Dr. Rakshit Ahuja

Urologist in Pune
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Urologist in Pune

How Diabetes and Hypertension Increase the Risk of Kidney Infection

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Kidneys play a vital role in filtering waste, maintaining fluid balance, and regulating blood pressure in the body. However, chronic conditions like diabetes and hypertension (high blood pressure) can silently damage the kidneys over time, increasing the risk of serious complications such as kidney infections. As a leading Urologist in Pune, Dr. Rakshit Ahuja frequently treats patients who are unaware that their long-standing sugar or blood pressure issues are directly linked to kidney problems. Understanding how diabetes and hypertension affect kidney health is the first step toward prevention and early treatment. Understanding Kidney Infections A kidney infection, also known as pyelonephritis, is a type of urinary tract infection (UTI) that travels from the bladder up to the kidneys. It can cause symptoms like fever, back pain, burning urination, nausea, fatigue, and cloudy or foul-smelling urine. If left untreated, kidney infections can lead to permanent kidney damage or even life-threatening complications. People with diabetes and high blood pressure are at a significantly higher risk of developing kidney infections due to weakened kidney function and reduced immunity. How Diabetes Increases the Risk of Kidney Infection 1. High Blood Sugar Damages Kidney Filters Diabetes causes elevated blood sugar levels, which damage the tiny blood vessels (glomeruli) inside the kidneys. Over time, this reduces the kidneys’ ability to filter waste effectively, creating an environment where bacteria can grow more easily. 2. Weakened Immune System High sugar levels weaken the immune response, making it harder for the body to fight infections. This allows bacteria from the urinary tract to multiply and reach the kidneys. 3. Sugar in Urine Encourages Bacterial Growth Excess glucose in urine acts as a breeding ground for bacteria. This significantly increases the risk of recurrent urinary tract infections, which can eventually progress into kidney infections. 4. Diabetic Neuropathy and Incomplete Bladder Emptying Nerve damage caused by diabetes can affect bladder function, leading to incomplete emptying of urine. Stagnant urine increases the risk of bacterial infections spreading to the kidneys. According to experienced Urology Doctors in Pune, diabetic patients often present with silent kidney damage until an infection reveals the underlying issue. How Hypertension Raises the Risk of Kidney Infection 1. Reduced Blood Flow to the Kidneys High blood pressure damages blood vessels supplying the kidneys, reducing oxygen and nutrient flow. This weakens kidney tissue and lowers resistance to infections. 2. Structural Kidney Damage Long-term hypertension causes scarring and hardening of kidney tissues, making them more susceptible to infections and inflammation. 3. Impaired Waste Removal When kidneys don’t function optimally, toxins and bacteria stay in the urinary system longer, increasing the chances of infection. 4. Higher Risk of Chronic Kidney Disease (CKD) Hypertension is one of the leading causes of CKD. As kidney function declines, the body becomes less capable of fighting infections, including kidney infections. A skilled Kidney Specialist in Pune can detect early blood pressure–related kidney damage through routine tests before infections develop. Combined Impact of Diabetes and Hypertension When diabetes and hypertension coexist, the risk of kidney infection rises dramatically. Together, they: Accelerate kidney damage Increase frequency of UTIs Delay healing and recovery Raise chances of kidney failure This combination is one of the most common reasons patients require advanced urology care. Warning Signs You Should Not Ignore If you have diabetes or high blood pressure, watch out for: Frequent or painful urination Fever with chills Lower back or side pain Blood or pus in urine Sudden swelling in legs or face Fatigue and loss of appetite Early consultation with a Urologist in Pune can prevent serious complications. Diagnosis and Treatment Options A Urology Doctor in Pune may recommend: Urine tests to detect infection Blood tests to assess kidney function Ultrasound or CT scan for kidney structure Antibiotics for infection control Blood sugar and blood pressure optimization Lifestyle and dietary modifications In advanced cases, hospitalization or long-term kidney care may be required. Preventing Kidney Infections in Diabetic and Hypertensive Patients Prevention is always better than cure. Here’s how you can protect your kidneys: Maintain strict blood sugar control Keep blood pressure within recommended limits Stay well hydrated Avoid delaying urination Practice good personal hygiene Get routine kidney function tests Consult a Kidney Specialist in Pune regularly Lifestyle changes combined with medical supervision can significantly reduce infection risk. Expert Care Matters Kidney infections linked to diabetes and hypertension require specialized urology care. Dr. Rakshit Ahuja, a trusted Urologist in Pune, focuses on early diagnosis, personalized treatment plans, and long-term kidney protection to help patients maintain a better quality of life. Final Thought Diabetes and hypertension may seem manageable on their own, but their impact on kidney health can be severe if ignored. Regular monitoring, early intervention, and expert guidance from a Urology Doctor in Pune can make all the difference between healthy kidneys and lifelong complications. Dr. Rakshit Ahuja, a leading Kidney Specialist in Pune, provides expert care for kidney infections caused by diabetes and hypertension. 📞 Book an Appointment: 98905 83933 🌐 Visit Our Website: www.drrakshitahujaurologist.com Select an element to maximize. Press ESC to cancel. Select an element to maximize. Press ESC to cancel.

