but at end of urinating when I apply some pressure some urine come out. H/O mu...
I would recommend you not to put pressure while urinating. Let the urine come out naturally. If some little amount of urine remains back in the bladder it is not an issue. Don't bother. The bladder has the capacity to store a lot of urine otherwise. If you strain while urinating you may cause other problems. If you are facing burning sensations or increased frequency. Please consult a urologist. Hope this answer has helped you in some way. Do let me know if you have any other queries.
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After a pcnl surgery of staghorn stone have developed a 4cm cyst on right kidney with cortical calcification request you to please specify the medical condition my kft is normal with 108 meql of chloride and less urine output sometime as i feel no other complications as of now is the condition harmful for my kidney my urologist is saying its normal and just monitor by a year or so. Pls suggest

Fellowship of the Royal College of Surgeons (FRCS), MS - Urology, MBBS
Urologist, Ahmedabad
Dear , Simple cortical cyst with calcification is no trouble. It does not damage kidney and is to be left alone or at the most to be kept under supervision as your urologist has suggested.However i would like to point out that if you have preserved the stone fragments then get its chemical analysis done so that one could know for sure what the stone is formed of from that the likely cause of the stone formation as it is formed because of some underlying cause which must be detected and treated so that recurrent formation of stone can be prevented. Dr. Kiran Mehta.
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My 40 years old brother have both kidney problem. Dr. Told both kidneys are fail. They suggest to transplantation. Bt in ayurvedic medicine the kidneys are becoming to recover slowly. Even though brother suffering in some problem. Sometimes his feet swollen. At that position what should I do?

MBBS, cc USG
General Physician, Gurgaon
My 40 years old brother have both kidney problem. Dr. Told both kidneys are fail. They suggest to transplantation. Bt...
How do you know that recovery is there, is S Urea and Creatinine decreased? Nephrologist can guide you best, I can guide you about The best Nephrologist in Delhi/ NCR
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Sir, recently my Company organize a health check-up, during check-up kidney stone was found size i. E. 4.4 mm kindly guide me the solution.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Sir, recently my Company organize a health check-up, during check-up kidney stone was found size i. E. 4.4 mm kindly ...
Take shool gaj kesari ras twice a day..take gokshuradi guggul & punarnavadi mandoor 1-1 tab twice a day...pranacharya U through capsule and syrup twice a day...drink lots of water....avoid spinach...tea and coffee..tomato...lady finger etc....
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MPT-SPORTS MEDICINE, BPTh/BPT
Physiotherapist, Delhi
KEGEL EXERCISES
Kegel exercises are designed to strengthen the pelvic floor muscles. These
muscles support the bladder and bowel openings in both men and women.
Strengthening the muscles of the pelvic floor can aid in preventing leakage of
urine or feces with coughing, sneezing, lifting, and other stressful movements.
Other benefits of kegels include enhanced sexual function, conditioned muscles
to make childbirth easier, decrease and/or prevent prolapse of pelvic organs,
and improve the ability to pass stool.

Who should do Kegel Exercises?
? Women and men with urinary and /or bowel incontinence
? Women and men who have demonstrated weakening of the pelvic floor
? Pregnant women or women who have previously had children
? Middle aged and older women
What you need to know about Kegel Exercises
The success of Kegel exercises depends on the use of proper technique as well
as compliance to a regular exercise program. When doing the exercises, it is
important to identify the correct muscles of the pelvic floor. At first, most
people contract the abdominal or thigh muscles while neglecting the pelvic
floor muscles. This may actually worsen pelvic floor tone and incontinence.
Kegels may be done as a part of biofeedback, when some patients require
assistance. Biofeedback consists of placing a sensor on the abdomen and
around the anal area, which measure the contraction of the pelvic floor
muscles. Occasionally, an electrode may be placed in the vagina in women, or
in the rectum in men.

Three Steps to an Effective Kegel
? Learn to tighten the muscles around the vaginal/anal area
? Contract the vaginal and rectal muscles. Note that when you perform
steps 1 and 2 correctly, you should also feel the muscles around the anus
tighten slightly. This is normal, but do not consciously try to tighten
those muscles.
? In a quiet, relaxed setting with no distractions, practice your Kegels and
determine how long you can hold your contraction and how many you
can do before becoming fatigued. Do not do more than 5-10 reps at time
with a 3-5 second hold.

