USG Scan Tips

What are gallstones?

Gallstones are solid deposits of digestive fluid that may develop in the gallbladder. Cholesterol, bile pigments, calcium bilirubinate, and calcium carbonate make up their composition.

Types of gallstones:



Cholesterol stones: this is the most common kind of gallstone and is caused by an excess of cholesterol in the bile. It can also happen if bile contains too little bile salts, which help break down the cholesterol. They are usually yellow-green in colour and made of hardened cholesterol.


Pigment stones: these stones are made up of bilirubin, a waste product from red blood cell breakdown, and calcium salts. They are dark brown or black in colour and tend to be smaller than cholesterol stones.



What are the signs and symptoms of gallstones?

The following is a list of the most frequent symptoms of gallstones:



Abdominal pain: this condition may affect either side of the body and is often characterised as a cramping or squeezing feeling in the abdominal region. It is possible that it will be worse after eating, particularly a meal that is heavy in fat.


Nausea and vomiting: gallstone pain can sometimes cause nausea and vomiting, as well as bloating and an increased feeling of fullness.


Heartburn: this is a burning sensation that may start in the chest and move up towards the throat or neck. It may be worse after eating.


Indigestion: indigestion may cause a variety of uncomfortable symptoms, including bloating, burping, pain in the stomach region, or a sense of fullness even after consuming just a little quantity of food.


Jaundice: this is when the skin and whites of the eyes appear yellowish in colour due to an increase in bilirubin levels in the blood. It may also cause dark urine and pale stools.


Fever: a fever may be present if an infection is present due to gallstones blocking the normal flow of bile from the gallbladder into the intestines.



What are possible complications of gallstones?



Acute cholecystitis: this is an inflammation of the gallbladder which can be caused by a blockage of the gallbladder or bile ducts due to gallstones.


Pancreatitis: this is an inflammation of the pancreas that may be caused by gallstones blocking the pancreatic duct.


Jaundice: this is a yellowing of the skin and eyes due to a buildup of bilirubin in the blood caused by blocked bile ducts due to gallstones.


Intestinal obstruction: this occurs when a gallstone gets lodged in the small intestine or colon causing blockage which leads to abdominal pain, nausea, vomiting, fever and bloating among other symptoms.



Natural ways to treat gallstones



Panchakarma therapy: panchakarma is an ayurvedic detoxification and rejuvenation therapy that helps to flush out toxins from the body. This assists in decreasing the size of gallstones.


Abhayarishta: this ayurvedic medicine is used to provide relief from gallbladder inflammation and spasm caused by gallbladder stones.


Lohasavam: this is a herbal decoction that helps in treating gallstones and other digestive disorders such as constipation, acidity, etc.


Kulathadi choornam: it is helpful in reducing the size of gallstones and helps in its easy passage.


Punarnavasava: it helps to reduce inflammation in the liver caused by gallstones and also reduces pain associated with it.


Punarnavadi kashayam: it is a decoction used for treating abdominal pain caused due to gallstone obstruction of bile ducts.


Dasamoolarishta: this medicine helps in proper digestion and relieves symptoms associated with gallstones such as abdominal pain, nausea, vomiting, etc.


Haritaki churna: haritaki churna is made from dried haritaki fruit which has anti-inflammatory properties that help to reduce inflammation associated with gallstones and also reduces its size gradually over time when taken regularly for long periods of time.


Guggulu churna: guggulu churna is a herbal powder made from various herbs which are beneficial for treating gallbladder issues including gallstones by reducing their size over time when taken regularly for a certain period of time along with other ayurvedic remedies.


Amruthotharam kashayam: it is an herbal decoction that works to reduce inflammation in the liver caused by gallstones and also promotes easy passage of stones out of the body when taken regularly over time.


Apple cider vinegar: gallstones are often treated with apple cider vinegar. It can help break down the stones and reduce their size.


Lemon juice: lemon juice has properties that can help break down gallstones and make them easier to pass.


Dandelion root tea: dandelion root is an effective home remedy that can help dissolve gallstones and promote their removal from the body.


Olive oil: olive oil is another effective remedy for gallstones as it helps to flush out the stones from your system.


Ginger root: ginger root is another natural ingredient that can be used to help reduce gallstone symptoms such as pain, nausea, and indigestion.



If none of the aforementioned treatments work, you may want to consider surgery.