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Kidney Specialist in Pune

Recurrent Kidney Infections: Causes, Diagnosis, and Long-Term Care

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Recurrent kidney infections, medically known as recurrent pyelonephritis, are a serious health concern that should never be ignored. Unlike a single urinary tract infection (UTI), repeated kidney infections can gradually damage the kidneys and affect overall health if not managed properly. Understanding the causes, diagnostic process, and long-term care options is essential for preventing complications and maintaining kidney health. What Are Recurrent Kidney Infections? A kidney infection occurs when bacteria travel from the bladder or urethra up to one or both kidneys. When such infections happen repeatedly—two or more times within six months or three or more times in a year—they are classified as recurrent kidney infections. These infections can cause persistent discomfort and increase the risk of permanent kidney damage if left untreated. Common symptoms include fever, chills, back or side pain, frequent and painful urination, cloudy or foul-smelling urine, fatigue, and nausea. In some cases, symptoms may be mild, making early diagnosis even more important. Causes of Recurrent Kidney Infections Several underlying factors can contribute to repeated kidney infections. Identifying the root cause is crucial for effective treatment and prevention. Structural abnormalities in the urinary tract, such as kidney stones, narrow ureters, or congenital defects, can block urine flow and allow bacteria to multiply. Vesicoureteral reflux (VUR), a condition where urine flows backward from the bladder to the kidneys, is a common cause, especially in children and young adults. Incomplete bladder emptying, often seen in people with diabetes, nerve disorders, or an enlarged prostate, increases the risk of infection. Weakened immunity due to chronic illnesses, stress, or long-term medication can make the body less capable of fighting bacteria. Frequent or untreated UTIs that are not fully cured may spread to the kidneys and recur. Consulting an experienced Urologist in Pune helps in accurately identifying these causes and planning targeted treatment. How Recurrent Kidney Infections Are Diagnosed Diagnosis involves more than just confirming an infection—it focuses on understanding why infections keep returning. A urine analysis and culture is usually the first step to detect bacteria and determine the most effective antibiotic. Blood tests may be recommended to assess kidney function and detect signs of systemic infection. Imaging tests, such as ultrasound, CT scan, or MRI, help identify structural problems, kidney stones, or obstructions in the urinary tract. In some cases, a cystoscopy may be performed to examine the bladder and urethra more closely. Accurate diagnosis by a skilled Kidney Specialist in Pune ensures that treatment addresses the root cause rather than just the symptoms. Treatment and Long-Term Care Strategies Managing recurrent kidney infections requires a combination of medical treatment and lifestyle changes. Medical Treatment Antibiotics remain the primary treatment, but in recurrent cases, longer or preventive antibiotic courses may be prescribed. If structural abnormalities or stones are found, surgical or minimally invasive procedures may be necessary to correct the issue and prevent future infections. Lifestyle and Preventive Care Long-term care focuses on reducing the risk of recurrence: Drinking adequate water to flush out bacteria Maintaining proper hygiene Urinating regularly and completely Managing blood sugar levels in diabetic patients Avoiding self-medication and completing prescribed antibiotic courses Regular follow-ups with a Urologist in Pune help monitor kidney health and catch early signs of infection before they become severe. When to See a Specialist If you experience repeated UTIs, persistent back pain, fever, or notice changes in urination, it is important to seek expert care promptly. Early intervention can prevent chronic kidney damage and long-term complications such as high blood pressure or reduced kidney function. Expert Care with Dr. Rakshit Ahuja Dr. Rakshit Ahuja is a trusted urology expert known for his patient-centric approach and evidence-based care. With extensive experience in managing complex urinary tract and kidney conditions, he focuses on accurate diagnosis, personalized treatment, and long-term prevention strategies to help patients achieve lasting kidney health. Select an element to maximize. Press ESC to cancel. Select an element to maximize. Press ESC to cancel.

