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Dr. Nandan R Pujari

Urologist, Thane

750 at clinic
Dr. Nandan R Pujari Urologist, Thane
750 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Nandan R Pujari
Dr. Nandan R Pujari is a trusted Urologist in Thunga Hospital, Thane. You can consult Dr. Nandan R Pujari at Thunga Hospital in Thunga Hospital, Thane. Book an appointment online with Dr. Nandan R Pujari on Lybrate.com.

Lybrate.com has a number of highly qualified Urologists in India. You will find Urologists with more than 29 years of experience on Lybrate.com. Find the best Urologists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Mira Bhyander Road, Mira Road East. Landmark: Opposite Shiva Garden, ThaneThane Get Directions
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I have stone in both kidneys from four years. What should I do? After some time stone gets out but later I forms again. What is the permanent solution to stop making its formation?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
I have stone in both kidneys from four years. What should I do? After some time stone gets out but later I forms agai...
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 am 40 years old man and is facing a problem of frequent urination. I am not diabetic. I just want to know the reason for frequent urination especially during stress or excitation.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 40 years old man and is facing a problem of frequent urination. I am not diabetic. I just want to know the reaso...
Mr. Lybrate-user, if you are not diabetic, then there may be a possibility urinary tract infection, so get a routine urine examination done and see if there is any infection. Infection increases frequency of urine. Also please check your blood sugar once again to rule out diabetes.
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Sir, How to control adult bed wetting for 23 year old? She has done sonography as said by doctor but it turned out to be normal report. The doctor recommended D-presses but it also did not turn out that effective. Please help.

MD - Homeopathy, BHMS
Homeopath, Palakkad
Sir, How to control adult bed wetting for 23 year old? She has done sonography as said by doctor but it turned out to...
Homoeopathic medicines can completely solve the bedwetting problems irrespective of children and adults. No side effects in homoeopathic medicines. 100% rapid and effective results. Medicine like causticum. Thuja, chimaphilla, etc if taken proper dosage for 3 months. Completely we can solve the problem. The first thing usually notice in patients having the enuresis problem is shy to consult a doctor. Please be free to approach me and solve your suffering soon with imported german homoeopathic medicines. You can consult online or directly. Thank you.
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Renal Biopsy - Things You Must Know!

MBBS, MD - Internal Medicine, DM - Nephrology
Nephrologist, Bangalore
Renal Biopsy - Things You Must Know!

Kidneys play an important metabolic role and are essential for balancing salt, minerals and water in the body. They also play a significant role in removing waste products from the body. They make urine, which contains all the waste materials that are eliminated from the body. They also play an important role in blood pressure regulation and in maintaining the balance of various minerals in the body. Any suspected kidney damage should be confirmed by a kidney biopsy, which will reveal the exact disease, thereby directing towards the appropriate treatment. 

Why and when is it done? 

A renal or kidney biopsy is done in the following situations: 

  1. When there is abnormal protein in the blood or urine, which is indicative of a kidney disease, and the exact cause needs to be found out
  2. When kidney failure is suggested by blood tests but cause is not clear 
  3. To find the cause of bleeding in the urine (haematuria) 
  4. To identify and/or confirm diagnosis after a CT scan or ultrasound 
  5. To check how well a transplanted kidney has been received 

Know about the procedure 

A renal biopsy is mostly done as an outpatient procedure and is a type of biopsy known as percutaneous biopsy (biopsy where a needle is inserted through the skin into the renal tissue). Very rarely, it may be combined with the CT scan or ultrasound and be done in the radiology department. This may be done on inpatients. The patient is made to lie on his/her back and a local anesthetic is used on the area of the injection. A thin, long needle is directed towards the area of the kidney from where some kidney tissue is removed for sampling.

In some cases, the direction of the needle may be decided by a CT scan or ultrasound. While this is a closed biopsy procedure, in some cases, as a part of the surgery, open biopsies may also be obtained, where a sample of tissue is extracted for analysis. 

Recovering from a biopsy 
The person would need some time to recover from the procedure, as there would be some discomfort at the site of a needle insertion. Vital signs would be monitored for the next couple of hours during which the person would also be monitored for internal bleeding. A pain reliever can be used if required. Haematuria or blood-tinged urine can be seen disappearing within the next 12 hours. Very rarely the bleeding can be severe and require angiography and further procedures. The person should also avoid strenuous activities for the next few days. If you wish to discuss about any specific problem, you can consult an urologist.