What are the surgical treatments for gallstones?



Laparoscopic cholecystectomy: this is the most common and effective surgical treatment for gallstones. During this treatment, the gallbladder is extracted via small abdominal incisions. This alleviates the discomfort and symptoms linked with gallstones.


Open cholecystectomy: this treatment requires a bigger abdominal incision to remove the gallbladder and any existing stones. It is usually used if laparoscopic surgery cannot be performed or if there are complications with laparoscopic surgery.


Endoscopic retrograde cholangiopancreatography (ercp): this treatment is performed to find and remove stones from the bile ducts by inserting an endoscope into the stomach via the mouth or nose.


Extracorporeal shock wave lithotripsy (eswl): this method utilises sound waves to break big stones into smaller fragments, which may subsequently be passed through the body naturally or extracted by endoscopy.



Best doctors to consult for gallstones?



Gastroenterologist: a gastroenterologist is a type of doctor who specialises in diseases and conditions of the digestive system, including gallstones. They can help diagnose and provide treatments for gallstones, such as medications and/or surgery.


Surgeon: a surgeon can remove the gallbladder if necessary, which is a common treatment for more severe cases of gallstones. They will be able to provide detailed advice on any potential risks associated with the procedure, as well as provide information on recovery time and post-operative care.


Internist: an internist is a type of doctor who specialises in general internal medicine, which includes diagnosing and treating conditions related to the digestive system, such as gallstones.

Creatinine can be best defined as an organic compound that's produced as a waste product when your muscles are used. Apart from that, eating lots of protein can also generate small amounts of creatinine in the body. In other words, creatinine is a muscle waste product that the kidneys are responsible for removing from the body and is found in a person's blood and urine.

As we already know, creatinine is a waste product that's generated from muscle metabolism. It is then transported to your kidneys through the bloodstream, where it can be filtered out and eliminated through your urine. And if your kidneys aren't working properly, creatinine levels in your blood can rise, which can further lead to some serious health issues.

Your doctor or healthcare provider may check your blood and urine for creatinine as part of an evaluation of your kidney health. Furthermore, it should also be noted that the normal level of creatinine in your blood or urine usually depends on a number of factors, including your age, race, gender, and body size. Abnormal creatinine levels in your blood may be an indicator of a kidney disease.

Creatinine levels can also be increased due to a variety of other reasons, including:



Diabetes


Tumors


Infections such as hepatitis b and c, hiv, and syphilis (among others)


Systemic lupus erythematosus, also known as sle or just" lupus"



If high creatinine levels are found through a blood or urine test, the doctor will likely order additional tests to identify the cause.

If you have high creatinine levels in your blood, it's important to seek medical help so that you can create a treatment plan to address any health issues that may be causing damage to your kidney function. Along with your medicines and other treatments, ask your healthcare provider whether the following lifestyle changes are appropriate for you. If you're looking for ways to lower your creatinine levels naturally, here are eight home remedies that might help:

Reduce your intake of protein-rich foods

Studies have shown that consuming large amounts of protein can lead to an increase in creatinine levels, at least temporarily. In particular, cooked red meat can affect creatinine levels. The heat from cooking causes the creatine found in meat to produce creatinine.

People who eat a lot of red meat, dairy, or other protein-rich foods may have higher creatinine levels than those who eat less of these foods. If you eat a lot of red meat, try switching to more vegetable-based dishes. You could swap out your beef burgers for food items such as:



Vegetable patties


Hearty vegetable stew


Lentil soup



Make sure you're not dehydrated

Creatinine levels in the blood can also increase when a person is dehydrated, which can lead to symptoms such as a dry throat, dizziness, and fatigue. If severe, dehydration can put strain on the cardiovascular system and other organs, and in extreme cases, it can even be life-threatening. The best way to prevent or deal with dehydration is by drinking plenty of water or other healthy fluids.

However, for some people with kidney disease, fluid intake can be an issue. So, if that is the case with you as well, be sure to talk with your healthcare provider about how much water and other fluids you should drink daily, as well as the best time to drink them.

Apple cider vinegar is worth giving a try!

According to a study conducted in 2008, kidney stone formation may lead to a very small increase in serum creatinine levels (8). However, apple cider vinegar contains acetic acid, which may actually lower the risk of kidney stone formation.

