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Kidney Specialist Tips

When Should a Couple See a Fertility Specialist?

Dr. Rita Bakshi 89% (2899 ratings)
MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
When Should a Couple See a Fertility Specialist?

One of the most important decisions a couple takes is to start a family. It fills them with hope and joy of new future, but if the attempts have been unsuccessful for more than six months, it can take a toll on the relationship and the mental health of the couple. This is the time to seek fertility specialist who will be appropriate to analyze the situation and provide proper guidance. Read on to find out the exact indications to see a fertility specialist:

1. If a woman who is under the age of 35 is unable to get pregnant even after a year of having regular unprotected sex
2. A woman who has had more than three miscarriages
3. Someone who has suffered from blocked fallopian tubes and is in need of surgery
4. One who experiences irregular ovulation
5. A couple who has suffered from genital infections
6. A pregnant woman who has consumed an estrogen derivative
7. A man who has been diagnosed with low semen count, also known as poor motility
8. A couple who has not been diagnosed with any irregularity but is infertile

Which specialist should you visit?

If you or your partner or both have shown signs of infertility, then visiting the following specialists can be helpful:

  • Specialists for men - Urologists and Andrologists are specialists who treat men for infertility. Urologists conduct an analysis of semen quality, semen count, hormone levels, reproductive organs and abnormalities in bladder and kidneys. Andrologists are medical professionals who specialize in hormonal conditions and physiology of male infertility.
  • Specialists for women - Hormonal imbalance is one of the potent obstacles to pregnancy. If a general obstetrician/gynecologist has not been able to successfully treat a woman then she can visit a reproductive endocrinologist who specializes in hormonal disorders. Depending upon the nature of the problem, she can also visit a reproductive surgeon who deals with uterine abnormalities, endometriosis, and reproductive organ surgery.

Related Tip: 6 Common Causes of Infertility That are also Curable?

3374 people found this helpful

The Right Time To See A Fertility Specialist

Dr. Shruti Bhatia 89% (23 ratings)
DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
The Right Time To See A Fertility Specialist

One of the most important decisions a couple takes is to start a family. It fills them with hope and joy of new future, but if the attempts have been unsuccessful for more than six months, it can take a toll on the relationship and the mental health of the couple. This is the time to seek fertility specialist who will be appropriate to analyze the situation and provide proper guidance. Read on to find out the exact indications to see a fertility specialist:

1. If a woman who is under the age of 35 is unable to get pregnant even after a year of having regular unprotected sex
2. A woman who has had more than three miscarriages
3. Someone who has suffered from blocked fallopian tubes and is in need of surgery
4. One who experiences irregular ovulation
5. A couple who has suffered from genital infections
6. A pregnant woman who has consumed an estrogen derivative
7. A man who has been diagnosed with low semen count, also known as poor motility
8. A couple who has not been diagnosed with any irregularity but is infertile

Which specialist should you visit?
If you or your partner or both have shown signs of infertility, then visiting the following specialists can be helpful:

  • Specialists for men - Urologists and Andrologists are specialists who treat men for infertility. Urologists conduct an analysis of semen quality, semen count, hormone levels, reproductive organs and abnormalities in bladder and kidneys. Andrologists are medical professionals who specialize in hormonal conditions and physiology of male infertility.
  • Specialists for women - Hormonal imbalance is one of the potent obstacles to pregnancy. If a general obstetrician/gynecologist has not been able to successfully treat a woman then she can visit a reproductive endocrinologist who specializes in hormonal disorders. Depending upon the nature of the problem, she can also visit a reproductive surgeon who deals with uterine abnormalities, endometriosis, and reproductive organ surgery. Consult an Expert & get answers to your questions!
2594 people found this helpful

Best Kidney Hospital in India

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Best Kidney Hospital in India

Kidney problems are growing at an alarming rate in India with more than 200,000 kidney failures being reported annually. It becomes very important to take care of your kidneys, as the improper functioning of kidneys can lead to serious health problems or even death.