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Bladder Cancer Treatment In Pune

Difference Between Bladder Cancer in Men and Women

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Bladder cancer is one of the most common cancers affecting the urinary system, and while it can occur in both men and women, its impact, symptoms, and outcomes often differ between genders. Understanding these differences is crucial for early diagnosis, effective treatment, and improved survival rates. As a trusted Urologist In Pune, Dr. Rakshit Ahuja emphasizes the importance of gender-specific awareness in bladder cancer care to ensure timely medical attention. In this blog, we will explore how bladder cancer varies in men and women, from risk factors and symptoms to diagnosis, treatment, and prognosis. Prevalence and Risk Factors Bladder cancer is statistically more common in men. Studies suggest that men are three to four times more likely to be diagnosed with bladder cancer compared to women. However, women often face more aggressive forms of the disease, which can result in worse outcomes. In Men: Higher prevalence: Men are more frequently diagnosed due to greater exposure to risk factors like smoking and occupational hazards. Lifestyle connection: Long-term smoking and exposure to chemicals such as arsenic, paints, or dyes significantly increase the risk. Hormonal influence: Male hormones may play a role in bladder cancer development. In Women: Delayed diagnosis: Women are often misdiagnosed initially with urinary tract infections (UTIs), leading to delays in cancer detection. Aggressiveness: When bladder cancer does occur, it tends to be more advanced and aggressive. Biological factors: Hormonal differences and genetic variations may contribute to disease progression. If you notice persistent urinary symptoms, consulting an experienced Urology Doctor In Pune can help you differentiate between common infections and more serious conditions like bladder cancer. Symptoms: How They Differ in Men and Women Bladder cancer symptoms may overlap between genders, but they are often interpreted differently, which affects diagnosis timelines. Common Symptoms: Blood in urine (hematuria) Painful urination Frequent urination Pelvic or back pain in advanced stages In Men: Men usually report blood in urine earlier and are more likely to undergo further urological investigations. In Women: Women often present with repeated UTIs or urinary discomfort, which delays cancer evaluation. This leads to later detection when the cancer is already more advanced. For both men and women, ignoring these warning signs can reduce treatment success. That is why timely Bladder Cancer Treatment In Pune is essential for better outcomes. Diagnosis and Delays Diagnostic approaches are similar for men and women, including urine tests, cystoscopy, imaging (CT/MRI), and biopsy. However, the difference lies in timing. Men: Usually undergo earlier referral to a urologist due to visible hematuria. Women: Often experience months of delay because hematuria is sometimes attributed to gynecological issues or UTIs. These delays contribute to women being diagnosed at more advanced stages, which significantly affects survival rates. An experienced Urologist In Pune can play a critical role in identifying early warning signs and recommending appropriate diagnostic steps without unnecessary delay. Treatment Differences The standard treatments for bladder cancer include surgery, chemotherapy, immunotherapy, and radiation. But gender differences impact treatment planning and response. In Men: Men often undergo transurethral resection (TURBT) followed by intravesical therapies. Radical cystectomy (removal of the bladder) may be required in advanced cases. Men generally respond better to treatment because the disease is caught earlier. In Women: Women undergoing bladder removal surgery often face greater challenges due to anatomical differences. Fertility, reproductive health, and post-surgical recovery require more specialized care. Since diagnosis is frequently delayed, treatments are often more aggressive. Choosing the right Bladder Cancer Treatment In Pune ensures a personalized approach that considers gender-specific needs. Prognosis and Survival Rates Survival rates differ significantly between men and women. While men are diagnosed more frequently, they usually have higher survival rates because of earlier detection. Women, on the other hand, have lower survival rates due to late diagnosis and more aggressive cancer subtypes. Men: Higher incidence but better outcomes. Women: Lower incidence but poorer prognosis. This highlights the urgent need for better awareness of bladder cancer symptoms in women and proactive health check-ups with a reliable Urology Doctor In Pune. Why Gender-Specific Awareness Matters Early detection saves lives – Recognizing that women may not always present with typical symptoms can help reduce diagnostic delays. Personalized treatment – Gender-based anatomical and hormonal differences must be considered during treatment planning. Better outcomes – Awareness campaigns targeting both men and women can improve survival rates. Conclusion Bladder cancer affects both men and women, but the differences in risk factors, symptoms, and outcomes cannot be ignored. Men are more frequently diagnosed, but women often face worse prognoses due to delays in detection and more aggressive disease progression. If you or your loved ones experience symptoms such as persistent urinary discomfort, blood in urine, or frequent UTIs, it’s important not to ignore them. Seeking expert care from an experienced Urologist In Kharadi, Pune can make all the difference. Dr. Rakshit Ahuja, a trusted name in advanced urological care, provides comprehensive evaluation and Bladder Cancer Treatment In Pune tailored to individual needs. With specialized expertise as a leading Urology Doctor In Pune, he is committed to delivering compassionate and effective care for both men and women battling bladder cancer. Early awareness, timely diagnosis, and expert treatment are the keys to improving outcomes in bladder cancer—regardless of gender. 📞 Book an Appointment: 98905 83933 🌐 Visit Our Website: www.drrakshitahujaurologist.com Select an element to maximize. Press ESC to cancel. Select an element to maximize. Press ESC to cancel.

