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Dr. Rokade Mahesh S

Nephrologist, Pune

500 at clinic
Dr. Rokade Mahesh S Nephrologist, Pune
500 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Rokade Mahesh S
Dr. Rokade Mahesh S is a renowned Nephrologist in Fatima Nagar, Pune. You can consult Dr. Rokade Mahesh S at Dr. Rokade Mahesh S@Inamdar Multispeciality Hospital in Fatima Nagar, Pune. You can book an instant appointment online with Dr. Rokade Mahesh S on Lybrate.com.

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Suffering from urine infection (PUS cells 30-35) regularly what are the reasons and what should I do to control it, is it dangerous.

BHMS, DEMS
Homeopath, Pune
Suffering from urine infection (PUS cells 30-35) regularly what are the reasons and what should I do to control it, i...
Hello Lybrate User, Most of the urinary tract infections are due to bacteria or microbes. These following factors can increase the likelihood of developing a urinary tract infection - Sexual intercourse (especially if more frequent, intense, and with multiple or new partners), diabetes, poor personal hygiene, problems emptying the bladder completely, having a urinary catheter, bowel incontinence, blocked flow of urine, kidney stones, suppressed immune system, immobility for a long period, heavy use of antibiotics. Here are several measures that can be taken to reduce the risk of developing a urinary tract infection - * Drink lots of water and urinate frequently * Avoid fluids such as alcohol and caffeine that can irritate the bladder * Urinate shortly after sex * Wipe from front to back after urinating and bowel movement * Keep the genital area clean * Showers are preferred to baths and avoid using oils * Avoid using any perfumed products in the genital area * Wear cotton underwear and loose-fitting clothing to keep the area around the urethra dry. In case, if infection get worse visit your primary health care provider. Take care.
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Overactive Bladder - Can Infection in Urinary Tract Lead To it?

Fellowship in Andrology, DNB-Urology , MS - General Surgery, MBBS
Urologist, Hyderabad
Overactive Bladder - Can Infection in Urinary Tract Lead To it?

An overactive bladder is marked by problems with one’s bladder storage system that results in sudden urge to urinate. Involuntary and leakage of urine is also a possibility in such a case.

The problem of an overactive bladder arises when the muscles of the bladder contract involuntarily. The conditions contributing to overactive bladder are:

  1. Excessive production of urine due to diabetes, poor kidney function or excessive fluid intake
  2. Medications that increase urine production by the bladder
  3. Acute infections in the urinary tract
  4. Abnormalities in the bladder, for instance, bladder stones or tumors
  5. Factors hindering bladder outflow such as constipation, enlarged prostate or earlier treatments for incontinence (loss of bladder control)
  6. Excessive intake of alcohol or caffeine
  7. Decline in one’s cognitive abilities due to factors such as ageing, thus making it hard for the bladder to comprehend the signals it gets from the brain
  8. Incomplete emptying of the bladder, leaving only a little storage space for the urine
  9. Constipation
  10. Neurological disorders

How it can be treated?

  1. Behavioral interventions help to manage overactive bladder effectively and without side-effects. They include-
    • Exercises to strengthen one’s urinary sphincter and pelvic floor muscles
    • Maintaining a healthy weight
    • Regulating fluid consumption
    • Planning a schedule for trips to the toilet
    • Employing a catheter to empty the bladder entirely
  2. Medications to alleviate the symptoms of incontinence and overactive bladder are-
    • Fesoterodine
    • Mirabegron
    • Darifenacin
    • Solifenacin
    • Trospium
    • Oxybutynin gel
    • Oxybutynin as a skin patch
    • Tolterodine
  3. Injecting small doses of Botox (Botulinum toxin), protein-bacteria, directly into the bladder tissues to partially paralyze the bladder muscles, thus delaying urination.
  4. Surgery to magnify bladder capacity

However, it is a must that you seek the guidance of a urologist on immediate basis. 

4 people found this helpful

Sir, my pennis is burning during urination, what is the reason of that, it is either due to hot summer or something else.

