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Dr. Shirish

Urologist, Pune

at clinic
Dr. Shirish Urologist, Pune
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Shirish
Dr. Shirish is one of the best Urologists in Sadashiv peth, Pune. Doctor is currently associated with Surgical Nursing Home in Sadashiv peth, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Shirish on Lybrate.com.

Lybrate.com has top trusted Urologists from across India. You will find Urologists with more than 35 years of experience on Lybrate.com. You can find Urologists online in Pune 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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I am a 27 years old woman having stone of 8 mm in my right kidney for the last three months. I suffer from irregular menstrual problem every month and have no desire for intercourse. As a result of this my husband becomes angry with me. Please suggest me.

BAMS
Ayurveda
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I am a 27 years old woman having stone of 8 mm in my right kidney for the last three months. I suffer from irregular ...
For making regular your period these are some instructions given below: • Take proper diet full of nutrition . Eat green leafy vegetables and seasonal fruits and a glass of milk daily. Eat a fruit daily . • Do Not take stress because stress causes imbalance in hormones of female and make your menstrual cycle disturb and make your ovulation disturb .Do some meditation for maintain hormonal balance. • Do jogging and running exercise daily .If you are obese lose some weight this is also a cause of irregular periods. • Do skipping regularly for 2 to 3 minutes daily. • you can take these medicines for regular periods. Syrup Dashmolarishtha or ,syrup EVECARE of himalya. 2 tsf daily once in a day after meal but only under the guidance of ayurvedic doctor. .• Practice Yogasana like Chakrasana & Pawanmuktasana daily under the guidance of yoga expert. • Check out Thyroid hormone level & if your T3, T4 , TSH hormone are abnormal then get treatment of it to make your periods regular.
1 person found this helpful

I had 8 mm stone near pelvic. Is it pass away with homeopathy medicine or I go for surgery.

MD - Paediatrics
Pediatrician
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I had 8 mm stone near pelvic. Is it pass away with homeopathy medicine or I go for surgery.
Unenhanced helical computed tomography is the best radiographic technique for diagnosing urolithiasis shock wave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy have replaced open surgery for treating urolithiasis most simple renal calculi (80-85%) can be treated with shock wave lithotripsy percutaneous nephrolithotomy is the treatment of choice for complex renal calculi staghorn calculi should be treated, and percutaneous nephrolithotomy is the preferred treatment in most patients ureteroscopy is the preferred treatment in pregnant, morbidly obese, or patients with coagulopathy most ureteral calculi <5 mm in diameter will pass spontaneously within four weeks of the onset of symptoms.

I have rectal bleeding since 2 weeks. Cleavage is extremely burning and paining while going and after motion. I fear it for piles. Kindly suggest me what should I do next and suitable food for this.

FMAS, MS
General Surgeon
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I have rectal bleeding since 2 weeks. Cleavage is extremely burning and paining while going and after motion. I fear ...
Hi, it seems like fissure at first instance. Avoid all oily spicy nonveg stuffs at all have more liquids, fibers, fruits, curd for better digestion. Take sitz bath (sitting in a tub filled with leuk warm water for 10-10 min mor.

I am 48 years old. And when I go for toilet. There is irritation and I am a women.

MBBS
Sexologist
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I am 48 years old. And when I go for toilet. There is irritation and I am a women.
You have irritation when you go for urination. Get your urine routine test done to look for pus cells and upload the report for better treatment.

Do I need to worry for my increased urine excretion in terms of quantity and not on terms or number of times.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Do I need to worry for my increased urine excretion in terms of quantity and not on terms or number of times.
Homoeopathy has good treatment without causing adverse effects. Take homoeopathic medicine acid phos 30 twice daily in the morning and in the evening and give feedback after 10 days.
1 person found this helpful

Hello doctor, my frnd asked you a question yesterday for my problem of frequent urination. From december 2015 I consulted a doctor he made test of UTI and uc. In reports. There is. Under chemical examination PH is ALKALINE, ALBUMIN is (+) and sugar is nil. And under Microscopic examination. Pus cells were 8-10 and epithelial cells were 3-5. RBC nil. Crystals nil. Casts nil. Others YEAST CELLS (+). In urine examination. And in urine culture and sensitivity test result came out is. Growth of escherichia COLI > 10 is to power 3 ORGANISM / ml of URINE AFTER AEROBIC INCUBATION AT 37° C. It is found that m suffering from urin infection for which doctor gave me medicines in January. Then faced same problem in feb and now today again it is started from morning m feeling very frustrated have to go washroom again n again and I feel very much pain in vagina during urination. My periods are normal. And you answered her question that it is due to poor hygiene or transferred from male during sex. Dr. Actually m 19 year old girl and I never had sex in my life till date. But I mansburate sometimes. So it is due to mansburate or something else? Because m virgin n never had sex. Please explain me in brief so I can understand each and everything about my problem.