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Kidney Specialist in Pune

Can Kidney Stones Lead to Kidney Damage? What You Need to Know

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Kidney stones are a common urological condition that affects millions of people worldwide. While they are often perceived as a painful yet temporary problem, the consequences of untreated or recurrent kidney stones can be more severe than many people realize. One critical question patients often ask is: Can kidney stones lead to kidney damage? The short answer is yes—if left untreated, kidney stones can potentially cause permanent kidney damage and other serious health issues. In this blog, we’ll explore how kidney stones form, what complications they can lead to, and why timely diagnosis and expert management by a Kidney Specialist like Dr. Rakshit Ahuja is essential. What Are Kidney Stones? Kidney stones are hard mineral and salt deposits that form inside the kidneys. They develop when your urine becomes concentrated with substances like calcium, oxalate, or uric acid, which can crystallize and stick together. These stones can range in size from a grain of sand to a golf ball. The most common types of kidney stones include: Calcium stones (usually calcium oxalate) Struvite stones (associated with infections) Uric acid stones Cystine stones (genetic) Symptoms of Kidney Stones Many kidney stones cause no symptoms and are discovered incidentally. However, when stones begin to move into the ureter (the tube connecting the kidney and bladder), they can cause: Severe pain in the back or side (renal colic) Blood in urine Nausea and vomiting Frequent urination Burning sensation during urination Fever and chills (if infection is present) If you’re experiencing any of these symptoms, it is crucial to consult a Urology Doctor in Pune promptly to prevent complications. Can Kidney Stones Cause Kidney Damage? 1. Obstruction of Urine Flow When a kidney stone blocks the ureter, it can obstruct the normal flow of urine. This leads to hydronephrosis, a condition where the kidney swells due to urine buildup. Prolonged obstruction puts pressure on the kidney tissues, reducing blood flow and potentially leading to kidney function impairment or even permanent kidney damage. 2. Recurrent Infections Stones can harbor bacteria, leading to recurrent urinary tract infections (UTIs). Chronic infections increase the risk of pyelonephritis (kidney infection), which can scar the kidneys over time and reduce their ability to filter waste efficiently. 3. Chronic Kidney Disease (CKD) Long-standing or untreated kidney stones, especially recurrent ones, have been linked to chronic kidney disease. Studies show that people with recurrent stone disease have a higher risk of gradual loss of kidney function, especially when combined with other conditions like diabetes or hypertension. 