BHMS
Homeopath, Faridabad
Sir, my pennis is burning during urination, what is the reason of that, it is either due to hot summer or something e...
Hello, please increase the amount of water intake and take Cantharis 30 ch , 3 drops once daily. Revert me after 7 days. Thanks.
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Hello sir/mam, my mom is suffering from stone in kidney, what is the reason of having these stones. Can you please suggest the exercise or the proper diet to get rid from this problem.?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Hello sir/mam, my mom is suffering from stone in kidney, what is the reason of having these stones.
Can you please su...
what are the size of the stones? stones treatment depends on the types and size of stone, most kidney stones won't require invasive procedures. You may be able to pass a small stone by: drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless doctor tells you otherwise, drink enough fluid mostly water to produce clear or nearly clear urine. Passing a small stone can cause some discomfort. To relieve mild pain, according to your medical history I may prescribe pain relievers. I am a doctor and renal (kidney) registered dietitian who will also prescribe a customized diet plan and medications to help pass your kidney stone quickly and with less pain. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I am 71 years of age n suffering from frequent urination. Any delay leads to some drops leakage. Please suggest treatment n test for prostate problem n over active bladder. No surgery Please.

M.Ch - Urology
Urologist, Dehradun
I am 71 years of age n suffering from frequent urination. Any delay leads to some drops leakage. Please suggest treat...
First of all get ultrasound one for status of kidney uretr bladder, size of prostae and residual urine. Get blood psa done. You can start tab dutas t 1kit daily at night after getting these tests done.
1 person found this helpful

Sir I urinate evry morng by 5am in toilet in more qnt after 1 hour I repeats same qnt with bubble formation because of this i lose my sleep every day so yesterday I checked my uric acid in my body by blood test it is more by 4 so how to reduce my uric acid in my body what treatment to take suggest me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir I urinate evry morng by 5am in toilet in more qnt after 1 hour I repeats same qnt with bubble formation because o...
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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I am suffering from urination problem. I have to go for urination 10 times at a night. What can I do?

MBBS, cc USG
General Physician, Gurgaon
I am suffering from urination problem. I have to go for urination 10 times at a night. What can I do?
for how long you are having this problem? Do you also have pain/burning while urination? Any medicine you are taking? Are you taking Tea/ coffee in night? we have to investigate you to rule out infection in urine so kindly get Urine R/M done and consult again with reports Consult me for further mangement
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I am a 22 years old sexually active women. Since last 2 days I am having burning sensation in my vagina, pain in the lower abdomen and bloating. Today I also experienced red urine. I feel like I have to pee all the time and the pee somewhat reliefs the vaginal burning. Please help.

B.A.M.S, Diploma in Nutrition and Health Education (DNHE, PG Diploma in Hospital Managment
Ayurveda, Delhi
I am a 22 years old sexually active women. Since last 2 days I am having burning sensation in my vagina, pain in the ...
drink.plenty of water,use chnadraprabha vati,neeri syp and so usg lower abdomen ,and consult your local consultant
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What would be the price for an operation who is suffering from 4 mm kidney stone? And we stay in Guwahati.

BAMS
Ayurveda, Sonipat
What would be the price for an operation who is suffering from 4 mm kidney stone? And we stay in Guwahati.
No need of operation Intake more liquid diet ,water, khera, kakri ,mooli,beer 15days then consult me
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COCONUT RESOLVE KIDNEY STONE

BHMS
Homeopath, Sindhudurg
COCONUT RESOLVE KIDNEY STONE

Coconut is a tropical fruit that is rich in protein. Coconut water is good for kidney and urinary bladder problems.
Drinking coconut water for 2 to 3 times a week reduces the size of kidney stones in a short period of time.

Benefits of coconut water
* it dissolves kidney stones
* it prevents bladder infections
* it revitalizes your reproductive system

Symptoms of kidney stones

Kidney stones that are above the pelvis of the kidney usually do not cause symptoms.
Symptoms often occur when a stone migrates into the ureter, the tube that carries urine from the kidney to the bladder, and prevents the drainage of urine from the kidney.
When stones are present in the ureter, a person may experience the following symptoms:

* pain.

* nausea and vomiting.

* blood in the urine.

* increase in frequency or urgency of urination, or the inability to urinate.

There are other possible consequences of kidney stones. Partial or complete obstruction of a kidney by a stone may lead to a backup of urine in the blood, along with its potentially toxic component, urea. If this happens, the kidney may suffer damage to its tubules (the microscopic chemical plants that manufacture urine) and to their associated blood vessels.