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist
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Hello doctor, my frnd asked you a question yesterday for my problem of frequent urination. From december 2015 I consu...
Dear patient, your problem persist due to not proper treatment of your infection. Yes you having uti but it had not treated properly by the doctor in past so it pursist and will make you bother again and again recurrent. You need proper medication to fully get rid of your infection. Mastrubation in such doest not make much infection until you putting your fingures inside your vagina. You can revert me back to prescribe you best medicines according to your reports and guide you more about it.
12 people found this helpful

Hello Sir, I am 25 years old. I am suffering from a burning sensation whenever I go to urine and I have very frequent urination than usual in a day since last four years. Every 5 minutes gap I feel the urge for urination and after going to the bathroom, a very few drops of urine comes out after some time gap. I cannot drink water or anything as after drinking I feel the sudden urge for urination. Can you please suggest me a permanent remedy to get out of this problem?

MD - Homeopathy, BHMS
Homeopath
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Hello Sir, I am 25 years old. I am suffering from a burning sensation whenever I go to urine and I have very frequent...
Yes lybrate-user sure your problems can be completely solved with homoeopathic medicines. There are medicines like apis, can notharis, berberis etc cure your condition permanently if you take medicines properly as per my instructions. While taking medicines you must avoid coffee. Tea you can take. No side effects in homoeopathy

My age is 23. I have a kidney stone. My ultrasound report says post void residual urine- 124 ml. What is this? Does it require treatment.

MBBS, M.S. (General Surgery), MBA (Healthcare), M.Ch - Urology/Genito-Urinary Surgery
Urologist
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My age is 23. I have a kidney stone. My ultrasound report says post void residual urine- 124 ml.
What is this? Does i...
124 is very high PVRU specially at your age. You possibily seem to have some lower urinary tract obstruction which needs to be diagnosed and treated accordingly. Management for the renal stone would take place side by side.
1 person found this helpful

Dear doctor, sub: blood observed in stool occasionally. I am 59 year old male. I have htn but under control with telvas-h and aten-am since many years. Also I have enlarged prostate (bph) and taking contiflo-d since 4 years. Since last 2 years, blood is observed in stool (say once a month), otherwise no problem. I do not have constipation or lose motion and bowel movement is smooth. I want to know what can be several causes and what to do? is it a serious problem? with kind regards.

Fellowship in Minimal Access Surgery, F.I.A.G.E.S, M.S. ( General Surgery)
Gastroenterologist
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U should try to get it evaluated from a surgeon. It should be haemorrhoids by the sounds of what you say. If it bleeds only once a month and that too less amount. It should settle by medicines. You can come and consult me.
1 person found this helpful

Sir mere toilet karne ke baad kuch ghada padarth nikal jata hai aur pesab me jalan hoti hai.

MBBS
General Physician
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Sir mere toilet karne ke baad kuch ghada padarth nikal jata hai aur pesab me jalan hoti hai.
go for complete urine test, come with report so that i can guide you better. welcome for further help.

Doctor sahib, I am 58 years old male having high urinating problem. I drink much water too but I need to urinate after every 30-40 minutes. Once I drink water than feel to urinate imm. I feeling this problem since long. Pls inform what is this problem and how to stop this Everytime urinating problem.

DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Doctor sahib, I am 58 years old male having high urinating problem. I drink much water too but I need to urinate afte...
Human needs only 3-4 litre water in a day. If your taking excess water then your body will react in form of frequent urination. Avoid over drinking.
1 person found this helpful

I have a stone in my both kidneys so what I do for stone what is the restrictions to stop this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I have a stone in my both kidneys so what I do for stone what is the restrictions to stop this.
Homoeopathic medicine BERBERIS VULGARIS Q ( Dr Reckeweg) HYDRANGEA Q ( Dr Reckeweg) Drink 10 drops in 20 ml fresh water 3 times daily at a minimum difference of 20 minutes from each other and eating. For Kidney pain start taking below given homoeopathic medicine in between DIOSCOREA Q ( Dr Reckeweg) Drink 10 drops every 1-2 hrly in 10 ml luke warm water depending on severity of pain Start drinking atleast 3-4 bottles of soda water daily. Report after 15 days Instead of reducing your calcium intake, focus on limiting the sodium in your diet. Extra sodium causes you to lose more calcium in your urine, putting you at risk for developing another stone. Limit your sodium to 2,000 milligrams each day. There are many sources of hidden sodium such as canned or commercially processed foods as well as restaurant-prepared and fast foods. Calcium oxalate kidney stones are the leading type of kidney stones. Oxalate is naturally found in many foods, including fruits and vegetables, nuts and seeds, grains, legumes, and even chocolate and tea. Some examples of foods that contain high levels of oxalate include: peanuts, spinach, beets, chocolate and sweet potatoes. Another common type of kidney stone is a uric acid stone. Red meat and shellfish have high concentrations of a natural chemical compound known as a purine. High purine intake leads to a higher production of uric acid which then accumulates as crystals in the joints, or as stones in the kidneys.To prevent uric acid stones, cut down on high-purine foods such as red meat, organ meats, and shellfish, and follow a healthy diet that contains mostly vegetables and fruits, whole grains, and low fat dairy products. Limit sugar-sweetened foods and drinks, especially those that contain high fructose corn syrup. Limit alcohol because it can increase uric acid levels in the blood and avoid crash diets for the same reason. Eating less animal-based protein and eating more fruits and vegetables will help decrease urine acidity and this will help reduce the chance for stone formation. You should also be sure to drink at least 6-8 glass of water a day to help reduce the risk for stone formation.
1 person found this helpful