4. Kidney Failure In extreme cases, untreated stones can lead to complete kidney failure, necessitating dialysis or even a kidney transplant. While this is rare, the risk increases if both kidneys are affected or if there are repeated episodes of obstruction and infection. Who Is at Risk? Some people are more prone to developing kidney stones and subsequent complications. Risk factors include: Dehydration High-protein, high-sodium diets Family history of kidney stones Obesity Certain medical conditions like gout, hyperparathyroidis Recurrent urinary tract infections If you have any of these risk factors, regular follow-ups with a Kidney Specialist in Pune like Dr. Rakshit Ahuja can help in early detection and prevention. Timely Diagnosis Is Key To determine if kidney stones are present and to assess their size and location, diagnostic tools such as: Ultrasound CT scans X-rays (KUB) Urine analysis Blood tests are commonly used. These tests also help in evaluating kidney function and identifying any signs of obstruction or infection. Effective Kidney Stone Treatment With advances in medical technology, kidney stone treatment has become safer, faster, and less invasive. At Dr. Rakshit Ahuja’s clinic in Pune, patients receive personalized care plans based on the size, location, and type of stone. Treatment options include: Medical Management Small stones may pass on their own with increased fluid intake and medication. Pain relievers and alpha-blockers may be prescribed to facilitate stone passage.   Extracorporeal Shock Wave Lithotripsy (ESWL) Non-invasive procedure using sound waves to break stones into smaller fragments that can be passed naturally.   Ureteroscopy A thin scope is inserted into the urinary tract to locate and remove or fragment the stone using a laser.   Percutaneous Nephrolithotomy (PCNL) A minimally invasive surgical procedure for removing large or complex stones directly from the kidney.   Laparoscopic Stone Removal In rare cases, laparoscopic surgery may be recommended for extremely large or difficult-to-reach stones. Dr. Rakshit Ahuja, a leading Urologist in Pune, is skilled in performing these advanced procedures with a focus on safety, faster recovery, and long-term results. Preventing Kidney Stones & Protecting Kidney Health Prevention is always better than cure. Here are some tips to reduce the risk of kidney stones and prevent kidney damage: Stay well-hydrated: Aim for at least 2.5–3 liters of water a day. Limit salt and animal protein: High sodium and red meat intake can increase stone risk. Increase intake of fruits and vegetables: These provide natural citrate, which helps prevent stone formation. Manage weight and medical conditions: Control diabetes, blood pressure, and obesity. Follow up with a kidney specialist: Regular monitoring is essential if you have a history of stones. Why Choose Dr. Rakshit Ahuja for Kidney Stone Treatment? Dr. Rakshit Ahuja is a highly experienced Kidney Specialist, known for his patient-centered approach and use of state-of-the-art technology. Whether you’re dealing with a first-time stone or recurrent stone disease, his clinic provides comprehensive evaluation, accurate diagnosis, and customized treatment plans to ensure optimal kidney health. Patients across Pune trust Dr. Ahuja not only for his clinical expertise but also for his compassionate care and focus on long-term well-being. If you’re searching for effective Kidney Stone Treatment in Pune, you’re in safe hands with Dr. Ahuja. Conclusion While kidney stones are common and treatable, ignoring them can lead to serious consequences, including irreversible kidney damage. Timely diagnosis, expert care, and preventive measures are essential to protect your kidneys. If you suspect a kidney stone or have a history of stones, don’t delay. Book a consultation with Dr. Rakshit Ahuja, the trusted Urologist in Pune, and take