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Hi, my wife got fever, so when consulted to doctor and had urine test, found she had urine infection so doctor suggested some medicines (UTIKIT - probiotic and probiotic capsules and Cefakind 250). Doctor also advised to get urine test done for me to see if there is any infection, so I had too done the urine test but my doctor is unavailable and out of station for 2 weeks. So I am posting the report details here, so please check and suggest me if I too had any infection and if so please suggest what to do. Report Result: Specimen: Urine Smear Report (Gram Strain): 3-5 pus cells, 1-2 epithelial cells and Gram negative Bacilli were seen. Isolate - 1: klebsiella oxytoca COLONY COUNT: >1, 00, 000/ml ANTIBIOTIC SENSITIVITY Highly Sensitive to: Amikacin, Aztreonam, Cefepime, Cefotoxime, Ceftazidime, Ceftriaxone, Cefuroxime, Gentamicin, Imipenem, Levofloxacin, Netillin, piperacillin/Tazobactam. Moderately Sensitive to: Cefoperazone Resistant to: Amoxyclav, Ampicillin/Sulbactam cefaclor, Cefixime cefpodoxime, ciprofloxacin co trimoxazole nalidixic acid, nitrofurantoin, norfloxacin, ofloxacin, tetracycline ********* End of Report ********** Please examine above report and advise me if I too had any infection and if so what medications? Thanks in advance.

PGD Maternal Child Health, MBBS
General Physician, Akola
Hi, my wife got fever, so when consulted to doctor and had urine test, found she had urine infection so doctor sugges...
Going by the reports, you need to treat both simultaneously and avoid coitus till future samples from both of you show no growth on culture. Treatment from your physician with a drug from the most sensitive to antibiotic group for sufficient duration is mandatory.
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I am 62 year retired male I got 3 cm malignant tumor in the rectum just above the anal verge. It is localised according to reports of ct and colonoscopy doctors are saying that it is t3n0m0 stage and highly curable. But doctor suggested for a direct surgery i.e apr and if there is a further need of chemoradiation can be taken. So I went for a second opinion and got advised that first I have to take chemoradiation for 35 days after that a rest of 4 weeks and then go for surgery. Now I am confused about what to do adjuvant therapy or neoadjuvant therapy.in both cases a permanent colostomy is advised coz tumor is just above anal verge.

MCh - Surgical Oncology, FEBS - Fellow of European Board of Surgical Oncology
Oncologist, Navi Mumbai
Dear lybrate-user, please DO NOT get your surgery done. FIRST is CHEMORADIATION. Please assess with MRI if sphincter can be preserved. There are ways to prevent your sphincter avoiding permanent stoma. Do not get your APR done unless you receive CHEMORADIATION FIRST. After that MRI to be repeated and reassessed Regards.
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How to reduce prostate. He is suffering with it since 1 year and none of the medicines work for him. He is diabetic and ages 58. Please guide us how to treat it. Thank you.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
How to reduce prostate. He is suffering with it since 1 year and none of the medicines work for him. He is diabetic a...
it cant be reduced ...can only be removed surgically..however there are drugs to control its symptoms..what is bothering u
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Dhat Syndrome: Loss of Calcium in Urine

MD - Psychiatry
Psychiatrist, Srinagar
Dhat Syndrome: Loss of Calcium in Urine

Many persons report to doctors complaining about weakness, backache, loss of energy and other vague symptoms attributing these all to the loss of calcium and sometime semen with urine. How do they get to this conclusion? They may have noticed ‘white discharge (particularly in morning sample) in urine, they leak few drops of white discharge while talking to women (talking over phone included) or thinking about them, their neighborhood ‘test wala’ (lab technician) report their urine containing a few calcium carbonate crystals (anyways its almost always same test wala or ‘medical wala’ (medical store owner) who orders their urinalysis in first instance), they suffer (as per them) from frequent night emissions associated with wet dreams or without wet dreams and so on (list is exhaustive).
This is precipitated and perpetuated by commonly held belief about extreme preciousness of semen in sub-continental cultures including ours. This is based on an old hindu belief that it takes forty drops of blood to create a drop of bone marrow and forty drops of bone marrow to create a drop of sperm (wikipedia). These persons usually spend good amount of resources for treatment of ‘calcium or semen loss’ without much success.
This is actually a neuro-asthenic syndrome first described by professor (dr) narendra wig as ‘dhat syndrome’.
Females also suffer from an equivalent syndrome characterized by excessive vaginal discharge or leucorrhea, which is again considered a" precicious fluid.
Reassurance and proper education is the mainstay of treatment. Many times counseling, anti-anxiety and anti-depressant medications are needed.