Regular health check-ups especially if you have kind of metabolic disorders becomes very important as metabolic disorders increase your risk of kidney disorder and failure. Treatment for kidney disorders especially kidney failures can be very expensive.

Here is the list of top kidney hospitals in India.

1. S L Raheja Fortis Hospital, Mahim West, Mumbai

S.L.Raheja Hospital at Mahim is a well-established name in healthcare and medical world. The center has the best doctors and well-equipped infrastructure to provide all kind of solution to healthcare problems. It is also known for nephrology  & urology service. They have the latest labs and advanced technologies that offer best diagnosis and treatments.

Consultation fees: ₹500 - ₹3000

2. Fortis Hospital, Mulund West, Mumbai

Fortis Hospital is a 300 bedded multispeciality hospital that offers a wide variety of OPD as well as IPD services. The center is well equipped with the latest healthcare technologies to deal with the diagnosis and treatment of all conditions affecting the kidneys & urology. They are also known for some of the best doctors on board.

Consultation fees: ₹800 - ₹1500

3. Medanta Mediclinic Defence Colony, New Delhi

Medenta clinics are known for world-class technology and specialised team of doctors.  They are known for their treatment to ensure that the health of patients' kidney improves and to delay deterioration. They are also known for the best in the class dialysis center and surgical treatments in case the situation gets worse.

Consultation fees: ₹800- ₹2000

4. Narayana Hospital, DLF phase 3, Gurgaon

Dr. Sudeep Singh Sachdev is associated with Narayana hospital. He is one of the famous nephrologists in Gurugram. With years of experience in treating various types of kidney and urinary disorders. He specialises in urinary tract infections, hemodialysis, peritoneal dialysis, and kidney transplantations. He firmly believes that the devotion and care by a doctor can bring healing, comfort and most importantly hope in the lives of his patients.

Consultation fees: ₹1000

5. Aditya Birla Memorial Hospital, Chinchwad, Pune

Aditya Birla Memorial Hospital is a multi speciality hospital with a dedicated division  of nephrology and renal transplant to deal with any kind of kidney disorders or failures. They provide comprehensive services with IPD, OPD and daycare facility for a dialysis patient. The department and team is well equipped and experienced to perform any kind of surgery or transplant. They have a good success rate in kidney transplant.

Consultation fees: ₹1000

6. Apollo Hospital, Sarita Vihar, New Delhi

Dr. Ashok Sarin, who is associated with Apollo Hospital,  and he has more than 46 years of experience. He has completed his fellowship from the UK. He is associated with many reputed medical societies and has won many prestigious awards in his field. He specialises in urinary tract infections, hemodialysis, peritoneal dialysis, and kidney transplantations.

Consultation fees: ₹1200

7. Max Multi Speciality Centre, Pitampura, New Delhi

Dr. Yogesh Kumar Chhabra is one of the best Nephrologists in Shalimar Bagh, Delhi. With more than 13 years of experience.  He is associated with Max hospital and is known for success rate in kidney transplant and dialysis.

Consultation fees: ₹600

8. Noble Medicare, Janakpuri, New Delhi

Dr. Sanjiv Saxena is a very renowned and successful Nephrology/Renal specialist with years of experience. He is associated with many clinics & hospitals like PSRI and Noble Medicare. He holds an expertise in kidney dialysis treatment, kidney transplant treatment and planning, kidney stones treatment, lithotripsy process and many more. Years of experience and with the kind of knowledge and information he is well known for his right diagnosis and treatment at the right time.

Consultation fees: ₹1000

9. Moolchand Hospital, Lajpat Nagar, New Delhi

Dr. Ramesh Hotchandani holds an experience of more than 37 years in nephro practice. He is associated with clinics like Hots Medicare & hospital like Moolchand hospital.

Consultation fees:  ₹1000

1 person found this helpful

Overview of Kidney Disorders!