A stone in belly. What I do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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A stone in belly. What I do?
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.
3 people found this helpful

Sir before few days ago I found a stone in ureter. Stone's give unbearable pain. What should I do? Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Sir before few days ago I found a stone in ureter. Stone's give unbearable pain. 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 your usg report becoz medication for stones depends upon size, number and location of stones and can be given after usg only.

Hii. Me Madhav. I want know about kidney stones. I have kidney stones last year. I want know can we remove these stones without operate.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Hii. Me Madhav. I want know about kidney stones. I have kidney stones last year. I want know can we remove these ston...
Yes you can remove kidney stones with very effective homoeopathic medicines. If the kidney stones are less than 5 mm in size then it will take a maximum of 1 month to remove and if more than 5 mm then some more time and in all cases to a maximum of 75 days. So consult with me with your u/sound reports and all other diagnostic tests that you have undergone till now---------------------

Modern treatment for Kidney Cancer

Felllow in Endourology, MCh Urology, MRCS, MS, MBBS
Urologist
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What is kidney cancer?
Kidney cancer (renal cancer or renal cell carcinoma) is one of the ten most common cancers in both men and women.
It occurs when the cells in kidney grow uncontrollably and start invading surrounding tissues (i. E, undergoes malignant change). The risk factors are age > 40 years, smoking, obesity, long term dialysis, certain genetic conditions, family history, high blood pressure and male gender. However, it can occur to anybody.

What are the symptoms of kidney cancer?
1. Blood in urine
2. Pain or lump in side of upper abdomen
3. Weight loss or loss of appetite
4. Long term fever
However, many of kidney cancers are detected on routine ultrasonograms done for other purposes. Thus, regular ultrasonogram testing can pick up these tumors very early.

What are the diagnostic tests?
Contrast enhanced computed tomography (ct scan) of abdomen is the current gold-standard test to diagnose kidney tumors and evaluate for local spread. Chest x-ray or ct chest helps in diagnosing spread to lungs. Some blood tests will help to evaluate function of kidney and general health condition.

What are the best treatment modalities?
Surgical removal is the best treatment for kidney cancer. Chemotherapy or radiation therapy does not act on kidney cancer and hence are not used.
If the size is small, only the tumor is removed and rest of kidney can be preserved (nephron sparing surgery or partial nephrectomy).
For large tumors, the whole kidney, surrounding tissues and lymph nodes are removed totally (radical nephrectomy).
Both these surgeries can be done through keyholes (laparoscopy), thus reducing the pain and leading to faster recovery.
If the tumor has spread all over the body, then targeted therapy is given using specific drugs (usually in the form of tablets) like pazopanib, sunitinib, sorafenib etc.

How to follow-up after treatment?
Regular check up using ultrasonogram, ct scan, chest x-ray, renal function tests, liver function tests are needed to maintain good health.

Take home message:
Regular ultrasonograms after the age of 40 years (at least annually) can help in diagnosing these tumors and curing them 100%.
2 people found this helpful

I am 33 yrs and my weight is 80 kg how can I loose weight. I have thyroid, kidney stone and syist in my overy. Can u give me a diet chart

MD - Pathology, MBBS
Pathologist
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Keep thyroid hormone levels within normal limits get treated ovarian cyst kidney stones has nothing to do with weight avoid over eating and fatty food do regular exercise
4 people found this helpful

About me, Male -29, I feel like weakness all the time, and I guess maybe bcoz of night fall happen in weeks, also semens seen in urine sometimes. And during sex discharge happen in less than a minute. So would have request from you to please give solution of this, if you find it as a problem. Looking forward for your reply, Faithfully, Gagan gill. 07415445272.

Diploma in Child Health (DCH), MBBS
General Physician
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About me, Male -29, I feel like weakness all the time, and I guess maybe bcoz of night fall happen in weeks, also sem...
Sir, Do Yoga, meditation x breathing exercises. Go for walks. Eat fruit and vegetables. Do not get excited. Be cool. What ever is happening is normal.
5 people found this helpful
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