Apart from that, apple cider vinegar has antimicrobial properties as well. This may help keep bacteria at bay, and it may also help prevent your blood creatinine levels from rising. However, there is a lack of scientific evidence to support these claims, but it is usually safe to consume apple cider vinegar in low or moderate quantities.

Avoid consuming foods with excess salt

Excess amounts of salt in our everyday meals can lead to high blood pressure, especially when consuming processed foods that often contain sodium and phosphorus additives. In recent studies, consuming foods high in these additives has also been linked to increased creatinine levels as well as other renal problems.

So, you must rather focus on eating whole, unprocessed foods and using healthy spices and herbs (rather than excess salt) to flavor your food when possible. By doing this, you will be keeping your kidneys healthy, which will eventually help regulate the creatinine levels in your blood.

Quit smoking without a second thought!

If you are a habitual smoker, you might notice an increase in your creatinine levels. This is a sign that smoking is gradually harming your kidneys, and it may even lead to complete kidney damage. In this case, one of the best things you can do to improve or maintain the health of your kidneys is to quit smoking as soon as possible.

Cigarette smoking is detrimental to one's health and can give rise to a number of health issues, including chronic kidney disease. That said, if you quit smoking, it can help you reduce your risk of developing high creatinine levels and other life-threatening kidney problems.

Avoid consuming too much alcohol (if you do)

Alcohol consumption can have mixed effects when it comes to kidney function. Some studies have suggested that moderate alcohol consumption may help reduce the risk of chronic kidney disease, while other studies have shown that alcohol consumption is associated with a higher risk of developing chronic kidney disease. ;

In other words, it is believed that excessive alcohol consumption can potentially lead to kidney damage, high blood pressure, and alcohol dependency, according to other studies.

All in all, we must understand and acknowledge the fact that too much of anything can be harmful. If you drink alcohol, it's best to consult with your healthcare provider about the safest levels for you specifically. This way, you can avoid any potential health risks associated with drinking.

Have you tried consuming bitter gourd to regulate your creatinine levels?

Bitter gourd is a nutrient-rich vegetable that contains high levels of minerals, vitamins, antioxidants, and fiber. Some people believe that bitter gourd can act as a natural diuretic, helping to improve blood circulation and kidney function. This can further help to regulate your creatinine levels as well.

Bitter gourd juice has many potential health benefits, but it's important not to consume too much. According to a recent study, the tolerable range is 4000 mg/kg. Any amount or dose that exceeds this limit may be nephrotoxic, or harmful to the kidneys.

Drinking chamomile tea can do wonders for your renal health

Chamomile tea has been shown to reduce elevated creatinine levels. To make the tea, you will have to add the chamomile herb (or tea leaves) to a cup of boiling water. Thereafter, you must let it steep for at least 10 to 15 minutes before you finally strain it. You also have the option to add a few drops of honey to your tea for a better or enhanced taste, if desired.

In fact, this tea can be amazing for your overall health! not only does it taste great, but it can also help lower your creatinine levels (as mentioned above). You can drink this great tea three to four times a day, so what's stopping you from giving it a try?

Conclusion:

We hope you enjoyed our article on how to lower creatinine levels naturally. There are many ways to naturally lower creatinine levels, and we hope that this article was able to provide you with some great ideas and inspiration when it comes to things you can start doing today. As always, if you have any questions, queries, or concerns about this subject, please feel absolutely free to contact us anytime; we would indeed love to hear from you!

When there are high levels of uric acid in the blood a condition occurs called hyperuricemia. When there are high levels of uric acid in the blood it can lead to many diseases like highly painful arthritis disease called gout.

High uric acid can lead to many more health problems like kidney diseases, heart diseases and a few more. ;



Purines are nucleic acid ring structure bases. When these purines break down in the body uric acids are formed. These purines are found in the food we eat.

;Such foods are:

1) red meat

2) organ meat

3) seafood

4) beans

When we urinate we discard uric acid but when the body makes too much or we are not able to discard it through urination, hyperuricemia occurs. Discarding is an indication that the kidney is not functioning properly.

These uric acids at many places get crystallized by forming bonds to another and deposit at one place. Mainly it forms near joints or in your kidney. When immunity sees it as foreign substances wbc attacks the crystal causing it pain and inflammation.

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Diseases

1) gout is a type of arthritis called gouty arthritis. 15 percent of people suffer from hyperuricemia. When there is a sudden drop in the levels of uric acid gout can be experienced. Gout at joints are isolated attacks for a short time like flares. But there are people who experience chronic gout. In this there are numbers of attacks for a long period of time.