Dr. Ramakanth Reddy 94% (157 ratings)
MBBS, Diploma In Child Health
Pediatrician, Hyderabad

How do the kidneys work?

Illustration of the anatomy of the kidney

  • The body takes nutrients from food and converts them to energy. After the body has used all the food components that it needs, waste products are left behind in the bowel and in the blood.
  • The kidneys and urinary system help to excrete the waste products and also keep chemicals, such as potassium and sodium, and water in balance. Kidneys filter and remove several toxic materials from the body that are the products of food metabolism. These waste materials can cause several problems to the body if they build up. The kidneys also control the fluid and acid-base balance in the body
  • Two kidneys, a pair of purplish-brown organs, are located below the ribs toward the middle of the back. Their function is to
  • Remove liquid waste from the blood in the form of urine
  • Keep a stable balance of salts and other substances in the blood
  • The kidneys remove urea from the blood through tiny filtering units called nephrons. There are about one million nephrons in each kidney, located in the medulla and the cortex. Each nephron consists of a ball formed of small blood capillaries, called a glomerulus, and a small tube called a renal tubule.
  • Once the urine is formed, it passes through the nephrons and down the renal tubules of the kidney. Urine collects in the calyces and renal pelvis and moves into the ureter, where it flows down into the bladder.
  • In addition to filtering waste from the blood and assisting in the balance of fluids and other substances in the body, the kidneys perform other vital functions. The kidneys:
  • Release hormones, such as renin, that help to regulate blood pressure and heart function
  • Produce erythropoietin, a hormone that aids formation of red blood cells
  • Convert vitamin D into a form that can be used by the body's tissues
  • Interact with corticosteroids (produced by the adrenal glands that sit on top of the kidney) that help to regulate kidney function and the body’s inflammatory response system

What is nephrology?

Nephrology is the branch of medicine concerned with the diagnosis and treatment of conditions related to the kidneys, and doctors who specialize in kidney disease are called nephrologists. Other health professionals who treat kidney problems include primary care doctors, pediatricians, transplant specialists, and urologists.

What causes problems with the kidneys?

Problems with the kidneys may include conditions, such as kidney failure, kidney stones, and kidney cancer. These problems with the kidneys may be caused by the following:

  • Aging. As we age, changes in the structure of the kidneys can cause them to lose some ability to remove wastes from the blood, and the muscles in the ureters, bladder, and urethra tend to lose some of their strength. However, this alone does not cause chronic kidney diseases.
  • Illness or injury. Damage to the kidneys caused by illness or an injury can also prevent them from filtering the blood completely or block the passage of urine.
  • Toxicity. The kidneys may be damaged by substances, such as certain medications, a buildup of some substances in the body, or toxic substances such as poisons.

About kidney and urogenital diseases

Diseases of the kidney and urinary tract remain a major cause of illness and death in the United States. The National Kidney Foundation states that more than 26 million Americans are affected by kidney and urologic diseases, and millions more are at risk.

What are the symptoms of kidney disease?

The following are the most common symptoms of kidney disease. However, each individual may experience symptoms differently. Symptoms may include:

The symptoms of a kidney disease may look like other conditions or medical problems. Always consult your health care provider for a diagnosis.

2 people found this helpful

Kidney Disease - How It Affects Your Bones?

Dr. Gireesh Reddy 89% (60 ratings)
Interventional Nephrology, DM - Nephrology, MD - General Medicine, MBBS
Nephrologist, Bangalore
Kidney Disease - How It Affects Your Bones?

People with chronic kidney disease notice that their bones tend to get weaker and more slender. They become painful and are bound to break more easily as a consequence of mineral loss. The most common kind of bone infections happen when:

  1. There is a change in the balance between two essential minerals in your body - calcium and phosphate, which prompts loss of calcium from your bones.
  2. Four small glands (parathyroid organs), which regulate calcium in your body, turn out to be excessively active.
  3. There is a change in the way your body utilizes vitamin D, a mineral that is vital for healthy bones.