Detailed Instructions on how to do Kegels:
Step #1: The urethra?The Functional Stop Test
After partially emptying your bladder, stop your urine flow in a slow controlled
manner, paying attention to how it feels.
Note: Stopping and starting the urine repeatedly as an exercise can be harmful
and should not be done. Holding your urine can contribute to bladder
infection, causing damage to normal urinary reflexes. The Functional Stop Test
is useful for assessing what it feels like to gradually stop urine flow, and should
not be done more than once per urination.
Step #2: The vagina and rectum as your window to the pelvic floor
For this step, you will internally assess the ability to squeeze and elevate the
muscles around the opening of the vagina or rectum, while lying on your back.
This is accomplished by inserting one finger into the vaginal or rectal opening
while you try to lift and squeeze with the muscles. Pay attention to how this feels.
Step #3: Putting it all together
Begin practicing while lying on your back with your knees bent, or lying back
with pillows under your head and shoulders. When your knees are bent you
should have pillows under them so that the muscles around the hips and
buttocks can relax. In this position, you can practice the actual Kegel, which
involves lifting and tightening the pelvic floor all at one time. This will be a
combination of what you felt when you gradually stopped urine flow, with the
feeling squeezing and elevating the muscles around the vaginal or rectal area.

How long and how many?
When you are first starting out, it is common to find that you can only hold a
Kegel for 3-6 seconds, and that performing 3-6 repetitions causes muscle
fatigue. When this happens, you are usually performing the exercise correctly.
If you find you can hold it for much longer right away, recheck your technique.
For patients with incontinence or pelvic floor weakness, it is important to
concentrate on correctly performing the technique and gradually improving the
muscle quality and tone, even though you may be weak first starting out.
Making Kegels a part of your life
After you have become experienced in performing these exercises, you will
want to do them as follows:
? A series of strong, steady squeezes for 8-10 seconds each ? Try to do 8-10 at a time
? For most people, 30 repetitions per day are adequate.
As they get easier, you will find you can do them while sitting or standing, for
example, you can do them while driving, working on the computer, or waiting in
long lines.
Please note that you may not see any noticeable change in bowel / bladder
control for a while. In some cases it may be many months.
4 people found this helpful

I am 25 years old, I am getting very frequent urination and getting bad smell after urination. Kindly suggest me what I can do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am 25 years old, I am getting very frequent urination and getting bad smell after urination. Kindly suggest me what...
First go through your urine test - routine and microscopic. Brief about other things as colour, itching or pain present. You can start neeri syp 1 spoon twice a day.
1 person found this helpful
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I am 40yr male and I have a stone last 3 month. what should I do? Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I am 40yr male and I have a stone last 3 month. what should I do? Please help me.
Tips for removing kidney stones:: 1. Avoid tea, coffee, alcohol, cold drinks, pickles, fish, poultry, meat, spinach, and chocolate..... 2. Avoid sour, heavy, and dry food. 3. Increase intake of liquids like water, juice, soup, lime water lemon soda etc. 4. Be sure to drink enough water each day. Usually 1 to 2 liters of water per day is adequate. 5. Drink more if you are perspiring heavily, working outdoors, the weather is hot, etc. 6. Increase the use of barley, horse gram (a type of bean), ginger, and brown rice or parboiled rice. 7. Avoid suppressing urges to urinate and defecate. 9. Boil 10-12 basil leaves in 1 cup of water for 15 minutes. Mix 1 teaspoon of honey in it and take twice a day. Pls send ur USG report becoz medication for stones depends upon size number and location of stones and can be given after USG.
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Hello Doctors, I am married, 25 year old female, I have stone formation in my kidneys, a total of 3 stones measuring 4.5mm maximum(this scan was done last march). Doctors have asked me to drink lots of liquids. I am not on any medical treatment. Is it correct or should I have to go in for some other hospital? Will if affect in case we are planning for a baby this year? Please help.