Sometimes called gouty arthritis, occurs in about 20 percent of people with hyperuricemia. A rapid drop in uric acid levels can also trigger gout. Gout can appear as isolated attacks, or flares. Some people experience chronic gout, which involves a number of attacks occurring over short periods of time.



Gout can occur at any joints like knee, elbow, feet, ankles and sometimes toes and fingers. These are normal occurrences of gout. Usually gout happens to inflammate at night and continue to pain for a long period of time.

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Symptoms of gout in the body are:



There is severe pain in your joints.


Joint stiff in the morning.


Joints are not able to move.


Redness and swelling are seen in the area of joints.


Misshapen joints can be seen.






2) kidney stones

Uric acid deposits in cyst to form the crystal stones in the kidney. Sometimes these stones are small in structure and can easily pass in urine while urinating. For some people these crystal forms are big and cannot leave the kidney or urinary tract which cause high pain in the abdomen. ;



Symptoms of kidney stones are:



There will be pain in the abdomen, back or in the urinary tract.


We might feel nauseated.


There is pain while urinating and urinating is increased.


There might be blood in your urine.


Your urine may smell more and you have fever and chills.



Sometimes when there is urine accumulation in the urinary tract there is bacterial infection.


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3) tophaceous gout

When there is accumulation of crystal for many years it grows to form tophi. It is formed by clumping. These become hard and lumps like which are found in joints, ear. It makes the joint pain heavily and many where it compresses the nerves. High form can be visually distinguished.

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People who are at risk:

Anyone can have hyperuricemia, it's not specific to somebody.

Who can have it more readily are:





Who consumes alcohol.


Medication given there is heart disease.


Some kind of pesticide exposure.


Lead exposure to people can be the cause.


Any other kidney diseases.


People who have high blood glucose and high pressure of blood


People with hypothyroidism can easily suffer from it.


People with high intake of proteins.





;

Hyperuricemia is diagnosed:



Blood and urine samples are tested to measure the creatine levels. It gives you the details of uric acid levels and kidney functions.



A blood sample is taken from the hand. Urine samples are taken for 24 hrs. By this doctors can determine the problem.



Doctors advised you to take a purines free diet which help doctors to determine:



1) to check whether you are eating high purine diets.

2) your body is making too much uric acid in the body.

3) your body excrete uric acid but maybe not enough.

3) when there is a change of gout, the doctor advised to check the knee by extracting fluid from joints. This is done by a fine needle and sent to the lab to determine the crystal in joints and to what levels it has reached. This tells us everything about gout.



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Treatment



Gout is treated with following medication:

1) nonsteroidal anti-inflammatory drugs (nsaids) prevent the inflammation of the gout. Ibuprofen, naproxen are given.

2) colchicine is given to people who don't have relief from nsaid.

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Kidney stones are also tested with all this medication.



Conclusions:

The hyperuricemia can cause severe problems with diseases like kidney stones and gout. Many people take medication without consulting the doctors. All this can make you suffer all your life so please follow the doctors.

1 Dr. Vineet malhotra

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Mbbs, Ms. - general surgery, dnb - urology/genito - urinary surgery



Https://www. Lybrate. Com/delhi/doctor/dr-vineet-malhotra-urologist ;



Dr. Vineet malhotra is a renowned and well-known urologist in delhi. He has expertise in pediatric urology and is a well-known uro-surgeon. He offers all of his patients treatment that is satisfactory. At nagpur university, he won the gold medal in both surgery and ophthalmology. He could speak to the patients in both hindi and english. In the national quiz competition at the vanarasi usicon, he took first place. He was acknowledged during the bombay talent hunt, scholar.

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0 - 1000 at the clinic

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2. Dr. Saurabh mittal

Https://www. Lybrate. Com/delhi/doctor/dr-saurabh-mittal-urologist

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Mbbs, m. S. (general surgery, mch urology & renal transplant



A fantastic urologist in the delhi ncr area is Dr. Saurabh mittal. He is among the top urologists in delhi and the ncr. He is proficient in pediatric urology and can quickly identify all andrology cases.