Every bone disease affects bones in different ways.

  • Phosphate is found in many food items you eat. Your kidneys normally eject whatever is not required in the body. At the point when your kidneys have stopped functioning properly, phosphate may develop in your blood. Excess phosphate in your blood prompts loss of calcium from your bones, which has a tendency to weaken them. Eating food items that are low in phosphate can keep phosphate from building up in your blood.
  • Since phosphate stays in your body when your kidneys are no more ready to remove it, four small glands in your neck (parathyroid organs) turn out to be excessively active. When this happens, calcium is expelled from your bones over a long period of time, making them weak.
  • Vitamin D is a vital vitamin, which affects the balance in the calcium content of your body. Typically, vitamin D is processed into a more soluble state by the kidneys and can be utilized by the body. In case your kidneys have deteriorated, they can no more do this critical job. Luckily, the dynamic type of vitamin D is accessible in the form of medications that can be prescribed by your specialist, if necessary. In case you have a kidney disease, it is vital to find a way to prevent bone illness. Some of the solutions are as follows:

    • Limit the amount of phosphorus you take in every day. Ask your specialist or dietitian to let you know how much phosphorus you need to have. You can likewise request a list of high-phosphorus food items.
    • Take a phosphate folio. This is a medicine that you bring with dinners to keep your body from taking in the phosphorus that originates from your food and beverages. This can keep phosphorus from winding up in your blood.
    • Take a calcitriol supplement. Your kidneys make calcitriol with the help of vitamin D that you get from food and the sun. When your kidneys are not working, they can't make calcitriol. A man-made type of calcitriol can help your body utilize the calcium and phosphorus it needs.
    • Exercise can make your bones more strong and keep them from breaking.
    • Try not to smoke or use tobacco. It can aggravate bone disease.
    • Take your medications the way your specialist instructs you to and do not skip dialysis medicines.
    • Even after changing your diet and taking medicines, if you still have an excess of phosphorus in your blood, your specialist may propose that you undergo further dialysis. If you wish to discuss about any specific problem, you can consult a Nephrologist.
4187 people found this helpful

Kidney Stones - What Is The Possible Course Of Treatment?

Dr. D.K. Agarwal 91% (206 ratings)
MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Faridabad
Kidney Stones - What Is The Possible Course Of Treatment?

You must be aware of renal stones more commonly known as kidney stones as it is a widely known condition that is common among men and women in the age bracket of 30 to 60. To gain an insight into these small hard deposits that are formed in the kidneys, which cause pain when they pass through the urine read on.

How do you know if you have renal stones?
This could be a tough question to answer in a straightforward manner because experiencing any signs of renal stones is very unlikely until it they start moving around within the kidney or pass in the tube that connects the bladder with the kidney. At this point some of the most common symptoms of renal stones are, pain radiating to the groin and lower abdomen, severe pain in the back and a side portion of the bell, right below the ribs, pain during urination, vomiting, and nausea. In case there's a presence of an infection, chills, and fever may also be evident.

What are the types?
Depending on the crystals that the renal stones are made of, there are four different types of kidney stones, namely, cysteine, uric acid, struvite, and calcium. While calcium renal stones are the most common in people, cysteine renal stones are quite rare. And it is the uric acid stones that are more common in men and the struvites that are mostly found in women who have urinary tract infections.

What are the probable factors that cause the issue?
No definite reason has been found for causing renal stones. However, there are a number of factors that are considered to increase the risk of developing kidney stones, including not drinking enough water, taking certain medications, or having a medical condition that is responsible for increasing the levels of certain substances in urine.

What is the possible course of action?
When the kidney stones are diagnosed in their early stages when they are still small, they can be easily passed in the urine with the help of certain medications. But when the renal stones are found to be large ones, either surgical removal or breaking them up with the help of laser energy or ultrasound may be the only way of getting rid of them.