9 people found this helpful

I am suffering from fissure about 2 months ago and recently again I am having pain in anus and it come to my observation that small limp of skin is formed in my anus area. I have gone to doctor (some kind of BAVASIR clinic AYURVEDIC) and he told me that its piles it must be operated otherwise in future it may turn up into cancer. So its true that it may turn into cancer or not And please suggest me the remedy for it.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Take arshantak vati 1-1 twice a day with warm water. And take pranacharya pilescure capsule 1-1 twice a day. And abhayarishta 2-2 tsf twice a day. Apply pranacharya pilescure ointment on anal region. If stomach is not clear them take virechan churna 1 tsf in warm water before night. Take fresh buttermilk early morning. Avoid spicy food. Junk food. Fermented food. Tea.coffee. Take slitz bath.
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I am suffering from renal stone since last four year. The stone size is 3-4 mm in xray report. Is it possible to dissolve in the body by any herbal remedy.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am suffering from renal stone since last four year. The stone size is 3-4 mm in xray report. Is it possible to diss...
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
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I am having bleeding from rectum for 5 days associated with pain while defecation, I normally have constipation, I have had this complaint for 6 months on and off and have been treated for hemorrhoids in the past. I need to know the exact diagnosis and it's further management?

M.S, General Surgery, Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Medicine
General Surgeon, Chennai
I am having bleeding from rectum for 5 days associated with pain while defecation, I normally have constipation, I ha...
Increase fibre in your diet, take isabgol powder 1-2tbs in water and milk every night and it will improve your constipation which is the primary cause of the problem you are facing.
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My father is suffering from diabetes n bp he is 62 years old, bp is now 140/90 n sometimes it will b fluctuating so we consulted his regular check up doctor as well he has given trilosar tablet n sometimes sugar level will b fluctuating, n sometimes normal but he is suffering from creatinine problem it is 3.01. So we are worried about it so is there any best home remedy or medicine to get grid of this crecreatinine problem. Et.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
My father is suffering from diabetes n bp he is 62 years old, bp is now 140/90 n sometimes it will b fluctuating so w...
Controlling the dietary protein along with ketoanalogues is the way to reduce the creatinine level in the body.long-standing diabetes,uncontrolled BP Shuts the renal function. U can personally have a consultation for a detailed diet therapy
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I have urinal infection. Regularly pain and itching in lower part. Sometimes urin not proper. I have done all check up nd all are clear. But not getting right treatment. Whenever I have relation with my husband then pain occurs.

BHMS
Homeopath, Raebareli
I have urinal infection. Regularly pain and itching in lower part. Sometimes urin not proper. I have done all check u...
Please maintain hygiene. Use condoms while performing sex also look if your husband is having uti or not as its common that he can be affected--if so both of you need to be treated at the same time. Please apply olive oil/coconut oil oil on the affected area to ease itching.
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My husband is suffering from kidney stones for the past 3 months and after scanning we came to know that there is a small stone which is 3mm in size. Can you give me a suggestion to get out from this problem?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
My husband is suffering from kidney stones for the past 3 months and after scanning we came to know that there is a s...
Dear lybrate user. A) take 30 ml of audumbaravleha along with 30 ml of lukewarm water early in the morning and at evening before meal half an hour. B) take 2-2 tablets of sheetprabha vati along with audumbaravleha. C) take 1 tsf of black cumin seeds and 1 tsf of jaggery after meals. Do all these things for 15 days. It gives you good result. Consult to me for further suggestions. Thanks.
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I am 42 years old and for the past two year I noticed there is a pungent smell in my urine. I had done blood test and urine routine checkup but can't find any problem except my spgt value of blood is 72 (max limit 70 unite). I used to take alcohol 3 peg - twice a week. Please let me know your opinion about the probable reason?