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3. Dr. Darshan kumar

Mbbs, ms- general surgery, m. Ch urology

Https://www. Lybrate. Com/delhi/doctor/dr-darshan-kumar-urologist

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21 years experience

Dr. Darshan kumar is the most well-known urologist in delhi ncr and has 21 years of experience in urological surgery, pediatric urology, and andrology, among other specialties. To communicate with his patients, he is bilingual in hindi and english. He received his mbbs degree from u. Barkatullah in 2001, then a master's degree in surgery (ms in general surgery) from ch. Chairman singh university in meerut in 2004. Finally, in 2008, he received his m. Ch. In urology from pgimer in chandigarh. He is currently helping people by curing them.

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4. Dr. Arif akhtar

Mbbs, ms- general surgery, m. Ch urology

Https://www. Lybrate. Com/delhi/doctor/dr-arif-akhtar-urologist


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The senior registration at fortis hospital in gurgram was Dr. Arif. He is a renowned urologist, andrologist, pediatric urologist, and urological surgeon with 15 years of significant expertise in the medical industry. Dr. Arif graduated with his mbbs from jn medical college of aligarh muslim university in 2007 and his Ms. In general surgery in 2011. His m. Ch. Urology - pgimer from Dr. Ram manohar lohia hospital, new delhi, was eventually finished in 2017. For recommendations, he is proviso included to the following esteemed organizations: life member of the indian society of organ transplantation, lm 405, life member of the urological society of india (usi), medical council of india (mci), delhi urological society, and members of the delhi medical association and the delhi medical council. He has been honored for presenting the best graphical video representation at 14th urological association of asia congress 2016 singapore, 20 - 24 july 2016.

15 years experience 0 - 1000 at the clinic

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5. Dr. Parag gupta

Https://www. Lybrate. Com/delhi/doctor/dr-parag-gupta-urologist

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Mbbs, Ms. - general surgery, m. Ch - urology

Urologist, delhi

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Dr. Parag gupta has 24 years of professional experience and is well-qualified. In 1998, he graduated with honors from Dr. M. G. R. Medical university in chennai after completing his mbbs. In 2004, he completes his Ms. In general surgery at the university of delhi and becomes a urological surgeon. In 2009, he graduated with his m. Ch. In urology from the sanjay gandhi post graduate institute of medical sciences in lucknow. He has previously held positions in esteemed organizations including orchid hospital, arya hospital, bm gupta hospital, ayushman hospital, and divyaprashta hospital as a urologist, sexologist, expert in urologic cancer, urological surgeon, and andrologist. He has received numerous honors and awards from this organization, including the first prize in paper presentation at asi new delhi and paper presentations at nzusi in 2007 and 2008. In new delhi, he won first place in the asi general surgery quiz. He scored 99 out of 100 in biology in class 12 and won the all india topper title. He received awards from asu and unison in 2007. He has been chosen for provisional membership in the following organizations: delhi urological society, medical council of india (mci), life member of the urological society of india (u. S. I), a075 life member of the indian society of organ transplantation, lm 405, life member of the urological society of india (u. S. I), and member of delhi medical association (dma).




24 years experience 800 at clinic 600 online ;




6. Dr. Ashok kumar gupta

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Https://www. Lybrate. Com/delhi/doctor/dr-ashok-k-gupta-urologist

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Mbbs, Ms. - general surgery, mch - genitourinary surgery, dnb - urology




With more than 35 years of experience, Dr. Ak gupta is a well-known urologist as well as known as a precise name in dealing with disorders related to lower genitourinary problems. After earning his mbbs from government medical college in 1987, Dr. Gupta went on to earn his Ms. In general surgery. He completed his mch in genitourinary surgery in 1994 at Ms. Medical college in jaipur and his dnb in urology in 1995 at nbe in new delhi. He worked as a senior consultant and department head at jaipur golden hospital, where he made a significant contribution to the department's establishment and also he is the one of the first urosurgeons who learnt the use of urs and pcnl in delhi. Over 7000 prostate operations and 1000 cases of urinary stones have been performed by him.

In addition to having more than 30 papers published in various national and international journals, he has attended numerous national and international conferences and seminars. He regularly participates in the education of numerous dnb students. He is one of the foremost authorities in his area and holds the top credentials in urology that are obtainable in this nation. Indian medical association (ima), urological society of india (usi), european society of human reproduction & embryology (eshre), and american society for reproductive medicine are among his provisional memberships (asrm). At the login clinic, you can schedule a consultation with him (owner). The award of excellence for the year's best ivf center was given to him.