Kidney stones are formed from chemicals that are found in your urine such as, calcium, carbonates, cystine, oxalic acid, phosphates, uric acid, ammonium, and magnesium.

Of these chemicals, calcium constitutes a large percentage of the stones that are formed.

Causes of kidney stones

One contributing cause is a defective metabolic process. When you habitually drink insufficient amounts of water and other fluids daily, your urine becomes highly concentrated.
Diet is another major contributing factor. If you are fond of eating fatty foods and your daily intake of high fiber foods is low, you will surely have kidney stone problems sooner or later.
Other causes

* acid-forming foods

* alcoholic drinks

* coffee

* condiments

* junk food

* spices

* sugar foods

Importance of making kidneys function properly
 Kidneys receive a large amount of the blood pumped by your heart. This huge blood supply enable your kidneys to regulate the composition of your blood.
They also remove wastes such as ammonia, drugs, urea and other toxins from your body.
That's why it is important to dissolve kidney stones early before they get big enough to give you problems, such as kidney infections, later.

Other functions

* they keep the volume of water constant in your body

* they regulate your blood pressure

* they aid in making red blood cells

* they maintain the calcium levels in your body

Coconut water helps dissolve kidney stones by diluting your urine so that the various chemicals in your kidneys such as calcium, phosphates, uric acid, etc. Are relatively easy to flush out of your system.
This is because it is a natural diuretic and it increases the urine flow.
Aside from its ability to dissolve kidney stones, it is also a rich source of cytokinins. Cytokinins are plant growth hormones, they regulate the growth and development of plants.
The interesting part is that cytokinins have an anti-aging effect on human cells and tissues.
In other words, they help delay your aging process.

Other health benefits of coconut:

1. Prevents simple goiter (enlarged non-toxic thyroid) because of its organic iodine content.

2. Good body builder, so it is a food recommended for building up the body muscles of thin and emaciated individuals.

3. Constipation and for any build-up of gas in the stomach and intestinal tract.

4. Coconut milk has been found to help causes of a sore throat as well as relieving stomach ulcers.

5. Coconut oil has been found to heal cuts, scratches, burns and sunburns.

6. The oil has also been recommended for facial massage and is reported to be good as a wrinkle remover.

7. Coconut oil is also good for the scalp and hair and makes hairdressing unnecessary.

8. Intake of at least 2 tbsp. Of virgin coconut, oil per day can lessen your vitamin e requirement.

9. Coconut water is good for kidney and urinary bladder problems.

This proves that a pound of prevention is indeed worth more than a ton of cure.
 

35 people found this helpful

My daughter 10 year old, she have urine infection, consult doctors they replied to drink more water, nothing medicine for the same, so kindly give the advice.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My daughter 10 year old, she have urine infection, consult doctors they replied to drink more water, nothing medicine...
You must get culture of the urine done and treat it appropriately. Otherwise it may lead to longterm complications.
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In my urine examination test it has been found that leucocyte/pus cells are 0-1/hpf and epithelial cells are 8-10 / Hpf. So I their is any infection or not.

MBBS, MD - Paediatrics
Pediatrician, Mumbai
In my urine examination test it has been found that leucocyte/pus cells are 0-1/hpf and epithelial cells are 8-10 / H...
No. Seems quit normal report. please consult physician if you have symptoms persistent for which you have done urine examination.
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My friend is suffering from kidney stone I just want to know whether she has to go for operation or stone will be pass in urine the size of stone is 4-5 mm.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
My friend is suffering from kidney stone I just want to know whether she has to go for operation or stone will be pas...
Hello- generally kidney stones below 7 mm can pass through your urinary system with proper precautions and medications and you don't need to go for any surgical procedure. >but if the patient is not following precautions, thn stone may complicate leading to strong pain and bleeding (due to obstruction of urinary pathway). Try these precautions and ayurvedic medicines- 1) neeri syp 1 tsp twice daily. 2) tab cytone himalaya 1 tab twice daily. 3) tab chandraprabha vati 1 tab twice daily. 4) drink plenty of boiled water. 5) strictly avoid-non-veg, fast foods, green leafy vegetables, spicy diet, alcohol and late night workout. 6) practice pawanmuktasana at morning time (it will prevent stone obstruction and make the stone break into fragments and pass on through urine)
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Causes and Treatment for Hematuria

Fellowship of the Royal College of Surgeons (FRCS), MS, MBBS
Urologist, Delhi
Causes and Treatment for Hematuria

The presence of blood in urine is known as Hematuria. It is categorized under 2 types:

  1. Macroscopic haematuria, which means the patient has seen blood.
  2. Microscopic dipstick haematuria, which means blood is identified by urine microscopy or by dipstick testing either in association with other urological symptoms (symptomatic microscopic haematuria) or during a routine medical examination. It has been variably defined as 3 or more , 5 or more or 10 or more Red Blood Cells (RBCs) per high - power field.