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist, Delhi
You must consume around 2.5-3.0 litres water & other liquids daily. In addition have fresh fruit,nimbu,salads in your diet.Ensure physically active routine. All these measures will help you.You can also start Tab Cystone 1 thrice a day. However,you must get investigated to find out the cause of stone formation with blood,urine tests.
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In my kidney I have stones from six months. Size is 5.8 maximum. I ask just if am I doing abs exercises and running then. Is there any chance of infection in my stomach or kidney.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
In my kidney I have stones from six months. Size is 5.8 maximum. I ask just if am I doing abs exercises and running t...
Dear exercises and running leads to loss of water from body. So maintain hydration and try the tips below. Tips for removing kidney stones: 1. Avoid tea, coffee, alcohol, cold drinks, pickles, fish, poultry, meat, spinach, and chocolate. 2. Avoid sour, heavy, and dry food. 3. Increase intake of liquids like water, juice, soup, lime water lemon soda etc. 4. Be sure to drink enough water each day. Usually 1 to 2 liters of water per day is adequate. 5. Drink more if you are perspiring heavily, working outdoors, the weather is hot, etc. 6. Increase the use of barley, horse gram (a type of bean), ginger, and brown rice or parboiled rice. 7. Avoid suppressing urges to urinate and defecate. 9. Boil 10-12 basil leaves in 1 cup of water for 15 minutes. Mix 1 teaspoon of honey in it and take twice a day.
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I have burn while peeing from last few days. And my stomach is also not good. Yesterday I went 6 times for toilet.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhopal
I have burn while peeing from last few days. And my stomach is also not good. Yesterday I went 6 times for toilet.
hello retention of urine and burning micturition is cause of UTI drink plenty of water and fibre diet avoid oily spicy food further consult me
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Dear Doctor, After waking up from afternoon's sleep I passed urine after that my eyes become blank and I was shivering and I was sweat. Today noon I had heavy meal in that some items were not present added with vanaspati. Now I am laying on bed. please give suggestions to become normal.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Dear Doctor, After waking up from afternoon's sleep I passed urine after that my eyes become blank and I was shiverin...
Sudden relieving of Urine bladder may cause uneasy feeling or blank feeling as a result of vaso vagal attack. Anyway get a check up by a Physician for exact cause.
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I am having infection in the way of urination. I have consulted many doctors but there is no improvement. The infection is in the type of pimple when the mosquito bites and it goes deep in it and very much itching. This problems is near about 2.5 years. It sometimes get proper when I use medicine creams and sometimes starts when I not apply cream. It gives the burning sensation during urine. When it is more pimple type the swelling occurs.

MBBS, cc USG
General Physician, Gurgaon
I am having infection in the way of urination. I have consulted many doctors but there is no improvement. The infecti...
Frequent urination/Fever with chills/burning or pain while urination suggest Urinary tract infection we have to investigate to confirm infection in urine so kindly get Urine R/M done and consult again with reports and follow advises given below: 1.drink lot of water 2. Maintain hygiene 3.Avoid synthetic undergarment and prefer cotton we need to start antibiotic after complete evaluation.
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Kidney Stones and Your Diet

Diploma in Dietetics and Nutrition, Diploma in Diet and Nutrition, Diploma in Paediatric Nutrition, Diploma in Total Nutrition Therapy course, Diploma in Nutrition and Health Education, Role of Nutrition in Diabetes, ICU & Gastroenterology , Nutrition Counselor Course in Bariatric Surgery
Dietitian/Nutritionist, Delhi
Kidney Stones and Your Diet

Kidney stones are caused when certain minerals of your urine are retained and are not fully released, causing them to amalgamate and form a stone. Passing a kidney stone is one of the most painful experiences you may face physically. Its magnanimity is often compared to childbirth, and those who are suffering from kidney stones dread having this experience. If you are not yet affected by kidney stones and do not want to, read further to know what type of diet you need to follow in order to prevent it.

  1. Drink lots of water: On an average, a person must be drinking at least 3 liters of water every day. If you live in a more hot and humid climate, your water intake must be even more than that, so that on an average, 2.5 liters of urine is passed throughout the day, which decreases the chance of unnecessary retention of minerals from the urine and release them more easily from the body.
  2. Continue eating foods rich in calcium: It is a common misconception that calcium accelerates the formation of kidney stones. Calcium is digested by the intestine, only excess calcium cannot be digested by the intestine and is sent to the kidney. Continue consuming calcium rich foods unless your doctor prescribes you against it. Make sure your diet includes enough dairy products such as milk, cheeses, etc., or other calcium rich foods, such as oats and broccoli.
  3. Limit intake of oxalic acid: Oxalic acid is mostly found in foods obtained from plants. It restricts the absorption of calcium in the intestines and as a result, more calcium is passed into the kidneys; thus, forming calcium oxalate, or oxalate stones. Try to avoid foods, such as rhubarb, Swiss chard, nuts, tea, sweet potatoes, etc.;mainly leguminous plant products.
  4. Decrease the ingestion of sodium salts, sugar and meat protein: Salts and sugars, mainly found in packaged foods are used to prevent them from expiring. They increase the release of calcium and oxalates into the blood, which thus increases the chance to develop kidney stones. Meat contains fibers which affect certain nutrients in the kidney, thus aggravating the formation of stones.
  5. Increase the consumption of insoluble fibers: Insoluble fibers are those rough fibers which are not soluble in water during the process of digestion. They are found in rice, wheat, barley, etc., and are found to decrease calcium absorption in the kidney. They attach themselves to the calcium and oxalates, which enable them to be released as stool instead of urine.