Remember, there is no straight formula to avoid developing renal stones. However, there are indeed a few factors associated with it by controlling which you can reduce the risks of suffering from renal stones, such as, controlling your weight, staying hydrated and eating healthy. Visit your nearest nephrology specialist right away in case you experience any of the renal stone symptoms as early detection is essential for avoiding surgical treatment.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1929 people found this helpful

Should I see a Fertility Specialist?

Dr. Abhishek S Parihar 90% (57 ratings)
Fellowship in Reproductive Medicine, MS - Obstetrics and Gynaecology, MBBS
IVF Specialist, Ghaziabad
Should I see a Fertility Specialist?

Should I see a fertility specialist?


 

Perhaps you've been under a lot of stress lately. Or, maybe your partner is always traveling during the right time. If you hear yourself making excuses month after month for seemingly unexplained infertility, then it might be time to sit down with a fertility specialist to uncover the root cause of the problem.


 

What many men and women don't realize is that early diagnosis is key. Many times, if a problem is diagnosed, it can take months to treat and suddenly there you are, almost a year later, starting to try all over again.


 

The solution? don't wait. Here, we've narrowed down 4 signs that it's time to pick up the phone or hop online - to make an appointment for a fertility consultation asap. But as a general rule, if you are even asking yourself this question, the answer is yes.


 

1. You've been trying and trying, and trying


 

Trying to conceive with no luck can be incredibly frustrating, but the fact is that 1 in 8 couples struggle with infertility. Experts agree that women over the age of 35 should wait no more than 6 months of trying before seeing a specialist. That wait extends to just one year for the under 35 crowd. It's also a good idea for your partner to join you and not just to hold your hand: studies show that male partners contribute to over 40 percent of infertility cases.


 

2. You have a pre-existing condition


 

There are a number of health conditions that can have a huge impact on a woman's fertility and while some of these may have been diagnosed as early on as childhood, others are silent and can go completely undetected. From uterus abnormalities and hormonal imbalances to endometriosis and polycystic ovarian syndrome (pcos), the sooner these issues are brought to light and treated, the better your chances for a happy, healthy baby.


 

3. You've had more than one miscarriage


 

Many women have multiple miscarriages and go on to have perfectly normal pregnancies. However, this can also indicate that chromosomal abnormalities, hormonal issues or even structural issues in the cervix or uterine lining are at play. Fortunately, most of these conditions are treatable, but only after a proper examination can the diagnosis be made.


 

4. You've had irregular or absent periods


 

There is certainly no shortage of potential reasons for why you may be experiencing menstrual irregularity. Diabetes, irritable bowel syndrome and increased exercise are all common causes. Many are surprised to learn that over-exercising and weight loss can actually cause you to have no period (amenorrhea) whatsoever. The ever present relationship between stress and infertility can wreak havoc on regular periods, too.

By taking notes on any and all symptoms you may be experiencing and discussing them with a fertility specialist, you'll be able to diagnose your own personal reason even sooner.

4 people found this helpful

When to See a Fertility Specialist?

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Hyderabad
When to See a Fertility Specialist?

If you’ve been facing problems in conceiving, it may be time to get yourself checked as it’s possible that you may be suffering from certain fertility issues or need professional guidance. A series of tests usually determine the root cause of the problem. These tests can include a physical examination, analysis of semen and blood tests, amongst others. There are certain factors that you and your partner must keep in mind when deciding upon the best time to opt for these tests and get started on an infertility treatment programme.