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35 years experience 1000 at clinic 300 online.



7. Dr. Nikhil sharma

Https://www. Lybrate. Com/ghaziabad/doctor/dr-nikhil-sharma-urologist ;

Mbbs, Ms. - general surgery, dnb (urology)



With more than 20 years of experience in urology, Dr. Nikhil sharma is a senior consultant urologist who manages patients with prostate, kidney transplant, urinary stone disease, and genito urinary tumours. As an urologist, andrologist, and urological surgeon, he typically consults with patients.

Following his completion of his mbbs at the himalayan institute of medical sciences in dehradun in 2002 and his Ms. In general surgery at the ganesh shankar vidyarthi memorial medical college in 2007, Dr. Nikhil sharma entered the field of surgery. He earned his dnb (urology) in 2011 from the nbe in delhi. He finished his training at delhi's illustrious sir ganga ram hospital. All major and minor surgeries, such as turp, urs, pcnl, and nephrectomy, are frequently performed by him.

Formerly employed at pushpanjali crossplay hospital, max vaishali is presently at deepak memorial hospital in delhi, narendra mohan hospital, ghaziabad, sir gangaram hospital and smh. He currently holds positions as senior consultant urologist at metro hospital preet vihar, shanti mukund cancer center, and clear medi hospital vasundhra. He is esteemed unequivocal part of the indian urological society.

20 years experience 600 at clinic 300 online

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8. Dr. Sudhir khanna

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Https://www. Lybrate. Com/delhi/doctor/dr-sudhir-khanna-urologist

Mnams - urology, mch - urology, dnb - general surgery, Ms. - general surgery


 

Having worked in the medical arena for 40 years, Dr. Sudhir khanna is a urologist in patel nagar east, delhi. In patel nagar east, delhi, and old rajendra nagar, delhi, respectively, Dr. Sudhir khanna has two medical practises. He earned his mbbs from mamc, university of delhi in 1982, then went on to earn his Ms. In general surgery from the postgraduate institute of medical education and research in chandigarh in 1986, and finally his dnb in general surgery from the dnb board in new delhi in 1986. He earned his mnams in urology from the dnb board in new delhi in 1989 as well as his mch in urology from the pgi in chandigarh that same year. Eec paris and the university of southern california, los angeles, are where he received his robotics training.

 

40 years experience 2000 at clinic 500 online 




 

9. Dr. Aditya pradhan

 

Https://www. Lybrate. Com/delhi/doctor/dr-aditya-pradhan-urologist-1 

Dnb (urology), Ms. - general surgery, mbbs 

 

With 34 years of medical experience, Dr. Aditya pradhan is a urologist at pusa road in delhi. At the blk super speciality hospital in pusa road, delhi, the med care multispeciality medical & dental laser centre, and the kalpavriksh clinic in dwarka, delhi, Dr. Aditya pradhan sees patients. He received mbbs from reputed army college, pune, his Ms. In general surgery from the same university in 1995, and his dnb (urology) from the nbe in 2004. He is senior administrative part of the american urological association, indian urological society, and indian society of organ transplantation (isot). The doctor provides a range of operations, such as kidney stone surgery, kidney transplants, and cancers of the prostate, kidney, and urinary bladder.


 

34 years experience 800 - 1200 at clinic 1000 online 




 

10. Dr. Kuldip singh 

Https://www. Lybrate. Com/delhi/doctor/dr-kuldip-singh-urologist 

Fellowship of the royal college of surgeons (frcs), ms, mbbs 

 

The medical expert with the most experience in this area is Dr. Kuldeep. He has had clinical assistance with patients for more than 50 years. His skills in both general and laparoscopic surgery are excellent. He observes all urological issues, including tumours, stones, etc. His academic background comprises a 1972 mbbs from mamc, university of delhi, followed by a 1976 Ms. From the same institution. His fellowship of the royal college of surgeons (frcs) which was accomplished in 1981. He is a well-known and current member of the urological society of india.

He worked as a urologist for nhi for six years, at maples urology centre for 25 years, and in senior positions for four years in the united kingdom.

Previously employed as an assistant professor at pgi, chandigarh.

Worked for 29 years at majeedia hospital jamia hamdard as a senior consultant and head of urology.

It is advised to schedule an appointment in advance if you intend to see Dr. Kuldeep singh (national heart institute) in the near future to prevent waiting.