Related Tip: "4 Types Of Kidney Stones and Their Common Symptoms"

5014 people found this helpful

I have kidney stone of 5mm, should I rely on ayurved, homoeopathy/allopathy, and precautionary measures to stop regeneration.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I have kidney stone of 5mm, should I rely on ayurved, homoeopathy/allopathy, and precautionary measures to stop regen...
Tips for removing kidney stones:: 1. Avoid tea, coffee, alcohol, cold drinks, pickles, fish, poultry, meat, spinach, and chocolate. 2. Avoid sour, heavy, and dry food. 3. Increase intake of liquids like water, juice, soup, lime water lemon soda etc. 4. Be sure to drink enough water each day. Usually 1 to 2 liters of water per day is adequate. 5. Drink more if you are perspiring heavily, working outdoors, the weather is hot, etc. 6. Increase the use of barley, horse gram (a type of bean), ginger, and brown rice or parboiled rice. 7. Avoid suppressing urges to urinate and defecate. 9. Boil 10-12 basil leaves in 1 cup of water for 15 minutes. Mix 1 teaspoon of honey in it and take twice a day. Pls send ur USG report becoz medication for stones depends upon size number and location of stones and can be given after USG.
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I AM 53 YEARS MALE . I AM DIABETES FOR THE LAST SIX YEARS . MY URINE IS DARK yellow . IS THIS SIGN OF ANY DISEASE.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I AM 53 YEARS MALE . I AM DIABETES FOR THE LAST SIX YEARS . MY URINE IS DARK yellow . IS THIS SIGN OF ANY DISEASE.
If there is no burning or fever then less chances of uti. Drink more water. Sometimes it could be due to vitamin b complex suppliments.
2 people found this helpful
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My daughter aged 2 years 4 months is suffering from uti and pyelonephritis. Fever comes and goes often once in two days for the past 3 weeks. Dr. prescribed antibiotics. Recent urine culture showed no growth. Initially her crp was 137. Dr. told to take MCU further. We are really confused. Don't know what to do next. What is the solution for this. Pls help.

MBBS
General Physician, Jalgaon
My daughter aged 2 years 4 months is suffering from uti and pyelonephritis. Fever comes and goes often once in two da...
Please give her Plenty of water daily Sy citralka 2.5 ml three times a day with water Sy zefu 5 ml twice a day for 5 days Sy crocin 5 ml sos for fever Reconsult after 5 days.
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I suffer from kidney stone pain last week I had a severe pain in my stomach and back I am really tired if this pain and want some medication.

BHMS
Homeopath,
I suffer from kidney stone pain last week I had a severe pain in my stomach and back I am really tired if this pain a...
Dear lybrate user, a kidney stone is mainly formed due to the accumulation of the minerals present in urine. Such accumulation occurs mainly due to low intake of fluids. Continuous low fluid intake results in the deposits of the minerals over the stone & eventually leads to an increase in the size of the stone. Formation of stone leads to pain along the kidney region. If the size of the kidney stone is below 3mm then it is possible to get rid of it without any surgery. Take homoeopathic mother tincture berberis vulgaris q, 30 drops, thrice daily, after meals, in a cup of water for 15 days. The stone will be expelled through urine in between the span of 15 days of medication. But if the size of the stone is more than 3mm then you should surely go for surgery.
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Hello doctor, I am 34 year old. I have been suffering from uti since five years. I have taken treatment of this disease from several hospital. I have gone through several blood and urine test. But I did not get permanent solution of this disease. please tell me what should I do.

DRCH, BHMS
Homeopath, Bareilly
Hello doctor, I am 34 year old. I have been suffering from uti since five years. I have taken treatment of this disea...
Drink plenty of water and avoid taking much stress. You should take homeopathic medicine. Homeopathy removes the root cause of disease and give permanent cure.
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