If you’re a female, it’s time to get yourself examined when:
1. You haven’t been able to conceive for over a year despite trying (when you are under 35)
2. You haven’t been able to conceive after trying for 6 months (above the age of 35)
3. You’ve had 1 or more miscarriages
4. You’ve been ovulating irregularly and your previous drug treatment has failed to correct the problem
5. You suffer from damaged or blocked fallopian tubes and endometriosis (a condition where tissues that cover your uterus also develop outside of the womb, causing pain and bleeding)
6. You have a history of genital infections

If you’re a male, you should consider an infertility treatment if you experience the following:

1. Facing difficulty in sperm ejaculation
2. Suffering from a low sperm count including poor sperm movement or structure (sperm’s shape and size)
3. Having an undescended testicle (a genital abnormality that occurs when the testicle fails to move into its normal position in the scrotum during the first 3 months of your life)

Apart from the above mentioned points, another important factor that you and your partner must decide upon is whether or not you intend to use assisted reproductive procedures, such as ICSI (IntraCytoplasmic Semen Insertion) or in vitro fertilization (IVF) to help in conceiving. While the former sees fertilisation occurring naturally after the eggs and sperm get placed inside one of the two fallopian tubes, the latter deals with the transference of the embryo created in the laboratory into the uterus.

Even though the thought of infertility can be disappointing for you and your partner, early and timely intervention can help in easing up the process of conception and remove obstacles that might hinder your chances of having a baby. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4207 people found this helpful

When To See A Specialist For Headache?

Dr. Anjali Kolhe 86% (44 ratings)
MD - Anaesthesiology, F.U.I.C.C.(Pain) Pain Management Specialist
Pain Management Specialist, Nagpur
When To See A Specialist For Headache?

Everybody has experienced headaches at some time or other in their lives. It is the most common pain which one suffers from and usually goes away on its own without any treatment. In rare cases, this pain may be a sign of a serious medical condition and you need to see a specialist for headaches. Normally headaches which are moderate or severe in nature and are not responsive to over-the-counter pain relievers are a cause of concern.

However, here are some signs that can be warnings that should not be ignored:

  1. It occurs more than three times per month
  2. Headache with nausea and vomiting
  3. Headache with fever
  4. Headache with pain in the eye or ear
  5. Headache accompanied by other neurological symptoms such as seizures or change in vision, numbness, and difficulty with speech or weakness
  6. It awakens you from sleep
  7. A sudden headache that feels like explosion or thunderclap
  8. It causes confusion or loss of consciousness
  9. Headache after head injury
  10. Headaches beginning after the age of 50

The reason why you need to see a specialist in such cases is first to identify the cause of headache and then to get a pain management plan accordingly. The pain management specialist doctors have completed additional training and have additional certification in treating headaches. They may also work in a clinic dedicated to treating headaches. This empowers them to identify the cause of headache accurately. You might be surprised that headaches can be caused due to simple reason like dehydration or in some cases be an early sign of a life threatening brain tumor.


Pain management plans offered by the specialist
Depending on the signs and symptoms of your headache the pain management specialist will guide you if you have tension headaches, migraine headaches, or cluster headaches and treat it appropriately.

  1. Tension headache – These are the most common headaches caused due to the stress of day to day living and the specialist will mostly treat it with a prescription of over the counter pain medication and sometimes meditation too.
  2. Migraine headache - A person with a migraine headache has a more severe headache pain and may also experience sensitivity to light and sound, nausea and vomiting. Hence along with medication the specialist will guide you to keep a journal of the possible triggers and help you eliminate them.
  3. Cluster headache - Cluster headaches typically occur on one side of the head and are quite rare. They are more painful and usually will not respond to over-the-counter medication. People with cluster headaches usually have to take medication every day to prevent their headaches, because they are difficult to stop once they have started and they are utterly incapacitating.

What the specialist will actually do for your headache depends not just on the type of headache but also its cause and severity. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

2438 people found this helpful

PEP Specialist!

Dr. Vinod Raina 89% (5866 ratings)
MD - General Medicine
Sexologist, Delhi
PEP Specialist!

PEP is a systemic treatment in which we can save life of a patient and help him to prevent from being HIV positive. Any possible exposure which will lead to HIV infection including sexual intercourse with sex worker and during that condom get burst or having intimate massage at massage parlor.

3 people found this helpful
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