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Best Urologist in Pune

What the Colour of Your Urine Says About Your Health

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Most of us don’t pay much attention to our urine — but did you know that the colour of your urine can offer important clues about your health? From dehydration and infections to more serious conditions like kidney stones or liver problems, your urine may be trying to tell you something. As a leading Urologist in Pune, I often advise patients to notice any changes in the appearance, smell, or frequency of urination. Drastic or unusual changes could signal a need for timely intervention — and early detection is key to successful treatment. Let’s explore what different urine colours mean and when you should consider seeing a specialist. Pale Yellow to Amber – The “Normal” Range This is the ideal urine colour, ranging from light straw to amber yellow. It means your body is well-hydrated and functioning normally. The yellow tint comes from a pigment called urochrome, a byproduct of the breakdown of hemoglobin. Pro Tip: If your urine is pale and clear, you’re drinking enough water. Keep it up! Dark Yellow or Honey-Coloured Urine Dark yellow urine typically indicates mild dehydration. It’s your body’s way of telling you to increase your fluid intake. If your urine consistently appears dark, it may put added pressure on your kidneys — especially if you are prone to developing kidney stones. As a Kidney Stones Specialist in Pune, I often stress the importance of hydration to prevent stone formation. What to Do: Start drinking more water throughout the day and monitor if the colour lightens. Amber or Brown Urine This could signal severe dehydration, liver disorders, or the presence of bilirubin in the urine. Certain medications or excessive rhubarb and fava bean consumption can also cause this shade. If the urine continues to appear brown despite drinking fluids, it’s time to consult a Urologist in Pune like Dr. Rakshit Ahuja for further evaluation. Red or Pink Urine This is often the most alarming colour — and understandably so. Red or pink urine could be caused by: Blood in urine (hematuria) Kidney stones Urinary tract infections Enlarged prostate Tumors in the bladder or kidney As a Kidney Stones Specialist in Pune, I see many patients who notice pink or red urine as the first symptom of Kidney Stone movement or urinary infections. Stones can cause microscopic or visible bleeding. Note: Beets, blackberries, and certain medications can also turn urine pink. What to Do: If it’s not food-related and persists for more than a day, book an appointment for Kidney Stone Treatment in Pune to rule out serious causes. Orange Urine Orange urine may be a result of dehydration, but it can also be linked to: Liver issues Bile duct obstruction Certain antibiotics or urinary tract medications In rare cases, orange urine is an early sign of liver disease, especially if accompanied by light-colored stools or yellow skin (jaundice). Blue or Green Urine Although rare, these colours could be caused by: Food dyes Certain medications (like methylene blue) Bacterial infections (Pseudomonas) Genetic conditions (hypercalcemia) If this persists or is accompanied by discomfort, you may need a Urologist in Pune to evaluate your urinary tract health. Cloudy or Murky Urine Cloudy urine could be a result of: Urinary tract infection (UTI) Kidney stones Dehydration Excess phosphate or pus in urine Many patients coming for Kidney Stone Treatment in Pune report cloudy or foul-smelling urine due to infections caused by stone blockage. Tip: If your urine appears cloudy and smells bad, see a Kidney Stones Specialist in Pune promptly for testing and diagnosis. Foamy or Bubbly Urine A bit of foam in the urine is usually harmless, especially if it’s occasional. But persistent foamy urine might indicate: Excess protein in the urine (a sign of kidney disease) Rapid urination causing turbulence Urinary tract infections As a specialist in kidney conditions, Dr. Rakshit Ahuja always investigates proteinuria thoroughly, as it may signal underlying kidney issues that require early intervention. When to See a Urologist? While occasional variations in urine colour are normal (due to food, medication, or temporary dehydration), persistent or recurring changes need medical attention. Consult Dr. Rakshit Ahuja – Urologist in Pune, if you notice: Blood in urine (visible or microscopic) Cloudy, foul-smelling, or frothy urine Pain while urinating Frequent urge to urinate, especially at night Back pain or abdominal discomfort These could indicate Kidney Stones, infections, or other urinary issues that need accurate diagnosis and prompt treatment. Connection Between Urine Colour & Kidney Stones Kidney stones often go undiagnosed until symptoms become intense. One early sign could be change in urine colour due to bleeding or infection. At our clinic, we provide comprehensive Kidney Stone Treatment in Pune, including: Ultrasound and CT scan diagnosis Medical management for smaller stones Minimally invasive procedures (URS, RIRS, PCNL) Diet and hydration counseling to prevent recurrence As a Kidney Stones Specialist in Pune, I ensure patients receive holistic care — from diagnosis to treatment and lifestyle guidance. Tips for Healthy Urine & Kidney Function Stay hydrated – aim for at least 2–3 liters of water daily Limit salt and processed foods Avoid excessive animal protein Don’t ignore frequent UTIs Get routine kidney and urine tests if you have a family history of stones See a urologist for any unexplained changes in urine Meet Your Trusted Urologist in Pune – Dr. Rakshit Ahuja With extensive experience in treating urinary disorders, Dr. Rakshit Ahuja is known for his personalized and effective approach in Kidney Stone Treatment in Pune. He combines advanced diagnostic tools, state-of-the-art treatment methods, and preventive care to help patients regain their urinary and kidney health. Ready to Take Charge of Your Health? Don’t ignore what your body is trying to tell you. Book a consultation with Dr. Rakshit Ahuja, your reliable Kidney Stones Specialist in Pune, and let’s decode the signs together! 📞 Book an Appointment: 98905 83933 🌐 Visit Our Website: www.drrakshitahujaurologist.com Select an element to maximize. Press ESC to cancel. Select an element to maximize. Press ESC to cancel. Select an element to maximize. Press

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