Dr Viswas M R

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Dr Viswas M R

MBBS, MS (General Surgery), MCh (Urology), DrNB (Genitourinary Surgery)
Urologist

03/01/2026

Interesting Case!

🚨 Don’t ignore RBCs in urine!

🔬 >3 RBCs per HPF on urine examination is NOT normal.
It can signal stones, infection, tumors, trauma, or kidney disease.

❌ No symptoms doesn’t mean no problem.
✅ Early evaluation can prevent serious complications.

👉 If RBCs are detected, consult a urologist and get the cause treated early.

02/01/2026

3 Kidney-Saving Resolutions for 2026 🫘

Your kidneys don’t need detoxes — they need discipline.

1️⃣ Hydration: ~3 litres water/day (unless medically restricted)
2️⃣ Diet: Cut excess salt, fried & processed foods, limit red meat
3️⃣ Movement: Walk 30–60 minutes daily

Small habits. Long-lasting kidneys.
Start today. Your future self will thank you.

31/12/2025

🥬 Palakura alert for kidney stone patients!
Spinach is rich in oxalates—one of the main culprits in kidney stone formation.
If you have kidney stones, avoiding high-oxalate foods can reduce recurrence risk.

👉 Comment “STONE” to get a PDF of food list with oxalate content.

29/12/2025

🍅 Tomato ≠ Kidney Stone Trigger

Science over myths.
Tomato is low in oxalate and rich in citrate—the same protective factor we praise in lemon, orange, and mandarin.
Citrate prevents stone formation, not causes it.

Plus, tomato contains lycopene, a powerful antioxidant shown to reduce heart attack risk and certain cancers.

🚫 Blaming tomatoes for stones is outdated.
✅ Balance, hydration, and evidence-based diet matter.

28/12/2025

Frequent urination is not normal—especially if it’s disturbing sleep or daily life.

Possible causes range from UTI, Overactive bladder, prostate enlargement, bladder dysfunction, diabetes, stones, to nerve-related issues.

To find the real reason, these tests matter:
• Urine routine & culture
• Blood sugar
• Ultrasound KUB + PVR
• Uroflowmetry

Treat the cause, not just the symptom.
Early diagnosis prevents long-term bladder and kidney damage.

26/12/2025

Your bladder is not a storage tank. 🚫
Delaying urination allows bacteria to grow → UTI.
In severe cases, infection can enter the bloodstream → urosepsis, which can be life-threatening.

Don’t ignore the urge.
Empty your bladder on time.
Small habits prevent big complications.

23/12/2025

⚠️ Citralka / urinary alkaliser in UTI? Think twice.

Urinary alkalisers (citrate preparations) are Contraindicated for treating UTIs as per US FDA.

Cochrane reviews show no strong evidence that alkalising urine improves UTI outcomes.

👉 UTIs need proper antibiotics, not urine alkalisation.
👉 Alkalising urine may even reduce antibiotic effectiveness in some cases and increase bacterial load.

Treat the cause, not just the burning.

19/12/2025

Silicone DJ stent 🚑
A soft, flexible, biocompatible stent placed between the kidney and bladder to ensure smooth urine drainage after stone surgery or obstruction.

Compared to conventional stents, silicone DJ stents cause
✔ Less discomfort
✔ Less infections
✔ Less Encrustations

18/12/2025

How RIRS is done 🩺🪨

A thin flexible scope is passed through the urine passage → bladder → ureter → kidney.
The stone is seen directly, broken with laser into fine dust, and washed out — no cuts, no scars.

✔️ Minimally invasive
✔️ Faster recovery
✔️ Precise stone clearance

16/12/2025

Flexible ureteroscope: a thin, bendable camera that reaches kidney stones through the natural urinary passage.
No cuts. Less pain. Faster recovery.
Treats stones even in difficult kidney locations with high precision.
Modern technology, smoother stone surgery.

15/12/2025

Young male with urine problems? Don’t ignore it.
Weak stream, straining, incomplete emptying or frequency can be due to Primary Bladder Neck Obstruction (PBNO) — not prostate enlargement.

Diagnosis: uroflowmetry, pressure–flow study, cystoscopy.
Treatment: medications first; if persistent, endoscopic bladder neck incision gives excellent relief.

Early diagnosis prevents bladder damage. Seek urology evaluation early.

14/12/2025

Don’t always drink water only after getting stone pain. Make it a habit to hydrate yourself well.

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