FIMSA, MD-Nephrology, DM - Nephrology, Critical Care Medicine, MBBS
Nephrologist, Delhi
The smell is due to concentarated urine. Increase water intake to about 3litres daily. Stop consuming alcohol, tobacco, paan masala, excessive coffee/tea.
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If there is light bleeding with white discharge ; the white discharge is white in colour and it is odourless and there is no pain during urine and blding has been there for around 6 days plzzz sugest me how to stop it and please sugest is it a vaginal infection?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
If there is light bleeding with white discharge ; the white discharge is white in colour and it is odourless and ther...
Hi Quazi. Usually discharge which is white, accompanied by any burning sensation or itching indicate an infection. Bleeding with discharge is more suggestive that it is indeed an infection. A proper antibiotic course will surely help.
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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?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Can drinking water with lemon prevent kidney stones? Also, I have been told not to drink city water. What is the best...
Lemon juice is vitamin C-rich juice and may even dissolve kidney stones, yet studies remains inconclusive on these claims. But, studies does agree that lemon juice may support kidney health but on the other end lemon juice is by no means a cure all for kidney stones. Regardless of this, lemon juice has potent nutritional benefits for the kidneys, possibly providing protection against kidney stone development. But many factors come into play here; however, lemon juice may still be a beneficial addition to the diet of anyone wanting to remove kidneystones----------------For this we may first get to Type of Kidney Stones before we fully investigate the benefits of lemon juice on stone development. The main contributors to kidney stones include:----------------- 1.Cystine — Often the result of a genetic disorder.---------- 2.Struvite — Typically develop after a kidney infection.------------- 3.Uric Acid — Typically result from overconsuming meat, fish, and shellfish — generally rare.---------------- 4.Calcium Oxalate — Buildup of calcium deposits in the kidneys — most common.------ Calcium is a necessary mineral for the bones, teeth, heart, and nervous system. When the body has excess calcium, the kidneys respond by removing it from the blood and excreting it out through the urine. The problem arises when the body also has excess oxalate, a plant compound found in foods like spinach and kale. This combination can form calcium oxalate, the most common form of kidney stones.----------------------Lemon juice contains high levels of citric acid, not to be confused with ascorbic acid (vitamin C). While lemon juice contains both, citric acid seems to contribute to reducing the chances of developing calcium oxalate stones. In clinical studies, citric acid from lemon juice has been shown to reduce urine acidity, thereby reducing kidney stone incidence. Vitamin C may also provide protection, yet it is unclear whether or not this protection is as significant as citric acid. Regardless, the bottom line is that lemon juice offers a complementary approach to supporting kidney function and, depending on the type of stones in question, possibly halting formation before it starts.-------------------------------150-200 Ml of lemon juice offers plenty of citric acid and a variety of other nutrients and antioxidants, all of which may be helpful for supporting kidney health. Always consume lemon juice in its raw, natural form and never purchase bottled lemon juice, as these products are usually pasteurized and stripped of their raw enzymes and vital nutrients----You can mix it with hot water and some raw honey, or make your own lemonade by combining fresh lemon juice with cold water. ------------------------------------------ Formation of kidney stones (nephrolithiasis) is based on --------- 1. Genetic Factors----- 2. Metabolic Factors ---------- involved in stone formation include hypercalciuria (found in 50% of patients and its most common cause is increased intestinal calcium absorption), hypocitraturia (due to renal disease), hyperuricosuria, hyperoxalaturia, cystinuria and infections.----------------- 3. Nutritional and Environmental factors---------- Environmental / nutritional factors include dehydration (e. G. Exercise in hot climates), high salt intake, a diet rich in animal proteins and calcium rich diet when oxalate intake is restricted. ------------------------------------ The impact of water hardness or usage of City water on urinary stone formation remains unclear, despite a weak correlation between water hardness and urinary calcium, magnesium, and citrate excretion but the Ultimate truth is that if you have a tendency to stone formation, drink more water and always remain Hydrated--------------------
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My husband has enlarged prostate. Now he is taking a brand of food supplement for it called" PROSTRASURE TABLET" From "GREEN LIFE HERBAL NETWORK LTD. Its active ingredient is "RAPE POLLEN" does it have any side effect on his sexual performance? Pls should he stop?

Fellowship in Indian Association of Gastrointestinal Endo-Surgeons, Fellowship in Minimal Access Surgery, M.S. - Master of Surgery, MBBS
General Surgeon, Delhi
My husband has enlarged prostate. Now he is taking a brand of food supplement for it called" PROSTRASURE TABLET" From...
it is diccult to say if such herbal drugs have any side effects on sexual function or not. but prostatic enlargement and all treatment (allopathic) have some sideeffects on sexual performance
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