Urological and other Causes of Haematuria

  1. Cancer: Bladder, Kidney and Prostate Cancer
  2. Stones: Kidney, Ureteric
  3. Bladder Infections: Bacterial tuberculosis, infective urethritis Inflammation
  4. Interstitial Cystitis Trauma : Kidney, bladder, urethra, pelvic fracture causing urethral rupture
  5. Renal cystic disease: (e.g. medullary sponge kidney)
  6. Other urological causes: Benign prostatic hyperplasia, vascular malformations
  7. Other medical causes of haematuria: anticoagulation therapy (e.g. asprin, antiplatelet therapy) Nephrological Causes: more likely in children and young adults, proteinuria; red blood cell casts.
  8. Urological investigations: Urine culture, urine cytology, cystoscopy, renal ultrasonography and intravenous Urography and CT Urography.

Management of haematuria depends on the cause as determined by the urologist.

3683 people found this helpful

I have been diagnosed with kidney stone of 5.4 mm. I have a regular lower back pain and sometimes abdominal pain. Suggest me ways to improve my health.

BAMS, Diploma in Skin Aesthetics, Cosmetology and Trichology, Diploma in skin aesthetics, Diploma in cosmetology, Diploma in Trichology, Diploma in Nutrition & Diet Planning, MDscholar
Trichologist, Mumbai
I have been diagnosed with kidney stone of 5.4 mm. I have a regular lower back pain and sometimes abdominal pain. Sug...
Drink more water. Consult an ayurveda doctor near you for further medication. Ayurveda medicines help in kidney stones.
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What would be the price of an operation who is suffering from kidney stone of sizes 4 mm? There are some stones with 4 mm sizes, so I made a decision for operation.

MD - Homeopathy
Homeopath, Aurangabad
What would be the price of an operation who is suffering from kidney stone of sizes 4 mm? There are some stones with ...
Homeopathy can pass small calculi up to 8 mm and also can prevent from recurrence. Drink plenty water. Have some exercise.
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My Wife is Suffering from Stomach Pain and Frequent Urine problems. Kindly Send me Solution.

MBBS
General Physician, Faridabad
My Wife is Suffering from Stomach Pain and Frequent Urine problems. Kindly Send me Solution.
take meftal spas if pain abd, tab pan 40 empty stomach daily morning for 15 days, drink 3-4 litre of water daily, isabgol in a glass of water at night, if required get u/s whole abdomen done and back with report it will help. thanks get complete urine examination, back with report
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My father is having burning sensation and painful urination after catheter removal after his vascular bypass surgery. Please let me know the treatment.

MBBS, cc USG
General Physician, Gurgaon
My father is having burning sensation and painful urination after catheter removal after his vascular bypass surgery....
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: maintain hygiene Avoid synthetic undergarment and prefer cotton consult physician/me for further management as we need to start antibiotic after personal consultation
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When urinate in water bubbles come and last for some time to break What can be the problem.

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist, Delhi
When urinate in water bubbles come and last for some time to break What can be the problem.
Well this can be a sign of excessive protein leakage in the urine. Please get blood-kft, lft, lipid profile, hba1c, urine-re, me, 24 hours protein, albumin, creatinine, usg-kub, complete hemogram. Share the reports once done.
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I am 38 years old house wife I have been suffering from frequent urine problem sometimes it comes out while going to loo. It is since 2005 after giving birth to my son went to thousands of doctors no relief please help.

MBBS
General Physician, Mumbai
I am 38 years old house wife I have been suffering from frequent urine problem sometimes it comes out while going to ...
You might be suffering from incontinence of urine and you should train your self through bladder exercise which you will be taught by a physiotherapist and do it continously for atleast three months
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