 

50 years experience

  1200 - 1500 at clinic 1500 online.

Understanding the various facts about kidney stones ;can help in preventing the kidney pain and long-term damage.

Fatty liver or steatosis refers to the condition in which excess fat gets accumulated in the liver causing the liver to dysfunction. Some percentage of fat in the liver is normal but if it gets beyond the figure of 5 to 10 percent, then it is surely a cause of concern. Such a condition warrants treatment and if fatty liver is not treated on time, it can lead to liver cirrhosis or cancer. Therefore, the signs and symptoms of fatty liver should be taken seriously.

Some of the common symptoms of fatty liver include pain in the abdomen, loss of weight, swelling in the foot, jaundice, and inflammation of the liver. Anyone who suffers from these symptoms is likely to suffer from fatty liver. But the good news is that it can be treated. There are medicines in Ayurveda, homoeopathy, and allopathy for fatty liver and if one talks about Ayurveda, it treats fatty liver with a holistic approach.

1. Fatty liver and Pitta Imbalance: Ayurveda works on the principles of managing vata, pitta, and kapha the three physical energies present in the human body. It believes that when there is any imbalance in these energies, dosha (disease) affects the body. According to Ayurveda, pitta is related to the metabolic system of the human body, which governs ingestion, digestion, and excretion. The liver, being a part of the metabolic system, is further related to pitta and this is why, when the pitta gets aggravated, the liver becomes diseased and starts to dysfunction. Ayurveda says that pitta imbalance is responsible for fatty liver. In fact, the liver is known as pitta in Ayurveda. It says that when toxins begin to build up in the liver, the liver has to work extra and this causes inflammation, ultimately leading to liver problems. So, Ayurveda tries to correct this imbalance through herbal medicines and detoxification treatment procedures.

2. Ayurveda dos and don ts: Ayurveda is a holistic science and therefore, it does not focus on suppressing the symptoms, similar to what allopathy does. It is also free from side effects and gives a permanent relief. But the patient undergoing Ayurvedic treatment has to be mindful of their lifestyle and eating habits. In the case of fatty liver, Ayurveda prohibits alcohol, smoking, and spicy and oily food. So, the patient should avoid these foods. These food items should not be taken by the patient during the treatment duration. Otherwise, the effect of the medicines will get nullified. Anyone who goes for Ayurvedic treatment should remember that diet and lifestyle is a part of the treatment process and both go hand in hand.

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

Cirrhosis is a severe problem of the liver, wherein the liver stops functioning properly due to long-term damage caused by its exposure to toxic substances like alcohol or viral infections. Every time the liver gets affected, it tries to repair itself through the body s natural healing process. Now, due to this continuous healing process, scar tissue gets formed. With the progress of cirrhosis, resulting in the formation of more and more scar tissue, the liver becomes unable to function properly.

What are the symptoms of Cirrhosis?
Usually, cirrhosis doesn t have signs or symptoms till the time when extensive liver damage has occurred. In those cases, the signs and symptoms which occur include:

One could sense discolouration in the eyes and skin, giving a clear indication of jaundice.
Excess fluid might get accumulated in your abdomen, resulting in utter discomfort.
One may not feel like having any food due to loss of appetite.
You might have uneasiness and discomfort in your upper stomach, provoking you to vomit.
There can be noticeable swelling in your legs, which make it difficult for you to walk properly.
Drowsiness and slurred speech could also be associated as symptoms of cirrhosis.
There might be redness in the palms of one s hands.
So we see that there are numerous signs and symptoms which you could come across, giving a clear indication of the problem of cirrhosis.

Causes which lead to cirrhosis
There are various kinds of diseases and conditions, which can damage the liver and lead to cirrhosis. Some of the most common causes are:

Chronic alcohol abuse over a long period of time can cause severe damage to the liver, hence resulting in cirrhosis.
The virus out of chronic hepatitis B and C attacks the liver and gradually lead to the formation of scar tissue, thereby resulting in Cirrhosis.
Accumulated fat in the liver due to the intake of an unhealthy diet.
Other possible causes can include:

The genetic digestive disorder is another serious cause behind the occurrence of cirrhosis.
Autoimmune hepatitis, where liver disease is caused by one s body s immune system.
Iron is an important part of haemoglobin as it carries oxygen from our lungs to other parts of our body. The problem arises when too much iron gets accumulated in the system, which can poison organs like liver, heart and pancreas. Presence of too much iron in the liver cause cirrhosis.
Poor formation of bile ducts.
Treatment
Treatment mainly depends on the underlying cause and extent of your liver damage. Some of the treatment options which doctors would adopt are:

People should stop drinking immediately if the cirrhosis has been caused due to alcohol consumption.
As one of the reasons for cirrhosis in non-alcoholic persons is obesity, so making a conscious attempt to lose weight is must if they want to get rid of this problem. Loss of weight and keeping blood sugar under check would gradually make the liver healthy.
Damage to liver cells caused by hepatitis B or C can be healed through the specific treatment of these viruses.

Who is at risk?
All patients having cirrhosis.
It happens in non cirrhotics too.

What causes of cirrhosis commonly lead to hcc?
Hepatitis b related cirrhosis (most likely), hepatitis c, alcoholic cirrhosis, nash.

Is liver cancer curable?
Yes if diagnosed at an early stage.

Is there any treatment option for advanced hcc?
Yes there are options which can prolong the survival.

How to screen?
All cirrhotics need to get and ultrasound once a year and a blood test called serum alfa fetoprotein.

Gallstones are bits of solid material that may be formed in the gall bladder. The gallbladder is a little organ located under the liver. You won't not know you have them until they've block your bile duct, causing pain that will need immediate medical intervention, and even hospitalisation in some cases.They may comprise of cholesterol, salt, or bilirubin, which consists of red platelets. Gallstones vary in size. They can be as little as a grain of sand or as even the size of an apricot in many cases.

Women are more likely to develop gallstones than men. Read on to know more:

Causes: There are a number of causes for this condition, especially in women. These causes are as follows:

1. Intake of anti-conception medication pills, hormone trade treatment for menopause side effects, or pregnancy
2. Fasting
3. Malfunctioning of the gall bladder
4. High cholesterol levels
5. Gallstones may be created when there is excessive amount of cholesterol in the bile discharged by the liver. This bile normally separates the cholesterol and helps in the normal functioning of the liver and other digestive organs of the body.
6. Bilirubin: Bilirubin is a substance created when your liver wrecks old red platelets. A few conditions, like cirrhosis of the liver and certain blood issues causes the liver to create more bilirubin than it ought to. This can lead to complicated conditions like gallstones.
7. Bile: Your gallbladder needs to exhaust bile to be sound. In the event that it discharges its bile content, the bile turns out to be excessively thick which causes stones to shape.
8. Weight: Being overweight or underweight can also cause a malfunction which can lead to the appearance of such stones. The diet also has a bearing in such cases.

Symptoms:

1. Fever
2. A yellowish tint in your skin or eyes, which can demonstrate jaundice
3. Sickness or retching
4. Clay coloured stools
5. Pain in the right upper quadrant of your stomach area
6. Nausea
7. Vomiting
8. Other digestive issues

Treatment:

Numerous individuals with gallstones may be asked to go through surgery to remove the gallbladder. These include the following:

1. Laparoscopic cholecystectomy
The specialist passes instruments, a light, and a camera through a few little cuts in the midsection.

2. Open cholecystectomy
The specialist makes bigger cuts in the belly to expel the gallbladder. You may have to spend a couple days in the hospital after the operation.

3. Without getting operated
If you have a mild condition and your specialist feels you shouldn't have an operation, he may recommend medicines like chenodiol, ursodiol, or both. These medications work by dissolving cholesterol stones. One may experience mild loose motions as a side effect.

Liver cancer (hepatocellular carcinoma) most commonly affects patients with cirrhosis.

Can even occur in non cirrhotics.

More common in males.

Most commonly occurs in cirrhosis due to hepatitis b virus.

Other causes of cirrhosis that commonly lead to hepatocellular carcinoma (hcc)- hepatitis c virus, alcohol associated, non alcoholic fatty liver.

Is hcc curable?
Yes if detected at at early stage treatment options do exist.

If a patient is diagnosed to have hcc and it is at an advanced stage-- there are therapies today which can help to prolong the overall survival.

How to screen for hcc in patients of cirrhosis?
Most commonly available tests are abdominal ultrasound and serum alfa-feto protein.

When should a cirrhotic patient get screened for hcc?
Ideally every year with usg and if there is any worsening like sudden abdominal distension, weight loss over a month or so.