Dr. Sunny Goel

27/08/2025

Ganesh Chaturthi wishes from our family to yours

24/08/2025

Wondering what causes testicular pain?

The video covers some of the key reasons, including sports injuries, infections, and even prolonged activities like cycling. But remember, sudden and severe pain could be a sign of a medical emergency like testicular torsion.

Always consult a professional for a proper diagnosis.

23/08/2025

Prevention is always more elegant than cure

22/08/2025

Prostate cancer often shows signs that are easy to overlook—like difficulty urinating, frequent nighttime visits, or blood in urine.

Early screening with the PSA test, MRI, and biopsy helps catch it before it spreads.
If you have risk factors like family history or age, don’t delay getting checked.
Adopt a healthy lifestyle and stay proactive about your health.

20/08/2025

Health is built daily, not fixed suddenly.

16/08/2025

Warning: Blood in your urine is not normal. Know the hidden causes before it’s too late.
Watch now to understand the symptoms you should never ignore.

The presence of blood in urine should never be ignored. Dr. Sunny Goel explains that it can result from a variety of causes, ranging from urinary tract infec...

13/08/2025

5 Uncommon Urine Clues That Signal Bigger Problems

Urine is often the first place disease shows up — quietly, without symptoms.
These aren’t the usual hydration tips. These are early signs doctors don’t ignore.

1. Persistent Microfoam
Seen repeatedly without force?
Often, the earliest sign of protein leakage from glomeruli is long before creatinine rises.
Common in early kidney disease.

2. Cola-Colored Urine
Not red — brown or tea-like.
Can indicate rhabdomyolysis — rapid muscle breakdown.
Leads to myoglobin-induced kidney injury if missed.

3. New-Onset Nocturia
Suddenly waking 2–3 times to urinate at night?
Can point to neurological causes — early MS, spinal compression, or autonomic dysfunction.

4. Urine That Darkens on Standing
Turns black or deep brown after air exposure?
It could be alkaptonuria, a rare metabolic disorder. Often missed unless asked.

5. Milky Urine Without Pain
Intermittent, white urine without UTI signs?
Think chyluria — lymph leakage into urine, often due to filariasis or post-surgical complications.

Why It Matters
In urology, what seems minor often isn’t.
Many of these signs appear before patients feel unwell.
Knowing them isn’t trivia — it’s prevention.

13/08/2025

Fear needs treatment before the body does...

10/08/2025

Ever noticed swelling in the area of your testicles? It could be a condition called a "hydrocele."

A hydrocele is basically when fluid collects around the testicles, causing swelling. The good news is, it's usually not painful, but it can feel heavy and make everyday activities uncomfortable.

In this video, we answer your biggest questions:

What causes a hydrocele?

Does it mean I have cancer? (The answer is no!)

What's the right treatment?

Remember, the only way to get rid of a hydrocele is through a simple surgery. If you have this problem, it's important to see a urologist for the best advice.

Don't ignore your health. Take care of yourself!

08/08/2025

Understanding the PSA Test: A Vital Health Check

A PSA test, which stands for Prostate-Specific Antigen, is a simple blood test that measures the level of PSA in your blood. This antigen is produced by the prostate gland, and its levels can increase for various reasons.

What causes elevated PSA levels?

Prostatitis: Inflammation or infection of the prostate.

Benign Prostatic Hyperplasia (BPH): An enlarged prostate due to age.

Urinary Tract Infection (UTI): Infections in the urinary system.

Prostate Cancer: This is the most serious cause, as elevated PSA can be a marker for the disease.

Who should get tested?

If you are a man over 50-55, it is recommended to get a PSA test at least once a year. If your PSA levels are high, it's crucial to consult a urologist to determine the exact cause and rule out prostate cancer.

Early detection can be a lifesaver. Take charge of your health today!

06/08/2025

Why Nighttime Urination Might Be a Heart Problem, Not a Kidney One

Most patients link frequent nighttime urination (nocturia) with prostate issues, diabetes, or kidney disease.

But one overlooked cause is undiagnosed heart failure, especially in older adults.
Here’s what doctors watch for:

1. Daytime Swelling, Nighttime Urine Output
In heart failure, reduced cardiac output causes fluid to accumulate in the legs during the day.
At night, lying down redistributes this fluid, increasing renal perfusion and leading to excessive urine production.

2. Normal Daytime Urine, Disrupted Nights
If a patient urinates normally during the day, but wakes up 2–4 times every night — especially with no burning or urgency — a cardiac cause should be considered.

3. Low Ejection Fraction = Low Daytime Kidney Flow
In congestive heart failure (CHF), low cardiac output reduces daytime blood flow to the kidneys.
When lying flat, venous return improves, temporarily restoring renal function — hence more urine at night.

4. Clue: Nocturia Precedes Breathlessness
Interestingly, nocturia may show up before classic CHF signs like shortness of breath or fatigue.
In older patients, this can be a silent red flag.

5. What to Rule Out First
Before labelling it as a urology issue, always rule out:

- Congestive heart failure
- Uncontrolled hypertension
- Diuretic overuse in the evening
- Obstructive sleep apnea (another cardiac mimic)

Bottom Line
- Not all nighttime urination is urological.
- In the right clinical context, it can be an early cardiology case waiting to be missed.
- Always treat the cause, not the symptom.

06/08/2025

Why More Middle-Class Indian Men Are Getting Kidney Cancer — And Not Talking About It

Kidney cancer is no longer rare in India’s metros and Tier-2 cities. And it’s showing up more frequently in men who live what seems like a normal, stable, middle-class life — a job, a car, a family, weekend drinks, and occasional health check-ups.

So why this rise? And why the silence?

1. The Lifestyle Trap

Most middle-class men today spend 8–10 hours sitting. Add to that:
- Processed food
- Smoking (often hidden from family)
- Weekend alcohol binges
- Poor sleep schedules

All of this raises risk — not just of lifestyle diseases like diabetes and hypertension, but also of renal cell carcinoma, the most common kidney cancer.

2. Regular Tests — But Not the Right Ones
"Health checkup karwa liya" often means: sugar, cholesterol, and maybe liver function.
Kidneys? Often ignored.
By the time symptoms show — like blood in urine, flank pain, or unexplained weight loss — the
disease may have already progressed.

3. Shame Around Illness
There’s a deep reluctance to say, “Mujhe cancer ho gaya hai.”
Especially among men, where admitting illness can feel like admitting weakness.
So they delay.

They downplay.
And sometimes, they hide it completely — even from their families.

4. The ‘I’m Too Young’ Delusion
Men in their late 30s and early 40s assume they’re too young for cancer.

But kidney cancer is increasingly affecting this age group, particularly those with:

- A history of smoking
- Obesity
- Uncontrolled blood pressure

5. Where Doctors Can Intervene
- General physicians and corporate health programs should:
- Include basic renal screening (like urine analysis & abdominal ultrasound)
- Ask about subtle signs: fatigue, flank heaviness, appetite changes
- Encourage men to speak openly about urological symptoms

The Final Thought:
Kidney cancer isn’t always loud.
Sometimes, it begins quietly — in a regular man, living a regular life, who thinks he's too young, too healthy, or too busy to worry.

Let’s break the silence before the silence breaks him.